Prq trluml c angiop 1art&/br 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.
$3,812.71 with Humana vs $67,328.54 with Unicare — 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 | $3,812.71 | — |
| 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 | — |
| Superior Health Plan | CHIP | $5,591.00 | — |
| Cigna | IFP | $9,089.35 | — |
| Cigna | QHP | $9,426.00 | — |
| Oscar | HIX | $12,897.00 | — |
| United | OptionsPPO | $13,398.38 | — |
| Unicare | CHIP | $16,158.85 | — |
| BCBS | BluePremier | $16,496.52 | — |
| BCBS | BlueAdvantageHMO | $16,793.75 | — |
| BCBS | MyBlueHealth | $16,793.75 | — |
| Aetna | QHPHIX | $17,679.00 | — |
| BCBS | BlueEssentials | $21,648.59 | — |
| BCBS | BlueEssentialsAccess | $21,648.59 | — |
| United | NarrowNetworkIndivExchange | $21,909.00 | — |
| BCBS | EPOSOA | $22,738.45 | — |
| Healthcare Highways | CityofPlano | $22,757.05 | — |
| BCBS | PPO | $23,778.77 | — |
| Aetna | NewBusiness | $24,226.00 | — |
| Aetna | Meritain | $25,883.00 | — |
| Aetna | COMM | $25,883.00 | — |
| Healthcare Highways | NarrowNetwork | $26,766.00 | — |
| Evry Health | COMM | $29,597.00 | — |
| BCBS | Traditional | $29,893.87 | — |
| Fidelis SecureCare | MGMCR | $30,297.84 | — |
| City of McKinney | COMM | $30,297.84 | — |
| Aetna | OON | $30,452.00 | — |
| United | SmallGroup | $31,500.00 | — |
| Cigna | LocalPlus | $32,724.00 | — |
| Cigna | NewBusiness | $32,756.00 | — |
| National ChoiceCare | WCOMP | $33,664.27 | — |
| Aetna | ASA | $35,482.14 | — |
| Cigna | HMO | $36,562.00 | — |
| Cigna | OpenAccessPlus | $36,562.00 | — |
| Cigna | NetworkBenefit | $36,562.00 | — |
| PC Texas Partners | WCOMP | $37,030.70 | — |
| Aetna | WCOMP | $37,030.70 | — |
| Rockport Health Group | WORKERSCOMP | $37,030.70 | — |
| Physicians Coop of TX | MGMCR | $37,030.70 | — |
| Averde Health, Inc | PPO | $39,050.55 | — |
| USC Health Services | COMM | $40,397.12 | — |
| United | AllPayerAppendix | $42,840.00 | — |
| Curative Administrators | COMM | $43,890.00 | — |
| Cigna | AllOther | $46,251.00 | — |
| Coastal Comp Health Networks | WCOMP | $47,129.98 | — |
| Multiplan PHCS | PrimaryNetwork | $47,129.98 | — |
| Jostens | WCOMP | $47,129.98 | — |
| Mega Life | MGMCRPPO | $47,129.98 | — |
| Aetna Coventry First Health | COMM | $48,947.85 | — |
| HealthSmart Preferred Care | PPO | $50,496.40 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $50,496.40 | — |
| USA Managed Care | COMM | $53,862.83 | — |
| Galaxy Health Network | PPO | $57,229.26 | — |
| National Healthcare Solutions | COMM | $67,328.54 | — |
| Independent Medical Systems | COMM | $67,328.54 | — |
| Unicare | MCD | $67,328.54 | — |
Visitor-reported prices
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Prq trluml c angiop 1art&/br at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $12,569.50 | $3,561.36 – $15,711.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $12,597.94 | $2,593.08 – $18,896.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $12,333.02 | $2,466.60 – $15,416.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $12,569.50 | $3,351.87 – $16,180.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $12,597.94 | $4,043.94 – $18,896.91 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $12,597.94 | $6,508.94 – $18,896.91 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $12,333.02 | $4,111.01 – $18,499.53 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $12,569.50 | $3,351.87 – $16,180.00 |