Sm-153 lexidron ther at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$68,634.79
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.
$68,634.79
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.
$4,804.44 with Superior Health Plan vs $142,036.23 with Cigna — 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 | STARKids | $4,804.44 | ↓ -93% |
| Superior Health Plan | STARHealth | $4,804.44 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $4,804.44 | ↓ -93% |
| Superior Health Plan | STARPLUS | $4,804.44 | ↓ -93% |
| Superior Health Plan | CHIP | $4,804.44 | ↓ -93% |
| United | SmallGroup | $5,213.67 | ↓ -92% |
| United | NarrowNetworkIndivExchange | $5,213.67 | ↓ -92% |
| United | AllPayerAppendix | $5,213.67 | ↓ -92% |
| Cigna | IFP | $9,265.70 | ↓ -86% |
| Aetna | QHPHIX | $9,265.70 | ↓ -86% |
| Cigna | QHP | $9,608.87 | ↓ -86% |
| Aetna | NewBusiness | $13,658.32 | ↓ -80% |
| United | OptionsPPO | $13,658.32 | ↓ -80% |
| Oscar | HIX | $14,276.04 | ↓ -79% |
| Aetna | Meritain | $14,619.21 | ↓ -79% |
| Aetna | COMM | $14,619.21 | ↓ -79% |
| Unicare | CHIP | $16,472.35 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $16,815.52 | ↓ -76% |
| Aetna | OON | $17,227.33 | ↓ -75% |
| Evry Health | COMM | $17,707.78 | ↓ -74% |
| Healthcare Highways | CityofPlano | $23,198.56 | ↓ -66% |
| Curative Administrators | COMM | $27,453.92 | ↓ -60% |
| BCBS | Traditional | $30,473.85 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $30,885.66 | ↓ -55% |
| City of McKinney | COMM | $30,885.66 | ↓ -55% |
| National ChoiceCare | WCOMP | $34,317.39 | ↓ -50% |
| Aetna | ASA | $36,170.53 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $37,749.13 | ↓ -45% |
| Aetna | WCOMP | $37,749.13 | ↓ -45% |
| PC Texas Partners | WCOMP | $37,749.13 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $37,749.13 | ↓ -45% |
| Averde Health, Inc | PPO | $39,808.18 | ↓ -42% |
| USC Health Services | COMM | $41,180.87 | ↓ -40% |
| Mega Life | MGMCRPPO | $48,044.35 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $48,044.35 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $48,044.35 | ↓ -30% |
| Jostens | WCOMP | $48,044.35 | ↓ -30% |
| Aetna Coventry First Health | COMM | $49,897.49 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $51,476.09 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $51,476.09 | ↓ -25% |
| BCBS | MyBlueHealth | $52,290.86 | ↓ -24% |
| BCBS | BlueAdvantageHMO | $52,290.86 | ↓ -24% |
| USA Managed Care | COMM | $54,907.83 | ↓ -20% |
| Galaxy Health Network | PPO | $58,339.57 | ↓ -15% |
| BCBS | BluePremier | $61,839.62 | ↓ -10% |
| National Healthcare Solutions | COMM | $68,634.79 | ↑ +0% |
| Independent Medical Systems | COMM | $68,634.79 | ↑ +0% |
| Unicare | MCD | $68,634.79 | ↑ +0% |
| BCBS | BlueEssentialsAccess | $76,541.69 | ↑ +12% |
| BCBS | BlueEssentials | $76,541.69 | ↑ +12% |
| BCBS | EPOSOA | $80,330.88 | ↑ +17% |
| BCBS | PPO | $84,120.07 | ↑ +23% |
| Cigna | LocalPlus | $100,498.28 | ↑ +46% |
| Cigna | NewBusiness | $100,597.93 | ↑ +47% |
| Humana | COMM | $107,964.43 | ↑ +57% |
| Cigna | OpenAccessPlus | $112,273.73 | ↑ +64% |
| Cigna | NetworkBenefit | $112,273.73 | ↑ +64% |
| Cigna | HMO | $112,273.73 | ↑ +64% |
| Cigna | AllOther | $142,036.23 | ↑ +107% |
Visitor-reported prices
Comments
Sm-153 lexidron ther at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $30,877.91 | $5,213.67 – $146,997.15 |
| HCA HOUSTON MEDICAL CENTER | Houston | $25,584.87 | $5,213.67 – $146,997.15 |
| Baylor St Luke's Medical Center | Houston | $11,563.30 | $7,551.09 – $33,038.00 |
| St. Joseph Health Madison Hospital | Madisonville | $5,363.75 | $3,904.81 – $27,585.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $1,543.50 | $3,883.42 – $10,290.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $11,563.30 | $6,161.69 – $33,038.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $11,563.30 | $6,161.69 – $33,038.00 |
| St. Joseph Health College Station Hospital | College Station | $5,363.75 | $4,314.91 – $26,052.50 |