Rmvl sq defib electrode 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.
$1,021.61 with Superior Health Plan vs $109,000.00 with United — 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 | STARKids | $1,021.61 | — |
| Superior Health Plan | STARHealth | $1,021.61 | — |
| Superior Health Plan | MCDSTAR | $1,021.61 | — |
| Superior Health Plan | STARPLUS | $1,021.61 | — |
| Superior Health Plan | CHIP | $1,021.61 | — |
| Cigna | IFP | $1,970.25 | — |
| Fidelis SecureCare | MGMCR | $1,995.00 | — |
| Cigna | QHP | $2,043.22 | — |
| Humana | COMM | $2,493.42 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| United | OptionsPPO | $2,904.29 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Unicare | CHIP | $3,502.67 | — |
| Aetna | Meritain | $3,682.00 | — |
| Aetna | COMM | $3,682.00 | — |
| BCBS | BluePremier | $3,700.17 | — |
| WellMed | MGMCR | $3,772.76 | — |
| Aetna | OON | $4,332.00 | — |
| Healthcare Highways | CityofPlano | $4,932.92 | — |
| Healthcare Highways | NarrowNetwork | $5,475.00 | — |
| Curative Administrators | COMM | $5,849.00 | — |
| Evry Health | COMM | $6,054.00 | — |
| BCBS | Traditional | $6,479.93 | — |
| BCBS | BlueAdvantageHMO | $6,564.82 | — |
| BCBS | MyBlueHealth | $6,564.82 | — |
| City of McKinney | COMM | $6,567.50 | — |
| BCBS | BlueEssentialsAccess | $7,012.42 | — |
| BCBS | BlueEssentials | $7,012.42 | — |
| Oscar | HIX | $7,168.00 | — |
| National ChoiceCare | WCOMP | $7,297.22 | — |
| BCBS | EPOSOA | $7,370.50 | — |
| Aetna | ASA | $7,691.27 | — |
| BCBS | PPO | $7,698.75 | — |
| Rockport Health Group | WORKERSCOMP | $8,026.94 | — |
| Aetna | WCOMP | $8,026.94 | — |
| PC Texas Partners | WCOMP | $8,026.94 | — |
| Physicians Coop of TX | MGMCR | $8,026.94 | — |
| Averde Health, Inc | PPO | $8,464.78 | — |
| USC Health Services | COMM | $8,756.66 | — |
| Coastal Comp Health Networks | WCOMP | $10,216.11 | — |
| Jostens | WCOMP | $10,216.11 | — |
| Multiplan PHCS | PrimaryNetwork | $10,216.11 | — |
| Mega Life | MGMCRPPO | $10,216.11 | — |
| Aetna Coventry First Health | COMM | $10,610.16 | — |
| HealthSmart Preferred Care | PPO | $10,945.83 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $10,945.83 | — |
| USA Managed Care | COMM | $11,675.55 | — |
| Galaxy Health Network | PPO | $12,405.27 | — |
| Independent Medical Systems | COMM | $14,594.44 | — |
| National Healthcare Solutions | COMM | $14,594.44 | — |
| Unicare | MCD | $14,594.44 | — |
| Cigna | LocalPlus | $17,220.00 | — |
| Cigna | NewBusiness | $17,238.00 | — |
| Cigna | NetworkBenefit | $19,240.00 | — |
| Cigna | OpenAccessPlus | $19,240.00 | — |
| Cigna | HMO | $19,240.00 | — |
| Cigna | AllOther | $24,339.00 | — |
| United | NarrowNetworkIndivExchange | $62,381.00 | — |
| United | SmallGroup | $77,386.00 | — |
| United | AllPayerAppendix | $109,000.00 | — |
Visitor-reported prices
Comments
Rmvl sq defib electrode at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $7,532.10 | $2,134.09 – $9,728.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,417.27 | $909.22 – $9,728.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,294.57 | $858.91 – $9,728.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $7,532.10 | $2,008.56 – $9,728.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $4,417.27 | $1,417.94 – $9,728.21 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $4,417.27 | $2,282.26 – $9,728.21 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $4,294.57 | $1,431.52 – $9,728.21 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $7,532.10 | $2,008.56 – $9,728.21 |