Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe 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.
$26.17 with Humana vs $695.14 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 |
|---|---|---|---|
| Humana | Tricare | $26.17 | — |
| BCBS | MyBlueHealth | $43.47 | — |
| BCBS | BlueAdvantageHMO | $43.47 | — |
| Superior Health Plan | STARKids | $48.66 | — |
| Superior Health Plan | STARHealth | $48.66 | — |
| Superior Health Plan | CHIP | $48.66 | — |
| Superior Health Plan | MCDSTAR | $48.66 | — |
| Superior Health Plan | STARPLUS | $48.66 | — |
| BCBS | BluePremier | $51.41 | — |
| United | AllPayerAppendix | $52.75 | — |
| United | NarrowNetworkIndivExchange | $52.75 | — |
| United | SmallGroup | $52.75 | — |
| BCBS | BlueEssentialsAccess | $63.63 | — |
| BCBS | BlueEssentials | $63.63 | — |
| BCBS | EPOSOA | $66.78 | — |
| BCBS | PPO | $69.93 | — |
| Cigna | IFP | $93.84 | — |
| Aetna | QHPHIX | $93.84 | — |
| Cigna | QHP | $97.32 | — |
| Humana | COMM | $99.44 | — |
| Aetna | NewBusiness | $138.33 | — |
| United | OptionsPPO | $138.33 | — |
| Aetna | COMM | $148.06 | — |
| Aetna | Meritain | $148.06 | — |
| Unicare | CHIP | $166.83 | — |
| Aetna | OON | $174.48 | — |
| Cigna | LocalPlus | $177.29 | — |
| Cigna | NewBusiness | $177.47 | — |
| Cigna | OpenAccessPlus | $198.07 | — |
| Cigna | HMO | $198.07 | — |
| Cigna | NetworkBenefit | $198.07 | — |
| Healthcare Highways | CityofPlano | $234.96 | — |
| Cigna | AllOther | $250.57 | — |
| BCBS | Traditional | $308.64 | — |
| City of McKinney | COMM | $312.81 | — |
| National ChoiceCare | WCOMP | $347.57 | — |
| Aetna | ASA | $366.34 | — |
| Rockport Health Group | WORKERSCOMP | $382.33 | — |
| Physicians Coop of TX | MGMCR | $382.33 | — |
| PC Texas Partners | WCOMP | $382.33 | — |
| Aetna | WCOMP | $382.33 | — |
| Averde Health, Inc | PPO | $403.18 | — |
| USC Health Services | COMM | $417.08 | — |
| Coastal Comp Health Networks | WCOMP | $486.60 | — |
| Jostens | WCOMP | $486.60 | — |
| Mega Life | MGMCRPPO | $486.60 | — |
| Aetna Coventry First Health | COMM | $505.37 | — |
| HealthSmart Preferred Care | PPO | $521.36 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $521.36 | — |
| USA Managed Care | COMM | $556.11 | — |
| Galaxy Health Network | PPO | $590.87 | — |
| National Healthcare Solutions | COMM | $695.14 | — |
| Independent Medical Systems | COMM | $695.14 | — |
| Unicare | MCD | $695.14 | — |
Visitor-reported prices
Comments
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $3,479.76 | $48.51 – $48.51 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $826.47 | $29.90 – $598.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $826.47 | $34.61 – $717.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $826.47 | $29.90 – $598.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $826.47 | $29.90 – $598.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $826.47 | $29.90 – $717.69 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $826.47 | $34.61 – $717.69 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $826.47 | $29.90 – $717.69 |