Soft interface below knee se at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$523.00
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.
$523.00
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.
$36.61 with Superior Health Plan vs $563.78 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 | $36.61 | ↓ -93% |
| Superior Health Plan | STARHealth | $36.61 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $36.61 | ↓ -93% |
| Superior Health Plan | STARPLUS | $36.61 | ↓ -93% |
| Superior Health Plan | STARKids | $36.61 | ↓ -93% |
| Cigna | IFP | $70.61 | ↓ -86% |
| Cigna | QHP | $73.22 | ↓ -86% |
| Humana | Tricare | $96.80 | ↓ -81% |
| BCBS | MCRPPO | $97.83 | ↓ -81% |
| BCBS | MGMCRHMO | $97.83 | ↓ -81% |
| WellMed | MGMCR | $99.29 | ↓ -81% |
| Devoted Health | PPO | $99.79 | ↓ -81% |
| Amerigroup | DualEligible | $99.79 | ↓ -81% |
| Devoted Health | SNP | $99.79 | ↓ -81% |
| Devoted Health | HMO | $99.79 | ↓ -81% |
| Devoted Health | MCR | $99.79 | ↓ -81% |
| Devoted Health | POS | $99.79 | ↓ -81% |
| Mutual of Omaha | MGMCR | $99.79 | ↓ -81% |
| Humana | MGMCR | $99.79 | ↓ -81% |
| TriWest Health Alliance | FEDERAL | $99.79 | ↓ -81% |
| Devoted Health | MME | $99.79 | ↓ -81% |
| United | MGMCR | $100.29 | ↓ -81% |
| Aetna | MCR | $100.64 | ↓ -81% |
| Care N Care | MGMCR | $100.79 | ↓ -81% |
| Cigna Healthspring | MGMCR | $101.79 | ↓ -81% |
| WellCare | MGMCR | $102.78 | ↓ -80% |
| Integranet | MGMCR | $102.78 | ↓ -80% |
| United | OptionsPPO | $104.08 | ↓ -80% |
| Superior Health Plan | MGMCRPOS | $104.78 | ↓ -80% |
| Superior Health Plan | MGMCRHMO | $104.78 | ↓ -80% |
| Superior Health Plan | MGMCRPPO | $104.78 | ↓ -80% |
| Superior Health Plan | MGMCRDualEligible | $104.78 | ↓ -80% |
| Superior Health Plan | MGMCRPFFS | $104.78 | ↓ -80% |
| Superior Health Plan | MGMCRSNP | $104.78 | ↓ -80% |
| American Health Plan of Texas, Inc. | MGMCR | $104.78 | ↓ -80% |
| ProCare Advantge | MCR | $104.78 | ↓ -80% |
| Provider Partners Health Plan | MCR | $105.78 | ↓ -80% |
| Texas Independent Health Plan | MGMCR | $105.78 | ↓ -80% |
| Molina | MME | $108.77 | ↓ -79% |
| Molina | MMP | $108.77 | ↓ -79% |
| Molina | MCR | $108.77 | ↓ -79% |
| Imperial Insurance Company | MCR | $109.77 | ↓ -79% |
| Universal Healthcare Group | MCR | $119.75 | ↓ -77% |
| Unicare | CHIP | $125.52 | ↓ -76% |
| BCBS | MyBlueHealth | $129.18 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $129.18 | ↓ -75% |
| Verda Health Plan | MGMCR | $129.73 | ↓ -75% |
| Cigna | LocalPlus | $138.07 | ↓ -74% |
| Cigna | NewBusiness | $138.07 | ↓ -74% |
| Bravo Health | MCRSNP | $149.69 | ↓ -71% |
| Bravo Health | MCRPPO | $149.69 | ↓ -71% |
| Bravo Health | MCRPFFS | $149.69 | ↓ -71% |
| Bravo Health | MCRPOS | $149.69 | ↓ -71% |
| Bravo Health | MCRHMO | $149.69 | ↓ -71% |
| Cigna | OpenAccessPlus | $154.28 | ↓ -71% |
| Cigna | NetworkBenefit | $154.28 | ↓ -71% |
| Cigna | HMO | $154.28 | ↓ -71% |
| BCBS | BlueEssentialsAccess | $166.84 | ↓ -68% |
| BCBS | BlueEssentials | $166.84 | ↓ -68% |
| BCBS | EPOSOA | $175.21 | ↓ -66% |
| Healthcare Highways | CityofPlano | $176.77 | ↓ -66% |
| Superior | ValueHMO | $178.62 | ↓ -66% |
| BCBS | PPO | $183.05 | ↓ -65% |
| USA Managed Care | WORKERSCOMP | $189.60 | ↓ -64% |
| Cigna | AllOther | $195.08 | ↓ -63% |
| Corvel Corporation | WORKERSCOMP | $197.58 | ↓ -62% |
| Superior | HMO | $223.53 | ↓ -57% |
| Superior | EPO | $223.53 | ↓ -57% |
| BCBS | Traditional | $232.21 | ↓ -56% |
| City of McKinney | COMM | $235.35 | ↓ -55% |
| Molina Healthcare | HIX | $261.45 | ↓ -50% |
| National ChoiceCare | WCOMP | $261.50 | ↓ -50% |
| Aetna | ASA | $275.62 | ↓ -47% |
| PC Texas Partners | WCOMP | $287.65 | ↓ -45% |
| Aetna | WCOMP | $287.65 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $287.65 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $287.65 | ↓ -45% |
| Averde Health, Inc | PPO | $303.34 | ↓ -42% |
| USC Health Services | COMM | $313.80 | ↓ -40% |
| Mega Life | MGMCRPPO | $366.10 | ↓ -30% |
| Jostens | WCOMP | $366.10 | ↓ -30% |
| Aetna Coventry First Health | COMM | $380.22 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $392.25 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $392.25 | ↓ -25% |
| USA Managed Care | COMM | $418.40 | ↓ -20% |
| Galaxy Health Network | PPO | $444.55 | ↓ -15% |
| Independent Medical Systems | COMM | $523.00 | ↑ +0% |
| National Healthcare Solutions | COMM | $523.00 | ↑ +0% |
| Unicare | MCD | $523.00 | ↑ +0% |
| Humana | COMM | $563.78 | ↑ +8% |
Visitor-reported prices
Comments
Soft interface below knee se at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $220.56 | $62.49 – $294.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $76.20 | $15.68 – $114.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $76.20 | $15.24 – $101.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $220.56 | $58.82 – $294.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $76.20 | $24.46 – $114.30 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $76.20 | $39.37 – $114.30 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $76.20 | $25.40 – $114.30 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $220.56 | $58.82 – $294.08 |