Pt therapeutic procedure >=1 area gait training each 15 minutes at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$305.48
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.
$305.48
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.
$21.38 with Superior Health Plan vs $305.48 with National Healthcare Solutions — 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 | MCDSTAR | $21.38 | ↓ -93% |
| Superior Health Plan | STARPLUS | $21.38 | ↓ -93% |
| Superior Health Plan | STARKids | $21.38 | ↓ -93% |
| Superior Health Plan | CHIP | $21.38 | ↓ -93% |
| Superior Health Plan | STARHealth | $21.38 | ↓ -93% |
| BCBS | MGMCRHMO | $24.64 | ↓ -92% |
| BCBS | MCRPPO | $24.64 | ↓ -92% |
| WellMed | MGMCR | $24.81 | ↓ -92% |
| Devoted Health | POS | $24.93 | ↓ -92% |
| Devoted Health | MCR | $24.93 | ↓ -92% |
| Devoted Health | MME | $24.93 | ↓ -92% |
| Devoted Health | PPO | $24.93 | ↓ -92% |
| TriWest Health Alliance | FEDERAL | $24.93 | ↓ -92% |
| Humana | MGMCR | $24.93 | ↓ -92% |
| Mutual of Omaha | MGMCR | $24.93 | ↓ -92% |
| Amerigroup | DualEligible | $24.93 | ↓ -92% |
| Devoted Health | SNP | $24.93 | ↓ -92% |
| Devoted Health | HMO | $24.93 | ↓ -92% |
| United | MGMCR | $25.05 | ↓ -92% |
| Aetna | MCR | $25.14 | ↓ -92% |
| Care N Care | MGMCR | $25.18 | ↓ -92% |
| Cigna Healthspring | MGMCR | $25.43 | ↓ -92% |
| WellCare | MGMCR | $25.68 | ↓ -92% |
| Integranet | MGMCR | $25.68 | ↓ -92% |
| Superior Health Plan | MGMCRPOS | $26.18 | ↓ -91% |
| ProCare Advantge | MCR | $26.18 | ↓ -91% |
| Superior Health Plan | MGMCRHMO | $26.18 | ↓ -91% |
| Superior Health Plan | MGMCRPPO | $26.18 | ↓ -91% |
| Superior Health Plan | MGMCRDualEligible | $26.18 | ↓ -91% |
| Superior Health Plan | MGMCRPFFS | $26.18 | ↓ -91% |
| Superior Health Plan | MGMCRSNP | $26.18 | ↓ -91% |
| American Health Plan of Texas, Inc. | MGMCR | $26.18 | ↓ -91% |
| Provider Partners Health Plan | MCR | $26.43 | ↓ -91% |
| Texas Independent Health Plan | MGMCR | $26.43 | ↓ -91% |
| Humana | Tricare | $27.16 | ↓ -91% |
| Molina | MMP | $27.17 | ↓ -91% |
| Molina | MME | $27.17 | ↓ -91% |
| Molina | MCR | $27.17 | ↓ -91% |
| Imperial Insurance Company | MCR | $27.42 | ↓ -91% |
| Universal Healthcare Group | MCR | $29.92 | ↓ -90% |
| Verda Health Plan | MGMCR | $32.41 | ↓ -89% |
| Bravo Health | MCRHMO | $37.39 | ↓ -88% |
| Bravo Health | MCRPFFS | $37.39 | ↓ -88% |
| Bravo Health | MCRSNP | $37.39 | ↓ -88% |
| Bravo Health | MCRPOS | $37.39 | ↓ -88% |
| Bravo Health | MCRPPO | $37.39 | ↓ -88% |
| Cigna | IFP | $41.24 | ↓ -86% |
| Cigna | QHP | $42.77 | ↓ -86% |
| Superior | ValueHMO | $44.62 | ↓ -85% |
| USA Managed Care | WORKERSCOMP | $47.37 | ↓ -84% |
| Corvel Corporation | WORKERSCOMP | $49.36 | ↓ -84% |
| Superior | HMO | $55.84 | ↓ -82% |
| Superior | EPO | $55.84 | ↓ -82% |
| United | OptionsPPO | $60.79 | ↓ -80% |
| Oscar | HIX | $63.54 | ↓ -79% |
| Molina Healthcare | HIX | $65.32 | ↓ -79% |
| BCBS | BluePremier | $73.14 | ↓ -76% |
| Unicare | CHIP | $73.32 | ↓ -76% |
| BCBS | BlueAdvantageHMO | $85.22 | ↓ -72% |
| BCBS | MyBlueHealth | $85.22 | ↓ -72% |
| Healthcare Highways | CityofPlano | $103.25 | ↓ -66% |
| Aetna | QHPHIX | $106.00 | ↓ -65% |
| BCBS | Traditional | $135.63 | ↓ -56% |
| City of McKinney | COMM | $137.47 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $137.47 | ↓ -55% |
| Aetna | NewBusiness | $143.00 | ↓ -53% |
| BCBS | BlueEssentialsAccess | $150.92 | ↓ -51% |
| BCBS | BlueEssentials | $150.92 | ↓ -51% |
| National ChoiceCare | WCOMP | $152.74 | ↓ -50% |
| Aetna | COMM | $155.00 | ↓ -49% |
| Aetna | Meritain | $155.00 | ↓ -49% |
| BCBS | EPOSOA | $158.36 | ↓ -48% |
| Aetna | ASA | $160.99 | ↓ -47% |
| BCBS | PPO | $165.80 | ↓ -46% |
| Aetna | WCOMP | $168.01 | ↓ -45% |
| PC Texas Partners | WCOMP | $168.01 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $168.01 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $168.01 | ↓ -45% |
| Averde Health, Inc | PPO | $177.18 | ↓ -42% |
| Aetna | OON | $179.00 | ↓ -41% |
| USC Health Services | COMM | $183.29 | ↓ -40% |
| Multiplan PHCS | PrimaryNetwork | $213.84 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $213.84 | ↓ -30% |
| Jostens | WCOMP | $213.84 | ↓ -30% |
| Mega Life | MGMCRPPO | $213.84 | ↓ -30% |
| Humana | COMM | $214.18 | ↓ -30% |
| Aetna Coventry First Health | COMM | $222.08 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $229.11 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $229.11 | ↓ -25% |
| USA Managed Care | COMM | $244.38 | ↓ -20% |
| Galaxy Health Network | PPO | $259.66 | ↓ -15% |
| Independent Medical Systems | COMM | $305.48 | ↑ +0% |
| Unicare | MCD | $305.48 | ↑ +0% |
| National Healthcare Solutions | COMM | $305.48 | ↑ +0% |
Visitor-reported prices
Comments
Pt therapeutic procedure >=1 area gait training each 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $219.86 | $119.31 – $119.31 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $116.03 | $32.88 – $164.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $119.42 | $24.58 – $179.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $124.76 | $24.95 – $155.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $116.03 | $30.94 – $164.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $119.42 | $38.34 – $179.14 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $119.42 | $61.70 – $179.14 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $124.76 | $41.59 – $187.15 |