Perq clsr tcat l atr apndge 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,028.28 with BCBS vs $133,396.65 with Independent Medical Systems — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| BCBS | BluePremier | $1,028.28 | — |
| Fidelis SecureCare | MGMCR | $1,995.00 | — |
| Healthcare Highways | NarrowNetwork | $2,069.00 | — |
| Evry Health | COMM | $2,287.00 | — |
| Humana | COMM | $5,687.91 | — |
| Oscar | HIX | $6,587.00 | — |
| United | SmallGroup | $8,865.00 | — |
| Superior Health Plan | STARKids | $9,337.77 | — |
| Superior Health Plan | CHIP | $9,337.77 | — |
| Superior Health Plan | STARPLUS | $9,337.77 | — |
| Superior Health Plan | MCDSTAR | $9,337.77 | — |
| Superior Health Plan | STARHealth | $9,337.77 | — |
| United | NarrowNetworkIndivExchange | $10,451.00 | — |
| BCBS | BlueEssentials | $10,639.41 | — |
| BCBS | BlueEssentialsAccess | $10,639.41 | — |
| BCBS | EPOSOA | $11,170.13 | — |
| BCBS | BlueAdvantageHMO | $11,468.67 | — |
| BCBS | MyBlueHealth | $11,468.67 | — |
| BCBS | PPO | $11,692.57 | — |
| Curative Administrators | COMM | $12,018.00 | — |
| Aetna | QHPHIX | $12,049.00 | — |
| United | AllPayerAppendix | $13,480.00 | — |
| Aetna | NewBusiness | $16,508.00 | — |
| Cigna | LocalPlus | $17,220.00 | — |
| Cigna | NewBusiness | $17,238.00 | — |
| Aetna | Meritain | $17,640.00 | — |
| Aetna | COMM | $17,640.00 | — |
| Cigna | IFP | $18,008.55 | — |
| Cigna | QHP | $18,675.53 | — |
| Cigna | HMO | $19,240.00 | — |
| Cigna | OpenAccessPlus | $19,240.00 | — |
| Cigna | NetworkBenefit | $19,240.00 | — |
| Aetna | OON | $20,752.00 | — |
| Cigna | AllOther | $24,339.00 | — |
| Imperial Insurance Company | MCR | $25,345.36 | — |
| United | OptionsPPO | $26,545.93 | — |
| Unicare | CHIP | $32,015.20 | — |
| Healthcare Highways | CityofPlano | $45,088.07 | — |
| BCBS | Traditional | $59,228.11 | — |
| City of McKinney | COMM | $60,028.49 | — |
| National ChoiceCare | WCOMP | $66,698.32 | — |
| Aetna | ASA | $70,300.03 | — |
| Physicians Coop of TX | MGMCR | $73,368.16 | — |
| Aetna | WCOMP | $73,368.16 | — |
| PC Texas Partners | WCOMP | $73,368.16 | — |
| Rockport Health Group | WORKERSCOMP | $73,368.16 | — |
| Averde Health, Inc | PPO | $77,370.06 | — |
| USC Health Services | COMM | $80,037.99 | — |
| Multiplan PHCS | PrimaryNetwork | $93,377.65 | — |
| Coastal Comp Health Networks | WCOMP | $93,377.65 | — |
| Jostens | WCOMP | $93,377.65 | — |
| Mega Life | MGMCRPPO | $93,377.65 | — |
| Aetna Coventry First Health | COMM | $96,979.36 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $100,047.49 | — |
| HealthSmart Preferred Care | PPO | $100,047.49 | — |
| USA Managed Care | COMM | $106,717.32 | — |
| Galaxy Health Network | PPO | $113,387.15 | — |
| Unicare | MCD | $133,396.65 | — |
| National Healthcare Solutions | COMM | $133,396.65 | — |
| Independent Medical Systems | COMM | $133,396.65 | — |
| WellMed | MGMCR | not published by hospital | — |
Visitor-reported prices
Comments
Perq clsr tcat l atr apndge at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $20,784.58 | $1,401.45 – $29,444.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $17,513.83 | $2,502.00 – $26,270.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $13,905.11 | $2,502.00 – $17,381.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $20,784.58 | $1,028.28 – $29,444.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $17,513.83 | $2,502.00 – $26,270.74 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $17,513.83 | $2,234.00 – $26,270.74 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $13,905.11 | $2,502.00 – $20,857.66 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $20,784.58 | $1,401.45 – $29,444.82 |