Test for porphobilinogen at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$435.25
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.
$435.25
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.
$3.49 with Cook Childrens Health Plan vs $435.25 with National Healthcare Solutions — 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 |
|---|---|---|---|
| Cook Childrens Health Plan | CHIP | $3.49 | ↓ -99% |
| Cook Childrens Health Plan | STAR | $3.49 | ↓ -99% |
| TEXAS HEALTH NETWORK | MCD | $4.82 | ↓ -99% |
| United | CHIP | $4.89 | ↓ -99% |
| United | STAR | $4.89 | ↓ -99% |
| Amerigroup | CHIP | $4.89 | ↓ -99% |
| United | STARKids | $4.89 | ↓ -99% |
| Amerigroup | MGMCD | $4.89 | ↓ -99% |
| United | STARPerinate | $4.89 | ↓ -99% |
| United | STARPLUS | $4.89 | ↓ -99% |
| Parkland Community Health Plan | MCD | $4.89 | ↓ -99% |
| Cigna Healthspring | MGMCD | $5.13 | ↓ -99% |
| Aetna Better Health | CHIP | $5.28 | ↓ -99% |
| Aetna Better Health | MCD | $5.28 | ↓ -99% |
| Molina | CHIP | $5.38 | ↓ -99% |
| Molina | STAR+PLUS | $5.38 | ↓ -99% |
| Molina | STARKIDS | $5.38 | ↓ -99% |
| Molina | MCDSTAR | $5.38 | ↓ -99% |
| WellMed | MGMCR | $5.79 | ↓ -99% |
| Devoted Health | PPO | $5.82 | ↓ -99% |
| Devoted Health | POS | $5.82 | ↓ -99% |
| Devoted Health | MCR | $5.82 | ↓ -99% |
| Devoted Health | MME | $5.82 | ↓ -99% |
| Humana | MGMCR | $5.82 | ↓ -99% |
| United | AllPayerAppendix | $5.82 | ↓ -99% |
| United | NarrowNetworkIndivExchange | $5.82 | ↓ -99% |
| United | SmallGroup | $5.82 | ↓ -99% |
| Amerigroup | DualEligible | $5.82 | ↓ -99% |
| Devoted Health | SNP | $5.82 | ↓ -99% |
| Devoted Health | HMO | $5.82 | ↓ -99% |
| Mutual of Omaha | MGMCR | $5.82 | ↓ -99% |
| TriWest Health Alliance | FEDERAL | $5.82 | ↓ -99% |
| BCBS | MCRPPO | $5.82 | ↓ -99% |
| BCBS | MGMCRHMO | $5.82 | ↓ -99% |
| Aetna | MCR | $5.87 | ↓ -99% |
| Care N Care | MGMCR | $5.88 | ↓ -99% |
| Cigna Healthspring | MGMCR | $5.94 | ↓ -99% |
| United | MGMCR | $5.94 | ↓ -99% |
| WellCare | MGMCR | $5.99 | ↓ -99% |
| Integranet | MGMCR | $5.99 | ↓ -99% |
| Superior Health Plan | MGMCRPPO | $6.11 | ↓ -99% |
| Humana | Tricare | $6.11 | ↓ -99% |
| Superior Health Plan | MGMCRSNP | $6.11 | ↓ -99% |
| ProCare Advantge | MCR | $6.11 | ↓ -99% |
| Superior Health Plan | MGMCRPOS | $6.11 | ↓ -99% |
| Superior Health Plan | MGMCRPFFS | $6.11 | ↓ -99% |
| Superior Health Plan | MGMCRDualEligible | $6.11 | ↓ -99% |
| Superior Health Plan | MGMCRHMO | $6.11 | ↓ -99% |
| American Health Plan of Texas, Inc. | MGMCR | $6.11 | ↓ -99% |
| Humana | MGMCD | $6.11 | ↓ -99% |
| Texas Independent Health Plan | MGMCR | $6.17 | ↓ -99% |
| Provider Partners Health Plan | MCR | $6.17 | ↓ -99% |
| Molina | MME | $6.34 | ↓ -99% |
| Molina | MCR | $6.34 | ↓ -99% |
| Molina | MMP | $6.34 | ↓ -99% |
| Imperial Insurance Company | MCR | $6.40 | ↓ -99% |
| Aetna | NewBusiness | $6.56 | ↓ -98% |
| Universal Healthcare Group | MCR | $6.98 | ↓ -98% |
| Aetna | Meritain | $7.01 | ↓ -98% |
| Aetna | COMM | $7.01 | ↓ -98% |
| Verda Health Plan | MGMCR | $7.57 | ↓ -98% |
| Aetna | OON | $8.31 | ↓ -98% |
| Bravo Health | MCRPPO | $8.73 | ↓ -98% |
| Bravo Health | MCRHMO | $8.73 | ↓ -98% |
| Bravo Health | MCRPFFS | $8.73 | ↓ -98% |
| Bravo Health | MCRSNP | $8.73 | ↓ -98% |
| Bravo Health | MCRPOS | $8.73 | ↓ -98% |
| BCBS | BlueAdvantageHMO | $10.19 | ↓ -98% |
| BCBS | MyBlueHealth | $10.19 | ↓ -98% |
| Superior | ValueHMO | $10.42 | ↓ -98% |
| USA Managed Care | WORKERSCOMP | $11.06 | ↓ -97% |
| Corvel Corporation | WORKERSCOMP | $11.52 | ↓ -97% |
| Superior | HMO | $13.04 | ↓ -97% |
| Superior | EPO | $13.04 | ↓ -97% |
| BCBS | BlueEssentialsAccess | $14.38 | ↓ -97% |
| BCBS | BlueEssentials | $14.38 | ↓ -97% |
| BCBS | EPOSOA | $15.07 | ↓ -97% |
| Oscar | HIX | $15.13 | ↓ -97% |
| Molina Healthcare | HIX | $15.25 | ↓ -96% |
| BCBS | PPO | $15.77 | ↓ -96% |
| Cigna | LocalPlus | $21.94 | ↓ -95% |
| Cigna | NewBusiness | $21.96 | ↓ -95% |
| Cigna | HMO | $24.51 | ↓ -94% |
| Cigna | OpenAccessPlus | $24.51 | ↓ -94% |
| Cigna | NetworkBenefit | $24.51 | ↓ -94% |
| Superior Health Plan | STARHealth | $30.47 | ↓ -93% |
| Superior Health Plan | CHIP | $30.47 | ↓ -93% |
| Superior Health Plan | STARKids | $30.47 | ↓ -93% |
| Superior Health Plan | STARPLUS | $30.47 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $30.47 | ↓ -93% |
| Cigna | AllOther | $31.01 | ↓ -93% |
| Cigna | IFP | $58.76 | ↓ -86% |
| Cigna | QHP | $60.94 | ↓ -86% |
| United | OptionsPPO | $84.00 | ↓ -81% |
| Unicare | CHIP | $104.46 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $106.64 | ↓ -75% |
| Evry Health | COMM | $112.29 | ↓ -74% |
| Healthcare Highways | CityofPlano | $147.11 | ↓ -66% |
| BCBS | Traditional | $180.19 | ↓ -59% |
| City of McKinney | COMM | $195.86 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $195.86 | ↓ -55% |
| United | GlobalBenefitPlan | $195.86 | ↓ -55% |
| National ChoiceCare | WCOMP | $217.63 | ↓ -50% |
| Aetna | ASA | $219.80 | ↓ -50% |
| Physicians Coop of TX | MGMCR | $239.39 | ↓ -45% |
| PC Texas Partners | WCOMP | $239.39 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $239.39 | ↓ -45% |
| Aetna | WCOMP | $239.39 | ↓ -45% |
| Aetna Coventry First Health | COMM | $249.40 | ↓ -43% |
| Averde Health, Inc | PPO | $252.44 | ↓ -42% |
| USC Health Services | COMM | $261.15 | ↓ -40% |
| Coastal Comp Health Networks | WCOMP | $304.68 | ↓ -30% |
| Jostens | WCOMP | $304.68 | ↓ -30% |
| Mega Life | MGMCRPPO | $304.68 | ↓ -30% |
| Multiplan | PHCSPrimaryNetwork | $326.44 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $326.44 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $326.44 | ↓ -25% |
| USA Managed Care | COMM | $348.20 | ↓ -20% |
| Multiplan | ComplementaryNetwork | $369.96 | ↓ -15% |
| Independent Medical Systems | COMM | $435.25 | ↑ +0% |
| Unicare | MCD | $435.25 | ↑ +0% |
| National Healthcare Solutions | COMM | $435.25 | ↑ +0% |
Visitor-reported prices
Comments
Test for porphobilinogen at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON KINGWOOD | HUMBLE | $239.89 | $4.79 – $23.69 |
| St. Luke's Health - Patients Medical Center | Pasadena | $48.20 | $4.65 – $103.28 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $63.45 | $4.86 – $79.31 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $63.45 | $4.86 – $79.31 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $49.50 | $4.86 – $61.88 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $49.50 | $4.86 – $61.88 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $68.31 | $4.86 – $44.77 |
| Dell Children's Medical Center (Ascension Seton) | Austin | $132.83 | $4.86 – $44.77 |