Therapy nutrition individual initial f2f w/patient each 15 minutes 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.
$11.46 with Superior Health Plan vs $185.11 with BCBS — 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 | STARHealth | $11.46 | — |
| Superior Health Plan | STARKids | $11.46 | — |
| Superior Health Plan | CHIP | $11.46 | — |
| Superior Health Plan | MCDSTAR | $11.46 | — |
| Superior Health Plan | STARPLUS | $11.46 | — |
| Cigna | IFP | $22.11 | — |
| Cigna | QHP | $22.93 | — |
| WellMed | MGMCR | $30.24 | — |
| Mutual of Omaha | MGMCR | $30.39 | — |
| TriWest Health Alliance | FEDERAL | $30.39 | — |
| Humana | MGMCR | $30.39 | — |
| BCBS | MCRPPO | $30.39 | — |
| BCBS | MGMCRHMO | $30.39 | — |
| Devoted Health | SNP | $30.39 | — |
| Amerigroup | DualEligible | $30.39 | — |
| Devoted Health | HMO | $30.39 | — |
| Devoted Health | POS | $30.39 | — |
| Devoted Health | PPO | $30.39 | — |
| Devoted Health | MCR | $30.39 | — |
| Devoted Health | MME | $30.39 | — |
| Aetna | MCR | $30.65 | — |
| Care N Care | MGMCR | $30.69 | — |
| Cigna Healthspring | MGMCR | $31.00 | — |
| United | MGMCR | $31.00 | — |
| WellCare | MGMCR | $31.30 | — |
| Integranet | MGMCR | $31.30 | — |
| United | OptionsPPO | $31.60 | — |
| Superior Health Plan | MGMCRDualEligible | $31.91 | — |
| ProCare Advantge | MCR | $31.91 | — |
| Superior Health Plan | MGMCRHMO | $31.91 | — |
| Superior Health Plan | MGMCRPPO | $31.91 | — |
| Superior Health Plan | MGMCRPFFS | $31.91 | — |
| Superior Health Plan | MGMCRPOS | $31.91 | — |
| Superior Health Plan | MGMCRSNP | $31.91 | — |
| American Health Plan of Texas, Inc. | MGMCR | $31.91 | — |
| Aetna | NewBusiness | $32.10 | — |
| Texas Independent Health Plan | MGMCR | $32.21 | — |
| Provider Partners Health Plan | MCR | $32.21 | — |
| Molina | MME | $33.13 | — |
| Molina | MMP | $33.13 | — |
| Molina | MCR | $33.13 | — |
| Imperial Insurance Company | MCR | $33.43 | — |
| Oscar | HIX | $34.06 | — |
| Aetna | Meritain | $34.22 | — |
| Aetna | COMM | $34.22 | — |
| Humana | Tricare | $34.68 | — |
| Universal Healthcare Group | MCR | $36.47 | — |
| Unicare | CHIP | $39.30 | — |
| Verda Health Plan | MGMCR | $39.51 | — |
| Healthcare Highways | NarrowNetwork | $40.12 | — |
| Aetna | OON | $40.45 | — |
| Evry Health | COMM | $42.25 | — |
| Cigna | LocalPlus | $43.23 | — |
| Cigna | NewBusiness | $43.23 | — |
| Bravo Health | MCRPFFS | $45.59 | — |
| Bravo Health | MCRSNP | $45.59 | — |
| Bravo Health | MCRHMO | $45.59 | — |
| Bravo Health | MCRPOS | $45.59 | — |
| Bravo Health | MCRPPO | $45.59 | — |
| Cigna | NetworkBenefit | $48.31 | — |
| Cigna | OpenAccessPlus | $48.31 | — |
| Cigna | HMO | $48.31 | — |
| Superior | ValueHMO | $54.40 | — |
| Healthcare Highways | CityofPlano | $55.35 | — |
| USA Managed Care | WORKERSCOMP | $57.74 | — |
| Corvel Corporation | WORKERSCOMP | $60.17 | — |
| Cigna | AllOther | $61.08 | — |
| Curative Administrators | COMM | $65.50 | — |
| BCBS | Traditional | $67.79 | — |
| Superior | EPO | $68.07 | — |
| Superior | HMO | $68.07 | — |
| United | GlobalBenefitPlan | $73.69 | — |
| City of McKinney | COMM | $73.69 | — |
| Fidelis SecureCare | MGMCR | $73.69 | — |
| Molina Healthcare | HIX | $79.62 | — |
| National ChoiceCare | WCOMP | $81.88 | — |
| Aetna | ASA | $82.69 | — |
| PC Texas Partners | WCOMP | $90.06 | — |
| Aetna | WCOMP | $90.06 | — |
| Rockport Health Group | WORKERSCOMP | $90.06 | — |
| Physicians Coop of TX | MGMCR | $90.06 | — |
| Aetna Coventry First Health | COMM | $93.83 | — |
| Averde Health, Inc | PPO | $94.97 | — |
| BCBS | MyBlueHealth | $95.15 | — |
| BCBS | BlueAdvantageHMO | $95.15 | — |
| USC Health Services | COMM | $98.25 | — |
| Jostens | WCOMP | $114.63 | — |
| Coastal Comp Health Networks | WCOMP | $114.63 | — |
| Mega Life | MGMCRPPO | $114.63 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $122.81 | — |
| Multiplan | PHCSPrimaryNetwork | $122.81 | — |
| HealthSmart Preferred Care | PPO | $122.81 | — |
| USA Managed Care | COMM | $131.00 | — |
| Multiplan | ComplementaryNetwork | $139.19 | — |
| Unicare | MCD | $163.75 | — |
| Independent Medical Systems | COMM | $163.75 | — |
| National Healthcare Solutions | COMM | $163.75 | — |
| BCBS | BlueEssentialsAccess | $168.50 | — |
| BCBS | BlueEssentials | $168.50 | — |
| BCBS | EPOSOA | $176.81 | — |
| BCBS | PPO | $185.11 | — |
Visitor-reported prices
Comments
Therapy nutrition individual initial f2f w/patient each 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $67.10 | $19.01 – $106.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $70.98 | $14.61 – $106.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $50.27 | $10.05 – $104.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $67.10 | $17.89 – $95.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $70.98 | $22.78 – $127.67 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $70.98 | $36.67 – $106.47 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $50.27 | $16.76 – $104.49 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $67.10 | $17.89 – $106.22 |