Ot therapeutic interventions cognitive skills direct patient contact each additional 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$19.80 with Humana vs $308.70 with Independent Medical Systems — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Humana | Tricare | $19.80 | — |
| BCBS | MGMCRHMO | $20.41 | — |
| BCBS | MCRPPO | $20.41 | — |
| WellMed | MGMCR | $20.69 | — |
| Devoted Health | MME | $20.79 | — |
| Humana | MGMCR | $20.79 | — |
| Devoted Health | SNP | $20.79 | — |
| Mutual of Omaha | MGMCR | $20.79 | — |
| TriWest Health Alliance | FEDERAL | $20.79 | — |
| Amerigroup | DualEligible | $20.79 | — |
| Devoted Health | HMO | $20.79 | — |
| Devoted Health | PPO | $20.79 | — |
| Devoted Health | POS | $20.79 | — |
| Devoted Health | MCR | $20.79 | — |
| United | MGMCR | $20.89 | — |
| Aetna | MCR | $20.97 | — |
| Care N Care | MGMCR | $21.00 | — |
| Cigna Healthspring | MGMCR | $21.21 | — |
| WellCare | MGMCR | $21.41 | — |
| Integranet | MGMCR | $21.41 | — |
| Superior Health Plan | STARPLUS | $21.61 | — |
| Superior Health Plan | MCDSTAR | $21.61 | — |
| Superior Health Plan | STARHealth | $21.61 | — |
| Superior Health Plan | STARKids | $21.61 | — |
| Superior Health Plan | CHIP | $21.61 | — |
| Superior Health Plan | MGMCRPOS | $21.83 | — |
| Superior Health Plan | MGMCRSNP | $21.83 | — |
| American Health Plan of Texas, Inc. | MGMCR | $21.83 | — |
| Superior Health Plan | MGMCRHMO | $21.83 | — |
| Superior Health Plan | MGMCRPPO | $21.83 | — |
| Superior Health Plan | MGMCRDualEligible | $21.83 | — |
| Superior Health Plan | MGMCRPFFS | $21.83 | — |
| ProCare Advantge | MCR | $21.83 | — |
| Provider Partners Health Plan | MCR | $22.04 | — |
| Texas Independent Health Plan | MGMCR | $22.04 | — |
| Molina | MME | $22.66 | — |
| Molina | MCR | $22.66 | — |
| Molina | MMP | $22.66 | — |
| Imperial Insurance Company | MCR | $22.87 | — |
| Universal Healthcare Group | MCR | $24.95 | — |
| Verda Health Plan | MGMCR | $27.03 | — |
| Bravo Health | MCRPPO | $31.18 | — |
| Bravo Health | MCRPFFS | $31.18 | — |
| Bravo Health | MCRSNP | $31.18 | — |
| Bravo Health | MCRPOS | $31.18 | — |
| Bravo Health | MCRHMO | $31.18 | — |
| Superior | ValueHMO | $37.21 | — |
| USA Managed Care | WORKERSCOMP | $39.50 | — |
| Corvel Corporation | WORKERSCOMP | $41.16 | — |
| Cigna | IFP | $41.67 | — |
| Cigna | QHP | $43.22 | — |
| Superior | HMO | $46.57 | — |
| Superior | EPO | $46.57 | — |
| Molina Healthcare | HIX | $54.47 | — |
| BCBS | BluePremier | $55.29 | — |
| United | OptionsPPO | $61.43 | — |
| Oscar | HIX | $64.21 | — |
| BCBS | BlueAdvantageHMO | $64.43 | — |
| BCBS | MyBlueHealth | $64.43 | — |
| Unicare | CHIP | $74.09 | — |
| Healthcare Highways | CityofPlano | $104.34 | — |
| Aetna | QHPHIX | $106.00 | — |
| BCBS | BlueEssentials | $114.10 | — |
| BCBS | BlueEssentialsAccess | $114.10 | — |
| BCBS | EPOSOA | $119.73 | — |
| BCBS | PPO | $125.35 | — |
| BCBS | Traditional | $137.06 | — |
| Fidelis SecureCare | MGMCR | $138.91 | — |
| City of McKinney | COMM | $138.91 | — |
| Aetna | NewBusiness | $143.00 | — |
| National ChoiceCare | WCOMP | $154.35 | — |
| Aetna | Meritain | $155.00 | — |
| Aetna | COMM | $155.00 | — |
| Aetna | ASA | $162.68 | — |
| Aetna | WCOMP | $169.78 | — |
| PC Texas Partners | WCOMP | $169.78 | — |
| Physicians Coop of TX | MGMCR | $169.78 | — |
| Rockport Health Group | WORKERSCOMP | $169.78 | — |
| Aetna | OON | $179.00 | — |
| Averde Health, Inc | PPO | $179.05 | — |
| USC Health Services | COMM | $185.22 | — |
| Multiplan PHCS | PrimaryNetwork | $216.09 | — |
| Coastal Comp Health Networks | WCOMP | $216.09 | — |
| Jostens | WCOMP | $216.09 | — |
| Mega Life | MGMCRPPO | $216.09 | — |
| Aetna Coventry First Health | COMM | $224.42 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $231.53 | — |
| HealthSmart Preferred Care | PPO | $231.53 | — |
| USA Managed Care | COMM | $246.96 | — |
| Galaxy Health Network | PPO | $262.39 | — |
| Unicare | MCD | $308.70 | — |
| National Healthcare Solutions | COMM | $308.70 | — |
| Independent Medical Systems | COMM | $308.70 | — |
Visitor-reported prices
Comments
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $115.19 | $32.64 – $163.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $106.40 | $21.90 – $159.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $99.73 | $19.95 – $124.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $115.19 | $30.72 – $163.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $106.40 | $34.15 – $159.60 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $106.40 | $54.97 – $159.60 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $99.73 | $33.24 – $149.59 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $115.19 | $30.72 – $163.18 |