St treatment speech individual at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
not published by hospital
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.
not published by hospital
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.
$25.46 with Superior Health Plan vs $555.20 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 | STARPLUS | $25.46 | — |
| Superior Health Plan | STARHealth | $25.46 | — |
| Superior Health Plan | MCDSTAR | $25.46 | — |
| Superior Health Plan | CHIP | $25.46 | — |
| Superior Health Plan | STARKids | $25.46 | — |
| Cigna | IFP | $49.09 | — |
| Cigna | QHP | $50.91 | — |
| Humana | Tricare | $71.01 | — |
| United | OptionsPPO | $72.37 | — |
| BCBS | MCRPPO | $73.22 | — |
| BCBS | MGMCRHMO | $73.22 | — |
| WellMed | MGMCR | $74.10 | — |
| Mutual of Omaha | MGMCR | $74.47 | — |
| Amerigroup | DualEligible | $74.47 | — |
| Devoted Health | MME | $74.47 | — |
| Devoted Health | HMO | $74.47 | — |
| Devoted Health | MCR | $74.47 | — |
| Humana | MGMCR | $74.47 | — |
| Devoted Health | POS | $74.47 | — |
| Devoted Health | SNP | $74.47 | — |
| Devoted Health | PPO | $74.47 | — |
| TriWest Health Alliance | FEDERAL | $74.47 | — |
| United | MGMCR | $74.84 | — |
| Aetna | MCR | $75.10 | — |
| Care N Care | MGMCR | $75.21 | — |
| Oscar | HIX | $75.64 | — |
| Cigna Healthspring | MGMCR | $75.96 | — |
| WellCare | MGMCR | $76.70 | — |
| Integranet | MGMCR | $76.70 | — |
| ProCare Advantge | MCR | $78.19 | — |
| Superior Health Plan | MGMCRHMO | $78.19 | — |
| Superior Health Plan | MGMCRPPO | $78.19 | — |
| Superior Health Plan | MGMCRDualEligible | $78.19 | — |
| Superior Health Plan | MGMCRPFFS | $78.19 | — |
| Superior Health Plan | MGMCRPOS | $78.19 | — |
| Superior Health Plan | MGMCRSNP | $78.19 | — |
| American Health Plan of Texas, Inc. | MGMCR | $78.19 | — |
| Provider Partners Health Plan | MCR | $78.94 | — |
| Texas Independent Health Plan | MGMCR | $78.94 | — |
| Molina | MME | $81.17 | — |
| Molina | MMP | $81.17 | — |
| Molina | MCR | $81.17 | — |
| Imperial Insurance Company | MCR | $81.92 | — |
| Unicare | CHIP | $87.28 | — |
| Universal Healthcare Group | MCR | $89.36 | — |
| Verda Health Plan | MGMCR | $96.81 | — |
| Aetna | QHPHIX | $106.00 | — |
| Bravo Health | MCRPOS | $111.70 | — |
| Bravo Health | MCRPFFS | $111.70 | — |
| Bravo Health | MCRSNP | $111.70 | — |
| Bravo Health | MCRPPO | $111.70 | — |
| Bravo Health | MCRHMO | $111.70 | — |
| Healthcare Highways | CityofPlano | $122.91 | — |
| Superior | ValueHMO | $133.30 | — |
| USA Managed Care | WORKERSCOMP | $141.49 | — |
| Aetna | NewBusiness | $143.00 | — |
| Corvel Corporation | WORKERSCOMP | $147.45 | — |
| Aetna | Meritain | $155.00 | — |
| Aetna | COMM | $155.00 | — |
| BCBS | Traditional | $161.46 | — |
| City of McKinney | COMM | $163.64 | — |
| Fidelis SecureCare | MGMCR | $163.64 | — |
| Superior | EPO | $166.81 | — |
| Superior | HMO | $166.81 | — |
| Aetna | OON | $179.00 | — |
| National ChoiceCare | WCOMP | $181.82 | — |
| BCBS | BluePremier | $189.67 | — |
| Aetna | ASA | $191.64 | — |
| Molina Healthcare | HIX | $195.11 | — |
| PC Texas Partners | WCOMP | $200.01 | — |
| Aetna | WCOMP | $200.01 | — |
| Rockport Health Group | WORKERSCOMP | $200.01 | — |
| Physicians Coop of TX | MGMCR | $200.01 | — |
| Averde Health, Inc | PPO | $210.92 | — |
| USC Health Services | COMM | $218.19 | — |
| BCBS | MyBlueHealth | $221.02 | — |
| BCBS | BlueAdvantageHMO | $221.02 | — |
| Multiplan PHCS | PrimaryNetwork | $254.56 | — |
| Mega Life | MGMCRPPO | $254.56 | — |
| Coastal Comp Health Networks | WCOMP | $254.56 | — |
| Jostens | WCOMP | $254.56 | — |
| Aetna Coventry First Health | COMM | $264.37 | — |
| HealthSmart Preferred Care | PPO | $272.74 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $272.74 | — |
| USA Managed Care | COMM | $290.92 | — |
| Galaxy Health Network | PPO | $309.10 | — |
| Unicare | MCD | $363.65 | — |
| Independent Medical Systems | COMM | $363.65 | — |
| National Healthcare Solutions | COMM | $363.65 | — |
| BCBS | BlueEssentialsAccess | $391.40 | — |
| BCBS | BlueEssentials | $391.40 | — |
| BCBS | EPOSOA | $410.69 | — |
| BCBS | PPO | $429.98 | — |
| Humana | COMM | $555.20 | — |
Visitor-reported prices
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St treatment speech individual at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $386.60 | $309.42 – $309.42 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $293.11 | $83.05 – $415.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $301.84 | $62.13 – $452.76 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $264.98 | $53.00 – $331.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $293.11 | $78.16 – $415.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $301.84 | $96.89 – $452.76 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $301.84 | $155.00 – $452.76 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $264.98 | $88.33 – $397.47 |