Pre-tibial shell molded to p at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$3,795.00
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.
$3,795.00
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.
$265.65 with Superior Health Plan vs $3,795.00 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 | $265.65 | ↓ -93% |
| Superior Health Plan | STARHealth | $265.65 | ↓ -93% |
| Superior Health Plan | CHIP | $265.65 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $265.65 | ↓ -93% |
| Superior Health Plan | STARPLUS | $265.65 | ↓ -93% |
| Cigna | IFP | $512.33 | ↓ -86% |
| Cigna | QHP | $531.30 | ↓ -86% |
| Humana | Tricare | $617.76 | ↓ -84% |
| BCBS | MCRPPO | $624.38 | ↓ -84% |
| BCBS | MGMCRHMO | $624.38 | ↓ -84% |
| WellMed | MGMCR | $633.69 | ↓ -83% |
| Mutual of Omaha | MGMCR | $636.87 | ↓ -83% |
| Humana | MGMCR | $636.87 | ↓ -83% |
| Amerigroup | DualEligible | $636.87 | ↓ -83% |
| Devoted Health | POS | $636.87 | ↓ -83% |
| Devoted Health | MCR | $636.87 | ↓ -83% |
| Devoted Health | PPO | $636.87 | ↓ -83% |
| Devoted Health | MME | $636.87 | ↓ -83% |
| TriWest Health Alliance | FEDERAL | $636.87 | ↓ -83% |
| Devoted Health | SNP | $636.87 | ↓ -83% |
| Devoted Health | HMO | $636.87 | ↓ -83% |
| United | MGMCR | $640.05 | ↓ -83% |
| Aetna | MCR | $642.28 | ↓ -83% |
| Care N Care | MGMCR | $643.24 | ↓ -83% |
| Cigna Healthspring | MGMCR | $649.61 | ↓ -83% |
| Integranet | MGMCR | $655.98 | ↓ -83% |
| WellCare | MGMCR | $655.98 | ↓ -83% |
| Superior Health Plan | MGMCRPOS | $668.71 | ↓ -82% |
| Superior Health Plan | MGMCRHMO | $668.71 | ↓ -82% |
| Superior Health Plan | MGMCRPPO | $668.71 | ↓ -82% |
| Superior Health Plan | MGMCRDualEligible | $668.71 | ↓ -82% |
| Superior Health Plan | MGMCRPFFS | $668.71 | ↓ -82% |
| Superior Health Plan | MGMCRSNP | $668.71 | ↓ -82% |
| American Health Plan of Texas, Inc. | MGMCR | $668.71 | ↓ -82% |
| ProCare Advantge | MCR | $668.71 | ↓ -82% |
| Texas Independent Health Plan | MGMCR | $675.08 | ↓ -82% |
| Provider Partners Health Plan | MCR | $675.08 | ↓ -82% |
| Molina | MME | $694.19 | ↓ -82% |
| Molina | MMP | $694.19 | ↓ -82% |
| Molina | MCR | $694.19 | ↓ -82% |
| Imperial Insurance Company | MCR | $700.56 | ↓ -82% |
| United | OptionsPPO | $755.21 | ↓ -80% |
| Universal Healthcare Group | MCR | $764.24 | ↓ -80% |
| Verda Health Plan | MGMCR | $827.93 | ↓ -78% |
| Unicare | CHIP | $910.80 | ↓ -76% |
| BCBS | BlueAdvantageHMO | $937.37 | ↓ -75% |
| BCBS | MyBlueHealth | $937.37 | ↓ -75% |
| Bravo Health | MCRHMO | $955.31 | ↓ -75% |
| Bravo Health | MCRPFFS | $955.31 | ↓ -75% |
| Bravo Health | MCRSNP | $955.31 | ↓ -75% |
| Bravo Health | MCRPPO | $955.31 | ↓ -75% |
| Bravo Health | MCRPOS | $955.31 | ↓ -75% |
| Cigna | LocalPlus | $1,001.88 | ↓ -74% |
| Cigna | NewBusiness | $1,001.88 | ↓ -74% |
| Cigna | NetworkBenefit | $1,119.53 | ↓ -70% |
| Cigna | OpenAccessPlus | $1,119.53 | ↓ -70% |
| Cigna | HMO | $1,119.53 | ↓ -70% |
| Superior | ValueHMO | $1,140.00 | ↓ -70% |
| USA Managed Care | WORKERSCOMP | $1,210.05 | ↓ -68% |
| BCBS | BlueEssentials | $1,210.61 | ↓ -68% |
| BCBS | BlueEssentialsAccess | $1,210.61 | ↓ -68% |
| Corvel Corporation | WORKERSCOMP | $1,261.00 | ↓ -67% |
| BCBS | EPOSOA | $1,271.33 | ↓ -66% |
| Healthcare Highways | CityofPlano | $1,282.71 | ↓ -66% |
| BCBS | PPO | $1,328.25 | ↓ -65% |
| Cigna | AllOther | $1,415.54 | ↓ -63% |
| Superior | EPO | $1,426.59 | ↓ -62% |
| Superior | HMO | $1,426.59 | ↓ -62% |
| Molina Healthcare | HIX | $1,668.60 | ↓ -56% |
| BCBS | Traditional | $1,684.98 | ↓ -56% |
| City of McKinney | COMM | $1,707.75 | ↓ -55% |
| National ChoiceCare | WCOMP | $1,897.50 | ↓ -50% |
| Aetna | ASA | $1,999.96 | ↓ -47% |
| PC Texas Partners | WCOMP | $2,087.25 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $2,087.25 | ↓ -45% |
| Aetna | WCOMP | $2,087.25 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $2,087.25 | ↓ -45% |
| Averde Health, Inc | PPO | $2,201.10 | ↓ -42% |
| USC Health Services | COMM | $2,277.00 | ↓ -40% |
| Jostens | WCOMP | $2,656.50 | ↓ -30% |
| Mega Life | MGMCRPPO | $2,656.50 | ↓ -30% |
| Aetna Coventry First Health | COMM | $2,758.97 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $2,846.25 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $2,846.25 | ↓ -25% |
| USA Managed Care | COMM | $3,036.00 | ↓ -20% |
| Galaxy Health Network | PPO | $3,225.75 | ↓ -15% |
| Humana | COMM | $3,598.02 | ↓ -5% |
| Unicare | MCD | $3,795.00 | ↑ +0% |
| Independent Medical Systems | COMM | $3,795.00 | ↑ +0% |
| National Healthcare Solutions | COMM | $3,795.00 | ↑ +0% |
Visitor-reported prices
Comments
Pre-tibial shell molded to p at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving | $4,397.00 | $617.76 – $1,668.60 |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH | $4,096.00 | $617.76 – $1,668.60 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $624.13 – $1,369.27 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $624.13 – $1,369.27 |
| HCA HOUSTON CONROE | CONROE | not published | $624.13 – $1,369.27 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $624.13 – $1,369.27 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $624.13 – $1,369.27 |
| HCA HOUSTON PEARLAND | Pearland | not published | $624.13 – $1,369.27 |