Tc-99m tetrofosmin p study dose at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$1,217.18
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.
$1,217.18
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 $1,217.18 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 | ↓ -94% |
| Superior Health Plan | CHIP | $85.20 | ↓ -93% |
| Superior Health Plan | STARHealth | $85.20 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $85.20 | ↓ -93% |
| Superior Health Plan | STARPLUS | $85.20 | ↓ -93% |
| Superior Health Plan | STARKids | $85.20 | ↓ -93% |
| Cigna | IFP | $164.32 | ↓ -86% |
| Cigna | QHP | $170.41 | ↓ -86% |
| United | SmallGroup | $192.89 | ↓ -84% |
| United | AllPayerAppendix | $192.89 | ↓ -84% |
| United | NarrowNetworkIndivExchange | $192.89 | ↓ -84% |
| Aetna | QHPHIX | $209.56 | ↓ -83% |
| Imperial Insurance Company | MCR | $231.26 | ↓ -81% |
| United | OptionsPPO | $242.22 | ↓ -80% |
| Oscar | HIX | $253.17 | ↓ -79% |
| Aetna | NewBusiness | $287.33 | ↓ -76% |
| Unicare | CHIP | $292.12 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $298.21 | ↓ -75% |
| Aetna | OON | $305.51 | ↓ -75% |
| Aetna | COMM | $307.79 | ↓ -75% |
| Aetna | Meritain | $307.79 | ↓ -75% |
| Evry Health | COMM | $314.03 | ↓ -74% |
| BCBS | MyBlueHealth | $334.89 | ↓ -72% |
| BCBS | BlueAdvantageHMO | $334.89 | ↓ -72% |
| BCBS | BluePremier | $396.05 | ↓ -67% |
| Healthcare Highways | CityofPlano | $411.41 | ↓ -66% |
| Curative Administrators | COMM | $486.87 | ↓ -60% |
| BCBS | BlueEssentialsAccess | $490.20 | ↓ -60% |
| BCBS | BlueEssentials | $490.20 | ↓ -60% |
| BCBS | EPOSOA | $514.47 | ↓ -58% |
| Cigna | LocalPlus | $526.32 | ↓ -57% |
| Cigna | NewBusiness | $526.84 | ↓ -57% |
| BCBS | PPO | $538.74 | ↓ -56% |
| BCBS | Traditional | $540.43 | ↓ -56% |
| City of McKinney | COMM | $547.73 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $547.73 | ↓ -55% |
| Cigna | OpenAccessPlus | $587.98 | ↓ -52% |
| Cigna | HMO | $587.98 | ↓ -52% |
| Cigna | NetworkBenefit | $587.98 | ↓ -52% |
| National ChoiceCare | WCOMP | $608.59 | ↓ -50% |
| Rockport Health Group | WORKERSCOMP | $669.45 | ↓ -45% |
| Aetna | WCOMP | $669.45 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $669.45 | ↓ -45% |
| PC Texas Partners | WCOMP | $669.45 | ↓ -45% |
| Averde Health, Inc | PPO | $705.96 | ↓ -42% |
| USC Health Services | COMM | $730.31 | ↓ -40% |
| Cigna | AllOther | $743.85 | ↓ -39% |
| Humana | COMM | $836.63 | ↓ -31% |
| Mega Life | MGMCRPPO | $852.03 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $852.03 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $852.03 | ↓ -30% |
| Jostens | WCOMP | $852.03 | ↓ -30% |
| Aetna Coventry First Health | COMM | $884.89 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $912.88 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $912.88 | ↓ -25% |
| USA Managed Care | COMM | $973.74 | ↓ -20% |
| Galaxy Health Network | PPO | $1,034.60 | ↓ -15% |
| Independent Medical Systems | COMM | $1,217.18 | ↑ +0% |
| National Healthcare Solutions | COMM | $1,217.18 | ↑ +0% |
| Unicare | MCD | $1,217.18 | ↑ +0% |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m tetrofosmin p study dose at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $531.44 | $190.26 – $1,139.09 |
| St. Luke's Health - Patients Medical Center | Pasadena | $165.20 | $100.00 – $354.00 |
| Baylor St Luke's Medical Center | Houston | $119.00 | $87.36 – $340.00 |
| St. Joseph Health Madison Hospital | Madisonville | $97.30 | $70.84 – $500.40 |
| St. Luke's Health Memorial Lufkin | Lufkin | $59.25 | $100.00 – $315.90 |
| HCA HOUSTON PEARLAND | Pearland | $457.01 | $190.26 – $1,139.09 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $119.00 | $88.40 – $340.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $119.00 | $88.40 – $340.00 |