Ot therapeutic activities direct patient contact each 15 minutes at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
not published by hospital
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.
not published by hospital
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.
$18.44 with Superior Health Plan vs $284.07 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 | $18.44 | — |
| Superior Health Plan | MCDSTAR | $18.44 | — |
| Superior Health Plan | STARHealth | $18.44 | — |
| Superior Health Plan | CHIP | $18.44 | — |
| Superior Health Plan | STARKids | $18.44 | — |
| BCBS | MGMCRHMO | $29.47 | — |
| BCBS | MCRPPO | $29.47 | — |
| WellMed | MGMCR | $29.79 | — |
| Devoted Health | SNP | $29.94 | — |
| Mutual of Omaha | MGMCR | $29.94 | — |
| Amerigroup | DualEligible | $29.94 | — |
| Devoted Health | MCR | $29.94 | — |
| Humana | MGMCR | $29.94 | — |
| TriWest Health Alliance | FEDERAL | $29.94 | — |
| Devoted Health | PPO | $29.94 | — |
| Devoted Health | HMO | $29.94 | — |
| Devoted Health | POS | $29.94 | — |
| Devoted Health | MME | $29.94 | — |
| United | MGMCR | $30.09 | — |
| Aetna | MCR | $30.19 | — |
| Care N Care | MGMCR | $30.24 | — |
| Cigna Healthspring | MGMCR | $30.54 | — |
| Integranet | MGMCR | $30.84 | — |
| WellCare | MGMCR | $30.84 | — |
| Superior Health Plan | MGMCRPPO | $31.43 | — |
| Superior Health Plan | MGMCRHMO | $31.43 | — |
| Superior Health Plan | MGMCRDualEligible | $31.43 | — |
| Superior Health Plan | MGMCRPFFS | $31.43 | — |
| Superior Health Plan | MGMCRPOS | $31.43 | — |
| Superior Health Plan | MGMCRSNP | $31.43 | — |
| ProCare Advantge | MCR | $31.43 | — |
| American Health Plan of Texas, Inc. | MGMCR | $31.43 | — |
| Provider Partners Health Plan | MCR | $31.73 | — |
| Texas Independent Health Plan | MGMCR | $31.73 | — |
| Humana | Tricare | $32.49 | — |
| Molina | MME | $32.63 | — |
| Molina | MMP | $32.63 | — |
| Molina | MCR | $32.63 | — |
| Imperial Insurance Company | MCR | $32.93 | — |
| Cigna | IFP | $35.56 | — |
| Universal Healthcare Group | MCR | $35.93 | — |
| Cigna | QHP | $36.88 | — |
| Verda Health Plan | MGMCR | $38.92 | — |
| Bravo Health | MCRPFFS | $44.91 | — |
| Bravo Health | MCRPPO | $44.91 | — |
| Bravo Health | MCRSNP | $44.91 | — |
| Bravo Health | MCRPOS | $44.91 | — |
| Bravo Health | MCRHMO | $44.91 | — |
| United | OptionsPPO | $52.42 | — |
| Superior | ValueHMO | $53.59 | — |
| Oscar | HIX | $54.80 | — |
| USA Managed Care | WORKERSCOMP | $56.88 | — |
| Corvel Corporation | WORKERSCOMP | $59.28 | — |
| Unicare | CHIP | $63.23 | — |
| Superior | HMO | $67.06 | — |
| Superior | EPO | $67.06 | — |
| Molina Healthcare | HIX | $78.44 | — |
| Healthcare Highways | CityofPlano | $89.04 | — |
| BCBS | BluePremier | $96.10 | — |
| Aetna | QHPHIX | $106.00 | — |
| BCBS | BlueAdvantageHMO | $111.98 | — |
| BCBS | MyBlueHealth | $111.98 | — |
| BCBS | Traditional | $116.97 | — |
| Fidelis SecureCare | MGMCR | $118.55 | — |
| City of McKinney | COMM | $118.55 | — |
| National ChoiceCare | WCOMP | $131.72 | — |
| Aetna | ASA | $138.83 | — |
| Aetna | NewBusiness | $143.00 | — |
| Aetna | WCOMP | $144.89 | — |
| Rockport Health Group | WORKERSCOMP | $144.89 | — |
| Physicians Coop of TX | MGMCR | $144.89 | — |
| PC Texas Partners | WCOMP | $144.89 | — |
| Averde Health, Inc | PPO | $152.80 | — |
| Aetna | Meritain | $155.00 | — |
| Aetna | COMM | $155.00 | — |
| USC Health Services | COMM | $158.06 | — |
| Aetna | OON | $179.00 | — |
| Mega Life | MGMCRPPO | $184.41 | — |
| Multiplan PHCS | PrimaryNetwork | $184.41 | — |
| Coastal Comp Health Networks | WCOMP | $184.41 | — |
| Jostens | WCOMP | $184.41 | — |
| Aetna Coventry First Health | COMM | $191.52 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $197.58 | — |
| HealthSmart Preferred Care | PPO | $197.58 | — |
| BCBS | BlueEssentialsAccess | $198.31 | — |
| BCBS | BlueEssentials | $198.31 | — |
| BCBS | EPOSOA | $208.08 | — |
| USA Managed Care | COMM | $210.75 | — |
| BCBS | PPO | $217.85 | — |
| Galaxy Health Network | PPO | $223.92 | — |
| Independent Medical Systems | COMM | $263.44 | — |
| National Healthcare Solutions | COMM | $263.44 | — |
| Unicare | MCD | $263.44 | — |
| Humana | COMM | $284.07 | — |
Visitor-reported prices
Comments
Ot therapeutic activities direct patient contact each 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $289.38 | $156.77 – $156.77 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $122.76 | $34.78 – $173.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $138.53 | $28.51 – $207.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $147.08 | $29.42 – $183.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $122.76 | $32.74 – $173.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $138.53 | $44.47 – $207.79 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $138.53 | $71.57 – $207.79 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $147.08 | $49.03 – $220.63 |