Tirofiban 12.5 mg/50 ml at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$10,735.41
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.
$10,735.41
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.
$3.09 with Humana vs $10,735.41 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 |
|---|---|---|---|
| Humana | Tricare | $3.09 | ↓ -100% |
| United | AllPayerAppendix | $5.26 | ↓ -100% |
| United | SmallGroup | $5.26 | ↓ -100% |
| United | NarrowNetworkIndivExchange | $5.26 | ↓ -100% |
| Cigna | LocalPlus | $20.75 | ↓ -100% |
| Cigna | NewBusiness | $20.78 | ↓ -100% |
| Cigna | OpenAccessPlus | $23.19 | ↓ -100% |
| Cigna | NetworkBenefit | $23.19 | ↓ -100% |
| Cigna | HMO | $23.19 | ↓ -100% |
| Cigna | AllOther | $29.33 | ↓ -100% |
| BCBS | BlueAdvantageHMO | $35.74 | ↓ -100% |
| BCBS | MyBlueHealth | $35.74 | ↓ -100% |
| BCBS | BlueEssentialsAccess | $52.32 | ↓ -100% |
| BCBS | BlueEssentials | $52.32 | ↓ -100% |
| BCBS | EPOSOA | $54.91 | ↓ -99% |
| BCBS | PPO | $57.50 | ↓ -99% |
| Superior Health Plan | STARPLUS | $751.48 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $751.48 | ↓ -93% |
| Superior Health Plan | STARKids | $751.48 | ↓ -93% |
| Superior Health Plan | CHIP | $751.48 | ↓ -93% |
| Superior Health Plan | STARHealth | $751.48 | ↓ -93% |
| Cigna | IFP | $1,449.28 | ↓ -87% |
| Cigna | QHP | $1,502.96 | ↓ -86% |
| United | OptionsPPO | $2,071.93 | ↓ -81% |
| Superior | HMO | $2,147.08 | ↓ -80% |
| Superior | EPO | $2,147.08 | ↓ -80% |
| Superior | ValueHMO | $2,147.08 | ↓ -80% |
| Unicare | CHIP | $2,576.50 | ↓ -76% |
| Molina Healthcare | HIX | $2,683.85 | ↓ -75% |
| Healthcare Highways | CityofPlano | $3,628.57 | ↓ -66% |
| BCBS | Traditional | $4,444.46 | ↓ -59% |
| United | GlobalBenefitPlan | $4,830.93 | ↓ -55% |
| City of McKinney | COMM | $4,830.93 | ↓ -55% |
| National ChoiceCare | WCOMP | $5,367.70 | ↓ -50% |
| Aetna | ASA | $5,421.38 | ↓ -50% |
| Physicians Coop of TX | MGMCR | $5,904.48 | ↓ -45% |
| Aetna | WCOMP | $5,904.48 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $5,904.48 | ↓ -45% |
| PC Texas Partners | WCOMP | $5,904.48 | ↓ -45% |
| Aetna Coventry First Health | COMM | $6,151.39 | ↓ -43% |
| Averde Health, Inc | PPO | $6,226.54 | ↓ -42% |
| USC Health Services | COMM | $6,441.25 | ↓ -40% |
| Jostens | WCOMP | $7,514.79 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $7,514.79 | ↓ -30% |
| Mega Life | MGMCRPPO | $7,514.79 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $8,051.56 | ↓ -25% |
| Multiplan | PHCSPrimaryNetwork | $8,051.56 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $8,051.56 | ↓ -25% |
| USA Managed Care | COMM | $8,588.33 | ↓ -20% |
| Multiplan | ComplementaryNetwork | $9,125.10 | ↓ -15% |
| Independent Medical Systems | COMM | $10,735.41 | ↑ +0% |
| National Healthcare Solutions | COMM | $10,735.41 | ↑ +0% |
| Unicare | MCD | $10,735.41 | ↑ +0% |
Visitor-reported prices
Comments
Tirofiban 12.5 mg/50 ml at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CONROE | CONROE | $31.20 | $3.45 – $126.52 |
| Baylor St Luke's Medical Center | Houston | $360.60 | $6.34 – $56.62 |
| St. Joseph Health Madison Hospital | Madisonville | $30.38 | $3.62 – $156.24 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $360.60 | $5.17 – $56.62 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $360.60 | $5.17 – $56.62 |
| St. Joseph Health College Station Hospital | College Station | $30.38 | $3.62 – $147.56 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $360.60 | $5.17 – $56.62 |
| Texas Health Presbyterian Hospital Allen | Allen | $516.15 | $13.52 – $13.52 |