Rocker bottom, contact afo at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$539.00
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.
$539.00
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.
$37.73 with Superior Health Plan vs $674.45 with Humana — 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 | $37.73 | ↓ -93% |
| Superior Health Plan | STARHealth | $37.73 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $37.73 | ↓ -93% |
| Superior Health Plan | STARPLUS | $37.73 | ↓ -93% |
| Superior Health Plan | STARKids | $37.73 | ↓ -93% |
| Cigna | IFP | $72.77 | ↓ -86% |
| Cigna | QHP | $75.46 | ↓ -86% |
| United | OptionsPPO | $107.26 | ↓ -80% |
| Humana | Tricare | $115.80 | ↓ -79% |
| BCBS | MGMCRHMO | $117.04 | ↓ -78% |
| BCBS | MCRPPO | $117.04 | ↓ -78% |
| WellMed | MGMCR | $118.78 | ↓ -78% |
| Devoted Health | SNP | $119.38 | ↓ -78% |
| Devoted Health | HMO | $119.38 | ↓ -78% |
| Devoted Health | POS | $119.38 | ↓ -78% |
| Devoted Health | PPO | $119.38 | ↓ -78% |
| Devoted Health | MCR | $119.38 | ↓ -78% |
| Mutual of Omaha | MGMCR | $119.38 | ↓ -78% |
| Humana | MGMCR | $119.38 | ↓ -78% |
| TriWest Health Alliance | FEDERAL | $119.38 | ↓ -78% |
| Devoted Health | MME | $119.38 | ↓ -78% |
| Amerigroup | DualEligible | $119.38 | ↓ -78% |
| United | MGMCR | $119.98 | ↓ -78% |
| Aetna | MCR | $120.39 | ↓ -78% |
| Care N Care | MGMCR | $120.57 | ↓ -78% |
| Cigna Healthspring | MGMCR | $121.77 | ↓ -77% |
| WellCare | MGMCR | $122.96 | ↓ -77% |
| Integranet | MGMCR | $122.96 | ↓ -77% |
| Superior Health Plan | MGMCRPOS | $125.35 | ↓ -77% |
| Superior Health Plan | MGMCRHMO | $125.35 | ↓ -77% |
| Superior Health Plan | MGMCRPPO | $125.35 | ↓ -77% |
| Superior Health Plan | MGMCRDualEligible | $125.35 | ↓ -77% |
| Superior Health Plan | MGMCRPFFS | $125.35 | ↓ -77% |
| Superior Health Plan | MGMCRSNP | $125.35 | ↓ -77% |
| American Health Plan of Texas, Inc. | MGMCR | $125.35 | ↓ -77% |
| ProCare Advantge | MCR | $125.35 | ↓ -77% |
| Texas Independent Health Plan | MGMCR | $126.54 | ↓ -77% |
| Provider Partners Health Plan | MCR | $126.54 | ↓ -77% |
| Unicare | CHIP | $129.36 | ↓ -76% |
| Molina | MME | $130.12 | ↓ -76% |
| Molina | MCR | $130.12 | ↓ -76% |
| Molina | MMP | $130.12 | ↓ -76% |
| Imperial Insurance Company | MCR | $131.32 | ↓ -76% |
| BCBS | BlueAdvantageHMO | $133.13 | ↓ -75% |
| BCBS | MyBlueHealth | $133.13 | ↓ -75% |
| Cigna | LocalPlus | $142.30 | ↓ -74% |
| Cigna | NewBusiness | $142.30 | ↓ -74% |
| Universal Healthcare Group | MCR | $143.26 | ↓ -73% |
| Verda Health Plan | MGMCR | $155.19 | ↓ -71% |
| Cigna | OpenAccessPlus | $159.00 | ↓ -71% |
| Cigna | HMO | $159.00 | ↓ -71% |
| Cigna | NetworkBenefit | $159.00 | ↓ -71% |
| BCBS | BlueEssentialsAccess | $171.94 | ↓ -68% |
| BCBS | BlueEssentials | $171.94 | ↓ -68% |
| Bravo Health | MCRPFFS | $179.07 | ↓ -67% |
| Bravo Health | MCRPOS | $179.07 | ↓ -67% |
| Bravo Health | MCRPPO | $179.07 | ↓ -67% |
| Bravo Health | MCRSNP | $179.07 | ↓ -67% |
| Bravo Health | MCRHMO | $179.07 | ↓ -67% |
| BCBS | EPOSOA | $180.56 | ↓ -67% |
| Healthcare Highways | CityofPlano | $182.18 | ↓ -66% |
| BCBS | PPO | $188.65 | ↓ -65% |
| Cigna | AllOther | $201.05 | ↓ -63% |
| Superior | ValueHMO | $213.69 | ↓ -60% |
| USA Managed Care | WORKERSCOMP | $226.82 | ↓ -58% |
| Corvel Corporation | WORKERSCOMP | $236.37 | ↓ -56% |
| BCBS | Traditional | $239.32 | ↓ -56% |
| City of McKinney | COMM | $242.55 | ↓ -55% |
| Superior | HMO | $267.41 | ↓ -50% |
| Superior | EPO | $267.41 | ↓ -50% |
| National ChoiceCare | WCOMP | $269.50 | ↓ -50% |
| Aetna | ASA | $284.05 | ↓ -47% |
| PC Texas Partners | WCOMP | $296.45 | ↓ -45% |
| Aetna | WCOMP | $296.45 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $296.45 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $296.45 | ↓ -45% |
| Averde Health, Inc | PPO | $312.62 | ↓ -42% |
| Molina Healthcare | HIX | $312.78 | ↓ -42% |
| USC Health Services | COMM | $323.40 | ↓ -40% |
| Mega Life | MGMCRPPO | $377.30 | ↓ -30% |
| Jostens | WCOMP | $377.30 | ↓ -30% |
| Aetna Coventry First Health | COMM | $391.85 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $404.25 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $404.25 | ↓ -25% |
| USA Managed Care | COMM | $431.20 | ↓ -20% |
| Galaxy Health Network | PPO | $458.15 | ↓ -15% |
| Independent Medical Systems | COMM | $539.00 | ↑ +0% |
| National Healthcare Solutions | COMM | $539.00 | ↑ +0% |
| Unicare | MCD | $539.00 | ↑ +0% |
| Humana | COMM | $674.45 | ↑ +25% |
Visitor-reported prices
Comments
Rocker bottom, contact afo at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $241.74 | $92.60 – $92.60 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $241.74 | $92.60 – $92.60 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $531.90 | $92.60 – $92.60 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $531.90 | $92.60 – $92.60 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $252.72 | $92.60 – $92.60 |
| Dell Children's Medical Center (Ascension Seton) | Austin | $491.40 | $92.60 – $92.60 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | $252.72 | $92.60 – $92.60 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK | $1,426.00 | $115.80 – $312.78 |