Perflutren lipid microspheres 1.1 mg/ml intravenous suspension 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.
$40.62 with Humana vs $830.44 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 →
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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 | $40.62 | — |
| Superior Health Plan | MCDSTAR | $58.13 | — |
| Superior Health Plan | STARPLUS | $58.13 | — |
| Superior Health Plan | CHIP | $58.13 | — |
| Superior Health Plan | STARKids | $58.13 | — |
| Superior Health Plan | STARHealth | $58.13 | — |
| United | SmallGroup | $66.35 | — |
| United | NarrowNetworkIndivExchange | $66.35 | — |
| United | AllPayerAppendix | $66.35 | — |
| Cigna | IFP | $112.11 | — |
| Aetna | QHPHIX | $112.11 | — |
| Cigna | QHP | $116.26 | — |
| Aetna | NewBusiness | $165.26 | — |
| United | OptionsPPO | $165.26 | — |
| Aetna | COMM | $176.88 | — |
| Aetna | Meritain | $176.88 | — |
| Unicare | CHIP | $199.31 | — |
| Aetna | OON | $208.44 | — |
| Cigna | LocalPlus | $249.30 | — |
| Cigna | NewBusiness | $249.55 | — |
| Cigna | NetworkBenefit | $278.51 | — |
| Cigna | HMO | $278.51 | — |
| Cigna | OpenAccessPlus | $278.51 | — |
| Healthcare Highways | CityofPlano | $280.69 | — |
| BCBS | BlueAdvantageHMO | $328.92 | — |
| BCBS | MyBlueHealth | $328.92 | — |
| Humana | COMM | $348.46 | — |
| Cigna | AllOther | $352.34 | — |
| BCBS | Traditional | $368.72 | — |
| City of McKinney | COMM | $373.70 | — |
| BCBS | BluePremier | $388.99 | — |
| National ChoiceCare | WCOMP | $415.22 | — |
| Rockport Health Group | WORKERSCOMP | $456.74 | — |
| Aetna | WCOMP | $456.74 | — |
| PC Texas Partners | WCOMP | $456.74 | — |
| Physicians Coop of TX | MGMCR | $456.74 | — |
| BCBS | BlueEssentialsAccess | $481.47 | — |
| BCBS | BlueEssentials | $481.47 | — |
| Averde Health, Inc | PPO | $481.66 | — |
| USC Health Services | COMM | $498.26 | — |
| BCBS | EPOSOA | $505.30 | — |
| BCBS | PPO | $529.14 | — |
| Coastal Comp Health Networks | WCOMP | $581.31 | — |
| Mega Life | MGMCRPPO | $581.31 | — |
| Jostens | WCOMP | $581.31 | — |
| Aetna Coventry First Health | COMM | $603.73 | — |
| HealthSmart Preferred Care | PPO | $622.83 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $622.83 | — |
| USA Managed Care | COMM | $664.35 | — |
| Galaxy Health Network | PPO | $705.87 | — |
| Unicare | MCD | $830.44 | — |
| National Healthcare Solutions | COMM | $830.44 | — |
| Independent Medical Systems | COMM | $830.44 | — |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $517.93 | $367.06 – $367.06 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $939.94 | $43.95 – $1,331.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $939.94 | $43.95 – $1,409.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $939.94 | $43.95 – $1,253.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $939.94 | $43.95 – $1,331.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $939.94 | $43.95 – $1,409.91 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $939.94 | $43.95 – $1,409.91 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $939.94 | $43.95 – $1,409.91 |