Romiplostim injection 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.
$291.19 with BCBS vs $26,385.96 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 |
|---|---|---|---|
| BCBS | BluePremier | $291.19 | — |
| Humana | COMM | $510.77 | — |
| Superior Health Plan | MCDSTAR | $1,847.02 | — |
| Superior Health Plan | STARHealth | $1,847.02 | — |
| Superior Health Plan | CHIP | $1,847.02 | — |
| Superior Health Plan | STARKids | $1,847.02 | — |
| Superior Health Plan | STARPLUS | $1,847.02 | — |
| Aetna | QHPHIX | $3,562.10 | — |
| Cigna | IFP | $3,562.10 | — |
| Cigna | QHP | $3,694.03 | — |
| United | OptionsPPO | $5,250.81 | — |
| Aetna | NewBusiness | $5,250.81 | — |
| Superior | HMO | $5,277.19 | — |
| Superior | EPO | $5,277.19 | — |
| Superior | ValueHMO | $5,277.19 | — |
| Aetna | COMM | $5,620.21 | — |
| Aetna | Meritain | $5,620.21 | — |
| Unicare | CHIP | $6,332.63 | — |
| BCBS | BlueAdvantageHMO | $6,517.33 | — |
| BCBS | MyBlueHealth | $6,517.33 | — |
| Molina Healthcare | HIX | $6,596.49 | — |
| Aetna | OON | $6,622.88 | — |
| Cigna | NewBusiness | $6,965.89 | — |
| Cigna | LocalPlus | $6,965.89 | — |
| Cigna | NetworkBenefit | $7,783.86 | — |
| Cigna | OpenAccessPlus | $7,783.86 | — |
| Cigna | HMO | $7,783.86 | — |
| BCBS | BlueEssentials | $8,417.12 | — |
| BCBS | BlueEssentialsAccess | $8,417.12 | — |
| BCBS | EPOSOA | $8,839.30 | — |
| Healthcare Highways | CityofPlano | $8,918.45 | — |
| BCBS | PPO | $9,235.09 | — |
| Cigna | AllOther | $9,841.96 | — |
| BCBS | Traditional | $11,715.37 | — |
| City of McKinney | COMM | $11,873.68 | — |
| National ChoiceCare | WCOMP | $13,192.98 | — |
| Aetna | ASA | $13,905.40 | — |
| PC Texas Partners | WCOMP | $14,512.28 | — |
| Aetna | WCOMP | $14,512.28 | — |
| Rockport Health Group | WORKERSCOMP | $14,512.28 | — |
| Physicians Coop of TX | MGMCR | $14,512.28 | — |
| Averde Health, Inc | PPO | $15,303.86 | — |
| USC Health Services | COMM | $15,831.58 | — |
| Mega Life | MGMCRPPO | $18,470.17 | — |
| Coastal Comp Health Networks | WCOMP | $18,470.17 | — |
| Jostens | WCOMP | $18,470.17 | — |
| Aetna Coventry First Health | COMM | $19,182.59 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $19,789.47 | — |
| HealthSmart Preferred Care | PPO | $19,789.47 | — |
| USA Managed Care | COMM | $21,108.77 | — |
| Galaxy Health Network | PPO | $22,428.07 | — |
| Independent Medical Systems | COMM | $26,385.96 | — |
| National Healthcare Solutions | COMM | $26,385.96 | — |
| Unicare | MCD | $26,385.96 | — |
Visitor-reported prices
Comments
Romiplostim injection at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $248.35 | $695.44 – $695.44 |
| HCA HOUSTON KINGWOOD | HUMBLE | $15,465.48 | $695.44 – $695.44 |
| HCA HOUSTON SOUTHEAST | PASADENA | $16,781.12 | $695.44 – $695.44 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving | $15,892.08 | $373.98 – $510.77 |
| Adventhealth Rollins Brook | Lampasas | not published | $274.77 – $274.77 |
| CHRISTUS Children's Hospital | San Antonio | not published | $181.19 – $181.19 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $695.44 – $695.44 |
| Covenant Children's Hospital | Lubbock | not published | $266.92 – $364.91 |