Sulfonylurea screen qn-sendout at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$652.03
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.
$652.03
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.
$0.02 with Aetna vs $652.03 with Independent Medical Systems — 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 |
|---|---|---|---|
| Aetna | QHPHIX | $0.02 | ↓ -100% |
| Aetna | Meritain | $0.03 | ↓ -100% |
| Aetna | NewBusiness | $0.03 | ↓ -100% |
| Aetna | COMM | $0.03 | ↓ -100% |
| Aetna | OON | $0.04 | ↓ -100% |
| TEXAS HEALTH NETWORK | MCD | $6.43 | ↓ -99% |
| Amerigroup | MGMCD | $6.53 | ↓ -99% |
| Cook Childrens Health Plan | CHIP | $6.53 | ↓ -99% |
| United | CHIP | $6.53 | ↓ -99% |
| Parkland Community Health Plan | MCD | $6.53 | ↓ -99% |
| United | STARKids | $6.53 | ↓ -99% |
| United | STAR | $6.53 | ↓ -99% |
| Cook Childrens Health Plan | STAR | $6.53 | ↓ -99% |
| Amerigroup | CHIP | $6.53 | ↓ -99% |
| United | STARPerinate | $6.53 | ↓ -99% |
| United | STARPLUS | $6.53 | ↓ -99% |
| Cigna Healthspring | MGMCD | $6.86 | ↓ -99% |
| Aetna Better Health | CHIP | $7.05 | ↓ -99% |
| Aetna Better Health | MCD | $7.05 | ↓ -99% |
| Molina | CHIP | $7.18 | ↓ -99% |
| Molina | STAR+PLUS | $7.18 | ↓ -99% |
| Molina | STARKIDS | $7.18 | ↓ -99% |
| Molina | MCDSTAR | $7.18 | ↓ -99% |
| Humana | MGMCD | $8.16 | ↓ -99% |
| Superior Health Plan | STARHealth | $45.64 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $45.64 | ↓ -93% |
| Superior Health Plan | STARPLUS | $45.64 | ↓ -93% |
| Superior Health Plan | CHIP | $45.64 | ↓ -93% |
| Superior Health Plan | STARKids | $45.64 | ↓ -93% |
| Humana | COMM | $66.86 | ↓ -90% |
| Cigna | IFP | $88.02 | ↓ -87% |
| Cigna | QHP | $91.28 | ↓ -86% |
| Cigna | LocalPlus | $91.69 | ↓ -86% |
| Cigna | NewBusiness | $91.78 | ↓ -86% |
| Cigna | NetworkBenefit | $102.41 | ↓ -84% |
| Cigna | HMO | $102.41 | ↓ -84% |
| Cigna | OpenAccessPlus | $102.41 | ↓ -84% |
| Imperial Insurance Company | MCR | $123.89 | ↓ -81% |
| Cigna | AllOther | $129.62 | ↓ -80% |
| United | OptionsPPO | $129.75 | ↓ -80% |
| Oscar | HIX | $135.62 | ↓ -79% |
| Unicare | CHIP | $156.49 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $159.75 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $161.05 | ↓ -75% |
| BCBS | MyBlueHealth | $161.05 | ↓ -75% |
| Evry Health | COMM | $168.22 | ↓ -74% |
| BCBS | BluePremier | $190.39 | ↓ -71% |
| BCBS | BlueEssentials | $208.00 | ↓ -68% |
| BCBS | BlueEssentialsAccess | $208.00 | ↓ -68% |
| BCBS | EPOSOA | $218.43 | ↓ -67% |
| Healthcare Highways | CityofPlano | $220.39 | ↓ -66% |
| BCBS | PPO | $228.21 | ↓ -65% |
| BCBS | Traditional | $289.50 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $293.41 | ↓ -55% |
| City of McKinney | COMM | $293.41 | ↓ -55% |
| National ChoiceCare | WCOMP | $326.01 | ↓ -50% |
| Aetna | ASA | $343.62 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $358.62 | ↓ -45% |
| Aetna | WCOMP | $358.62 | ↓ -45% |
| PC Texas Partners | WCOMP | $358.62 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $358.62 | ↓ -45% |
| Averde Health, Inc | PPO | $378.18 | ↓ -42% |
| USC Health Services | COMM | $391.22 | ↓ -40% |
| Coastal Comp Health Networks | WCOMP | $456.42 | ↓ -30% |
| Jostens | WCOMP | $456.42 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $456.42 | ↓ -30% |
| Mega Life | MGMCRPPO | $456.42 | ↓ -30% |
| Aetna Coventry First Health | COMM | $474.03 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $489.02 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $489.02 | ↓ -25% |
| USA Managed Care | COMM | $521.62 | ↓ -20% |
| Galaxy Health Network | PPO | $554.23 | ↓ -15% |
| Unicare | MCD | $652.03 | ↑ +0% |
| National Healthcare Solutions | COMM | $652.03 | ↑ +0% |
| Independent Medical Systems | COMM | $652.03 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Sulfonylurea screen qn-sendout at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $241.66 | $6.53 – $110.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $241.66 | $11.38 – $362.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $213.10 | $6.53 – $266.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $241.66 | $6.53 – $110.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $241.66 | $6.99 – $362.48 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $241.66 | $6.53 – $362.48 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $213.10 | $6.53 – $319.65 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $241.66 | $6.53 – $110.45 |