Spleen imaging at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$4,986.39
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.
$4,986.39
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.
$156.00 with TEXAS HEALTH NETWORK vs $4,986.39 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 |
|---|---|---|---|
| TEXAS HEALTH NETWORK | MCD | $156.00 | ↓ -97% |
| United | CHIP | $158.38 | ↓ -97% |
| Amerigroup | MGMCD | $158.38 | ↓ -97% |
| Amerigroup | CHIP | $158.38 | ↓ -97% |
| Parkland Community Health Plan | MCD | $158.38 | ↓ -97% |
| Cook Childrens Health Plan | CHIP | $158.38 | ↓ -97% |
| United | STARKids | $158.38 | ↓ -97% |
| United | STAR | $158.38 | ↓ -97% |
| Cook Childrens Health Plan | STAR | $158.38 | ↓ -97% |
| United | STARPerinate | $158.38 | ↓ -97% |
| United | STARPLUS | $158.38 | ↓ -97% |
| Cigna Healthspring | MGMCD | $166.30 | ↓ -97% |
| Aetna Better Health | CHIP | $171.05 | ↓ -97% |
| Aetna Better Health | MCD | $171.05 | ↓ -97% |
| Molina | STARKIDS | $174.22 | ↓ -97% |
| Molina | MCDSTAR | $174.22 | ↓ -97% |
| Molina | CHIP | $174.22 | ↓ -97% |
| Molina | STAR+PLUS | $174.22 | ↓ -97% |
| Humana | MGMCD | $197.97 | ↓ -96% |
| BCBS | BlueAdvantageHMO | $207.26 | ↓ -96% |
| BCBS | MyBlueHealth | $207.26 | ↓ -96% |
| BCBS | BluePremier | $215.17 | ↓ -96% |
| Aetna | QHPHIX | $247.48 | ↓ -95% |
| Aetna | NewBusiness | $339.31 | ↓ -93% |
| Superior Health Plan | CHIP | $349.05 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $349.05 | ↓ -93% |
| Superior Health Plan | STARPLUS | $349.05 | ↓ -93% |
| Superior Health Plan | STARKids | $349.05 | ↓ -93% |
| Superior Health Plan | STARHealth | $349.05 | ↓ -93% |
| Aetna | COMM | $363.48 | ↓ -93% |
| Aetna | Meritain | $363.48 | ↓ -93% |
| Aetna | OON | $426.31 | ↓ -91% |
| United | SmallGroup | $471.74 | ↓ -91% |
| United | NarrowNetworkIndivExchange | $471.74 | ↓ -91% |
| BCBS | BlueEssentialsAccess | $615.44 | ↓ -88% |
| BCBS | BlueEssentials | $615.44 | ↓ -88% |
| BCBS | EPOSOA | $645.50 | ↓ -87% |
| Humana | COMM | $645.99 | ↓ -87% |
| Cigna | IFP | $673.16 | ↓ -87% |
| BCBS | PPO | $675.56 | ↓ -86% |
| Cigna | QHP | $698.09 | ↓ -86% |
| United | AllPayerAppendix | $848.52 | ↓ -83% |
| United | OptionsPPO | $992.29 | ↓ -80% |
| Unicare | CHIP | $1,196.73 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $1,221.67 | ↓ -75% |
| Evry Health | COMM | $1,286.49 | ↓ -74% |
| Healthcare Highways | CityofPlano | $1,685.40 | ↓ -66% |
| Curative Administrators | COMM | $1,994.56 | ↓ -60% |
| BCBS | Traditional | $2,213.96 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $2,243.88 | ↓ -55% |
| City of McKinney | COMM | $2,243.88 | ↓ -55% |
| National ChoiceCare | WCOMP | $2,493.20 | ↓ -50% |
| Aetna | ASA | $2,627.83 | ↓ -47% |
| PC Texas Partners | WCOMP | $2,742.51 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $2,742.51 | ↓ -45% |
| Aetna | WCOMP | $2,742.51 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $2,742.51 | ↓ -45% |
| Averde Health, Inc | PPO | $2,892.11 | ↓ -42% |
| USC Health Services | COMM | $2,991.83 | ↓ -40% |
| Coastal Comp Health Networks | WCOMP | $3,490.47 | ↓ -30% |
| Mega Life | MGMCRPPO | $3,490.47 | ↓ -30% |
| Jostens | WCOMP | $3,490.47 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $3,490.47 | ↓ -30% |
| Aetna Coventry First Health | COMM | $3,625.11 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $3,739.79 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3,739.79 | ↓ -25% |
| USA Managed Care | COMM | $3,989.11 | ↓ -20% |
| Galaxy Health Network | PPO | $4,238.43 | ↓ -15% |
| Independent Medical Systems | COMM | $4,986.39 | ↑ +0% |
| Unicare | MCD | $4,986.39 | ↑ +0% |
| National Healthcare Solutions | COMM | $4,986.39 | ↑ +0% |
Visitor-reported prices
Comments
Spleen imaging at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $367.06 | $153.36 – $1,021.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $961.98 | $198.01 – $1,442.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,010.08 | $153.36 – $1,262.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $367.06 | $153.36 – $1,021.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $961.98 | $164.10 – $1,442.97 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $961.98 | $153.36 – $1,442.97 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,010.08 | $153.36 – $1,515.11 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $367.06 | $153.36 – $1,021.72 |