Shoulder X-ray 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.
$34.56 with TEXAS HEALTH NETWORK vs $1,214.37 with National Healthcare Solutions — 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 |
|---|---|---|---|
| TEXAS HEALTH NETWORK | MCD | $34.56 | — |
| Amerigroup | MGMCD | $35.09 | — |
| Parkland Community Health Plan | MCD | $35.09 | — |
| United | CHIP | $35.09 | — |
| Cook Childrens Health Plan | STAR | $35.09 | — |
| Cook Childrens Health Plan | CHIP | $35.09 | — |
| United | STAR | $35.09 | — |
| United | STARKids | $35.09 | — |
| United | STARPLUS | $35.09 | — |
| United | STARPerinate | $35.09 | — |
| Amerigroup | CHIP | $35.09 | — |
| Cigna Healthspring | MGMCD | $36.84 | — |
| Aetna Better Health | MCD | $37.90 | — |
| Aetna Better Health | CHIP | $37.90 | — |
| Molina | STAR+PLUS | $38.60 | — |
| Molina | CHIP | $38.60 | — |
| Molina | STARKIDS | $38.60 | — |
| Molina | MCDSTAR | $38.60 | — |
| Aetna | QHPHIX | $42.57 | — |
| Humana | MGMCD | $43.86 | — |
| Aetna | NewBusiness | $58.37 | — |
| Aetna | COMM | $62.53 | — |
| Aetna | Meritain | $62.53 | — |
| Aetna | OON | $73.34 | — |
| Humana | COMM | $79.55 | — |
| United | NarrowNetworkIndivExchange | $83.86 | — |
| United | SmallGroup | $83.86 | — |
| Superior Health Plan | STARPLUS | $85.01 | — |
| Superior Health Plan | STARHealth | $85.01 | — |
| Superior Health Plan | STARKids | $85.01 | — |
| Superior Health Plan | CHIP | $85.01 | — |
| Superior Health Plan | MCDSTAR | $85.01 | — |
| Cigna | LocalPlus | $99.15 | — |
| Cigna | NewBusiness | $99.25 | — |
| BCBS | MyBlueHealth | $104.55 | — |
| BCBS | BlueAdvantageHMO | $104.55 | — |
| BCBS | BluePremier | $108.54 | — |
| Cigna | NetworkBenefit | $110.75 | — |
| Cigna | HMO | $110.75 | — |
| Cigna | OpenAccessPlus | $110.75 | — |
| Cigna | AllOther | $140.16 | — |
| Cigna | IFP | $163.94 | — |
| Cigna | QHP | $170.01 | — |
| United | AllPayerAppendix | $182.03 | — |
| United | OptionsPPO | $241.66 | — |
| Unicare | CHIP | $291.45 | — |
| Healthcare Highways | NarrowNetwork | $297.52 | — |
| BCBS | BlueEssentialsAccess | $310.46 | — |
| BCBS | BlueEssentials | $310.46 | — |
| Evry Health | COMM | $313.31 | — |
| BCBS | EPOSOA | $325.62 | — |
| BCBS | PPO | $340.79 | — |
| Healthcare Highways | CityofPlano | $410.46 | — |
| Curative Administrators | COMM | $485.75 | — |
| BCBS | Traditional | $539.18 | — |
| Fidelis SecureCare | MGMCR | $546.47 | — |
| City of McKinney | COMM | $546.47 | — |
| National ChoiceCare | WCOMP | $607.18 | — |
| Aetna | ASA | $639.97 | — |
| PC Texas Partners | WCOMP | $667.90 | — |
| Rockport Health Group | WORKERSCOMP | $667.90 | — |
| Physicians Coop of TX | MGMCR | $667.90 | — |
| Aetna | WCOMP | $667.90 | — |
| Averde Health, Inc | PPO | $704.33 | — |
| USC Health Services | COMM | $728.62 | — |
| Multiplan PHCS | PrimaryNetwork | $850.06 | — |
| Coastal Comp Health Networks | WCOMP | $850.06 | — |
| Jostens | WCOMP | $850.06 | — |
| Mega Life | MGMCRPPO | $850.06 | — |
| Aetna Coventry First Health | COMM | $882.85 | — |
| HealthSmart Preferred Care | PPO | $910.78 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $910.78 | — |
| USA Managed Care | COMM | $971.50 | — |
| Galaxy Health Network | PPO | $1,032.21 | — |
| Unicare | MCD | $1,214.37 | — |
| Independent Medical Systems | COMM | $1,214.37 | — |
| National Healthcare Solutions | COMM | $1,214.37 | — |
Visitor-reported prices
Comments
Shoulder X-ray at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $692.77 | $307.27 – $307.27 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $306.88 | $35.09 – $383.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $344.38 | $70.88 – $516.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $399.22 | $35.09 – $499.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $306.88 | $35.09 – $383.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $344.38 | $37.55 – $516.56 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $344.38 | $35.09 – $516.56 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $399.22 | $35.09 – $598.82 |