Prost sock sgl ply blw knee ea 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.
$5.46 with Superior Health Plan vs $78.00 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 |
|---|---|---|---|
| Superior Health Plan | STARKids | $5.46 | — |
| Superior Health Plan | CHIP | $5.46 | — |
| Superior Health Plan | MCDSTAR | $5.46 | — |
| Superior Health Plan | STARPLUS | $5.46 | — |
| Superior Health Plan | STARHealth | $5.46 | — |
| Humana | Tricare | $9.51 | — |
| BCBS | MGMCRHMO | $9.61 | — |
| BCBS | MCRPPO | $9.61 | — |
| WellMed | MGMCR | $9.75 | — |
| TriWest Health Alliance | FEDERAL | $9.80 | — |
| Mutual of Omaha | MGMCR | $9.80 | — |
| Amerigroup | DualEligible | $9.80 | — |
| Humana | MGMCR | $9.80 | — |
| Devoted Health | SNP | $9.80 | — |
| Devoted Health | HMO | $9.80 | — |
| Devoted Health | POS | $9.80 | — |
| Devoted Health | MCR | $9.80 | — |
| Devoted Health | PPO | $9.80 | — |
| Devoted Health | MME | $9.80 | — |
| United | MGMCR | $9.85 | — |
| Aetna | MCR | $9.88 | — |
| Care N Care | MGMCR | $9.90 | — |
| Cigna Healthspring | MGMCR | $10.00 | — |
| WellCare | MGMCR | $10.09 | — |
| Integranet | MGMCR | $10.09 | — |
| Superior Health Plan | MGMCRPOS | $10.29 | — |
| Superior Health Plan | MGMCRHMO | $10.29 | — |
| Superior Health Plan | MGMCRPPO | $10.29 | — |
| Superior Health Plan | MGMCRDualEligible | $10.29 | — |
| Superior Health Plan | MGMCRPFFS | $10.29 | — |
| Superior Health Plan | MGMCRSNP | $10.29 | — |
| American Health Plan of Texas, Inc. | MGMCR | $10.29 | — |
| ProCare Advantge | MCR | $10.29 | — |
| Provider Partners Health Plan | MCR | $10.39 | — |
| Texas Independent Health Plan | MGMCR | $10.39 | — |
| Cigna | IFP | $10.53 | — |
| Molina | MME | $10.68 | — |
| Molina | MMP | $10.68 | — |
| Molina | MCR | $10.68 | — |
| Imperial Insurance Company | MCR | $10.78 | — |
| Cigna | QHP | $10.92 | — |
| Universal Healthcare Group | MCR | $11.76 | — |
| Verda Health Plan | MGMCR | $12.74 | — |
| Bravo Health | MCRPFFS | $14.70 | — |
| Bravo Health | MCRHMO | $14.70 | — |
| Bravo Health | MCRPOS | $14.70 | — |
| Bravo Health | MCRPPO | $14.70 | — |
| Bravo Health | MCRSNP | $14.70 | — |
| United | OptionsPPO | $15.52 | — |
| Superior | ValueHMO | $17.54 | — |
| USA Managed Care | WORKERSCOMP | $18.62 | — |
| Unicare | CHIP | $18.72 | — |
| BCBS | BlueAdvantageHMO | $19.27 | — |
| BCBS | MyBlueHealth | $19.27 | — |
| Corvel Corporation | WORKERSCOMP | $19.40 | — |
| Cigna | LocalPlus | $20.59 | — |
| Cigna | NewBusiness | $20.59 | — |
| Superior | HMO | $21.95 | — |
| Superior | EPO | $21.95 | — |
| Cigna | OpenAccessPlus | $23.01 | — |
| Cigna | HMO | $23.01 | — |
| Cigna | NetworkBenefit | $23.01 | — |
| BCBS | BlueEssentialsAccess | $24.88 | — |
| BCBS | BlueEssentials | $24.88 | — |
| Molina Healthcare | HIX | $25.68 | — |
| BCBS | EPOSOA | $26.13 | — |
| Healthcare Highways | CityofPlano | $26.36 | — |
| BCBS | PPO | $27.30 | — |
| Cigna | AllOther | $29.09 | — |
| BCBS | Traditional | $34.63 | — |
| City of McKinney | COMM | $35.10 | — |
| National ChoiceCare | WCOMP | $39.00 | — |
| Aetna | ASA | $41.11 | — |
| Physicians Coop of TX | MGMCR | $42.90 | — |
| Rockport Health Group | WORKERSCOMP | $42.90 | — |
| Aetna | WCOMP | $42.90 | — |
| PC Texas Partners | WCOMP | $42.90 | — |
| Averde Health, Inc | PPO | $45.24 | — |
| USC Health Services | COMM | $46.80 | — |
| Mega Life | MGMCRPPO | $54.60 | — |
| Jostens | WCOMP | $54.60 | — |
| Humana | COMM | $55.30 | — |
| Aetna Coventry First Health | COMM | $56.71 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $58.50 | — |
| HealthSmart Preferred Care | PPO | $58.50 | — |
| USA Managed Care | COMM | $62.40 | — |
| Galaxy Health Network | PPO | $66.30 | — |
| Unicare | MCD | $78.00 | — |
| National Healthcare Solutions | COMM | $78.00 | — |
| Independent Medical Systems | COMM | $78.00 | — |
Visitor-reported prices
Comments
Prost sock sgl ply blw knee ea at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MEDICAL CITY FRISCO HOSPITAL | Frisco | $80.00 | $9.51 – $25.68 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving | $97.00 | $9.51 – $25.68 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney | $76.00 | $9.51 – $25.68 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $9.60 – $21.07 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $9.60 – $21.07 |
| HCA HOUSTON CONROE | CONROE | not published | $9.60 – $21.07 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $9.60 – $21.07 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $9.60 – $21.07 |