Opioids & opiate analogs 3/4 at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$1,735.95
Cash price 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.
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What you pay up front if you don't use insurance.
$1,735.95
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$0.02 with Aetna vs $1,735.95 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 →
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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 ?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 ?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 |
|---|---|---|---|
| Aetna | QHPHIX | $0.02 | ↓ -100% |
| Aetna | NewBusiness | $0.03 | ↓ -100% |
| Aetna | Meritain | $0.03 | ↓ -100% |
| Aetna | COMM | $0.03 | ↓ -100% |
| Aetna | OON | $0.04 | ↓ -100% |
| TEXAS HEALTH NETWORK | MCD | $17.56 | ↓ -99% |
| United | STARKids | $17.83 | ↓ -99% |
| United | CHIP | $17.83 | ↓ -99% |
| Cook Childrens Health Plan | STAR | $17.83 | ↓ -99% |
| Amerigroup | MGMCD | $17.83 | ↓ -99% |
| Amerigroup | CHIP | $17.83 | ↓ -99% |
| Cook Childrens Health Plan | CHIP | $17.83 | ↓ -99% |
| United | STAR | $17.83 | ↓ -99% |
| Parkland Community Health Plan | MCD | $17.83 | ↓ -99% |
| United | STARPerinate | $17.83 | ↓ -99% |
| United | STARPLUS | $17.83 | ↓ -99% |
| Cigna Healthspring | MGMCD | $18.72 | ↓ -99% |
| Aetna Better Health | CHIP | $19.26 | ↓ -99% |
| Aetna Better Health | MCD | $19.26 | ↓ -99% |
| Molina | CHIP | $19.61 | ↓ -99% |
| Molina | MCDSTAR | $19.61 | ↓ -99% |
| Molina | STAR+PLUS | $19.61 | ↓ -99% |
| Molina | STARKIDS | $19.61 | ↓ -99% |
| Humana | MGMCD | $22.29 | ↓ -99% |
| Superior Health Plan | STARKids | $121.52 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $121.52 | ↓ -93% |
| Superior Health Plan | STARPLUS | $121.52 | ↓ -93% |
| Superior Health Plan | STARHealth | $121.52 | ↓ -93% |
| Superior Health Plan | CHIP | $121.52 | ↓ -93% |
| Humana | COMM | $179.25 | ↓ -90% |
| Cigna | IFP | $234.35 | ↓ -87% |
| Cigna | QHP | $243.03 | ↓ -86% |
| Imperial Insurance Company | MCR | $329.83 | ↓ -81% |
| United | OptionsPPO | $345.45 | ↓ -80% |
| Oscar | HIX | $361.08 | ↓ -79% |
| Unicare | CHIP | $416.63 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $425.31 | ↓ -75% |
| BCBS | MyBlueHealth | $428.78 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $428.78 | ↓ -75% |
| Evry Health | COMM | $447.88 | ↓ -74% |
| Cigna | LocalPlus | $458.29 | ↓ -74% |
| Cigna | NewBusiness | $458.29 | ↓ -74% |
| BCBS | BluePremier | $506.90 | ↓ -71% |
| Cigna | NetworkBenefit | $512.11 | ↓ -70% |
| Cigna | HMO | $512.11 | ↓ -70% |
| Cigna | OpenAccessPlus | $512.11 | ↓ -70% |
| BCBS | BlueEssentials | $553.77 | ↓ -68% |
| BCBS | BlueEssentialsAccess | $553.77 | ↓ -68% |
| BCBS | EPOSOA | $581.54 | ↓ -67% |
| Healthcare Highways | CityofPlano | $586.75 | ↓ -66% |
| BCBS | PPO | $607.58 | ↓ -65% |
| Cigna | AllOther | $647.51 | ↓ -63% |
| BCBS | Traditional | $770.76 | ↓ -56% |
| City of McKinney | COMM | $781.18 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $781.18 | ↓ -55% |
| National ChoiceCare | WCOMP | $867.98 | ↓ -50% |
| Aetna | ASA | $914.85 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $954.77 | ↓ -45% |
| Aetna | WCOMP | $954.77 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $954.77 | ↓ -45% |
| PC Texas Partners | WCOMP | $954.77 | ↓ -45% |
| Averde Health, Inc | PPO | $1,006.85 | ↓ -42% |
| USC Health Services | COMM | $1,041.57 | ↓ -40% |
| Mega Life | MGMCRPPO | $1,215.16 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $1,215.16 | ↓ -30% |
| Jostens | WCOMP | $1,215.16 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $1,215.16 | ↓ -30% |
| Aetna Coventry First Health | COMM | $1,262.04 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,301.96 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $1,301.96 | ↓ -25% |
| USA Managed Care | COMM | $1,388.76 | ↓ -20% |
| Galaxy Health Network | PPO | $1,475.56 | ↓ -15% |
| Unicare | MCD | $1,735.95 | ↑ +0% |
| Independent Medical Systems | COMM | $1,735.95 | ↑ +0% |
| National Healthcare Solutions | COMM | $1,735.95 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Opioids & opiate analogs 3/4 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio | $37.62 | $0.01 – $22.29 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $0.05 – $22.29 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $0.05 – $22.29 |
| HCA HOUSTON CONROE | CONROE | not published | $0.05 – $22.29 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $0.05 – $22.29 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $0.05 – $22.29 |
| HCA HOUSTON PEARLAND | Pearland | not published | $0.05 – $22.29 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $0.05 – $22.29 |