Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous at MEDICAL CITY LEWISVILLE HOSPITAL

1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

$51.92

Cash price

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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.

$51.92

Gross charge

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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.

$1.88 with Humana vs $51.92 with Unicare — 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.

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Payer
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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
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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 $1.88 ↓ -96%
Superior Health Plan CHIP $3.63 ↓ -93%
Superior Health Plan MCDSTAR $3.63 ↓ -93%
Superior Health Plan STARPLUS $3.63 ↓ -93%
Superior Health Plan STARKids $3.63 ↓ -93%
Superior Health Plan STARHealth $3.63 ↓ -93%
United SmallGroup $3.65 ↓ -93%
United NarrowNetworkIndivExchange $3.65 ↓ -93%
United AllPayerAppendix $3.65 ↓ -93%
BCBS MyBlueHealth $5.52 ↓ -89%
BCBS BlueAdvantageHMO $5.52 ↓ -89%
BCBS BluePremier $6.53 ↓ -87%
Cigna IFP $7.01 ↓ -86%
Aetna QHPHIX $7.01 ↓ -86%
Cigna QHP $7.27 ↓ -86%
BCBS BlueEssentialsAccess $8.08 ↓ -84%
BCBS BlueEssentials $8.08 ↓ -84%
BCBS EPOSOA $8.48 ↓ -84%
BCBS PPO $8.88 ↓ -83%
Aetna NewBusiness $10.33 ↓ -80%
United OptionsPPO $10.33 ↓ -80%
Aetna Meritain $11.06 ↓ -79%
Aetna COMM $11.06 ↓ -79%
Unicare CHIP $12.46 ↓ -76%
Aetna OON $13.03 ↓ -75%
Cigna LocalPlus $13.19 ↓ -75%
Cigna NewBusiness $13.20 ↓ -75%
Cigna OpenAccessPlus $14.74 ↓ -72%
Cigna HMO $14.74 ↓ -72%
Cigna NetworkBenefit $14.74 ↓ -72%
Humana COMM $16.31 ↓ -69%
Healthcare Highways CityofPlano $17.55 ↓ -66%
Cigna AllOther $18.64 ↓ -64%
BCBS Traditional $23.05 ↓ -56%
City of McKinney COMM $23.36 ↓ -55%
National ChoiceCare WCOMP $25.96 ↓ -50%
Aetna ASA $27.36 ↓ -47%
Rockport Health Group WORKERSCOMP $28.56 ↓ -45%
Physicians Coop of TX MGMCR $28.56 ↓ -45%
PC Texas Partners WCOMP $28.56 ↓ -45%
Aetna WCOMP $28.56 ↓ -45%
Averde Health, Inc PPO $30.11 ↓ -42%
USC Health Services COMM $31.15 ↓ -40%
Coastal Comp Health Networks WCOMP $36.34 ↓ -30%
Jostens WCOMP $36.34 ↓ -30%
Mega Life MGMCRPPO $36.34 ↓ -30%
Aetna Coventry First Health COMM $37.75 ↓ -27%
HealthSmart Preferred Care PPO $38.94 ↓ -25%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $38.94 ↓ -25%
USA Managed Care COMM $41.54 ↓ -20%
Galaxy Health Network PPO $44.13 ↓ -15%
National Healthcare Solutions COMM $51.92 ↑ +0%
Independent Medical Systems COMM $51.92 ↑ +0%
Unicare MCD $51.92 ↑ +0%

Visitor-reported prices

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Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $532.31 $6.16 – $6.16
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $131.28 $2.63 – $185.98
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $131.28 $2.63 – $196.92
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $131.28 $2.63 – $164.10
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $131.28 $2.63 – $185.98
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $131.28 $2.63 – $196.92
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $131.28 $2.63 – $196.92
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $131.28 $2.63 – $196.92

All Texas hospitals for this procedure →