Pregnancy Ultrasound (first trimester) 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$96.31 with BCBS vs $2,761.38 with Independent Medical Systems — 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 |
|---|---|---|---|
| BCBS | BlueAdvantageHMO | $96.31 | — |
| BCBS | MyBlueHealth | $96.31 | — |
| BCBS | BluePremier | $99.99 | — |
| TEXAS HEALTH NETWORK | MCD | $103.18 | — |
| Parkland Community Health Plan | MCD | $104.75 | — |
| United | CHIP | $104.75 | — |
| Cook Childrens Health Plan | STAR | $104.75 | — |
| United | STAR | $104.75 | — |
| United | STARKids | $104.75 | — |
| United | STARPLUS | $104.75 | — |
| United | STARPerinate | $104.75 | — |
| Cook Childrens Health Plan | CHIP | $104.75 | — |
| Amerigroup | CHIP | $104.75 | — |
| Amerigroup | MGMCD | $104.75 | — |
| Cigna Healthspring | MGMCD | $109.99 | — |
| Aetna Better Health | CHIP | $113.13 | — |
| Aetna Better Health | MCD | $113.13 | — |
| Molina | MCDSTAR | $115.23 | — |
| Molina | STARKIDS | $115.23 | — |
| Molina | CHIP | $115.23 | — |
| Molina | STAR+PLUS | $115.23 | — |
| Aetna | QHPHIX | $119.78 | — |
| Humana | MGMCD | $130.94 | — |
| United | NarrowNetworkIndivExchange | $154.52 | — |
| United | SmallGroup | $154.52 | — |
| Aetna | NewBusiness | $164.23 | — |
| Aetna | Meritain | $175.93 | — |
| Aetna | COMM | $175.93 | — |
| Superior Health Plan | STARPLUS | $193.30 | — |
| Superior Health Plan | STARHealth | $193.30 | — |
| Superior Health Plan | CHIP | $193.30 | — |
| Superior Health Plan | STARKids | $193.30 | — |
| Superior Health Plan | MCDSTAR | $193.30 | — |
| Aetna | OON | $206.34 | — |
| United | AllPayerAppendix | $245.18 | — |
| Cigna | LocalPlus | $276.08 | — |
| Cigna | NewBusiness | $276.35 | — |
| BCBS | BlueEssentials | $285.99 | — |
| BCBS | BlueEssentialsAccess | $285.99 | — |
| Humana | COMM | $298.89 | — |
| BCBS | EPOSOA | $299.96 | — |
| Cigna | NetworkBenefit | $308.36 | — |
| Cigna | OpenAccessPlus | $308.36 | — |
| Cigna | HMO | $308.36 | — |
| BCBS | PPO | $313.93 | — |
| Cigna | IFP | $372.79 | — |
| Cigna | QHP | $386.59 | — |
| Cigna | AllOther | $390.27 | — |
| United | OptionsPPO | $549.51 | — |
| Unicare | CHIP | $662.73 | — |
| Healthcare Highways | NarrowNetwork | $676.54 | — |
| Evry Health | COMM | $712.44 | — |
| Healthcare Highways | CityofPlano | $933.35 | — |
| Curative Administrators | COMM | $1,104.55 | — |
| BCBS | Traditional | $1,226.05 | — |
| City of McKinney | COMM | $1,242.62 | — |
| Fidelis SecureCare | MGMCR | $1,242.62 | — |
| National ChoiceCare | WCOMP | $1,380.69 | — |
| Aetna | ASA | $1,455.25 | — |
| PC Texas Partners | WCOMP | $1,518.76 | — |
| Aetna | WCOMP | $1,518.76 | — |
| Rockport Health Group | WORKERSCOMP | $1,518.76 | — |
| Physicians Coop of TX | MGMCR | $1,518.76 | — |
| Averde Health, Inc | PPO | $1,601.60 | — |
| USC Health Services | COMM | $1,656.83 | — |
| Coastal Comp Health Networks | WCOMP | $1,932.97 | — |
| Jostens | WCOMP | $1,932.97 | — |
| Mega Life | MGMCRPPO | $1,932.97 | — |
| Multiplan PHCS | PrimaryNetwork | $1,932.97 | — |
| Aetna Coventry First Health | COMM | $2,007.52 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $2,071.03 | — |
| HealthSmart Preferred Care | PPO | $2,071.03 | — |
| USA Managed Care | COMM | $2,209.10 | — |
| Galaxy Health Network | PPO | $2,347.17 | — |
| Unicare | MCD | $2,761.38 | — |
| National Healthcare Solutions | COMM | $2,761.38 | — |
| Independent Medical Systems | COMM | $2,761.38 | — |
Visitor-reported prices
Comments
Pregnancy Ultrasound (first trimester) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,375.01 | $283.05 – $283.05 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $660.98 | $99.77 – $826.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $614.24 | $126.43 – $921.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $580.03 | $99.77 – $725.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $660.98 | $99.77 – $826.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $614.24 | $99.77 – $921.37 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $614.24 | $104.75 – $921.37 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $580.03 | $99.77 – $870.04 |