Sperm antibody test at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$125.07
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.
$125.07
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.
$6.40 with Cook Childrens Health Plan vs $125.07 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.
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 | $6.40 | ↓ -95% |
| Cook Childrens Health Plan | STAR | $6.40 | ↓ -95% |
| Superior Health Plan | STARKids | $8.75 | ↓ -93% |
| Superior Health Plan | STARPLUS | $8.75 | ↓ -93% |
| Superior Health Plan | STARHealth | $8.75 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $8.75 | ↓ -93% |
| Superior Health Plan | CHIP | $8.75 | ↓ -93% |
| WellMed | MGMCR | $10.62 | ↓ -92% |
| BCBS | MGMCRHMO | $10.67 | ↓ -91% |
| Devoted Health | PPO | $10.67 | ↓ -91% |
| BCBS | MCRPPO | $10.67 | ↓ -91% |
| TriWest Health Alliance | FEDERAL | $10.67 | ↓ -91% |
| Mutual of Omaha | MGMCR | $10.67 | ↓ -91% |
| Amerigroup | DualEligible | $10.67 | ↓ -91% |
| Devoted Health | HMO | $10.67 | ↓ -91% |
| United | SmallGroup | $10.67 | ↓ -91% |
| United | NarrowNetworkIndivExchange | $10.67 | ↓ -91% |
| United | AllPayerAppendix | $10.67 | ↓ -91% |
| Devoted Health | SNP | $10.67 | ↓ -91% |
| Humana | MGMCR | $10.67 | ↓ -91% |
| Devoted Health | MME | $10.67 | ↓ -91% |
| Devoted Health | MCR | $10.67 | ↓ -91% |
| Devoted Health | POS | $10.67 | ↓ -91% |
| United | MGMCR | $10.72 | ↓ -91% |
| Aetna | MCR | $10.76 | ↓ -91% |
| Care N Care | MGMCR | $10.78 | ↓ -91% |
| Cigna Healthspring | MGMCR | $10.88 | ↓ -91% |
| Integranet | MGMCR | $10.99 | ↓ -91% |
| WellCare | MGMCR | $10.99 | ↓ -91% |
| Superior Health Plan | MGMCRDualEligible | $11.20 | ↓ -91% |
| Humana | Tricare | $11.20 | ↓ -91% |
| Superior Health Plan | MGMCRHMO | $11.20 | ↓ -91% |
| Superior Health Plan | MGMCRPPO | $11.20 | ↓ -91% |
| Superior Health Plan | MGMCRPFFS | $11.20 | ↓ -91% |
| Superior Health Plan | MGMCRPOS | $11.20 | ↓ -91% |
| Superior Health Plan | MGMCRSNP | $11.20 | ↓ -91% |
| American Health Plan of Texas, Inc. | MGMCR | $11.20 | ↓ -91% |
| ProCare Advantge | MCR | $11.20 | ↓ -91% |
| Texas Independent Health Plan | MGMCR | $11.31 | ↓ -91% |
| Provider Partners Health Plan | MCR | $11.31 | ↓ -91% |
| Molina | MMP | $11.63 | ↓ -91% |
| Molina | MCR | $11.63 | ↓ -91% |
| Molina | MME | $11.63 | ↓ -91% |
| Imperial Insurance Company | MCR | $11.74 | ↓ -91% |
| Universal Healthcare Group | MCR | $12.80 | ↓ -90% |
| Aetna | QHPHIX | $13.57 | ↓ -89% |
| Verda Health Plan | MGMCR | $13.87 | ↓ -89% |
| Bravo Health | MCRPOS | $16.00 | ↓ -87% |
| Bravo Health | MCRPFFS | $16.00 | ↓ -87% |
| Bravo Health | MCRSNP | $16.00 | ↓ -87% |
| Bravo Health | MCRPPO | $16.00 | ↓ -87% |
| Bravo Health | MCRHMO | $16.00 | ↓ -87% |
| Cigna | IFP | $16.88 | ↓ -87% |
| Cigna | QHP | $17.51 | ↓ -86% |
| BCBS | BluePremier | $18.14 | ↓ -85% |
| BCBS | BlueAdvantageHMO | $18.67 | ↓ -85% |
| BCBS | MyBlueHealth | $18.67 | ↓ -85% |
| Aetna | NewBusiness | $18.69 | ↓ -85% |
| Superior | ValueHMO | $19.10 | ↓ -85% |
| Aetna | COMM | $19.90 | ↓ -84% |
| Aetna | Meritain | $19.90 | ↓ -84% |
| USA Managed Care | WORKERSCOMP | $20.27 | ↓ -84% |
| Corvel Corporation | WORKERSCOMP | $21.13 | ↓ -83% |
| Aetna | OON | $23.42 | ↓ -81% |
| Superior | EPO | $23.90 | ↓ -81% |
| Superior | HMO | $23.90 | ↓ -81% |
| United | OptionsPPO | $24.89 | ↓ -80% |
| BCBS | BlueEssentials | $26.35 | ↓ -79% |
| BCBS | BlueEssentialsAccess | $26.35 | ↓ -79% |
| BCBS | EPOSOA | $27.64 | ↓ -78% |
| Oscar | HIX | $27.74 | ↓ -78% |
| Molina Healthcare | HIX | $27.96 | ↓ -78% |
| BCBS | PPO | $28.92 | ↓ -77% |
| Unicare | CHIP | $30.02 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $30.64 | ↓ -76% |
| Evry Health | COMM | $32.27 | ↓ -74% |
| Cigna | LocalPlus | $40.03 | ↓ -68% |
| Cigna | NewBusiness | $40.07 | ↓ -68% |
| Healthcare Highways | CityofPlano | $42.27 | ↓ -66% |
| Cigna | NetworkBenefit | $44.71 | ↓ -64% |
| Cigna | OpenAccessPlus | $44.71 | ↓ -64% |
| Cigna | HMO | $44.71 | ↓ -64% |
| BCBS | Traditional | $55.53 | ↓ -56% |
| City of McKinney | COMM | $56.28 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $56.28 | ↓ -55% |
| Cigna | AllOther | $56.59 | ↓ -55% |
| National ChoiceCare | WCOMP | $62.53 | ↓ -50% |
| Aetna | ASA | $65.91 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $68.79 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $68.79 | ↓ -45% |
| Aetna | WCOMP | $68.79 | ↓ -45% |
| PC Texas Partners | WCOMP | $68.79 | ↓ -45% |
| Averde Health, Inc | PPO | $72.54 | ↓ -42% |
| USC Health Services | COMM | $75.04 | ↓ -40% |
| Coastal Comp Health Networks | WCOMP | $87.55 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $87.55 | ↓ -30% |
| Jostens | WCOMP | $87.55 | ↓ -30% |
| Mega Life | MGMCRPPO | $87.55 | ↓ -30% |
| Aetna Coventry First Health | COMM | $90.93 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $93.80 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $93.80 | ↓ -25% |
| USA Managed Care | COMM | $100.06 | ↓ -20% |
| Galaxy Health Network | PPO | $106.31 | ↓ -15% |
| Humana | COMM | $118.60 | ↓ -5% |
| National Healthcare Solutions | COMM | $125.07 | ↑ +0% |
| Independent Medical Systems | COMM | $125.07 | ↑ +0% |
| Unicare | MCD | $125.07 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Sperm antibody test at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $74.27 | $12.00 – $111.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $74.27 | $10.14 – $92.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $74.27 | $10.14 – $111.40 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $74.27 | $8.00 – $111.40 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $74.27 | $10.14 – $111.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $74.27 | $10.14 – $92.83 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $74.27 | $10.14 – $111.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $74.27 | $10.14 – $111.40 |