Socket insert w lock mech 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.
$155.47 with Superior Health Plan vs $5,067.11 with Humana — 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 | CHIP | $155.47 | — |
| Superior Health Plan | STARHealth | $155.47 | — |
| Superior Health Plan | MCDSTAR | $155.47 | — |
| Superior Health Plan | STARPLUS | $155.47 | — |
| Superior Health Plan | STARKids | $155.47 | — |
| Cigna | IFP | $299.83 | — |
| Cigna | QHP | $310.94 | — |
| United | OptionsPPO | $441.98 | — |
| Unicare | CHIP | $533.04 | — |
| BCBS | MyBlueHealth | $548.59 | — |
| BCBS | BlueAdvantageHMO | $548.59 | — |
| Cigna | NewBusiness | $586.34 | — |
| Cigna | LocalPlus | $586.34 | — |
| Cigna | HMO | $655.20 | — |
| Cigna | NetworkBenefit | $655.20 | — |
| Cigna | OpenAccessPlus | $655.20 | — |
| BCBS | BlueEssentials | $708.50 | — |
| BCBS | BlueEssentialsAccess | $708.50 | — |
| BCBS | EPOSOA | $744.03 | — |
| Healthcare Highways | CityofPlano | $750.70 | — |
| BCBS | PPO | $777.35 | — |
| Cigna | AllOther | $828.43 | — |
| Humana | Tricare | $869.99 | — |
| BCBS | MCRPPO | $879.31 | — |
| BCBS | MGMCRHMO | $879.31 | — |
| WellMed | MGMCR | $892.42 | — |
| Mutual of Omaha | MGMCR | $896.90 | — |
| Devoted Health | POS | $896.90 | — |
| Devoted Health | HMO | $896.90 | — |
| TriWest Health Alliance | FEDERAL | $896.90 | — |
| Amerigroup | DualEligible | $896.90 | — |
| Devoted Health | SNP | $896.90 | — |
| Devoted Health | MME | $896.90 | — |
| Humana | MGMCR | $896.90 | — |
| Devoted Health | MCR | $896.90 | — |
| Devoted Health | PPO | $896.90 | — |
| United | MGMCR | $901.38 | — |
| Aetna | MCR | $904.52 | — |
| Care N Care | MGMCR | $905.87 | — |
| Cigna Healthspring | MGMCR | $914.84 | — |
| Integranet | MGMCR | $923.81 | — |
| WellCare | MGMCR | $923.81 | — |
| Superior Health Plan | MGMCRPOS | $941.75 | — |
| Superior Health Plan | MGMCRHMO | $941.75 | — |
| Superior Health Plan | MGMCRPPO | $941.75 | — |
| Superior Health Plan | MGMCRDualEligible | $941.75 | — |
| Superior Health Plan | MGMCRPFFS | $941.75 | — |
| Superior Health Plan | MGMCRSNP | $941.75 | — |
| American Health Plan of Texas, Inc. | MGMCR | $941.75 | — |
| ProCare Advantge | MCR | $941.75 | — |
| Provider Partners Health Plan | MCR | $950.71 | — |
| Texas Independent Health Plan | MGMCR | $950.71 | — |
| Molina | MMP | $977.62 | — |
| Molina | MCR | $977.62 | — |
| Molina | MME | $977.62 | — |
| BCBS | Traditional | $986.12 | — |
| Imperial Insurance Company | MCR | $986.59 | — |
| City of McKinney | COMM | $999.45 | — |
| Universal Healthcare Group | MCR | $1,076.28 | — |
| National ChoiceCare | WCOMP | $1,110.50 | — |
| Verda Health Plan | MGMCR | $1,165.97 | — |
| Aetna | ASA | $1,170.47 | — |
| Rockport Health Group | WORKERSCOMP | $1,221.55 | — |
| Physicians Coop of TX | MGMCR | $1,221.55 | — |
| Aetna | WCOMP | $1,221.55 | — |
| PC Texas Partners | WCOMP | $1,221.55 | — |
| Averde Health, Inc | PPO | $1,288.18 | — |
| USC Health Services | COMM | $1,332.60 | — |
| Bravo Health | MCRPPO | $1,345.35 | — |
| Bravo Health | MCRPFFS | $1,345.35 | — |
| Bravo Health | MCRSNP | $1,345.35 | — |
| Bravo Health | MCRHMO | $1,345.35 | — |
| Bravo Health | MCRPOS | $1,345.35 | — |
| Mega Life | MGMCRPPO | $1,554.70 | — |
| Jostens | WCOMP | $1,554.70 | — |
| Superior | ValueHMO | $1,605.45 | — |
| Aetna Coventry First Health | COMM | $1,614.67 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,665.75 | — |
| HealthSmart Preferred Care | PPO | $1,665.75 | — |
| USA Managed Care | WORKERSCOMP | $1,704.11 | — |
| Corvel Corporation | WORKERSCOMP | $1,775.86 | — |
| USA Managed Care | COMM | $1,776.80 | — |
| Galaxy Health Network | PPO | $1,887.85 | — |
| Superior | HMO | $2,009.06 | — |
| Superior | EPO | $2,009.06 | — |
| Unicare | MCD | $2,221.00 | — |
| Independent Medical Systems | COMM | $2,221.00 | — |
| National Healthcare Solutions | COMM | $2,221.00 | — |
| Molina Healthcare | HIX | $2,349.88 | — |
| Humana | COMM | $5,067.11 | — |
Visitor-reported prices
Comments
Socket insert w lock mech at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Allen | Allen | $1,609.98 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $1,609.98 | not published |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $1,609.98 | not published |
| Texas Health Arlington Memorial Hospital | Arlington | $1,609.98 | not published |
| Texas Health Presbyterian Hospital Denton | Denton | $1,609.98 | not published |
| Texas Health Presbyterian Hospital Plano | Plano | $1,609.98 | not published |
| Texas Health Hospital Rockwall | Rockwall | $1,609.98 | not published |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | $1,609.98 | not published |