Ostomy clamp, replacement at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$10.00
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.
$10.00
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.
$0.70 with Superior Health Plan vs $19.10 with Humana — 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 |
|---|---|---|---|
| Superior Health Plan | STARPLUS | $0.70 | ↓ -93% |
| Superior Health Plan | CHIP | $0.70 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $0.70 | ↓ -93% |
| Superior Health Plan | STARHealth | $0.70 | ↓ -93% |
| Superior Health Plan | STARKids | $0.70 | ↓ -93% |
| Aetna | QHPHIX | $1.35 | ↓ -87% |
| Cigna | IFP | $1.35 | ↓ -87% |
| Cigna | QHP | $1.40 | ↓ -86% |
| Aetna | NewBusiness | $1.99 | ↓ -80% |
| United | OptionsPPO | $1.99 | ↓ -80% |
| Oscar | HIX | $2.08 | ↓ -79% |
| Aetna | COMM | $2.13 | ↓ -79% |
| Aetna | Meritain | $2.13 | ↓ -79% |
| Unicare | CHIP | $2.40 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $2.45 | ↓ -76% |
| Aetna | OON | $2.51 | ↓ -75% |
| Evry Health | COMM | $2.58 | ↓ -74% |
| Cigna | NewBusiness | $2.64 | ↓ -74% |
| Cigna | LocalPlus | $2.64 | ↓ -74% |
| BCBS | MyBlueHealth | $2.89 | ↓ -71% |
| BCBS | BlueAdvantageHMO | $2.89 | ↓ -71% |
| Cigna | HMO | $2.95 | ↓ -71% |
| Cigna | NetworkBenefit | $2.95 | ↓ -71% |
| Cigna | OpenAccessPlus | $2.95 | ↓ -71% |
| BCBS | BluePremier | $3.27 | ↓ -67% |
| Humana | Tricare | $3.28 | ↓ -67% |
| BCBS | MGMCRHMO | $3.31 | ↓ -67% |
| BCBS | MCRPPO | $3.31 | ↓ -67% |
| WellMed | MGMCR | $3.36 | ↓ -66% |
| Devoted Health | MCR | $3.38 | ↓ -66% |
| Healthcare Highways | CityofPlano | $3.38 | ↓ -66% |
| Mutual of Omaha | MGMCR | $3.38 | ↓ -66% |
| Humana | MGMCR | $3.38 | ↓ -66% |
| Devoted Health | SNP | $3.38 | ↓ -66% |
| Devoted Health | PPO | $3.38 | ↓ -66% |
| Devoted Health | HMO | $3.38 | ↓ -66% |
| Devoted Health | POS | $3.38 | ↓ -66% |
| TriWest Health Alliance | FEDERAL | $3.38 | ↓ -66% |
| Devoted Health | MME | $3.38 | ↓ -66% |
| Amerigroup | DualEligible | $3.38 | ↓ -66% |
| United | MGMCR | $3.40 | ↓ -66% |
| Aetna | MCR | $3.41 | ↓ -66% |
| Care N Care | MGMCR | $3.41 | ↓ -66% |
| Cigna Healthspring | MGMCR | $3.45 | ↓ -66% |
| Integranet | MGMCR | $3.48 | ↓ -65% |
| WellCare | MGMCR | $3.48 | ↓ -65% |
| Superior Health Plan | MGMCRPPO | $3.55 | ↓ -65% |
| Superior Health Plan | MGMCRHMO | $3.55 | ↓ -65% |
| Superior Health Plan | MGMCRDualEligible | $3.55 | ↓ -65% |
| Superior Health Plan | MGMCRPFFS | $3.55 | ↓ -65% |
| Superior Health Plan | MGMCRPOS | $3.55 | ↓ -65% |
| Superior Health Plan | MGMCRSNP | $3.55 | ↓ -65% |
| American Health Plan of Texas, Inc. | MGMCR | $3.55 | ↓ -65% |
| ProCare Advantge | MCR | $3.55 | ↓ -65% |
| Provider Partners Health Plan | MCR | $3.58 | ↓ -64% |
| Texas Independent Health Plan | MGMCR | $3.58 | ↓ -64% |
| Molina | MMP | $3.68 | ↓ -63% |
| Molina | MCR | $3.68 | ↓ -63% |
| Molina | MME | $3.68 | ↓ -63% |
| BCBS | BlueEssentialsAccess | $3.71 | ↓ -63% |
| BCBS | BlueEssentials | $3.71 | ↓ -63% |
| Imperial Insurance Company | MCR | $3.72 | ↓ -63% |
| Cigna | AllOther | $3.73 | ↓ -63% |
| BCBS | EPOSOA | $3.90 | ↓ -61% |
| Curative Administrators | COMM | $4.00 | ↓ -60% |
| Universal Healthcare Group | MCR | $4.06 | ↓ -59% |
| BCBS | PPO | $4.07 | ↓ -59% |
| Verda Health Plan | MGMCR | $4.39 | ↓ -56% |
| BCBS | Traditional | $4.44 | ↓ -56% |
| City of McKinney | COMM | $4.50 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $4.50 | ↓ -55% |
| National ChoiceCare | WCOMP | $5.00 | ↓ -50% |
| Bravo Health | MCRSNP | $5.07 | ↓ -49% |
| Bravo Health | MCRPFFS | $5.07 | ↓ -49% |
| Bravo Health | MCRHMO | $5.07 | ↓ -49% |
| Bravo Health | MCRPOS | $5.07 | ↓ -49% |
| Bravo Health | MCRPPO | $5.07 | ↓ -49% |
| Aetna | ASA | $5.27 | ↓ -47% |
| Aetna | WCOMP | $5.50 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $5.50 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $5.50 | ↓ -45% |
| PC Texas Partners | WCOMP | $5.50 | ↓ -45% |
| Averde Health, Inc | PPO | $5.80 | ↓ -42% |
| USC Health Services | COMM | $6.00 | ↓ -40% |
| Superior | ValueHMO | $6.05 | ↓ -40% |
| USA Managed Care | WORKERSCOMP | $6.42 | ↓ -36% |
| Corvel Corporation | WORKERSCOMP | $6.69 | ↓ -33% |
| Coastal Comp Health Networks | WCOMP | $7.00 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $7.00 | ↓ -30% |
| Jostens | WCOMP | $7.00 | ↓ -30% |
| Mega Life | MGMCRPPO | $7.00 | ↓ -30% |
| Aetna Coventry First Health | COMM | $7.27 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $7.50 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $7.50 | ↓ -25% |
| Superior | EPO | $7.57 | ↓ -24% |
| Superior | HMO | $7.57 | ↓ -24% |
| USA Managed Care | COMM | $8.00 | ↓ -20% |
| Galaxy Health Network | PPO | $8.50 | ↓ -15% |
| Molina Healthcare | HIX | $8.86 | ↓ -11% |
| National Healthcare Solutions | COMM | $10.00 | ↑ +0% |
| Unicare | MCD | $10.00 | ↑ +0% |
| Independent Medical Systems | COMM | $10.00 | ↑ +0% |
| Humana | COMM | $19.10 | ↑ +91% |
Visitor-reported prices
Comments
Ostomy clamp, replacement at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $26.50 | $3.31 – $7.27 |
| HCA HOUSTON PEARLAND | Pearland | $35.50 | $3.31 – $7.27 |
| Texas Health Presbyterian Hospital Allen | Allen | $2.79 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $2.79 | not published |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $2.79 | not published |
| Texas Health Arlington Memorial Hospital | Arlington | $2.79 | not published |
| Texas Health Presbyterian Hospital Denton | Denton | $2.79 | not published |
| Texas Health Presbyterian Hospital Plano | Plano | $2.79 | not published |