Ot training self care/home management direct 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.
$20.03 with Superior Health Plan vs $286.08 with Unicare — 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 | $20.03 | — |
| Superior Health Plan | MCDSTAR | $20.03 | — |
| Superior Health Plan | STARKids | $20.03 | — |
| Superior Health Plan | STARHealth | $20.03 | — |
| Superior Health Plan | CHIP | $20.03 | — |
| BCBS | MGMCRHMO | $27.33 | — |
| BCBS | MCRPPO | $27.33 | — |
| WellMed | MGMCR | $27.58 | — |
| Devoted Health | HMO | $27.72 | — |
| Devoted Health | MCR | $27.72 | — |
| Devoted Health | MME | $27.72 | — |
| Devoted Health | PPO | $27.72 | — |
| Humana | MGMCR | $27.72 | — |
| TriWest Health Alliance | FEDERAL | $27.72 | — |
| Mutual of Omaha | MGMCR | $27.72 | — |
| Amerigroup | DualEligible | $27.72 | — |
| Devoted Health | SNP | $27.72 | — |
| Devoted Health | POS | $27.72 | — |
| United | MGMCR | $27.86 | — |
| Aetna | MCR | $27.96 | — |
| Care N Care | MGMCR | $28.00 | — |
| Cigna Healthspring | MGMCR | $28.27 | — |
| WellCare | MGMCR | $28.55 | — |
| Integranet | MGMCR | $28.55 | — |
| Superior Health Plan | MGMCRPOS | $29.11 | — |
| ProCare Advantge | MCR | $29.11 | — |
| Superior Health Plan | MGMCRHMO | $29.11 | — |
| Superior Health Plan | MGMCRPPO | $29.11 | — |
| Superior Health Plan | MGMCRDualEligible | $29.11 | — |
| Superior Health Plan | MGMCRPFFS | $29.11 | — |
| Superior Health Plan | MGMCRSNP | $29.11 | — |
| American Health Plan of Texas, Inc. | MGMCR | $29.11 | — |
| Provider Partners Health Plan | MCR | $29.38 | — |
| Texas Independent Health Plan | MGMCR | $29.38 | — |
| Humana | Tricare | $30.13 | — |
| Molina | MMP | $30.21 | — |
| Molina | MME | $30.21 | — |
| Molina | MCR | $30.21 | — |
| Imperial Insurance Company | MCR | $30.49 | — |
| Universal Healthcare Group | MCR | $33.26 | — |
| Verda Health Plan | MGMCR | $36.04 | — |
| Cigna | IFP | $38.62 | — |
| Cigna | QHP | $40.05 | — |
| Bravo Health | MCRPOS | $41.58 | — |
| Bravo Health | MCRHMO | $41.58 | — |
| Bravo Health | MCRSNP | $41.58 | — |
| Bravo Health | MCRPPO | $41.58 | — |
| Bravo Health | MCRPFFS | $41.58 | — |
| Superior | ValueHMO | $49.62 | — |
| USA Managed Care | WORKERSCOMP | $52.67 | — |
| Corvel Corporation | WORKERSCOMP | $54.89 | — |
| United | OptionsPPO | $56.93 | — |
| Oscar | HIX | $59.50 | — |
| Superior | EPO | $62.09 | — |
| Superior | HMO | $62.09 | — |
| Unicare | CHIP | $68.66 | — |
| Molina Healthcare | HIX | $72.63 | — |
| BCBS | BluePremier | $82.51 | — |
| BCBS | MyBlueHealth | $96.14 | — |
| BCBS | BlueAdvantageHMO | $96.14 | — |
| Healthcare Highways | CityofPlano | $96.70 | — |
| Aetna | QHPHIX | $106.00 | — |
| BCBS | Traditional | $127.02 | — |
| City of McKinney | COMM | $128.74 | — |
| Fidelis SecureCare | MGMCR | $128.74 | — |
| Aetna | NewBusiness | $143.00 | — |
| National ChoiceCare | WCOMP | $143.04 | — |
| Aetna | ASA | $150.76 | — |
| Aetna | COMM | $155.00 | — |
| Aetna | Meritain | $155.00 | — |
| PC Texas Partners | WCOMP | $157.34 | — |
| Physicians Coop of TX | MGMCR | $157.34 | — |
| Aetna | WCOMP | $157.34 | — |
| Rockport Health Group | WORKERSCOMP | $157.34 | — |
| Averde Health, Inc | PPO | $165.93 | — |
| BCBS | BlueEssentialsAccess | $170.26 | — |
| BCBS | BlueEssentials | $170.26 | — |
| USC Health Services | COMM | $171.65 | — |
| BCBS | EPOSOA | $178.65 | — |
| Aetna | OON | $179.00 | — |
| BCBS | PPO | $187.04 | — |
| Coastal Comp Health Networks | WCOMP | $200.26 | — |
| Multiplan PHCS | PrimaryNetwork | $200.26 | — |
| Mega Life | MGMCRPPO | $200.26 | — |
| Jostens | WCOMP | $200.26 | — |
| Aetna Coventry First Health | COMM | $207.98 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $214.56 | — |
| HealthSmart Preferred Care | PPO | $214.56 | — |
| USA Managed Care | COMM | $228.86 | — |
| Humana | COMM | $243.15 | — |
| Galaxy Health Network | PPO | $243.17 | — |
| Independent Medical Systems | COMM | $286.08 | — |
| National Healthcare Solutions | COMM | $286.08 | — |
| Unicare | MCD | $286.08 | — |
Visitor-reported prices
Comments
Ot training self care/home management direct contact each 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $356.82 | $134.60 – $134.60 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $118.90 | $33.69 – $168.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $141.30 | $29.08 – $211.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $151.65 | $30.33 – $189.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $118.90 | $31.71 – $168.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $141.30 | $45.36 – $211.95 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $141.30 | $73.00 – $211.95 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $151.65 | $50.55 – $227.47 |