Tc-99m mebrofenin at MEDICAL CITY LEWISVILLE HOSPITAL

1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

not published by hospital

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

not published by hospital

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$70.00 with Imaging Providers of Texas vs $1,320.76 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 →

Payer
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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
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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
Superior Health Plan STARHealth $92.45
Superior Health Plan MCDSTAR $92.45
Superior Health Plan STARPLUS $92.45
Superior Health Plan CHIP $92.45
Superior Health Plan STARKids $92.45
Aetna QHPHIX $135.94
Cigna IFP $178.30
Cigna QHP $184.91
Aetna NewBusiness $186.38
United NarrowNetworkIndivExchange $187.21
United AllPayerAppendix $187.21
United SmallGroup $187.21
BCBS BlueAdvantageHMO $190.10
BCBS MyBlueHealth $190.10
Aetna Meritain $199.66
Aetna COMM $199.66
BCBS BluePremier $224.81
Imperial Insurance Company MCR $250.94
United OptionsPPO $262.83
Oscar HIX $274.72
BCBS BlueEssentialsAccess $278.25
BCBS BlueEssentials $278.25
BCBS EPOSOA $292.03
BCBS PPO $305.81
Unicare CHIP $316.98
Healthcare Highways NarrowNetwork $323.59
Aetna OON $331.51
Evry Health COMM $340.76
Cigna LocalPlus $341.40
Cigna NewBusiness $341.74
Cigna HMO $381.40
Cigna OpenAccessPlus $381.40
Cigna NetworkBenefit $381.40
Healthcare Highways CityofPlano $446.42
Humana COMM $474.86
Cigna AllOther $482.50
Curative Administrators COMM $528.30
BCBS Traditional $586.42
City of McKinney COMM $594.34
Fidelis SecureCare MGMCR $594.34
National ChoiceCare WCOMP $660.38
Physicians Coop of TX MGMCR $726.42
Rockport Health Group WORKERSCOMP $726.42
Aetna WCOMP $726.42
PC Texas Partners WCOMP $726.42
Averde Health, Inc PPO $766.04
USC Health Services COMM $792.46
Jostens WCOMP $924.53
Coastal Comp Health Networks WCOMP $924.53
Mega Life MGMCRPPO $924.53
Multiplan PHCS PrimaryNetwork $924.53
Aetna Coventry First Health COMM $960.19
LEWISVILLE ISD/DLS CONSULTING COMMPPO $990.57
HealthSmart Preferred Care PPO $990.57
USA Managed Care COMM $1,056.61
Galaxy Health Network PPO $1,122.65
Independent Medical Systems COMM $1,320.76
National Healthcare Solutions COMM $1,320.76
Unicare MCD $1,320.76
Aetna ASA not published by hospital

Visitor-reported prices

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Tc-99m mebrofenin at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $893.78 $108.00 – $646.54
HCA HOUSTON KINGWOOD HUMBLE $1,280.09 $108.00 – $646.54
HCA HOUSTON NORTHWEST SPRING $1,328.96 $108.00 – $646.54
St. Luke's Health - Patients Medical Center Pasadena $239.40 $60.06 – $498.13
Baylor St Luke's Medical Center Houston $103.60 $49.59 – $296.00
St. Joseph Health Madison Hospital Madisonville $71.05 $51.73 – $365.40
St. Luke's Health Memorial Lufkin Lufkin $157.65 $100.00 – $945.90
HCA HOUSTON PEARLAND Pearland $769.84 $108.00 – $646.54

All Texas hospitals for this procedure →