Prgr stim/pace a/iv drug at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$6,241.99
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.
$6,241.99
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.
$361.76 with Humana vs $43,890.00 with Curative Administrators — 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 |
|---|---|---|---|
| Humana | COMM | $361.76 | ↓ -94% |
| BCBS | BluePremier | $392.09 | ↓ -94% |
| BCBS | MyBlueHealth | $456.88 | ↓ -93% |
| BCBS | BlueAdvantageHMO | $456.88 | ↓ -93% |
| BCBS | BlueEssentialsAccess | $809.10 | ↓ -87% |
| BCBS | BlueEssentials | $809.10 | ↓ -87% |
| Cigna | IFP | $842.67 | ↓ -86% |
| Aetna | QHPHIX | $842.67 | ↓ -86% |
| BCBS | EPOSOA | $848.98 | ↓ -86% |
| Cigna | QHP | $873.88 | ↓ -86% |
| BCBS | PPO | $888.85 | ↓ -86% |
| Imperial Insurance Company | MCR | $1,185.98 | ↓ -81% |
| Aetna | NewBusiness | $1,242.16 | ↓ -80% |
| United | OptionsPPO | $1,242.16 | ↓ -80% |
| Aetna | COMM | $1,329.54 | ↓ -79% |
| Aetna | Meritain | $1,329.54 | ↓ -79% |
| Unicare | CHIP | $1,498.08 | ↓ -76% |
| Aetna | OON | $1,566.74 | ↓ -75% |
| Cigna | LocalPlus | $1,647.89 | ↓ -74% |
| Cigna | NewBusiness | $1,647.89 | ↓ -74% |
| Cigna | HMO | $1,841.39 | ↓ -70% |
| Cigna | OpenAccessPlus | $1,841.39 | ↓ -70% |
| Cigna | NetworkBenefit | $1,841.39 | ↓ -70% |
| Healthcare Highways | CityofPlano | $2,109.79 | ↓ -66% |
| Cigna | AllOther | $2,328.26 | ↓ -63% |
| BCBS | Traditional | $2,771.44 | ↓ -56% |
| City of McKinney | COMM | $2,808.90 | ↓ -55% |
| National ChoiceCare | WCOMP | $3,120.99 | ↓ -50% |
| Aetna | ASA | $3,289.53 | ↓ -47% |
| PC Texas Partners | WCOMP | $3,433.09 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $3,433.09 | ↓ -45% |
| Aetna | WCOMP | $3,433.09 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $3,433.09 | ↓ -45% |
| Averde Health, Inc | PPO | $3,620.35 | ↓ -42% |
| USC Health Services | COMM | $3,745.19 | ↓ -40% |
| Mega Life | MGMCRPPO | $4,369.39 | ↓ -30% |
| Jostens | WCOMP | $4,369.39 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $4,369.39 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $4,369.39 | ↓ -30% |
| Aetna Coventry First Health | COMM | $4,537.93 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $4,681.49 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $4,681.49 | ↓ -25% |
| USA Managed Care | COMM | $4,993.59 | ↓ -20% |
| Galaxy Health Network | PPO | $5,305.69 | ↓ -15% |
| Superior Health Plan | MCDSTAR | $5,591.00 | ↓ -10% |
| Superior Health Plan | STARHealth | $5,591.00 | ↓ -10% |
| Superior Health Plan | STARPLUS | $5,591.00 | ↓ -10% |
| Superior Health Plan | CHIP | $5,591.00 | ↓ -10% |
| Superior Health Plan | STARKids | $5,591.00 | ↓ -10% |
| Unicare | MCD | $6,241.99 | ↑ +0% |
| National Healthcare Solutions | COMM | $6,241.99 | ↑ +0% |
| Independent Medical Systems | COMM | $6,241.99 | ↑ +0% |
| Fidelis SecureCare | MGMCR | $8,300.00 | ↑ +33% |
| United | SmallGroup | $24,059.00 | ↑ +285% |
| United | NarrowNetworkIndivExchange | $25,253.00 | ↑ +305% |
| Healthcare Highways | NarrowNetwork | $26,766.00 | ↑ +329% |
| Oscar | HIX | $29,429.00 | ↑ +371% |
| Evry Health | COMM | $29,597.00 | ↑ +374% |
| United | AllPayerAppendix | $33,939.00 | ↑ +444% |
| Curative Administrators | COMM | $43,890.00 | ↑ +603% |
Visitor-reported prices
Comments
Prgr stim/pace a/iv drug at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $6,468.87 | $510.05 – $9,164.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $8,192.97 | $501.74 – $12,289.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5,992.20 | $501.74 – $7,490.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $6,468.87 | $388.77 – $9,164.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $8,192.97 | $613.06 – $12,289.45 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $8,192.97 | $4,233.03 – $12,289.45 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $5,992.20 | $501.74 – $8,988.30 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $6,468.87 | $510.05 – $9,164.23 |