Pet scan brain perf study at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$3.99
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.
$3.99
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.
$0.28 with Superior Health Plan vs $5,437.17 with Humana — 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $0.28 | ↓ -93% |
| Superior Health Plan | STARHealth | $0.28 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $0.28 | ↓ -93% |
| Superior Health Plan | STARPLUS | $0.28 | ↓ -93% |
| Superior Health Plan | STARKids | $0.28 | ↓ -93% |
| Cigna | IFP | $0.54 | ↓ -86% |
| Cigna | QHP | $0.56 | ↓ -86% |
| Imperial Insurance Company | MCR | $0.76 | ↓ -81% |
| United | OptionsPPO | $0.79 | ↓ -80% |
| Unicare | CHIP | $0.96 | ↓ -76% |
| Healthcare Highways | CityofPlano | $1.35 | ↓ -66% |
| BCBS | Traditional | $1.77 | ↓ -56% |
| City of McKinney | COMM | $1.80 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $1.80 | ↓ -55% |
| National ChoiceCare | WCOMP | $2.00 | ↓ -50% |
| Aetna | ASA | $2.10 | ↓ -47% |
| Aetna | WCOMP | $2.19 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $2.19 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $2.19 | ↓ -45% |
| PC Texas Partners | WCOMP | $2.19 | ↓ -45% |
| Averde Health, Inc | PPO | $2.31 | ↓ -42% |
| USC Health Services | COMM | $2.39 | ↓ -40% |
| Mega Life | MGMCRPPO | $2.79 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $2.79 | ↓ -30% |
| Jostens | WCOMP | $2.79 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $2.79 | ↓ -30% |
| Aetna Coventry First Health | COMM | $2.90 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $2.99 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $2.99 | ↓ -25% |
| USA Managed Care | COMM | $3.19 | ↓ -20% |
| Galaxy Health Network | PPO | $3.39 | ↓ -15% |
| Independent Medical Systems | COMM | $3.99 | ↑ +0% |
| National Healthcare Solutions | COMM | $3.99 | ↑ +0% |
| Unicare | MCD | $3.99 | ↑ +0% |
| BCBS | BlueAdvantageHMO | $96.26 | ↑ +2313% |
| BCBS | MyBlueHealth | $96.26 | ↑ +2313% |
| BCBS | BluePremier | $107.72 | ↑ +2600% |
| BCBS | BlueEssentials | $297.20 | ↑ +7349% |
| BCBS | BlueEssentialsAccess | $297.20 | ↑ +7349% |
| BCBS | EPOSOA | $311.71 | ↑ +7712% |
| BCBS | PPO | $326.23 | ↑ +8076% |
| Humana | Tricare | $1,402.37 | ↑ +35047% |
| Imaging Providers of Texas | HMOBlue | $2,200.00 | ↑ +55038% |
| Aetna | QHPHIX | $2,291.20 | ↑ +57324% |
| Aetna | NewBusiness | $3,141.45 | ↑ +78633% |
| Aetna | Meritain | $3,365.20 | ↑ +84241% |
| Aetna | COMM | $3,365.20 | ↑ +84241% |
| Aetna | OON | $3,946.95 | ↑ +98821% |
| Humana | COMM | $5,437.17 | ↑ +136170% |
Visitor-reported prices
Comments
Pet scan brain perf study at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,209.74 | $249.83 – $5,371.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,209.74 | $249.83 – $5,371.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,209.74 | $249.83 – $5,371.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $2,209.74 | $249.83 – $5,371.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $2,209.74 | $249.83 – $5,371.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $2,209.74 | $249.83 – $5,371.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $2,209.74 | $249.83 – $5,371.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $2,209.74 | $249.83 – $5,371.00 |