Tc-99m gluceptate at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$533.67
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.
$533.67
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.
$37.36 with Superior Health Plan vs $533.67 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 |
|---|---|---|---|
| Superior Health Plan | STARKids | $37.36 | ↓ -93% |
| Superior Health Plan | STARPLUS | $37.36 | ↓ -93% |
| Superior Health Plan | STARHealth | $37.36 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $37.36 | ↓ -93% |
| Superior Health Plan | CHIP | $37.36 | ↓ -93% |
| Aetna | QHPHIX | $52.04 | ↓ -90% |
| Imaging Providers of Texas | HMOBlue | $70.00 | ↓ -87% |
| Aetna | NewBusiness | $71.36 | ↓ -87% |
| Cigna | IFP | $72.05 | ↓ -86% |
| Cigna | QHP | $74.71 | ↓ -86% |
| Aetna | Meritain | $76.44 | ↓ -86% |
| Aetna | COMM | $76.44 | ↓ -86% |
| Imperial Insurance Company | MCR | $101.40 | ↓ -81% |
| United | OptionsPPO | $106.20 | ↓ -80% |
| Oscar | HIX | $111.00 | ↓ -79% |
| Unicare | CHIP | $128.08 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $130.75 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $131.82 | ↓ -75% |
| BCBS | MyBlueHealth | $131.82 | ↓ -75% |
| Aetna | OON | $133.95 | ↓ -75% |
| Evry Health | COMM | $137.69 | ↓ -74% |
| Cigna | LocalPlus | $140.89 | ↓ -74% |
| Cigna | NewBusiness | $140.89 | ↓ -74% |
| BCBS | BluePremier | $155.83 | ↓ -71% |
| Cigna | OpenAccessPlus | $157.43 | ↓ -71% |
| Cigna | HMO | $157.43 | ↓ -71% |
| Cigna | NetworkBenefit | $157.43 | ↓ -71% |
| Humana | COMM | $165.38 | ↓ -69% |
| BCBS | BlueEssentials | $170.24 | ↓ -68% |
| BCBS | BlueEssentialsAccess | $170.24 | ↓ -68% |
| BCBS | EPOSOA | $178.78 | ↓ -66% |
| Healthcare Highways | CityofPlano | $180.38 | ↓ -66% |
| BCBS | PPO | $186.78 | ↓ -65% |
| Cigna | AllOther | $199.06 | ↓ -63% |
| Curative Administrators | COMM | $213.47 | ↓ -60% |
| BCBS | Traditional | $236.95 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $240.15 | ↓ -55% |
| City of McKinney | COMM | $240.15 | ↓ -55% |
| National ChoiceCare | WCOMP | $266.83 | ↓ -50% |
| Aetna | ASA | $281.24 | ↓ -47% |
| PC Texas Partners | WCOMP | $293.52 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $293.52 | ↓ -45% |
| Aetna | WCOMP | $293.52 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $293.52 | ↓ -45% |
| Averde Health, Inc | PPO | $309.53 | ↓ -42% |
| USC Health Services | COMM | $320.20 | ↓ -40% |
| Multiplan PHCS | PrimaryNetwork | $373.57 | ↓ -30% |
| Jostens | WCOMP | $373.57 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $373.57 | ↓ -30% |
| Mega Life | MGMCRPPO | $373.57 | ↓ -30% |
| Aetna Coventry First Health | COMM | $387.98 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $400.25 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $400.25 | ↓ -25% |
| USA Managed Care | COMM | $426.94 | ↓ -20% |
| Galaxy Health Network | PPO | $453.62 | ↓ -15% |
| Unicare | MCD | $533.67 | ↑ +0% |
| National Healthcare Solutions | COMM | $533.67 | ↑ +0% |
| Independent Medical Systems | COMM | $533.67 | ↑ +0% |
Visitor-reported prices
Comments
Tc-99m gluceptate at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $27.65 | $20.13 – $158.00 |
| St. Joseph Health College Station Hospital | College Station | $27.65 | $31.60 – $158.00 |
| St. Joseph Health Grimes Hospital | Navasota | $27.65 | $31.60 – $175.38 |
| St. Joseph Health Burleson Hospital | Caldwell | $27.65 | $31.60 – $158.00 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas | $201.84 | $52.04 – $70.00 |
| Covenant Medical Center | Lubbock | not published | $103.01 – $103.01 |
| CHRISTUS Good Shepherd Medical Center - Marshall | Marshall | not published | $20.33 – $20.33 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio | not published | $20.33 – $20.33 |