Pr moderate sedation same physician >= 5 years initial 15 minutes at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$10.81 with Superior Health Plan vs $265.76 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $10.81 | — |
| Superior Health Plan | STARPLUS | $10.81 | — |
| Superior Health Plan | STARHealth | $10.81 | — |
| Superior Health Plan | MCDSTAR | $10.81 | — |
| Superior Health Plan | CHIP | $10.81 | — |
| Aetna | QHPHIX | $20.85 | — |
| Cigna | IFP | $20.85 | — |
| Cigna | QHP | $21.62 | — |
| Imperial Insurance Company | MCR | $29.34 | — |
| BCBS | BluePremier | $29.76 | — |
| United | OptionsPPO | $30.73 | — |
| Aetna | NewBusiness | $30.73 | — |
| Oscar | HIX | $32.12 | — |
| Aetna | Meritain | $32.90 | — |
| Aetna | COMM | $32.90 | — |
| BCBS | BlueAdvantageHMO | $34.68 | — |
| BCBS | MyBlueHealth | $34.68 | — |
| Unicare | CHIP | $37.07 | — |
| Healthcare Highways | NarrowNetwork | $37.84 | — |
| Aetna | OON | $38.76 | — |
| Evry Health | COMM | $39.85 | — |
| Cigna | LocalPlus | $40.77 | — |
| Cigna | NewBusiness | $40.77 | — |
| Cigna | NetworkBenefit | $45.56 | — |
| Cigna | HMO | $45.56 | — |
| Cigna | OpenAccessPlus | $45.56 | — |
| Healthcare Highways | CityofPlano | $52.20 | — |
| Cigna | AllOther | $57.61 | — |
| BCBS | BlueEssentials | $61.41 | — |
| BCBS | BlueEssentialsAccess | $61.41 | — |
| Curative Administrators | COMM | $61.78 | — |
| BCBS | EPOSOA | $64.44 | — |
| BCBS | PPO | $67.46 | — |
| BCBS | Traditional | $68.57 | — |
| City of McKinney | COMM | $69.50 | — |
| Fidelis SecureCare | MGMCR | $69.50 | — |
| National ChoiceCare | WCOMP | $77.22 | — |
| Aetna | ASA | $81.39 | — |
| Physicians Coop of TX | MGMCR | $84.94 | — |
| PC Texas Partners | WCOMP | $84.94 | — |
| Aetna | WCOMP | $84.94 | — |
| Rockport Health Group | WORKERSCOMP | $84.94 | — |
| Averde Health, Inc | PPO | $89.58 | — |
| USC Health Services | COMM | $92.66 | — |
| Mega Life | MGMCRPPO | $108.11 | — |
| Coastal Comp Health Networks | WCOMP | $108.11 | — |
| Multiplan PHCS | PrimaryNetwork | $108.11 | — |
| Jostens | WCOMP | $108.11 | — |
| Aetna Coventry First Health | COMM | $112.28 | — |
| HealthSmart Preferred Care | PPO | $115.83 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $115.83 | — |
| USA Managed Care | COMM | $123.55 | — |
| Galaxy Health Network | PPO | $131.27 | — |
| National Healthcare Solutions | COMM | $154.44 | — |
| Independent Medical Systems | COMM | $154.44 | — |
| Unicare | MCD | $154.44 | — |
| Humana | COMM | $265.76 | — |
Visitor-reported prices
Comments
Pr moderate sedation same physician >= 5 years initial 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,290.89 | $48.55 – $48.55 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $232.42 | $38.71 – $329.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $232.42 | $38.08 – $348.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $232.42 | $38.08 – $290.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $232.42 | $29.51 – $329.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $232.42 | $46.53 – $348.63 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $232.42 | $120.08 – $348.63 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $232.42 | $38.08 – $348.63 |