Octreotide acetate 100 mcg/ml injection (wrapper) at MEDICAL CITY LEWISVILLE HOSPITAL

1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

not published by hospital

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

not published by hospital

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.57 with Humana vs $283.20 with National Healthcare Solutions — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
Humana Tricare $0.57
United SmallGroup $1.09
United AllPayerAppendix $1.09
United NarrowNetworkIndivExchange $1.09
BCBS BlueAdvantageHMO $2.14
BCBS MyBlueHealth $2.14
BCBS BluePremier $2.53
BCBS BlueEssentials $3.13
BCBS BlueEssentialsAccess $3.13
BCBS EPOSOA $3.29
BCBS PPO $3.44
Cigna NewBusiness $3.69
Cigna LocalPlus $3.69
Cigna HMO $4.12
Cigna NetworkBenefit $4.12
Cigna OpenAccessPlus $4.12
Cigna AllOther $5.22
Humana COMM $6.01
Superior Health Plan STARHealth $19.82
Superior Health Plan CHIP $19.82
Superior Health Plan STARKids $19.82
Superior Health Plan STARPLUS $19.82
Superior Health Plan MCDSTAR $19.82
Aetna QHPHIX $38.23
Cigna IFP $38.23
Cigna QHP $39.65
Aetna NewBusiness $56.36
United OptionsPPO $56.36
Aetna COMM $60.32
Aetna Meritain $60.32
Imperial Insurance Company MCR $63.64
Unicare CHIP $67.97
Oscar HIX $69.67
Aetna OON $71.08
Healthcare Highways NarrowNetwork $82.06
Evry Health COMM $86.41
Healthcare Highways CityofPlano $95.72
BCBS Traditional $125.74
City of McKinney COMM $127.44
Curative Administrators COMM $133.98
National ChoiceCare WCOMP $141.60
Aetna ASA $149.25
Fidelis SecureCare MGMCR $150.72
Physicians Coop of TX MGMCR $155.76
Rockport Health Group WORKERSCOMP $155.76
PC Texas Partners WCOMP $155.76
Aetna WCOMP $155.76
Averde Health, Inc PPO $164.26
USC Health Services COMM $169.92
Jostens WCOMP $198.24
Coastal Comp Health Networks WCOMP $198.24
Mega Life MGMCRPPO $198.24
Aetna Coventry First Health COMM $205.89
HealthSmart Preferred Care PPO $212.40
LEWISVILLE ISD/DLS CONSULTING COMMPPO $212.40
USA Managed Care COMM $226.56
Multiplan PHCS PrimaryNetwork $234.46
Galaxy Health Network PPO $240.72
Unicare MCD $283.20
Independent Medical Systems COMM $283.20
National Healthcare Solutions COMM $283.20

Visitor-reported prices

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Octreotide acetate 100 mcg/ml injection (wrapper) at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $140.34 $2.39 – $2.39
Covenant Children's Hospital Lubbock $56.70 $2.12 – $4.52
St. Luke's Health - Patients Medical Center Pasadena $41.16 $0.68 – $60.90
Baylor St Luke's Medical Center Houston $204.18 $0.56 – $55.54
St. Joseph Health Madison Hospital Madisonville $7.05 $0.26 – $1.81
St. Luke's Health Memorial Lufkin Lufkin $199.52 $1.21 – $35.06
St. Luke's Health - Springwoods Village Hospital Spring $204.18 $0.68 – $55.54
St. Luke's Health - Sugar Land Hospital Sugar Land $204.18 $0.68 – $55.54

All Texas hospitals for this procedure →