Tc-99m sestamibi p study dose at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$2,085.48
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.
$2,085.48
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 $2,085.48 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 | ↓ -97% |
| Superior Health Plan | MCDSTAR | $145.98 | ↓ -93% |
| Superior Health Plan | STARHealth | $145.98 | ↓ -93% |
| Superior Health Plan | CHIP | $145.98 | ↓ -93% |
| Superior Health Plan | STARKids | $145.98 | ↓ -93% |
| Superior Health Plan | STARPLUS | $145.98 | ↓ -93% |
| Cigna | IFP | $281.54 | ↓ -86% |
| Cigna | QHP | $291.97 | ↓ -86% |
| Imperial Insurance Company | MCR | $396.24 | ↓ -81% |
| United | OptionsPPO | $402.50 | ↓ -81% |
| Superior | HMO | $417.10 | ↓ -80% |
| Superior | ValueHMO | $417.10 | ↓ -80% |
| Superior | EPO | $417.10 | ↓ -80% |
| Oscar | HIX | $433.78 | ↓ -79% |
| BCBS | MyBlueHealth | $469.65 | ↓ -77% |
| BCBS | BlueAdvantageHMO | $469.65 | ↓ -77% |
| Unicare | CHIP | $500.52 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $510.94 | ↓ -76% |
| Molina Healthcare | HIX | $521.37 | ↓ -75% |
| Evry Health | COMM | $538.05 | ↓ -74% |
| Cigna | LocalPlus | $600.68 | ↓ -71% |
| Cigna | NewBusiness | $601.28 | ↓ -71% |
| Cigna | HMO | $671.07 | ↓ -68% |
| Cigna | OpenAccessPlus | $671.07 | ↓ -68% |
| Cigna | NetworkBenefit | $671.07 | ↓ -68% |
| BCBS | BlueEssentialsAccess | $687.46 | ↓ -67% |
| BCBS | BlueEssentials | $687.46 | ↓ -67% |
| Healthcare Highways | CityofPlano | $704.89 | ↓ -66% |
| BCBS | EPOSOA | $721.49 | ↓ -65% |
| United | AllPayerAppendix | $743.46 | ↓ -64% |
| United | NarrowNetworkIndivExchange | $743.46 | ↓ -64% |
| United | SmallGroup | $743.46 | ↓ -64% |
| BCBS | PPO | $755.52 | ↓ -64% |
| Curative Administrators | COMM | $834.19 | ↓ -60% |
| Cigna | AllOther | $848.96 | ↓ -59% |
| BCBS | Traditional | $863.39 | ↓ -59% |
| City of McKinney | COMM | $938.47 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $938.47 | ↓ -55% |
| United | GlobalBenefitPlan | $938.47 | ↓ -55% |
| National ChoiceCare | WCOMP | $1,042.74 | ↓ -50% |
| Aetna | WCOMP | $1,147.01 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $1,147.01 | ↓ -45% |
| PC Texas Partners | WCOMP | $1,147.01 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $1,147.01 | ↓ -45% |
| Aetna Coventry First Health | COMM | $1,194.98 | ↓ -43% |
| Averde Health, Inc | PPO | $1,209.58 | ↓ -42% |
| USC Health Services | COMM | $1,251.29 | ↓ -40% |
| Coastal Comp Health Networks | WCOMP | $1,459.84 | ↓ -30% |
| Jostens | WCOMP | $1,459.84 | ↓ -30% |
| Mega Life | MGMCRPPO | $1,459.84 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $1,564.11 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,564.11 | ↓ -25% |
| Multiplan | PHCSPrimaryNetwork | $1,564.11 | ↓ -25% |
| USA Managed Care | COMM | $1,668.38 | ↓ -20% |
| Multiplan | ComplementaryNetwork | $1,772.66 | ↓ -15% |
| National Healthcare Solutions | COMM | $2,085.48 | ↑ +0% |
| Independent Medical Systems | COMM | $2,085.48 | ↑ +0% |
| Unicare | MCD | $2,085.48 | ↑ +0% |
Visitor-reported prices
Comments
Tc-99m sestamibi p study dose at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $109.62 | $31.06 – $155.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $109.62 | $22.56 – $164.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $109.62 | $21.92 – $137.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $109.62 | $29.23 – $155.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $109.62 | $35.19 – $164.43 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $109.62 | $56.64 – $164.43 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $109.62 | $36.54 – $164.43 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $109.62 | $29.23 – $155.29 |