Proton trmt simple w/comp at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$2.30
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.
$2.30
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.
$0.31 with Cigna vs $6,445.75 with BCBS — 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 |
|---|---|---|---|
| Cigna | IFP | $0.31 | ↓ -87% |
| Cigna | QHP | $0.32 | ↓ -86% |
| United | OptionsPPO | $0.46 | ↓ -80% |
| Oscar | HIX | $0.48 | ↓ -79% |
| Unicare | CHIP | $0.55 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $0.56 | ↓ -76% |
| Evry Health | COMM | $0.59 | ↓ -74% |
| Humana | COMM | $0.71 | ↓ -69% |
| Healthcare Highways | CityofPlano | $0.78 | ↓ -66% |
| Curative Administrators | COMM | $0.92 | ↓ -60% |
| BCBS | Traditional | $1.02 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $1.03 | ↓ -55% |
| City of McKinney | COMM | $1.03 | ↓ -55% |
| National ChoiceCare | WCOMP | $1.15 | ↓ -50% |
| Aetna | ASA | $1.21 | ↓ -47% |
| PC Texas Partners | WCOMP | $1.26 | ↓ -45% |
| Aetna | WCOMP | $1.26 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $1.26 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $1.26 | ↓ -45% |
| Averde Health, Inc | PPO | $1.33 | ↓ -42% |
| USC Health Services | COMM | $1.38 | ↓ -40% |
| Coastal Comp Health Networks | WCOMP | $1.61 | ↓ -30% |
| Mega Life | MGMCRPPO | $1.61 | ↓ -30% |
| Jostens | WCOMP | $1.61 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $1.61 | ↓ -30% |
| Aetna Coventry First Health | COMM | $1.67 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $1.73 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1.73 | ↓ -25% |
| USA Managed Care | COMM | $1.84 | ↓ -20% |
| Galaxy Health Network | PPO | $1.95 | ↓ -15% |
| Independent Medical Systems | COMM | $2.30 | ↑ +0% |
| National Healthcare Solutions | COMM | $2.30 | ↑ +0% |
| Unicare | MCD | $2.30 | ↑ +0% |
| Aetna | QHPHIX | $1,551.87 | ↑ +67373% |
| Aetna | NewBusiness | $2,127.76 | ↑ +92411% |
| Aetna | COMM | $2,279.31 | ↑ +99000% |
| Aetna | Meritain | $2,279.31 | ↑ +99000% |
| Aetna | OON | $2,673.34 | ↑ +116132% |
| BCBS | BluePremier | $3,241.58 | ↑ +140838% |
| BCBS | MyBlueHealth | $4,363.66 | ↑ +189624% |
| BCBS | BlueAdvantageHMO | $4,363.66 | ↑ +189624% |
| BCBS | BlueEssentials | $5,859.77 | ↑ +254673% |
| BCBS | BlueEssentialsAccess | $5,859.77 | ↑ +254673% |
| BCBS | EPOSOA | $6,158.99 | ↑ +267682% |
| BCBS | PPO | $6,445.75 | ↑ +280150% |
Visitor-reported prices
Comments
Proton trmt simple w/comp at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | not published | $4,800.03 – $4,800.03 |
| CHRISTUS Children's Hospital | San Antonio | not published | $2,115.29 – $2,115.29 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $2,281.57 – $14,433.88 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $2,281.57 – $14,433.88 |
| Covenant Children's Hospital | Lubbock | not published | $4,887.30 – $4,887.30 |
| HCA HOUSTON CONROE | CONROE | not published | $2,281.57 – $14,433.88 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $2,281.57 – $14,433.88 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $2,281.57 – $14,433.88 |