Pr incision & drainage abscess simple/single at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$132.00
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.
$132.00
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.
$17.82 with Cigna vs $4,332.00 with Aetna — 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 |
|---|---|---|---|
| Cigna | IFP | $17.82 | ↓ -87% |
| Cigna | QHP | $18.48 | ↓ -86% |
| United | OptionsPPO | $26.27 | ↓ -80% |
| Unicare | CHIP | $31.68 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $32.34 | ↓ -76% |
| BCBS | MyBlueHealth | $32.60 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $32.60 | ↓ -75% |
| Evry Health | COMM | $34.06 | ↓ -74% |
| BCBS | BlueEssentialsAccess | $42.11 | ↓ -68% |
| BCBS | BlueEssentials | $42.11 | ↓ -68% |
| BCBS | EPOSOA | $44.22 | ↓ -67% |
| Healthcare Highways | CityofPlano | $44.62 | ↓ -66% |
| BCBS | PPO | $46.20 | ↓ -65% |
| Curative Administrators | COMM | $52.80 | ↓ -60% |
| BCBS | Traditional | $58.61 | ↓ -56% |
| City of McKinney | COMM | $59.40 | ↓ -55% |
| TEXAS HEALTH NETWORK | MCD | $64.08 | ↓ -51% |
| United | STARPLUS | $65.06 | ↓ -51% |
| Parkland Community Health Plan | MCD | $65.06 | ↓ -51% |
| Cook Childrens Health Plan | STAR | $65.06 | ↓ -51% |
| United | CHIP | $65.06 | ↓ -51% |
| United | STAR | $65.06 | ↓ -51% |
| United | STARKids | $65.06 | ↓ -51% |
| Cook Childrens Health Plan | CHIP | $65.06 | ↓ -51% |
| United | STARPerinate | $65.06 | ↓ -51% |
| National ChoiceCare | WCOMP | $66.00 | ↓ -50% |
| Amerigroup | MGMCD | $68.31 | ↓ -48% |
| Cigna Healthspring | MGMCD | $68.31 | ↓ -48% |
| Amerigroup | CHIP | $68.31 | ↓ -48% |
| Aetna | ASA | $69.56 | ↓ -47% |
| Molina | CHIP | $71.57 | ↓ -46% |
| Molina | STAR+PLUS | $71.57 | ↓ -46% |
| Molina | STARKIDS | $71.57 | ↓ -46% |
| Molina | MCDSTAR | $71.57 | ↓ -46% |
| Aetna | WCOMP | $72.60 | ↓ -45% |
| PC Texas Partners | WCOMP | $72.60 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $72.60 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $72.60 | ↓ -45% |
| Averde Health, Inc | PPO | $76.56 | ↓ -42% |
| Aetna Better Health | CHIP | $78.07 | ↓ -41% |
| Aetna Better Health | MCD | $78.07 | ↓ -41% |
| USC Health Services | COMM | $79.20 | ↓ -40% |
| Humana | MGMCD | $81.33 | ↓ -38% |
| Coastal Comp Health Networks | WCOMP | $92.40 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $92.40 | ↓ -30% |
| Jostens | WCOMP | $92.40 | ↓ -30% |
| Mega Life | MGMCRPPO | $92.40 | ↓ -30% |
| BCBS | BluePremier | $93.53 | ↓ -29% |
| Aetna Coventry First Health | COMM | $95.96 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $99.00 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $99.00 | ↓ -25% |
| USA Managed Care | COMM | $105.60 | ↓ -20% |
| Galaxy Health Network | PPO | $112.20 | ↓ -15% |
| Unicare | MCD | $132.00 | ↑ +0% |
| National Healthcare Solutions | COMM | $132.00 | ↑ +0% |
| Independent Medical Systems | COMM | $132.00 | ↑ +0% |
| Humana | COMM | $142.50 | ↑ +8% |
| WellMed | MGMCR | $202.56 | ↑ +53% |
| United | SmallGroup | $1,454.00 | ↑ +1002% |
| Cigna | LocalPlus | $1,572.00 | ↑ +1091% |
| Cigna | NewBusiness | $1,574.00 | ↑ +1092% |
| United | NarrowNetworkIndivExchange | $1,743.00 | ↑ +1220% |
| Cigna | HMO | $1,757.00 | ↑ +1231% |
| Cigna | OpenAccessPlus | $1,757.00 | ↑ +1231% |
| Cigna | NetworkBenefit | $1,757.00 | ↑ +1231% |
| Fidelis SecureCare | MGMCR | $1,995.00 | ↑ +1411% |
| United | AllPayerAppendix | $2,174.00 | ↑ +1547% |
| Cigna | AllOther | $2,222.00 | ↑ +1583% |
| Aetna | QHPHIX | $2,513.00 | ↑ +1804% |
| Oscar | HIX | $2,636.00 | ↑ +1897% |
| Aetna | NewBusiness | $3,445.00 | ↑ +2510% |
| Aetna | Meritain | $3,682.00 | ↑ +2689% |
| Aetna | COMM | $3,682.00 | ↑ +2689% |
| Aetna | OON | $4,332.00 | ↑ +3182% |
Visitor-reported prices
Comments
Pr incision & drainage abscess simple/single at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $877.34 | $94.29 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $596.67 | $65.06 – $745.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $552.75 | $69.61 – $829.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $807.74 | $65.06 – $1,009.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $596.67 | $65.06 – $745.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $552.75 | $69.61 – $829.12 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $552.75 | $65.06 – $829.12 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $807.74 | $65.06 – $1,211.61 |