Specimen fat stain at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$488.60
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.
$488.60
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.
$3.53 with Cook Childrens Health Plan vs $488.60 with National Healthcare Solutions — 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 |
|---|---|---|---|
| Cook Childrens Health Plan | CHIP | $3.53 | ↓ -99% |
| Cook Childrens Health Plan | STAR | $3.53 | ↓ -99% |
| TEXAS HEALTH NETWORK | MCD | $4.87 | ↓ -99% |
| United | CHIP | $4.94 | ↓ -99% |
| Amerigroup | CHIP | $4.94 | ↓ -99% |
| Amerigroup | MGMCD | $4.94 | ↓ -99% |
| United | STARPerinate | $4.94 | ↓ -99% |
| Parkland Community Health Plan | MCD | $4.94 | ↓ -99% |
| United | STARPLUS | $4.94 | ↓ -99% |
| United | STARKids | $4.94 | ↓ -99% |
| United | STAR | $4.94 | ↓ -99% |
| Cigna Healthspring | MGMCD | $5.19 | ↓ -99% |
| Aetna Better Health | CHIP | $5.34 | ↓ -99% |
| Aetna Better Health | MCD | $5.34 | ↓ -99% |
| Molina | STAR+PLUS | $5.43 | ↓ -99% |
| Molina | CHIP | $5.43 | ↓ -99% |
| Molina | MCDSTAR | $5.43 | ↓ -99% |
| Molina | STARKIDS | $5.43 | ↓ -99% |
| WellMed | MGMCR | $5.85 | ↓ -99% |
| Mutual of Omaha | MGMCR | $5.88 | ↓ -99% |
| Devoted Health | SNP | $5.88 | ↓ -99% |
| Devoted Health | HMO | $5.88 | ↓ -99% |
| Devoted Health | POS | $5.88 | ↓ -99% |
| Devoted Health | MCR | $5.88 | ↓ -99% |
| Devoted Health | MME | $5.88 | ↓ -99% |
| Devoted Health | PPO | $5.88 | ↓ -99% |
| Humana | MGMCR | $5.88 | ↓ -99% |
| United | AllPayerAppendix | $5.88 | ↓ -99% |
| BCBS | MGMCRHMO | $5.88 | ↓ -99% |
| United | NarrowNetworkIndivExchange | $5.88 | ↓ -99% |
| United | SmallGroup | $5.88 | ↓ -99% |
| BCBS | MCRPPO | $5.88 | ↓ -99% |
| TriWest Health Alliance | FEDERAL | $5.88 | ↓ -99% |
| Amerigroup | DualEligible | $5.88 | ↓ -99% |
| United | MGMCR | $5.91 | ↓ -99% |
| Aetna | MCR | $5.93 | ↓ -99% |
| Care N Care | MGMCR | $5.94 | ↓ -99% |
| Cigna Healthspring | MGMCR | $6.00 | ↓ -99% |
| WellCare | MGMCR | $6.06 | ↓ -99% |
| Integranet | MGMCR | $6.06 | ↓ -99% |
| Superior Health Plan | MGMCRDualEligible | $6.17 | ↓ -99% |
| American Health Plan of Texas, Inc. | MGMCR | $6.17 | ↓ -99% |
| Superior Health Plan | MGMCRSNP | $6.17 | ↓ -99% |
| Humana | Tricare | $6.17 | ↓ -99% |
| Superior Health Plan | MGMCRHMO | $6.17 | ↓ -99% |
| ProCare Advantge | MCR | $6.17 | ↓ -99% |
| Superior Health Plan | MGMCRPPO | $6.17 | ↓ -99% |
| Superior Health Plan | MGMCRPOS | $6.17 | ↓ -99% |
| Superior Health Plan | MGMCRPFFS | $6.17 | ↓ -99% |
| Humana | MGMCD | $6.18 | ↓ -99% |
| Texas Independent Health Plan | MGMCR | $6.23 | ↓ -99% |
| Provider Partners Health Plan | MCR | $6.23 | ↓ -99% |
| Molina | MCR | $6.41 | ↓ -99% |
| Molina | MME | $6.41 | ↓ -99% |
| Molina | MMP | $6.41 | ↓ -99% |
| Imperial Insurance Company | MCR | $6.47 | ↓ -99% |
| Universal Healthcare Group | MCR | $7.06 | ↓ -99% |
| Aetna | QHPHIX | $7.48 | ↓ -98% |
| Verda Health Plan | MGMCR | $7.64 | ↓ -98% |
| Bravo Health | MCRPFFS | $8.82 | ↓ -98% |
| Bravo Health | MCRHMO | $8.82 | ↓ -98% |
| Bravo Health | MCRPOS | $8.82 | ↓ -98% |
| Bravo Health | MCRPPO | $8.82 | ↓ -98% |
| Bravo Health | MCRSNP | $8.82 | ↓ -98% |
| BCBS | BluePremier | $10.00 | ↓ -98% |
| BCBS | BlueAdvantageHMO | $10.29 | ↓ -98% |
| BCBS | MyBlueHealth | $10.29 | ↓ -98% |
| Aetna | NewBusiness | $10.31 | ↓ -98% |
| Superior | ValueHMO | $10.53 | ↓ -98% |
| Aetna | Meritain | $10.98 | ↓ -98% |
| Aetna | COMM | $10.98 | ↓ -98% |
| USA Managed Care | WORKERSCOMP | $11.17 | ↓ -98% |
| Corvel Corporation | WORKERSCOMP | $11.64 | ↓ -98% |
| Aetna | OON | $12.92 | ↓ -97% |
| Superior | EPO | $13.17 | ↓ -97% |
| Superior | HMO | $13.17 | ↓ -97% |
| BCBS | BlueEssentials | $14.52 | ↓ -97% |
| BCBS | BlueEssentialsAccess | $14.52 | ↓ -97% |
| BCBS | EPOSOA | $15.23 | ↓ -97% |
| Oscar | HIX | $15.29 | ↓ -97% |
| Molina Healthcare | HIX | $15.41 | ↓ -97% |
| BCBS | PPO | $15.93 | ↓ -97% |
| Cigna | LocalPlus | $21.94 | ↓ -96% |
| Cigna | NewBusiness | $21.96 | ↓ -96% |
| Cigna | NetworkBenefit | $24.51 | ↓ -95% |
| Cigna | OpenAccessPlus | $24.51 | ↓ -95% |
| Cigna | HMO | $24.51 | ↓ -95% |
| Cigna | AllOther | $31.01 | ↓ -94% |
| Superior Health Plan | CHIP | $34.20 | ↓ -93% |
| Superior Health Plan | STARHealth | $34.20 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $34.20 | ↓ -93% |
| Superior Health Plan | STARPLUS | $34.20 | ↓ -93% |
| Superior Health Plan | STARKids | $34.20 | ↓ -93% |
| Humana | COMM | $52.91 | ↓ -89% |
| Cigna | IFP | $65.96 | ↓ -87% |
| Cigna | QHP | $68.40 | ↓ -86% |
| United | OptionsPPO | $97.23 | ↓ -80% |
| Unicare | CHIP | $117.26 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $119.71 | ↓ -75% |
| Evry Health | COMM | $126.06 | ↓ -74% |
| Healthcare Highways | CityofPlano | $165.15 | ↓ -66% |
| BCBS | Traditional | $216.94 | ↓ -56% |
| City of McKinney | COMM | $219.87 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $219.87 | ↓ -55% |
| National ChoiceCare | WCOMP | $244.30 | ↓ -50% |
| Aetna | ASA | $257.49 | ↓ -47% |
| Aetna | WCOMP | $268.73 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $268.73 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $268.73 | ↓ -45% |
| PC Texas Partners | WCOMP | $268.73 | ↓ -45% |
| Averde Health, Inc | PPO | $283.39 | ↓ -42% |
| USC Health Services | COMM | $293.16 | ↓ -40% |
| Coastal Comp Health Networks | WCOMP | $342.02 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $342.02 | ↓ -30% |
| Jostens | WCOMP | $342.02 | ↓ -30% |
| Mega Life | MGMCRPPO | $342.02 | ↓ -30% |
| Aetna Coventry First Health | COMM | $355.21 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $366.45 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $366.45 | ↓ -25% |
| USA Managed Care | COMM | $390.88 | ↓ -20% |
| Galaxy Health Network | PPO | $415.31 | ↓ -15% |
| Unicare | MCD | $488.60 | ↑ +0% |
| Independent Medical Systems | COMM | $488.60 | ↑ +0% |
| National Healthcare Solutions | COMM | $488.60 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Specimen fat stain at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $28.52 | $5.87 – $42.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $27.68 | $4.94 – $34.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $28.52 | $5.29 – $42.79 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $28.52 | $4.94 – $42.79 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $27.68 | $4.94 – $41.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $28.52 | $4.94 – $35.66 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $28.52 | $4.94 – $42.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $27.68 | $4.94 – $41.53 |