Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr at MEDICAL CITY LEWISVILLE HOSPITAL

1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

$404.83

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$404.83

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$11.68 with Cigna vs $404.83 with Independent Medical Systems — 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 →

Payer
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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
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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
Cigna LocalPlus $11.68 ↓ -97%
Cigna NewBusiness $11.69 ↓ -97%
Cigna HMO $13.05 ↓ -97%
Cigna NetworkBenefit $13.05 ↓ -97%
Cigna OpenAccessPlus $13.05 ↓ -97%
United AllPayerAppendix $14.34 ↓ -96%
United SmallGroup $14.34 ↓ -96%
United NarrowNetworkIndivExchange $14.34 ↓ -96%
BCBS MyBlueHealth $15.84 ↓ -96%
BCBS BlueAdvantageHMO $15.84 ↓ -96%
Cigna AllOther $16.51 ↓ -96%
BCBS BluePremier $18.73 ↓ -95%
BCBS BlueEssentials $23.18 ↓ -94%
BCBS BlueEssentialsAccess $23.18 ↓ -94%
BCBS EPOSOA $24.33 ↓ -94%
BCBS PPO $25.47 ↓ -94%
Superior Health Plan CHIP $28.34 ↓ -93%
Superior Health Plan STARKids $28.34 ↓ -93%
Superior Health Plan MCDSTAR $28.34 ↓ -93%
Superior Health Plan STARPLUS $28.34 ↓ -93%
Superior Health Plan STARHealth $28.34 ↓ -93%
Aetna QHPHIX $54.65 ↓ -87%
Cigna IFP $54.65 ↓ -87%
Cigna QHP $56.68 ↓ -86%
United OptionsPPO $80.56 ↓ -80%
Aetna NewBusiness $80.56 ↓ -80%
Aetna Meritain $86.23 ↓ -79%
Aetna COMM $86.23 ↓ -79%
Unicare CHIP $97.16 ↓ -76%
Aetna OON $101.61 ↓ -75%
Healthcare Highways CityofPlano $136.83 ↓ -66%
BCBS Traditional $179.74 ↓ -56%
City of McKinney COMM $182.17 ↓ -55%
National ChoiceCare WCOMP $202.41 ↓ -50%
Aetna ASA $213.35 ↓ -47%
Rockport Health Group WORKERSCOMP $222.66 ↓ -45%
Physicians Coop of TX MGMCR $222.66 ↓ -45%
PC Texas Partners WCOMP $222.66 ↓ -45%
Aetna WCOMP $222.66 ↓ -45%
Averde Health, Inc PPO $234.80 ↓ -42%
USC Health Services COMM $242.90 ↓ -40%
Coastal Comp Health Networks WCOMP $283.38 ↓ -30%
Jostens WCOMP $283.38 ↓ -30%
Mega Life MGMCRPPO $283.38 ↓ -30%
Aetna Coventry First Health COMM $294.31 ↓ -27%
HealthSmart Preferred Care PPO $303.62 ↓ -25%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $303.62 ↓ -25%
USA Managed Care COMM $323.86 ↓ -20%
Galaxy Health Network PPO $344.11 ↓ -15%
Unicare MCD $404.83 ↑ +0%
National Healthcare Solutions COMM $404.83 ↑ +0%
Independent Medical Systems COMM $404.83 ↑ +0%

Visitor-reported prices

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Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $113.50 $17.67 – $17.67
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $18.27 $5.18 – $25.88
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $18.27 $3.76 – $27.41
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $18.27 $3.65 – $22.84
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $18.27 $4.87 – $25.88
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $18.27 $5.86 – $27.41
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $18.27 $9.44 – $27.41
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $18.27 $6.09 – $27.41

All Texas hospitals for this procedure →