Tc-99m labeled rbc at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$1,541.38
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.
$1,541.38
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.
$70.00 with Imaging Providers of Texas vs $1,541.38 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 |
|---|---|---|---|
| Imaging Providers of Texas | HMOBlue | $70.00 | ↓ -95% |
| Superior Health Plan | STARKids | $107.90 | ↓ -93% |
| Superior Health Plan | STARHealth | $107.90 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $107.90 | ↓ -93% |
| Superior Health Plan | CHIP | $107.90 | ↓ -93% |
| Superior Health Plan | STARPLUS | $107.90 | ↓ -93% |
| United | NarrowNetworkIndivExchange | $179.67 | ↓ -88% |
| United | SmallGroup | $179.67 | ↓ -88% |
| United | AllPayerAppendix | $179.67 | ↓ -88% |
| Cigna | IFP | $208.09 | ↓ -86% |
| Cigna | QHP | $215.79 | ↓ -86% |
| Aetna | QHPHIX | $229.53 | ↓ -85% |
| Imperial Insurance Company | MCR | $292.86 | ↓ -81% |
| United | OptionsPPO | $306.73 | ↓ -80% |
| Aetna | NewBusiness | $314.71 | ↓ -80% |
| Oscar | HIX | $320.61 | ↓ -79% |
| BCBS | MyBlueHealth | $320.95 | ↓ -79% |
| BCBS | BlueAdvantageHMO | $320.95 | ↓ -79% |
| Aetna | COMM | $337.12 | ↓ -78% |
| Aetna | Meritain | $337.12 | ↓ -78% |
| Unicare | CHIP | $369.93 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $377.64 | ↓ -75% |
| BCBS | BluePremier | $379.56 | ↓ -75% |
| Aetna | OON | $386.89 | ↓ -75% |
| Evry Health | COMM | $397.68 | ↓ -74% |
| BCBS | BlueEssentials | $469.80 | ↓ -70% |
| BCBS | BlueEssentialsAccess | $469.80 | ↓ -70% |
| BCBS | EPOSOA | $493.06 | ↓ -68% |
| BCBS | PPO | $516.32 | ↓ -67% |
| Healthcare Highways | CityofPlano | $520.99 | ↓ -66% |
| Cigna | LocalPlus | $576.48 | ↓ -63% |
| Cigna | NewBusiness | $577.05 | ↓ -63% |
| Curative Administrators | COMM | $616.55 | ↓ -60% |
| Cigna | HMO | $644.03 | ↓ -58% |
| Cigna | NetworkBenefit | $644.03 | ↓ -58% |
| Cigna | OpenAccessPlus | $644.03 | ↓ -58% |
| BCBS | Traditional | $684.37 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $693.62 | ↓ -55% |
| City of McKinney | COMM | $693.62 | ↓ -55% |
| National ChoiceCare | WCOMP | $770.69 | ↓ -50% |
| Humana | COMM | $801.79 | ↓ -48% |
| Cigna | AllOther | $814.75 | ↓ -47% |
| PC Texas Partners | WCOMP | $847.76 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $847.76 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $847.76 | ↓ -45% |
| Aetna | WCOMP | $847.76 | ↓ -45% |
| Averde Health, Inc | PPO | $894.00 | ↓ -42% |
| USC Health Services | COMM | $924.83 | ↓ -40% |
| Coastal Comp Health Networks | WCOMP | $1,078.97 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $1,078.97 | ↓ -30% |
| Jostens | WCOMP | $1,078.97 | ↓ -30% |
| Mega Life | MGMCRPPO | $1,078.97 | ↓ -30% |
| Aetna Coventry First Health | COMM | $1,120.58 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,156.04 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $1,156.04 | ↓ -25% |
| USA Managed Care | COMM | $1,233.10 | ↓ -20% |
| Galaxy Health Network | PPO | $1,310.17 | ↓ -15% |
| Unicare | MCD | $1,541.38 | ↑ +0% |
| National Healthcare Solutions | COMM | $1,541.38 | ↑ +0% |
| Independent Medical Systems | COMM | $1,541.38 | ↑ +0% |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m labeled rbc at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $1,694.75 | $179.67 – $1,091.66 |
| HCA HOUSTON KINGWOOD | HUMBLE | $2,584.00 | $179.67 – $1,091.66 |
| HCA HOUSTON NORTHWEST | SPRING | $2,682.67 | $179.67 – $1,091.66 |
| Baylor St Luke's Medical Center | Houston | $381.15 | $83.73 – $1,089.00 |
| St. Joseph Health Madison Hospital | Madisonville | $99.40 | $72.37 – $511.20 |
| St. Luke's Health Memorial Lufkin | Lufkin | $134.82 | $94.91 – $646.20 |
| HCA HOUSTON PEARLAND | Pearland | $1,460.79 | $179.67 – $1,091.66 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $381.15 | $100.00 – $1,089.00 |