Phlebotomy therapeutic 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.
$83.41 with Superior Health Plan vs $1,191.59 with Unicare — 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $83.41 | — |
| Superior Health Plan | STARHealth | $83.41 | — |
| Superior Health Plan | MCDSTAR | $83.41 | — |
| Superior Health Plan | STARPLUS | $83.41 | — |
| Superior Health Plan | STARKids | $83.41 | — |
| BCBS | BluePremier | $135.20 | — |
| Cigna | IFP | $160.86 | — |
| Aetna | QHPHIX | $160.86 | — |
| Cigna | QHP | $166.82 | — |
| Aetna | NewBusiness | $237.13 | — |
| United | OptionsPPO | $237.13 | — |
| BCBS | BlueAdvantageHMO | $239.87 | — |
| BCBS | MyBlueHealth | $239.87 | — |
| Oscar | HIX | $247.85 | — |
| Aetna | COMM | $253.81 | — |
| Aetna | Meritain | $253.81 | — |
| BCBS | BlueEssentialsAccess | $256.22 | — |
| BCBS | BlueEssentials | $256.22 | — |
| BCBS | EPOSOA | $269.30 | — |
| BCBS | PPO | $281.30 | — |
| Unicare | CHIP | $285.98 | — |
| Healthcare Highways | NarrowNetwork | $291.94 | — |
| Aetna | OON | $299.09 | — |
| Evry Health | COMM | $307.43 | — |
| Cigna | LocalPlus | $314.58 | — |
| Cigna | NewBusiness | $314.58 | — |
| Cigna | NetworkBenefit | $351.52 | — |
| Cigna | HMO | $351.52 | — |
| Cigna | OpenAccessPlus | $351.52 | — |
| Healthcare Highways | CityofPlano | $402.76 | — |
| Cigna | AllOther | $444.46 | — |
| Curative Administrators | COMM | $476.64 | — |
| BCBS | Traditional | $529.07 | — |
| Fidelis SecureCare | MGMCR | $536.22 | — |
| City of McKinney | COMM | $536.22 | — |
| National ChoiceCare | WCOMP | $595.79 | — |
| Aetna | ASA | $627.97 | — |
| Aetna | WCOMP | $655.37 | — |
| Physicians Coop of TX | MGMCR | $655.37 | — |
| PC Texas Partners | WCOMP | $655.37 | — |
| Rockport Health Group | WORKERSCOMP | $655.37 | — |
| Averde Health, Inc | PPO | $691.12 | — |
| Humana | COMM | $695.91 | — |
| USC Health Services | COMM | $714.95 | — |
| Multiplan PHCS | PrimaryNetwork | $834.11 | — |
| Coastal Comp Health Networks | WCOMP | $834.11 | — |
| Jostens | WCOMP | $834.11 | — |
| Mega Life | MGMCRPPO | $834.11 | — |
| Aetna Coventry First Health | COMM | $866.29 | — |
| HealthSmart Preferred Care | PPO | $893.69 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $893.69 | — |
| USA Managed Care | COMM | $953.27 | — |
| Galaxy Health Network | PPO | $1,012.85 | — |
| National Healthcare Solutions | COMM | $1,191.59 | — |
| Independent Medical Systems | COMM | $1,191.59 | — |
| Unicare | MCD | $1,191.59 | — |
Visitor-reported prices
Comments
Phlebotomy therapeutic at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $275.15 | $77.96 – $343.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $238.04 | $49.00 – $357.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $275.15 | $55.03 – $343.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $275.15 | $73.37 – $343.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $238.04 | $76.41 – $357.07 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $238.04 | $122.99 – $357.07 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $275.15 | $91.72 – $412.73 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $275.15 | $73.37 – $343.94 |