Pouch drainable w barrier at at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$39.00
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.
$39.00
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.
$2.73 with Superior Health Plan vs $39.00 with National Healthcare Solutions — 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 | STARKids | $2.73 | ↓ -93% |
| Superior Health Plan | STARPLUS | $2.73 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $2.73 | ↓ -93% |
| Superior Health Plan | CHIP | $2.73 | ↓ -93% |
| Superior Health Plan | STARHealth | $2.73 | ↓ -93% |
| BCBS | BlueAdvantageHMO | $4.30 | ↓ -89% |
| BCBS | MyBlueHealth | $4.30 | ↓ -89% |
| BCBS | BluePremier | $4.88 | ↓ -87% |
| Humana | Tricare | $4.89 | ↓ -87% |
| BCBS | MGMCRHMO | $4.94 | ↓ -87% |
| BCBS | MCRPPO | $4.94 | ↓ -87% |
| WellMed | MGMCR | $5.01 | ↓ -87% |
| TriWest Health Alliance | FEDERAL | $5.04 | ↓ -87% |
| Mutual of Omaha | MGMCR | $5.04 | ↓ -87% |
| Amerigroup | DualEligible | $5.04 | ↓ -87% |
| Humana | MGMCR | $5.04 | ↓ -87% |
| Devoted Health | SNP | $5.04 | ↓ -87% |
| Devoted Health | HMO | $5.04 | ↓ -87% |
| Devoted Health | POS | $5.04 | ↓ -87% |
| Devoted Health | MCR | $5.04 | ↓ -87% |
| Devoted Health | PPO | $5.04 | ↓ -87% |
| Devoted Health | MME | $5.04 | ↓ -87% |
| United | MGMCR | $5.07 | ↓ -87% |
| Aetna | MCR | $5.08 | ↓ -87% |
| Care N Care | MGMCR | $5.09 | ↓ -87% |
| Cigna Healthspring | MGMCR | $5.14 | ↓ -87% |
| WellCare | MGMCR | $5.19 | ↓ -87% |
| Integranet | MGMCR | $5.19 | ↓ -87% |
| Cigna | IFP | $5.26 | ↓ -87% |
| Superior Health Plan | MGMCRPOS | $5.29 | ↓ -86% |
| Superior Health Plan | MGMCRHMO | $5.29 | ↓ -86% |
| Superior Health Plan | MGMCRPPO | $5.29 | ↓ -86% |
| Superior Health Plan | MGMCRDualEligible | $5.29 | ↓ -86% |
| Superior Health Plan | MGMCRPFFS | $5.29 | ↓ -86% |
| Superior Health Plan | MGMCRSNP | $5.29 | ↓ -86% |
| American Health Plan of Texas, Inc. | MGMCR | $5.29 | ↓ -86% |
| ProCare Advantge | MCR | $5.29 | ↓ -86% |
| Provider Partners Health Plan | MCR | $5.34 | ↓ -86% |
| Texas Independent Health Plan | MGMCR | $5.34 | ↓ -86% |
| Cigna | QHP | $5.46 | ↓ -86% |
| Molina | MMP | $5.49 | ↓ -86% |
| Molina | MCR | $5.49 | ↓ -86% |
| Molina | MME | $5.49 | ↓ -86% |
| BCBS | BlueEssentialsAccess | $5.54 | ↓ -86% |
| Imperial Insurance Company | MCR | $5.54 | ↓ -86% |
| BCBS | BlueEssentials | $5.54 | ↓ -86% |
| BCBS | EPOSOA | $5.82 | ↓ -85% |
| Universal Healthcare Group | MCR | $6.05 | ↓ -84% |
| BCBS | PPO | $6.07 | ↓ -84% |
| Verda Health Plan | MGMCR | $6.55 | ↓ -83% |
| Bravo Health | MCRPPO | $7.56 | ↓ -81% |
| Bravo Health | MCRPOS | $7.56 | ↓ -81% |
| Bravo Health | MCRSNP | $7.56 | ↓ -81% |
| Bravo Health | MCRPFFS | $7.56 | ↓ -81% |
| Bravo Health | MCRHMO | $7.56 | ↓ -81% |
| United | OptionsPPO | $7.76 | ↓ -80% |
| Superior | ValueHMO | $9.02 | ↓ -77% |
| Unicare | CHIP | $9.36 | ↓ -76% |
| USA Managed Care | WORKERSCOMP | $9.58 | ↓ -75% |
| Corvel Corporation | WORKERSCOMP | $9.98 | ↓ -74% |
| Cigna | NewBusiness | $10.30 | ↓ -74% |
| Cigna | LocalPlus | $10.30 | ↓ -74% |
| Superior | HMO | $11.29 | ↓ -71% |
| Superior | EPO | $11.29 | ↓ -71% |
| Cigna | OpenAccessPlus | $11.51 | ↓ -70% |
| Cigna | NetworkBenefit | $11.51 | ↓ -70% |
| Cigna | HMO | $11.51 | ↓ -70% |
| Healthcare Highways | CityofPlano | $13.18 | ↓ -66% |
| Molina Healthcare | HIX | $13.20 | ↓ -66% |
| Cigna | AllOther | $14.55 | ↓ -63% |
| BCBS | Traditional | $17.32 | ↓ -56% |
| City of McKinney | COMM | $17.55 | ↓ -55% |
| National ChoiceCare | WCOMP | $19.50 | ↓ -50% |
| Aetna | ASA | $20.55 | ↓ -47% |
| Aetna | WCOMP | $21.45 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $21.45 | ↓ -45% |
| PC Texas Partners | WCOMP | $21.45 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $21.45 | ↓ -45% |
| Averde Health, Inc | PPO | $22.62 | ↓ -42% |
| USC Health Services | COMM | $23.40 | ↓ -40% |
| Jostens | WCOMP | $27.30 | ↓ -30% |
| Mega Life | MGMCRPPO | $27.30 | ↓ -30% |
| Aetna Coventry First Health | COMM | $28.35 | ↓ -27% |
| Humana | COMM | $28.40 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $29.25 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $29.25 | ↓ -25% |
| USA Managed Care | COMM | $31.20 | ↓ -20% |
| Galaxy Health Network | PPO | $33.15 | ↓ -15% |
| Unicare | MCD | $39.00 | ↑ +0% |
| Independent Medical Systems | COMM | $39.00 | ↑ +0% |
| National Healthcare Solutions | COMM | $39.00 | ↑ +0% |
Visitor-reported prices
Comments
Pouch drainable w barrier at at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $18.50 | $4.94 – $10.84 |
| HCA HOUSTON PEARLAND | Pearland | $22.00 | $4.94 – $10.84 |
| Texas Health Presbyterian Hospital Allen | Allen | $1.35 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $1.35 | not published |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $1.35 | not published |
| Texas Health Arlington Memorial Hospital | Arlington | $1.35 | not published |
| Texas Health Presbyterian Hospital Denton | Denton | $1.35 | not published |
| Texas Health Presbyterian Hospital Plano | Plano | $1.35 | not published |