Tc-99m mebrofenin at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
not published by hospital
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.
not published by hospital
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 $1,320.76 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 →
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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 | — |
| 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
Comments
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 |