Screening Mammogram at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$1,249.51
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.
$1,249.51
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.
$82.13 with Humana vs $1,249.51 with National Healthcare Solutions — 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 |
|---|---|---|---|
| Humana | Tricare | $82.13 | ↓ -93% |
| BCBS | MCRPPO | $84.67 | ↓ -93% |
| BCBS | MGMCRHMO | $84.67 | ↓ -93% |
| WellMed | MGMCR | $86.09 | ↓ -93% |
| Devoted Health | MCR | $86.52 | ↓ -93% |
| Devoted Health | MME | $86.52 | ↓ -93% |
| TriWest Health Alliance | FEDERAL | $86.52 | ↓ -93% |
| Mutual of Omaha | MGMCR | $86.52 | ↓ -93% |
| Humana | MGMCR | $86.52 | ↓ -93% |
| Devoted Health | SNP | $86.52 | ↓ -93% |
| Devoted Health | POS | $86.52 | ↓ -93% |
| Amerigroup | DualEligible | $86.52 | ↓ -93% |
| Devoted Health | HMO | $86.52 | ↓ -93% |
| Devoted Health | PPO | $86.52 | ↓ -93% |
| United | MGMCR | $86.95 | ↓ -93% |
| Aetna | MCR | $87.26 | ↓ -93% |
| Care N Care | MGMCR | $87.39 | ↓ -93% |
| Superior Health Plan | STARHealth | $87.47 | ↓ -93% |
| Superior Health Plan | STARKids | $87.47 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $87.47 | ↓ -93% |
| Superior Health Plan | STARPLUS | $87.47 | ↓ -93% |
| Superior Health Plan | CHIP | $87.47 | ↓ -93% |
| Cigna Healthspring | MGMCR | $88.25 | ↓ -93% |
| Integranet | MGMCR | $89.12 | ↓ -93% |
| WellCare | MGMCR | $89.12 | ↓ -93% |
| ProCare Advantge | MCR | $90.85 | ↓ -93% |
| Superior Health Plan | MGMCRDualEligible | $90.85 | ↓ -93% |
| Superior Health Plan | MGMCRPOS | $90.85 | ↓ -93% |
| Superior Health Plan | MGMCRSNP | $90.85 | ↓ -93% |
| Superior Health Plan | MGMCRPPO | $90.85 | ↓ -93% |
| Superior Health Plan | MGMCRPFFS | $90.85 | ↓ -93% |
| Superior Health Plan | MGMCRHMO | $90.85 | ↓ -93% |
| American Health Plan of Texas, Inc. | MGMCR | $90.85 | ↓ -93% |
| Texas Independent Health Plan | MGMCR | $91.71 | ↓ -93% |
| Provider Partners Health Plan | MCR | $91.71 | ↓ -93% |
| Molina | MCR | $94.31 | ↓ -92% |
| Molina | MMP | $94.31 | ↓ -92% |
| Molina | MME | $94.31 | ↓ -92% |
| Imperial Insurance Company | MCR | $95.17 | ↓ -92% |
| Universal Healthcare Group | MCR | $103.82 | ↓ -92% |
| Verda Health Plan | MGMCR | $112.48 | ↓ -91% |
| Bravo Health | MCRPFFS | $129.78 | ↓ -90% |
| Bravo Health | MCRHMO | $129.78 | ↓ -90% |
| Bravo Health | MCRPOS | $129.78 | ↓ -90% |
| Bravo Health | MCRPPO | $129.78 | ↓ -90% |
| Bravo Health | MCRSNP | $129.78 | ↓ -90% |
| BCBS | MyBlueHealth | $130.31 | ↓ -90% |
| BCBS | BlueAdvantageHMO | $130.31 | ↓ -90% |
| BCBS | BluePremier | $135.28 | ↓ -89% |
| United | SmallGroup | $137.05 | ↓ -89% |
| United | NarrowNetworkIndivExchange | $137.05 | ↓ -89% |
| Superior | ValueHMO | $154.87 | ↓ -88% |
| Aetna | QHPHIX | $155.26 | ↓ -88% |
| USA Managed Care | WORKERSCOMP | $164.39 | ↓ -87% |
| Cigna | IFP | $168.68 | ↓ -87% |
| Corvel Corporation | WORKERSCOMP | $171.31 | ↓ -86% |
| Cigna | QHP | $174.93 | ↓ -86% |
| Superior | EPO | $193.80 | ↓ -84% |
| Superior | HMO | $193.80 | ↓ -84% |
| Aetna | NewBusiness | $212.88 | ↓ -83% |
| United | AllPayerAppendix | $217.46 | ↓ -83% |
| Molina Healthcare | HIX | $226.68 | ↓ -82% |
| Aetna | COMM | $228.04 | ↓ -82% |
| Aetna | Meritain | $228.04 | ↓ -82% |
| United | OptionsPPO | $248.65 | ↓ -80% |
| Aetna | OON | $267.47 | ↓ -79% |
| Unicare | CHIP | $299.88 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $306.13 | ↓ -75% |
| Evry Health | COMM | $322.37 | ↓ -74% |
| BCBS | BlueEssentials | $386.94 | ↓ -69% |
| BCBS | BlueEssentialsAccess | $386.94 | ↓ -69% |
| Humana | COMM | $387.22 | ↓ -69% |
| BCBS | EPOSOA | $405.84 | ↓ -68% |
| Healthcare Highways | CityofPlano | $422.33 | ↓ -66% |
| BCBS | PPO | $424.74 | ↓ -66% |
| Curative Administrators | COMM | $499.80 | ↓ -60% |
| BCBS | Traditional | $554.78 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $562.28 | ↓ -55% |
| City of McKinney | COMM | $562.28 | ↓ -55% |
| National ChoiceCare | WCOMP | $624.75 | ↓ -50% |
| Aetna | ASA | $658.49 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $687.23 | ↓ -45% |
| PC Texas Partners | WCOMP | $687.23 | ↓ -45% |
| Aetna | WCOMP | $687.23 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $687.23 | ↓ -45% |
| Averde Health, Inc | PPO | $724.72 | ↓ -42% |
| USC Health Services | COMM | $749.71 | ↓ -40% |
| Multiplan PHCS | PrimaryNetwork | $874.66 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $874.66 | ↓ -30% |
| Jostens | WCOMP | $874.66 | ↓ -30% |
| Mega Life | MGMCRPPO | $874.66 | ↓ -30% |
| Aetna Coventry First Health | COMM | $908.39 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $937.13 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $937.13 | ↓ -25% |
| USA Managed Care | COMM | $999.61 | ↓ -20% |
| Galaxy Health Network | PPO | $1,062.08 | ↓ -15% |
| Independent Medical Systems | COMM | $1,249.51 | ↑ +0% |
| Unicare | MCD | $1,249.51 | ↑ +0% |
| National Healthcare Solutions | COMM | $1,249.51 | ↑ +0% |
Visitor-reported prices
Comments
Screening Mammogram at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $792.81 | $382.96 – $382.96 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $227.22 | $64.38 – $321.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $238.14 | $49.02 – $357.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $238.14 | $47.63 – $334.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $227.22 | $60.59 – $321.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $238.14 | $76.44 – $406.83 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $238.14 | $123.04 – $357.21 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $238.14 | $79.38 – $357.21 |