Tissue culture tumor at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$2,124.49
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.
$2,124.49
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.
$88.51 with Cook Childrens Health Plan vs $2,124.49 with Independent Medical Systems — 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 | STAR | $88.51 | ↓ -96% |
| Cook Childrens Health Plan | CHIP | $88.51 | ↓ -96% |
| TEXAS HEALTH NETWORK | MCD | $122.06 | ↓ -94% |
| United | STARPLUS | $123.92 | ↓ -94% |
| Parkland Community Health Plan | MCD | $123.92 | ↓ -94% |
| United | STARPerinate | $123.92 | ↓ -94% |
| Amerigroup | CHIP | $123.92 | ↓ -94% |
| United | CHIP | $123.92 | ↓ -94% |
| Amerigroup | MGMCD | $123.92 | ↓ -94% |
| United | STAR | $123.92 | ↓ -94% |
| United | STARKids | $123.92 | ↓ -94% |
| Cigna Healthspring | MGMCD | $130.12 | ↓ -94% |
| Aetna Better Health | MCD | $133.83 | ↓ -94% |
| Aetna Better Health | CHIP | $133.83 | ↓ -94% |
| Molina | CHIP | $136.31 | ↓ -94% |
| Molina | STAR+PLUS | $136.31 | ↓ -94% |
| Molina | MCDSTAR | $136.31 | ↓ -94% |
| Molina | STARKIDS | $136.31 | ↓ -94% |
| WellMed | MGMCR | $146.78 | ↓ -93% |
| United | AllPayerAppendix | $147.52 | ↓ -93% |
| TriWest Health Alliance | FEDERAL | $147.52 | ↓ -93% |
| Humana | MGMCR | $147.52 | ↓ -93% |
| BCBS | MCRPPO | $147.52 | ↓ -93% |
| BCBS | MGMCRHMO | $147.52 | ↓ -93% |
| United | SmallGroup | $147.52 | ↓ -93% |
| Devoted Health | MME | $147.52 | ↓ -93% |
| Devoted Health | SNP | $147.52 | ↓ -93% |
| Devoted Health | PPO | $147.52 | ↓ -93% |
| Devoted Health | HMO | $147.52 | ↓ -93% |
| Mutual of Omaha | MGMCR | $147.52 | ↓ -93% |
| Amerigroup | DualEligible | $147.52 | ↓ -93% |
| Devoted Health | MCR | $147.52 | ↓ -93% |
| Devoted Health | POS | $147.52 | ↓ -93% |
| United | NarrowNetworkIndivExchange | $147.52 | ↓ -93% |
| Superior Health Plan | STARPLUS | $148.71 | ↓ -93% |
| Superior Health Plan | STARKids | $148.71 | ↓ -93% |
| Superior Health Plan | STARHealth | $148.71 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $148.71 | ↓ -93% |
| Superior Health Plan | CHIP | $148.71 | ↓ -93% |
| Aetna | MCR | $148.77 | ↓ -93% |
| Care N Care | MGMCR | $149.00 | ↓ -93% |
| United | MGMCR | $150.47 | ↓ -93% |
| Cigna Healthspring | MGMCR | $150.47 | ↓ -93% |
| WellCare | MGMCR | $151.95 | ↓ -93% |
| Integranet | MGMCR | $151.95 | ↓ -93% |
| Humana | Tricare | $154.87 | ↓ -93% |
| Superior Health Plan | MGMCRPFFS | $154.90 | ↓ -93% |
| American Health Plan of Texas, Inc. | MGMCR | $154.90 | ↓ -93% |
| Superior Health Plan | MGMCRDualEligible | $154.90 | ↓ -93% |
| Humana | MGMCD | $154.90 | ↓ -93% |
| ProCare Advantge | MCR | $154.90 | ↓ -93% |
| Superior Health Plan | MGMCRSNP | $154.90 | ↓ -93% |
| Superior Health Plan | MGMCRPOS | $154.90 | ↓ -93% |
| Superior Health Plan | MGMCRPPO | $154.90 | ↓ -93% |
| Superior Health Plan | MGMCRHMO | $154.90 | ↓ -93% |
| Texas Independent Health Plan | MGMCR | $156.37 | ↓ -93% |
| Provider Partners Health Plan | MCR | $156.37 | ↓ -93% |
| Molina | MME | $160.80 | ↓ -92% |
| Molina | MMP | $160.80 | ↓ -92% |
| Molina | MCR | $160.80 | ↓ -92% |
| Imperial Insurance Company | MCR | $162.27 | ↓ -92% |
| Aetna | NewBusiness | $166.40 | ↓ -92% |
| Universal Healthcare Group | MCR | $177.02 | ↓ -92% |
| Aetna | COMM | $177.91 | ↓ -92% |
| Aetna | Meritain | $177.91 | ↓ -92% |
| Verda Health Plan | MGMCR | $191.78 | ↓ -91% |
| Aetna | OON | $210.65 | ↓ -90% |
| Bravo Health | MCRSNP | $221.28 | ↓ -90% |
| Bravo Health | MCRPFFS | $221.28 | ↓ -90% |
| Bravo Health | MCRPPO | $221.28 | ↓ -90% |
| Bravo Health | MCRPOS | $221.28 | ↓ -90% |
| Bravo Health | MCRHMO | $221.28 | ↓ -90% |
| BCBS | MyBlueHealth | $258.16 | ↓ -88% |
| BCBS | BlueAdvantageHMO | $258.16 | ↓ -88% |
| Superior | ValueHMO | $264.06 | ↓ -88% |
| USA Managed Care | WORKERSCOMP | $280.29 | ↓ -87% |
| Cigna | IFP | $286.81 | ↓ -86% |
| Corvel Corporation | WORKERSCOMP | $292.09 | ↓ -86% |
| Cigna | QHP | $297.43 | ↓ -86% |
| Superior | HMO | $330.44 | ↓ -84% |
| Superior | EPO | $330.44 | ↓ -84% |
| BCBS | BlueEssentials | $364.37 | ↓ -83% |
| BCBS | BlueEssentialsAccess | $364.37 | ↓ -83% |
| BCBS | EPOSOA | $382.08 | ↓ -82% |
| Oscar | HIX | $383.55 | ↓ -82% |
| Molina Healthcare | HIX | $386.50 | ↓ -82% |
| BCBS | PPO | $399.78 | ↓ -81% |
| United | OptionsPPO | $410.03 | ↓ -81% |
| Unicare | CHIP | $509.88 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $520.50 | ↓ -76% |
| Evry Health | COMM | $548.12 | ↓ -74% |
| Cigna | LocalPlus | $561.70 | ↓ -74% |
| Cigna | NewBusiness | $562.26 | ↓ -74% |
| Cigna | HMO | $627.38 | ↓ -70% |
| Cigna | OpenAccessPlus | $627.38 | ↓ -70% |
| Cigna | NetworkBenefit | $627.38 | ↓ -70% |
| Healthcare Highways | CityofPlano | $718.08 | ↓ -66% |
| Cigna | AllOther | $794.03 | ↓ -63% |
| BCBS | Traditional | $879.54 | ↓ -59% |
| Fidelis SecureCare | MGMCR | $956.02 | ↓ -55% |
| United | GlobalBenefitPlan | $956.02 | ↓ -55% |
| City of McKinney | COMM | $956.02 | ↓ -55% |
| National ChoiceCare | WCOMP | $1,062.24 | ↓ -50% |
| Aetna | ASA | $1,072.87 | ↓ -49% |
| Rockport Health Group | WORKERSCOMP | $1,168.47 | ↓ -45% |
| Aetna | WCOMP | $1,168.47 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $1,168.47 | ↓ -45% |
| PC Texas Partners | WCOMP | $1,168.47 | ↓ -45% |
| Aetna Coventry First Health | COMM | $1,217.33 | ↓ -43% |
| Averde Health, Inc | PPO | $1,232.20 | ↓ -42% |
| USC Health Services | COMM | $1,274.69 | ↓ -40% |
| Coastal Comp Health Networks | WCOMP | $1,487.14 | ↓ -30% |
| Jostens | WCOMP | $1,487.14 | ↓ -30% |
| Mega Life | MGMCRPPO | $1,487.14 | ↓ -30% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,593.37 | ↓ -25% |
| Multiplan | PHCSPrimaryNetwork | $1,593.37 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $1,593.37 | ↓ -25% |
| USA Managed Care | COMM | $1,699.59 | ↓ -20% |
| Multiplan | ComplementaryNetwork | $1,805.82 | ↓ -15% |
| Unicare | MCD | $2,124.49 | ↑ +0% |
| National Healthcare Solutions | COMM | $2,124.49 | ↑ +0% |
| Independent Medical Systems | COMM | $2,124.49 | ↑ +0% |
Visitor-reported prices
Comments
Tissue culture tumor at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $772.11 | $35.00 – $965.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $652.70 | $36.00 – $979.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $633.69 | $36.00 – $792.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $772.11 | $35.00 – $965.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $652.70 | $36.00 – $979.05 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $652.70 | $26.00 – $979.05 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $633.69 | $36.00 – $950.53 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $772.11 | $35.00 – $965.14 |