Tc-99m apcitide diag at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$4,336.44
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.
$4,336.44
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.
$303.55 with Superior Health Plan vs $4,336.44 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $303.55 | ↓ -93% |
| Superior Health Plan | STARKids | $303.55 | ↓ -93% |
| Superior Health Plan | STARHealth | $303.55 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $303.55 | ↓ -93% |
| Superior Health Plan | STARPLUS | $303.55 | ↓ -93% |
| Cigna | IFP | $585.42 | ↓ -86% |
| Cigna | QHP | $607.10 | ↓ -86% |
| Imperial Insurance Company | MCR | $823.92 | ↓ -81% |
| United | OptionsPPO | $862.95 | ↓ -80% |
| United | NarrowNetworkIndivExchange | $867.45 | ↓ -80% |
| United | SmallGroup | $867.45 | ↓ -80% |
| United | AllPayerAppendix | $867.45 | ↓ -80% |
| Oscar | HIX | $901.98 | ↓ -79% |
| Aetna | QHPHIX | $1,024.00 | ↓ -76% |
| Unicare | CHIP | $1,040.75 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $1,062.43 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $1,071.10 | ↓ -75% |
| BCBS | MyBlueHealth | $1,071.10 | ↓ -75% |
| Aetna | OON | $1,088.45 | ↓ -75% |
| Evry Health | COMM | $1,118.80 | ↓ -74% |
| BCBS | BluePremier | $1,266.24 | ↓ -71% |
| BCBS | BlueEssentialsAccess | $1,383.32 | ↓ -68% |
| BCBS | BlueEssentials | $1,383.32 | ↓ -68% |
| Aetna | NewBusiness | $1,404.00 | ↓ -68% |
| BCBS | EPOSOA | $1,452.71 | ↓ -66% |
| Healthcare Highways | CityofPlano | $1,465.72 | ↓ -66% |
| Aetna | Meritain | $1,504.00 | ↓ -65% |
| Aetna | COMM | $1,504.00 | ↓ -65% |
| BCBS | PPO | $1,517.75 | ↓ -65% |
| Curative Administrators | COMM | $1,734.58 | ↓ -60% |
| BCBS | Traditional | $1,925.38 | ↓ -56% |
| City of McKinney | COMM | $1,951.40 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $1,951.40 | ↓ -55% |
| National ChoiceCare | WCOMP | $2,168.22 | ↓ -50% |
| Aetna | WCOMP | $2,385.04 | ↓ -45% |
| PC Texas Partners | WCOMP | $2,385.04 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $2,385.04 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $2,385.04 | ↓ -45% |
| Cigna | LocalPlus | $2,489.14 | ↓ -43% |
| Cigna | NewBusiness | $2,491.61 | ↓ -43% |
| Averde Health, Inc | PPO | $2,515.14 | ↓ -42% |
| USC Health Services | COMM | $2,601.86 | ↓ -40% |
| Cigna | NetworkBenefit | $2,780.79 | ↓ -36% |
| Cigna | OpenAccessPlus | $2,780.79 | ↓ -36% |
| Cigna | HMO | $2,780.79 | ↓ -36% |
| Multiplan PHCS | PrimaryNetwork | $3,035.51 | ↓ -30% |
| Mega Life | MGMCRPPO | $3,035.51 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $3,035.51 | ↓ -30% |
| Jostens | WCOMP | $3,035.51 | ↓ -30% |
| Aetna Coventry First Health | COMM | $3,152.59 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $3,252.33 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3,252.33 | ↓ -25% |
| Humana | COMM | $3,290.70 | ↓ -24% |
| USA Managed Care | COMM | $3,469.15 | ↓ -20% |
| Cigna | AllOther | $3,517.95 | ↓ -19% |
| Galaxy Health Network | PPO | $3,685.97 | ↓ -15% |
| Independent Medical Systems | COMM | $4,336.44 | ↑ +0% |
| National Healthcare Solutions | COMM | $4,336.44 | ↑ +0% |
| Unicare | MCD | $4,336.44 | ↑ +0% |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m apcitide diag at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $3,437.80 | $867.45 – $4,480.40 |
| St. Luke's Health - Patients Medical Center | Pasadena | $383.99 | $100.00 – $822.83 |
| St. Luke's Health Memorial Lufkin | Lufkin | $157.80 | $100.00 – $946.80 |
| St. Luke's Health Memorial Livingston | Livingston | $157.80 | $100.00 – $946.80 |
| St. Luke's Health Memorial San Augustine | San Augustine | $157.80 | $100.00 – $1,094.08 |
| CHRISTUS Health - West Beaumont | Beaumont | $879.12 | $509.13 – $1,058.00 |
| CHRISTUS Children's Hospital | San Antonio | not published | $1,246.60 – $1,246.60 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $867.45 – $4,480.40 |