Pentazocine injection at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$755.14
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.
$755.14
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.
$45.19 with United vs $926.95 with Cigna — 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 |
|---|---|---|---|
| United | AllPayerAppendix | $45.19 | ↓ -94% |
| United | NarrowNetworkIndivExchange | $45.19 | ↓ -94% |
| United | SmallGroup | $45.19 | ↓ -94% |
| Superior Health Plan | MCDSTAR | $52.86 | ↓ -93% |
| Superior Health Plan | STARPLUS | $52.86 | ↓ -93% |
| Superior Health Plan | STARHealth | $52.86 | ↓ -93% |
| Superior Health Plan | STARKids | $52.86 | ↓ -93% |
| Superior Health Plan | CHIP | $52.86 | ↓ -93% |
| Cigna | IFP | $101.94 | ↓ -87% |
| Aetna | QHPHIX | $101.94 | ↓ -87% |
| Cigna | QHP | $105.72 | ↓ -86% |
| United | OptionsPPO | $150.27 | ↓ -80% |
| Aetna | NewBusiness | $150.27 | ↓ -80% |
| Aetna | Meritain | $160.84 | ↓ -79% |
| Aetna | COMM | $160.84 | ↓ -79% |
| Unicare | CHIP | $181.23 | ↓ -76% |
| Aetna | OON | $189.54 | ↓ -75% |
| Healthcare Highways | CityofPlano | $255.24 | ↓ -66% |
| BCBS | Traditional | $335.28 | ↓ -56% |
| City of McKinney | COMM | $339.81 | ↓ -55% |
| National ChoiceCare | WCOMP | $377.57 | ↓ -50% |
| Aetna | ASA | $397.96 | ↓ -47% |
| PC Texas Partners | WCOMP | $415.33 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $415.33 | ↓ -45% |
| Aetna | WCOMP | $415.33 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $415.33 | ↓ -45% |
| BCBS | BlueAdvantageHMO | $416.28 | ↓ -45% |
| BCBS | MyBlueHealth | $416.28 | ↓ -45% |
| Averde Health, Inc | PPO | $437.98 | ↓ -42% |
| USC Health Services | COMM | $453.08 | ↓ -40% |
| BCBS | BluePremier | $492.29 | ↓ -35% |
| Coastal Comp Health Networks | WCOMP | $528.60 | ↓ -30% |
| Mega Life | MGMCRPPO | $528.60 | ↓ -30% |
| Jostens | WCOMP | $528.60 | ↓ -30% |
| Aetna Coventry First Health | COMM | $548.99 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $566.36 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $566.36 | ↓ -25% |
| USA Managed Care | COMM | $604.11 | ↓ -20% |
| BCBS | BlueEssentials | $609.33 | ↓ -19% |
| BCBS | BlueEssentialsAccess | $609.33 | ↓ -19% |
| BCBS | EPOSOA | $639.50 | ↓ -15% |
| Galaxy Health Network | PPO | $641.87 | ↓ -15% |
| Cigna | LocalPlus | $655.87 | ↓ -13% |
| Cigna | NewBusiness | $656.52 | ↓ -13% |
| BCBS | PPO | $669.66 | ↓ -11% |
| Cigna | OpenAccessPlus | $732.72 | ↓ -3% |
| Cigna | NetworkBenefit | $732.72 | ↓ -3% |
| Cigna | HMO | $732.72 | ↓ -3% |
| Independent Medical Systems | COMM | $755.14 | ↑ +0% |
| National Healthcare Solutions | COMM | $755.14 | ↑ +0% |
| Unicare | MCD | $755.14 | ↑ +0% |
| Humana | COMM | $775.39 | ↑ +3% |
| Cigna | AllOther | $926.95 | ↑ +23% |
Visitor-reported prices
Comments
Pentazocine injection at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MEDICAL CITY ARGYLE HOSPITAL | Argyle | $1,262.60 | $45.19 – $775.39 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK | $667.23 | $45.19 – $775.39 |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH | $772.49 | $45.19 – $775.39 |
| Adventhealth Rollins Brook | Lampasas | not published | $464.54 – $464.54 |
| CHRISTUS Children's Hospital | San Antonio | not published | $193.68 – $193.68 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $45.19 – $1,055.72 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $45.19 – $1,055.72 |
| Covenant Children's Hospital | Lubbock | not published | $102.03 – $481.76 |