Postop dress & 1 cast chg bk at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$4,327.00
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.
$4,327.00
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.
$302.89 with Superior Health Plan vs $9,863.95 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 | $302.89 | ↓ -93% |
| Superior Health Plan | STARHealth | $302.89 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $302.89 | ↓ -93% |
| Superior Health Plan | STARPLUS | $302.89 | ↓ -93% |
| Superior Health Plan | STARKids | $302.89 | ↓ -93% |
| Cigna | IFP | $584.14 | ↓ -87% |
| Cigna | QHP | $605.78 | ↓ -86% |
| United | OptionsPPO | $861.07 | ↓ -80% |
| Unicare | CHIP | $1,038.48 | ↓ -76% |
| BCBS | MyBlueHealth | $1,068.77 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $1,068.77 | ↓ -75% |
| Cigna | NewBusiness | $1,142.33 | ↓ -74% |
| Cigna | LocalPlus | $1,142.33 | ↓ -74% |
| Cigna | HMO | $1,276.46 | ↓ -71% |
| Cigna | NetworkBenefit | $1,276.46 | ↓ -71% |
| Cigna | OpenAccessPlus | $1,276.46 | ↓ -71% |
| BCBS | BlueEssentials | $1,380.31 | ↓ -68% |
| BCBS | BlueEssentialsAccess | $1,380.31 | ↓ -68% |
| BCBS | EPOSOA | $1,449.55 | ↓ -66% |
| Healthcare Highways | CityofPlano | $1,462.53 | ↓ -66% |
| BCBS | PPO | $1,514.45 | ↓ -65% |
| Cigna | AllOther | $1,613.97 | ↓ -63% |
| Humana | Tricare | $1,693.58 | ↓ -61% |
| BCBS | MCRPPO | $1,711.73 | ↓ -60% |
| BCBS | MGMCRHMO | $1,711.73 | ↓ -60% |
| WellMed | MGMCR | $1,737.23 | ↓ -60% |
| Mutual of Omaha | MGMCR | $1,745.96 | ↓ -60% |
| Devoted Health | POS | $1,745.96 | ↓ -60% |
| Devoted Health | HMO | $1,745.96 | ↓ -60% |
| TriWest Health Alliance | FEDERAL | $1,745.96 | ↓ -60% |
| Amerigroup | DualEligible | $1,745.96 | ↓ -60% |
| Devoted Health | SNP | $1,745.96 | ↓ -60% |
| Devoted Health | MME | $1,745.96 | ↓ -60% |
| Humana | MGMCR | $1,745.96 | ↓ -60% |
| Devoted Health | MCR | $1,745.96 | ↓ -60% |
| Devoted Health | PPO | $1,745.96 | ↓ -60% |
| United | MGMCR | $1,754.69 | ↓ -59% |
| Aetna | MCR | $1,760.80 | ↓ -59% |
| Care N Care | MGMCR | $1,763.42 | ↓ -59% |
| Cigna Healthspring | MGMCR | $1,780.88 | ↓ -59% |
| Integranet | MGMCR | $1,798.34 | ↓ -58% |
| WellCare | MGMCR | $1,798.34 | ↓ -58% |
| Superior Health Plan | MGMCRPOS | $1,833.26 | ↓ -58% |
| Superior Health Plan | MGMCRHMO | $1,833.26 | ↓ -58% |
| Superior Health Plan | MGMCRPPO | $1,833.26 | ↓ -58% |
| Superior Health Plan | MGMCRDualEligible | $1,833.26 | ↓ -58% |
| Superior Health Plan | MGMCRPFFS | $1,833.26 | ↓ -58% |
| Superior Health Plan | MGMCRSNP | $1,833.26 | ↓ -58% |
| American Health Plan of Texas, Inc. | MGMCR | $1,833.26 | ↓ -58% |
| ProCare Advantge | MCR | $1,833.26 | ↓ -58% |
| Provider Partners Health Plan | MCR | $1,850.72 | ↓ -57% |
| Texas Independent Health Plan | MGMCR | $1,850.72 | ↓ -57% |
| Molina | MCR | $1,903.10 | ↓ -56% |
| Molina | MME | $1,903.10 | ↓ -56% |
| Molina | MMP | $1,903.10 | ↓ -56% |
| Imperial Insurance Company | MCR | $1,920.56 | ↓ -56% |
| BCBS | Traditional | $1,921.19 | ↓ -56% |
| City of McKinney | COMM | $1,947.15 | ↓ -55% |
| Universal Healthcare Group | MCR | $2,095.15 | ↓ -52% |
| National ChoiceCare | WCOMP | $2,163.50 | ↓ -50% |
| Verda Health Plan | MGMCR | $2,269.75 | ↓ -48% |
| Aetna | ASA | $2,280.33 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $2,379.85 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $2,379.85 | ↓ -45% |
| Aetna | WCOMP | $2,379.85 | ↓ -45% |
| PC Texas Partners | WCOMP | $2,379.85 | ↓ -45% |
| Averde Health, Inc | PPO | $2,509.66 | ↓ -42% |
| USC Health Services | COMM | $2,596.20 | ↓ -40% |
| Bravo Health | MCRPPO | $2,618.94 | ↓ -39% |
| Bravo Health | MCRPFFS | $2,618.94 | ↓ -39% |
| Bravo Health | MCRSNP | $2,618.94 | ↓ -39% |
| Bravo Health | MCRHMO | $2,618.94 | ↓ -39% |
| Bravo Health | MCRPOS | $2,618.94 | ↓ -39% |
| Mega Life | MGMCRPPO | $3,028.90 | ↓ -30% |
| Jostens | WCOMP | $3,028.90 | ↓ -30% |
| Superior | ValueHMO | $3,125.27 | ↓ -28% |
| Aetna Coventry First Health | COMM | $3,145.73 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3,245.25 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $3,245.25 | ↓ -25% |
| USA Managed Care | WORKERSCOMP | $3,317.32 | ↓ -23% |
| Corvel Corporation | WORKERSCOMP | $3,457.00 | ↓ -20% |
| USA Managed Care | COMM | $3,461.60 | ↓ -20% |
| Galaxy Health Network | PPO | $3,677.95 | ↓ -15% |
| Superior | HMO | $3,910.95 | ↓ -10% |
| Superior | EPO | $3,910.95 | ↓ -10% |
| Unicare | MCD | $4,327.00 | ↑ +0% |
| Independent Medical Systems | COMM | $4,327.00 | ↑ +0% |
| National Healthcare Solutions | COMM | $4,327.00 | ↑ +0% |
| Molina Healthcare | HIX | $4,574.42 | ↑ +6% |
| Humana | COMM | $9,863.95 | ↑ +128% |
Visitor-reported prices
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Postop dress & 1 cast chg bk at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,277.80 | $674.68 – $4,916.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,277.80 | $655.56 – $4,097.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,277.80 | $1,052.17 – $4,916.70 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,277.80 | $1,693.53 – $4,916.70 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,277.80 | $1,092.60 – $4,916.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $3,277.80 | $655.56 – $4,643.55 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $3,277.80 | $819.45 – $4,916.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $3,277.80 | $600.93 – $4,916.70 |