Sildenafil citrate, 25 mg at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$468.21
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.
$468.21
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.
$1.63 with Cigna vs $468.21 with Independent Medical Systems — 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 |
|---|---|---|---|
| Cigna | LocalPlus | $1.63 | ↓ -100% |
| Cigna | NewBusiness | $1.64 | ↓ -100% |
| Cigna | HMO | $1.83 | ↓ -100% |
| Cigna | NetworkBenefit | $1.83 | ↓ -100% |
| Cigna | OpenAccessPlus | $1.83 | ↓ -100% |
| Cigna | AllOther | $2.31 | ↓ -100% |
| BCBS | BlueAdvantageHMO | $8.25 | ↓ -98% |
| BCBS | MyBlueHealth | $8.25 | ↓ -98% |
| BCBS | BluePremier | $9.75 | ↓ -98% |
| BCBS | BlueEssentials | $12.07 | ↓ -97% |
| BCBS | BlueEssentialsAccess | $12.07 | ↓ -97% |
| BCBS | EPOSOA | $12.67 | ↓ -97% |
| BCBS | PPO | $13.26 | ↓ -97% |
| Superior Health Plan | STARHealth | $32.77 | ↓ -93% |
| Superior Health Plan | CHIP | $32.77 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $32.77 | ↓ -93% |
| Superior Health Plan | STARPLUS | $32.77 | ↓ -93% |
| Superior Health Plan | STARKids | $32.77 | ↓ -93% |
| Cigna | IFP | $63.21 | ↓ -86% |
| Aetna | QHPHIX | $63.21 | ↓ -86% |
| Cigna | QHP | $65.55 | ↓ -86% |
| Humana | COMM | $91.78 | ↓ -80% |
| Aetna | NewBusiness | $93.17 | ↓ -80% |
| United | OptionsPPO | $93.17 | ↓ -80% |
| Superior | ValueHMO | $93.64 | ↓ -80% |
| Superior | EPO | $93.64 | ↓ -80% |
| Superior | HMO | $93.64 | ↓ -80% |
| Aetna | Meritain | $99.73 | ↓ -79% |
| Aetna | COMM | $99.73 | ↓ -79% |
| Unicare | CHIP | $112.37 | ↓ -76% |
| Molina Healthcare | HIX | $117.05 | ↓ -75% |
| Aetna | OON | $117.52 | ↓ -75% |
| Healthcare Highways | CityofPlano | $158.25 | ↓ -66% |
| BCBS | Traditional | $207.89 | ↓ -56% |
| City of McKinney | COMM | $210.69 | ↓ -55% |
| National ChoiceCare | WCOMP | $234.10 | ↓ -50% |
| Physicians Coop of TX | MGMCR | $257.52 | ↓ -45% |
| Aetna | WCOMP | $257.52 | ↓ -45% |
| PC Texas Partners | WCOMP | $257.52 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $257.52 | ↓ -45% |
| Averde Health, Inc | PPO | $271.56 | ↓ -42% |
| USC Health Services | COMM | $280.93 | ↓ -40% |
| Mega Life | MGMCRPPO | $327.75 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $327.75 | ↓ -30% |
| Jostens | WCOMP | $327.75 | ↓ -30% |
| Aetna Coventry First Health | COMM | $340.39 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $351.16 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $351.16 | ↓ -25% |
| USA Managed Care | COMM | $374.57 | ↓ -20% |
| Galaxy Health Network | PPO | $397.98 | ↓ -15% |
| Unicare | MCD | $468.21 | ↑ +0% |
| National Healthcare Solutions | COMM | $468.21 | ↑ +0% |
| Independent Medical Systems | COMM | $468.21 | ↑ +0% |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
Sildenafil citrate, 25 mg at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $6.80 | $0.65 – $124.96 |
| HCA HOUSTON MEDICAL CENTER | Houston | $129.68 | $0.65 – $124.96 |
| HCA HOUSTON KINGWOOD | HUMBLE | $539.62 | $0.65 – $124.96 |
| HCA HOUSTON NORTHWEST | SPRING | $287.19 | $0.65 – $124.96 |
| HCA HOUSTON SOUTHEAST | PASADENA | $138.80 | $0.65 – $124.96 |
| HCA HOUSTON WEST | HOUSTON | $359.00 | $0.65 – $124.96 |
| HCA HOUSTON TOMBALL | HOUSTON | $128.36 | $0.65 – $124.96 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle | $550.34 | $1.63 – $91.78 |