Puncture arterial withdrawal blood for diagnosis 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.
$7.36 with Superior Health Plan vs $12,897.00 with Oscar — 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 | CHIP | $7.36 | — |
| Superior Health Plan | STARHealth | $7.36 | — |
| Superior Health Plan | MCDSTAR | $7.36 | — |
| Superior Health Plan | STARPLUS | $7.36 | — |
| Superior Health Plan | STARKids | $7.36 | — |
| Cigna | IFP | $14.20 | — |
| Cigna | QHP | $14.73 | — |
| United | OptionsPPO | $20.93 | — |
| Unicare | CHIP | $25.25 | — |
| Healthcare Highways | NarrowNetwork | $25.77 | — |
| BCBS | MyBlueHealth | $25.98 | — |
| BCBS | BlueAdvantageHMO | $25.98 | — |
| Evry Health | COMM | $27.14 | — |
| Cigna | LocalPlus | $27.77 | — |
| Cigna | NewBusiness | $27.77 | — |
| BCBS | BluePremier | $30.72 | — |
| Cigna | HMO | $31.03 | — |
| Cigna | NetworkBenefit | $31.03 | — |
| Cigna | OpenAccessPlus | $31.03 | — |
| BCBS | BlueEssentialsAccess | $33.56 | — |
| BCBS | BlueEssentials | $33.56 | — |
| BCBS | EPOSOA | $35.24 | — |
| Healthcare Highways | CityofPlano | $35.56 | — |
| BCBS | PPO | $36.82 | — |
| Cigna | AllOther | $39.24 | — |
| Curative Administrators | COMM | $42.08 | — |
| BCBS | Traditional | $46.71 | — |
| City of McKinney | COMM | $47.34 | — |
| Fidelis SecureCare | MGMCR | $47.34 | — |
| National ChoiceCare | WCOMP | $52.60 | — |
| Aetna | ASA | $55.44 | — |
| Aetna | WCOMP | $57.86 | — |
| PC Texas Partners | WCOMP | $57.86 | — |
| Physicians Coop of TX | MGMCR | $57.86 | — |
| Rockport Health Group | WORKERSCOMP | $57.86 | — |
| Averde Health, Inc | PPO | $61.02 | — |
| USC Health Services | COMM | $63.12 | — |
| Jostens | WCOMP | $73.64 | — |
| Mega Life | MGMCRPPO | $73.64 | — |
| Multiplan PHCS | PrimaryNetwork | $73.64 | — |
| Coastal Comp Health Networks | WCOMP | $73.64 | — |
| Aetna Coventry First Health | COMM | $76.48 | — |
| HealthSmart Preferred Care | PPO | $78.90 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $78.90 | — |
| USA Managed Care | COMM | $84.16 | — |
| Galaxy Health Network | PPO | $89.42 | — |
| National Healthcare Solutions | COMM | $105.20 | — |
| Unicare | MCD | $105.20 | — |
| Independent Medical Systems | COMM | $105.20 | — |
| Humana | COMM | $115.89 | — |
| WellMed | MGMCR | $134.32 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Aetna | Meritain | $3,682.00 | — |
| Aetna | COMM | $3,682.00 | — |
| Aetna | OON | $4,332.00 | — |
| United | SmallGroup | $7,850.00 | — |
| United | NarrowNetworkIndivExchange | $8,016.00 | — |
| United | AllPayerAppendix | $11,220.00 | — |
| Oscar | HIX | $12,897.00 | — |
Visitor-reported prices
Comments
Puncture arterial withdrawal blood for diagnosis at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $287.08 | $136.29 – $136.29 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $127.50 | $10.00 – $316.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $96.17 | $12.00 – $316.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $94.55 | $12.00 – $316.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $127.50 | $10.00 – $316.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $96.17 | $12.00 – $316.45 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $96.17 | $8.00 – $3,235.82 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $94.55 | $12.00 – $316.45 |