Prq tcat plmt ntrac st 2+les 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$5,591.00 with Superior Health Plan vs $98,791.16 with Unicare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | STARHealth | $5,591.00 | — |
| Superior Health Plan | STARPLUS | $5,591.00 | — |
| Superior Health Plan | MCDSTAR | $5,591.00 | — |
| Superior Health Plan | CHIP | $5,591.00 | — |
| Superior Health Plan | STARKids | $5,591.00 | — |
| Oscar | HIX | $12,897.00 | — |
| Cigna | IFP | $13,336.81 | — |
| Cigna | QHP | $13,830.76 | — |
| Imperial Insurance Company | MCR | $18,770.32 | — |
| United | OptionsPPO | $19,066.69 | — |
| Superior | ValueHMO | $19,758.23 | — |
| Superior | HMO | $19,758.23 | — |
| Superior | EPO | $19,758.23 | — |
| United | NarrowNetworkIndivExchange | $22,348.00 | — |
| Unicare | CHIP | $23,709.88 | — |
| Molina Healthcare | HIX | $24,697.79 | — |
| Healthcare Highways | NarrowNetwork | $27,837.00 | — |
| Evry Health | COMM | $29,597.00 | — |
| Aetna | NewBusiness | $31,450.00 | — |
| Healthcare Highways | CityofPlano | $33,391.41 | — |
| United | SmallGroup | $33,496.00 | — |
| Aetna | Meritain | $33,600.00 | — |
| Aetna | COMM | $33,600.00 | — |
| Aetna | OON | $39,749.00 | — |
| BCBS | Traditional | $40,899.54 | — |
| Curative Administrators | COMM | $43,890.00 | — |
| United | GlobalBenefitPlan | $44,456.02 | — |
| Fidelis SecureCare | MGMCR | $44,456.02 | — |
| City of McKinney | COMM | $44,456.02 | — |
| United | AllPayerAppendix | $46,000.00 | — |
| National ChoiceCare | WCOMP | $49,395.58 | — |
| Aetna | ASA | $49,889.54 | — |
| Physicians Coop of TX | MGMCR | $54,335.14 | — |
| Aetna | WCOMP | $54,335.14 | — |
| Rockport Health Group | WORKERSCOMP | $54,335.14 | — |
| PC Texas Partners | WCOMP | $54,335.14 | — |
| Aetna Coventry First Health | COMM | $56,607.33 | — |
| Averde Health, Inc | PPO | $57,298.87 | — |
| USC Health Services | COMM | $59,274.70 | — |
| BCBS | BlueAdvantageHMO | $63,490.26 | — |
| BCBS | MyBlueHealth | $63,490.26 | — |
| Mega Life | MGMCRPPO | $69,153.81 | — |
| Jostens | WCOMP | $69,153.81 | — |
| Coastal Comp Health Networks | WCOMP | $69,153.81 | — |
| Multiplan | PHCSPrimaryNetwork | $74,093.37 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $74,093.37 | — |
| HealthSmart Preferred Care | PPO | $74,093.37 | — |
| USA Managed Care | COMM | $79,032.93 | — |
| BCBS | BlueEssentialsAccess | $82,780.81 | — |
| BCBS | BlueEssentials | $82,780.81 | — |
| Multiplan | ComplementaryNetwork | $83,972.49 | — |
| BCBS | EPOSOA | $86,901.12 | — |
| BCBS | PPO | $91,021.43 | — |
| Independent Medical Systems | COMM | $98,791.16 | — |
| National Healthcare Solutions | COMM | $98,791.16 | — |
| Unicare | MCD | $98,791.16 | — |
Visitor-reported prices
Comments
Prq tcat plmt ntrac st 2+les at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $22,098.20 | $6,299.00 – $39,592.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $22,098.20 | $4,548.55 – $33,147.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $22,098.20 | $10,273.60 – $27,622.76 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $22,098.20 | $10,273.60 – $39,592.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $22,098.20 | $10,992.75 – $33,147.31 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $22,098.20 | $10,273.60 – $33,147.31 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $22,098.20 | $10,273.60 – $33,147.31 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $22,098.20 | $10,273.60 – $39,592.62 |