Polysom <6 yrs cpap/bilvl at MEDICAL CITY LEWISVILLE HOSPITAL

1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

$17,383.05

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$17,383.05

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$1,216.81 with Superior Health Plan vs $17,383.05 with Unicare — 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 →

Payer
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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
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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 STARHealth $1,216.81 ↓ -93%
Superior Health Plan STARKids $1,216.81 ↓ -93%
Superior Health Plan CHIP $1,216.81 ↓ -93%
Superior Health Plan STARPLUS $1,216.81 ↓ -93%
Superior Health Plan MCDSTAR $1,216.81 ↓ -93%
United NarrowNetworkIndivExchange $1,927.00 ↓ -89%
BCBS BluePremier $1,991.08 ↓ -89%
BCBS MyBlueHealth $2,320.12 ↓ -87%
BCBS BlueAdvantageHMO $2,320.12 ↓ -87%
Aetna QHPHIX $2,346.71 ↓ -87%
Cigna IFP $2,346.71 ↓ -87%
United SmallGroup $2,348.00 ↓ -86%
Cigna QHP $2,433.63 ↓ -86%
United AllPayerAppendix $3,130.00 ↓ -82%
Aetna NewBusiness $3,459.23 ↓ -80%
United OptionsPPO $3,459.23 ↓ -80%
Oscar HIX $3,615.67 ↓ -79%
Aetna COMM $3,702.59 ↓ -79%
Aetna Meritain $3,702.59 ↓ -79%
BCBS BlueEssentialsAccess $4,108.72 ↓ -76%
BCBS BlueEssentials $4,108.72 ↓ -76%
Unicare CHIP $4,171.93 ↓ -76%
Healthcare Highways NarrowNetwork $4,258.85 ↓ -75%
BCBS EPOSOA $4,311.20 ↓ -75%
Aetna OON $4,363.15 ↓ -75%
Evry Health COMM $4,484.83 ↓ -74%
BCBS PPO $4,513.69 ↓ -74%
Cigna LocalPlus $4,589.13 ↓ -74%
Cigna NewBusiness $4,589.13 ↓ -74%
Cigna HMO $5,128.00 ↓ -70%
Cigna NetworkBenefit $5,128.00 ↓ -70%
Cigna OpenAccessPlus $5,128.00 ↓ -70%
Humana COMM $5,744.99 ↓ -67%
Healthcare Highways CityofPlano $5,875.47 ↓ -66%
Cigna AllOther $6,483.88 ↓ -63%
Curative Administrators COMM $6,953.22 ↓ -60%
BCBS Traditional $7,718.07 ↓ -56%
Fidelis SecureCare MGMCR $7,822.37 ↓ -55%
City of McKinney COMM $7,822.37 ↓ -55%
National ChoiceCare WCOMP $8,691.52 ↓ -50%
Aetna ASA $9,160.87 ↓ -47%
Physicians Coop of TX MGMCR $9,560.68 ↓ -45%
Aetna WCOMP $9,560.68 ↓ -45%
Rockport Health Group WORKERSCOMP $9,560.68 ↓ -45%
PC Texas Partners WCOMP $9,560.68 ↓ -45%
Averde Health, Inc PPO $10,082.17 ↓ -42%
USC Health Services COMM $10,429.83 ↓ -40%
Mega Life MGMCRPPO $12,168.14 ↓ -30%
Multiplan PHCS PrimaryNetwork $12,168.14 ↓ -30%
Coastal Comp Health Networks WCOMP $12,168.14 ↓ -30%
Jostens WCOMP $12,168.14 ↓ -30%
Aetna Coventry First Health COMM $12,637.48 ↓ -27%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $13,037.29 ↓ -25%
HealthSmart Preferred Care PPO $13,037.29 ↓ -25%
USA Managed Care COMM $13,906.44 ↓ -20%
Galaxy Health Network PPO $14,775.59 ↓ -15%
National Healthcare Solutions COMM $17,383.05 ↑ +0%
Independent Medical Systems COMM $17,383.05 ↑ +0%
Unicare MCD $17,383.05 ↑ +0%

Visitor-reported prices

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Polysom <6 yrs cpap/bilvl at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $4,802.77 $819.52 – $6,003.47
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $6,277.17 $1,292.05 – $9,415.75
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $4,360.45 $819.52 – $5,450.56
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $4,802.77 $819.52 – $6,003.47
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $6,277.17 $819.52 – $9,415.75
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $6,277.17 $2,590.07 – $9,415.75
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $4,360.45 $819.52 – $6,540.67
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $4,802.77 $819.52 – $6,003.47

All Texas hospitals for this procedure →