Tc-99m tilmanocept diag at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$2,792.08
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.
$2,792.08
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.
$195.45 with Superior Health Plan vs $5,770.98 with Cigna — 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $195.45 | ↓ -93% |
| Superior Health Plan | STARHealth | $195.45 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $195.45 | ↓ -93% |
| Superior Health Plan | STARPLUS | $195.45 | ↓ -93% |
| Superior Health Plan | STARKids | $195.45 | ↓ -93% |
| Cigna | IFP | $376.93 | ↓ -87% |
| Cigna | QHP | $390.89 | ↓ -86% |
| Imperial Insurance Company | MCR | $530.50 | ↓ -81% |
| United | OptionsPPO | $555.62 | ↓ -80% |
| Oscar | HIX | $580.75 | ↓ -79% |
| Unicare | CHIP | $670.10 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $684.06 | ↓ -75% |
| Aetna | OON | $700.81 | ↓ -75% |
| Evry Health | COMM | $720.36 | ↓ -74% |
| Healthcare Highways | CityofPlano | $943.72 | ↓ -66% |
| Curative Administrators | COMM | $1,116.83 | ↓ -60% |
| BCBS | Traditional | $1,239.68 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $1,256.44 | ↓ -55% |
| City of McKinney | COMM | $1,256.44 | ↓ -55% |
| National ChoiceCare | WCOMP | $1,396.04 | ↓ -50% |
| Aetna | WCOMP | $1,535.64 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $1,535.64 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $1,535.64 | ↓ -45% |
| PC Texas Partners | WCOMP | $1,535.64 | ↓ -45% |
| BCBS | BlueAdvantageHMO | $1,614.32 | ↓ -42% |
| BCBS | MyBlueHealth | $1,614.32 | ↓ -42% |
| Averde Health, Inc | PPO | $1,619.41 | ↓ -42% |
| Aetna | QHPHIX | $1,625.88 | ↓ -42% |
| USC Health Services | COMM | $1,675.25 | ↓ -40% |
| BCBS | BluePremier | $1,909.11 | ↓ -32% |
| Multiplan PHCS | PrimaryNetwork | $1,954.46 | ↓ -30% |
| Mega Life | MGMCRPPO | $1,954.46 | ↓ -30% |
| Jostens | WCOMP | $1,954.46 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $1,954.46 | ↓ -30% |
| Aetna Coventry First Health | COMM | $2,029.84 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $2,094.06 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $2,094.06 | ↓ -25% |
| Aetna | NewBusiness | $2,229.24 | ↓ -20% |
| USA Managed Care | COMM | $2,233.66 | ↓ -20% |
| BCBS | BlueEssentialsAccess | $2,363.00 | ↓ -15% |
| BCBS | BlueEssentials | $2,363.00 | ↓ -15% |
| Galaxy Health Network | PPO | $2,373.27 | ↓ -15% |
| Aetna | Meritain | $2,388.01 | ↓ -14% |
| Aetna | COMM | $2,388.01 | ↓ -14% |
| BCBS | EPOSOA | $2,479.98 | ↓ -11% |
| BCBS | PPO | $2,596.96 | ↓ -7% |
| Independent Medical Systems | COMM | $2,792.08 | ↑ +0% |
| National Healthcare Solutions | COMM | $2,792.08 | ↑ +0% |
| Unicare | MCD | $2,792.08 | ↑ +0% |
| Humana | COMM | $4,024.96 | ↑ +44% |
| Cigna | LocalPlus | $4,083.28 | ↑ +46% |
| Cigna | NewBusiness | $4,087.32 | ↑ +46% |
| Cigna | NetworkBenefit | $4,561.72 | ↑ +63% |
| Cigna | OpenAccessPlus | $4,561.72 | ↑ +63% |
| Cigna | HMO | $4,561.72 | ↑ +63% |
| Cigna | AllOther | $5,770.98 | ↑ +107% |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m tilmanocept diag at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON KINGWOOD | HUMBLE | $2,340.10 | $917.12 – $5,480.11 |
| HCA HOUSTON NORTHWEST | SPRING | $4,513.82 | $917.12 – $5,480.11 |
| St. Luke's Health - Patients Medical Center | Pasadena | $932.09 | $100.00 – $1,997.33 |
| Baylor St Luke's Medical Center | Houston | $1,279.60 | $100.00 – $3,656.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $1,279.60 | $100.00 – $3,656.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $1,279.60 | $100.00 – $3,656.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $1,279.60 | $100.00 – $3,656.00 |
| Texas Health Presbyterian Hospital Allen | Allen | $1,166.70 | $610.64 – $610.64 |