Surgical pathology level 4 gross & microscopic examination at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$3,220.10
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.
$3,220.10
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.
$44.94 with Aetna vs $3,220.10 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 |
|---|---|---|---|
| Aetna | QHPHIX | $44.94 | ↓ -99% |
| United | NarrowNetworkIndivExchange | $49.76 | ↓ -98% |
| United | SmallGroup | $49.76 | ↓ -98% |
| United | AllPayerAppendix | $49.76 | ↓ -98% |
| Aetna | NewBusiness | $61.90 | ↓ -98% |
| Aetna | Meritain | $65.93 | ↓ -98% |
| Aetna | COMM | $65.93 | ↓ -98% |
| Aetna | OON | $77.59 | ↓ -98% |
| BCBS | BluePremier | $84.10 | ↓ -97% |
| BCBS | BlueAdvantageHMO | $86.57 | ↓ -97% |
| BCBS | MyBlueHealth | $86.57 | ↓ -97% |
| BCBS | BlueEssentialsAccess | $122.19 | ↓ -96% |
| BCBS | BlueEssentials | $122.19 | ↓ -96% |
| BCBS | EPOSOA | $128.13 | ↓ -96% |
| Cigna | LocalPlus | $134.05 | ↓ -96% |
| BCBS | PPO | $134.06 | ↓ -96% |
| Cigna | NewBusiness | $134.18 | ↓ -96% |
| Cigna | OpenAccessPlus | $149.72 | ↓ -95% |
| Cigna | NetworkBenefit | $149.72 | ↓ -95% |
| Cigna | HMO | $149.72 | ↓ -95% |
| Cigna | AllOther | $189.49 | ↓ -94% |
| Superior Health Plan | CHIP | $225.41 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $225.41 | ↓ -93% |
| Superior Health Plan | STARPLUS | $225.41 | ↓ -93% |
| Superior Health Plan | STARKids | $225.41 | ↓ -93% |
| Superior Health Plan | STARHealth | $225.41 | ↓ -93% |
| Humana | COMM | $254.83 | ↓ -92% |
| Cigna | IFP | $434.71 | ↓ -87% |
| Cigna | QHP | $450.81 | ↓ -86% |
| United | OptionsPPO | $640.80 | ↓ -80% |
| Oscar | HIX | $669.78 | ↓ -79% |
| Unicare | CHIP | $772.82 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $788.92 | ↓ -76% |
| Evry Health | COMM | $830.79 | ↓ -74% |
| Healthcare Highways | CityofPlano | $1,088.39 | ↓ -66% |
| BCBS | Traditional | $1,429.72 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $1,449.05 | ↓ -55% |
| City of McKinney | COMM | $1,449.05 | ↓ -55% |
| National ChoiceCare | WCOMP | $1,610.05 | ↓ -50% |
| Aetna | ASA | $1,696.99 | ↓ -47% |
| PC Texas Partners | WCOMP | $1,771.06 | ↓ -45% |
| Aetna | WCOMP | $1,771.06 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $1,771.06 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $1,771.06 | ↓ -45% |
| Averde Health, Inc | PPO | $1,867.66 | ↓ -42% |
| USC Health Services | COMM | $1,932.06 | ↓ -40% |
| Multiplan PHCS | PrimaryNetwork | $2,254.07 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $2,254.07 | ↓ -30% |
| Jostens | WCOMP | $2,254.07 | ↓ -30% |
| Mega Life | MGMCRPPO | $2,254.07 | ↓ -30% |
| Aetna Coventry First Health | COMM | $2,341.01 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $2,415.07 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $2,415.07 | ↓ -25% |
| USA Managed Care | COMM | $2,576.08 | ↓ -20% |
| Galaxy Health Network | PPO | $2,737.09 | ↓ -15% |
| Independent Medical Systems | COMM | $3,220.10 | ↑ +0% |
| National Healthcare Solutions | COMM | $3,220.10 | ↑ +0% |
| Unicare | MCD | $3,220.10 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 4 gross & microscopic examination at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,149.92 | $190.46 – $190.46 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $474.00 | $35.00 – $371.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $474.00 | $36.00 – $473.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $474.00 | $36.00 – $272.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $474.00 | $35.00 – $371.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $474.00 | $36.00 – $473.26 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $474.00 | $26.00 – $473.26 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $474.00 | $36.00 – $326.83 |