Prq card revasc mi 1 vsl drug-eluting 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.
$1,340.49 with BCBS vs $94,000.00 with United — 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 | BluePremier | $1,340.49 | — |
| Superior Health Plan | CHIP | $5,591.00 | — |
| Superior Health Plan | STARHealth | $5,591.00 | — |
| Superior Health Plan | MCDSTAR | $5,591.00 | — |
| Superior Health Plan | STARPLUS | $5,591.00 | — |
| Superior Health Plan | STARKids | $5,591.00 | — |
| Aetna | QHPHIX | $9,115.34 | — |
| Cigna | IFP | $9,115.34 | — |
| Cigna | QHP | $9,452.94 | — |
| Imperial Insurance Company | MCR | $12,828.99 | — |
| Oscar | HIX | $12,897.00 | — |
| United | OptionsPPO | $13,436.68 | — |
| Aetna | NewBusiness | $13,436.68 | — |
| BCBS | BlueEssentials | $13,869.74 | — |
| BCBS | BlueEssentialsAccess | $13,869.74 | — |
| Aetna | COMM | $14,381.98 | — |
| Aetna | Meritain | $14,381.98 | — |
| BCBS | EPOSOA | $14,561.61 | — |
| BCBS | MyBlueHealth | $14,950.78 | — |
| BCBS | BlueAdvantageHMO | $14,950.78 | — |
| BCBS | PPO | $15,242.66 | — |
| Unicare | CHIP | $16,205.04 | — |
| Aetna | OON | $16,947.78 | — |
| Humana | COMM | $20,924.76 | — |
| Healthcare Highways | CityofPlano | $22,822.10 | — |
| Healthcare Highways | NarrowNetwork | $26,766.00 | — |
| Evry Health | COMM | $29,597.00 | — |
| BCBS | Traditional | $29,979.33 | — |
| Fidelis SecureCare | MGMCR | $30,384.46 | — |
| City of McKinney | COMM | $30,384.46 | — |
| Cigna | LocalPlus | $32,724.00 | — |
| Cigna | NewBusiness | $32,756.00 | — |
| National ChoiceCare | WCOMP | $33,760.51 | — |
| Aetna | ASA | $35,583.58 | — |
| Cigna | OpenAccessPlus | $36,562.00 | — |
| Cigna | HMO | $36,562.00 | — |
| Cigna | NetworkBenefit | $36,562.00 | — |
| PC Texas Partners | WCOMP | $37,136.56 | — |
| Physicians Coop of TX | MGMCR | $37,136.56 | — |
| Aetna | WCOMP | $37,136.56 | — |
| Rockport Health Group | WORKERSCOMP | $37,136.56 | — |
| Averde Health, Inc | PPO | $39,162.19 | — |
| USC Health Services | COMM | $40,512.61 | — |
| Curative Administrators | COMM | $43,890.00 | — |
| Cigna | AllOther | $46,251.00 | — |
| Jostens | WCOMP | $47,264.71 | — |
| Mega Life | MGMCRPPO | $47,264.71 | — |
| Coastal Comp Health Networks | WCOMP | $47,264.71 | — |
| Multiplan PHCS | PrimaryNetwork | $47,264.71 | — |
| Aetna Coventry First Health | COMM | $49,087.78 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $50,640.76 | — |
| HealthSmart Preferred Care | PPO | $50,640.76 | — |
| USA Managed Care | COMM | $54,016.82 | — |
| Galaxy Health Network | PPO | $57,392.87 | — |
| Unicare | MCD | $67,521.02 | — |
| National Healthcare Solutions | COMM | $67,521.02 | — |
| Independent Medical Systems | COMM | $67,521.02 | — |
| United | SmallGroup | $69,514.00 | — |
| United | NarrowNetworkIndivExchange | $71,098.00 | — |
| United | AllPayerAppendix | $94,000.00 | — |
Visitor-reported prices
Comments
Prq card revasc mi 1 vsl drug-eluting at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $25,591.93 | $6,299.00 – $36,255.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $26,324.66 | $5,418.49 – $39,486.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $21,600.07 | $4,320.01 – $27,000.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $25,591.93 | $6,824.52 – $36,255.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $26,324.66 | $8,450.22 – $39,486.99 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $26,324.66 | $13,462.00 – $39,486.99 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $21,600.07 | $7,200.02 – $32,400.10 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $25,591.93 | $6,824.52 – $36,255.24 |