Pouch high output 2pc 50mm red 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

$51.00

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.

$51.00

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.

$3.57 with Superior Health Plan vs $51.00 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 $3.57 ↓ -93%
Superior Health Plan STARKids $3.57 ↓ -93%
Superior Health Plan STARPLUS $3.57 ↓ -93%
Superior Health Plan CHIP $3.57 ↓ -93%
Superior Health Plan MCDSTAR $3.57 ↓ -93%
BCBS BlueAdvantageHMO $6.72 ↓ -87%
BCBS MyBlueHealth $6.72 ↓ -87%
Cigna IFP $6.88 ↓ -87%
Cigna QHP $7.14 ↓ -86%
Humana Tricare $7.61 ↓ -85%
BCBS BluePremier $7.62 ↓ -85%
BCBS MGMCRHMO $7.70 ↓ -85%
BCBS MCRPPO $7.70 ↓ -85%
WellMed MGMCR $7.81 ↓ -85%
TriWest Health Alliance FEDERAL $7.85 ↓ -85%
Amerigroup DualEligible $7.85 ↓ -85%
Humana MGMCR $7.85 ↓ -85%
Devoted Health SNP $7.85 ↓ -85%
Devoted Health HMO $7.85 ↓ -85%
Devoted Health POS $7.85 ↓ -85%
Devoted Health MCR $7.85 ↓ -85%
Devoted Health PPO $7.85 ↓ -85%
Devoted Health MME $7.85 ↓ -85%
Mutual of Omaha MGMCR $7.85 ↓ -85%
United MGMCR $7.89 ↓ -85%
Aetna MCR $7.92 ↓ -84%
Care N Care MGMCR $7.93 ↓ -84%
Cigna Healthspring MGMCR $8.01 ↓ -84%
WellCare MGMCR $8.09 ↓ -84%
Integranet MGMCR $8.09 ↓ -84%
Superior Health Plan MGMCRPOS $8.24 ↓ -84%
Superior Health Plan MGMCRHMO $8.24 ↓ -84%
Superior Health Plan MGMCRPPO $8.24 ↓ -84%
Superior Health Plan MGMCRDualEligible $8.24 ↓ -84%
Superior Health Plan MGMCRPFFS $8.24 ↓ -84%
Superior Health Plan MGMCRSNP $8.24 ↓ -84%
American Health Plan of Texas, Inc. MGMCR $8.24 ↓ -84%
ProCare Advantge MCR $8.24 ↓ -84%
Texas Independent Health Plan MGMCR $8.32 ↓ -84%
Provider Partners Health Plan MCR $8.32 ↓ -84%
Molina MME $8.56 ↓ -83%
Molina MCR $8.56 ↓ -83%
Molina MMP $8.56 ↓ -83%
Imperial Insurance Company MCR $8.63 ↓ -83%
BCBS BlueEssentialsAccess $8.64 ↓ -83%
BCBS BlueEssentials $8.64 ↓ -83%
BCBS EPOSOA $9.09 ↓ -82%
Universal Healthcare Group MCR $9.42 ↓ -82%
BCBS PPO $9.47 ↓ -81%
United OptionsPPO $10.15 ↓ -80%
Verda Health Plan MGMCR $10.21 ↓ -80%
Bravo Health MCRPOS $11.77 ↓ -77%
Bravo Health MCRSNP $11.77 ↓ -77%
Bravo Health MCRHMO $11.77 ↓ -77%
Bravo Health MCRPPO $11.77 ↓ -77%
Bravo Health MCRPFFS $11.77 ↓ -77%
Unicare CHIP $12.24 ↓ -76%
Cigna LocalPlus $13.46 ↓ -74%
Cigna NewBusiness $13.46 ↓ -74%
Superior ValueHMO $14.05 ↓ -72%
USA Managed Care WORKERSCOMP $14.91 ↓ -71%
Cigna OpenAccessPlus $15.04 ↓ -71%
Cigna NetworkBenefit $15.04 ↓ -71%
Cigna HMO $15.04 ↓ -71%
Corvel Corporation WORKERSCOMP $15.54 ↓ -70%
Healthcare Highways CityofPlano $17.24 ↓ -66%
Superior HMO $17.58 ↓ -66%
Superior EPO $17.58 ↓ -66%
Cigna AllOther $19.02 ↓ -63%
Molina Healthcare HIX $20.57 ↓ -60%
BCBS Traditional $22.64 ↓ -56%
City of McKinney COMM $22.95 ↓ -55%
National ChoiceCare WCOMP $25.50 ↓ -50%
Aetna ASA $26.88 ↓ -47%
PC Texas Partners WCOMP $28.05 ↓ -45%
Aetna WCOMP $28.05 ↓ -45%
Rockport Health Group WORKERSCOMP $28.05 ↓ -45%
Physicians Coop of TX MGMCR $28.05 ↓ -45%
Averde Health, Inc PPO $29.58 ↓ -42%
USC Health Services COMM $30.60 ↓ -40%
Mega Life MGMCRPPO $35.70 ↓ -30%
Jostens WCOMP $35.70 ↓ -30%
Aetna Coventry First Health COMM $37.08 ↓ -27%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $38.25 ↓ -25%
HealthSmart Preferred Care PPO $38.25 ↓ -25%
USA Managed Care COMM $40.80 ↓ -20%
Galaxy Health Network PPO $43.35 ↓ -15%
Humana COMM $44.35 ↓ -13%
Independent Medical Systems COMM $51.00 ↑ +0%
National Healthcare Solutions COMM $51.00 ↑ +0%
Unicare MCD $51.00 ↑ +0%

Visitor-reported prices

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Pouch high output 2pc 50mm red at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON MEDICAL CENTER Houston $102.50 $7.69 – $16.88
Texas Health Presbyterian Hospital Allen Allen $7.35 not published
Texas Health Presbyterian Hospital Flower Mound Flower Mound $7.35 not published
Texas Health Harris Methodist Hospital Alliance Fort Worth $7.35 not published
Texas Health Arlington Memorial Hospital Arlington $7.35 not published
Texas Health Presbyterian Hospital Denton Denton $7.35 not published
Texas Health Presbyterian Hospital Plano Plano $7.35 not published
Texas Health Hospital Rockwall Rockwall $7.35 not published

All Texas hospitals for this procedure →