Tl-201 thallium diag per mci at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$3,106.62
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.
$3,106.62
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.
$70.00 with Imaging Providers of Texas vs $3,106.62 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 |
|---|---|---|---|
| Imaging Providers of Texas | HMOBlue | $70.00 | ↓ -98% |
| United | NarrowNetworkIndivExchange | $91.49 | ↓ -97% |
| United | AllPayerAppendix | $91.49 | ↓ -97% |
| United | SmallGroup | $91.49 | ↓ -97% |
| Cigna | LocalPlus | $201.56 | ↓ -94% |
| Cigna | NewBusiness | $201.76 | ↓ -94% |
| Superior Health Plan | MCDSTAR | $217.46 | ↓ -93% |
| Superior Health Plan | STARHealth | $217.46 | ↓ -93% |
| Superior Health Plan | STARPLUS | $217.46 | ↓ -93% |
| Superior Health Plan | STARKids | $217.46 | ↓ -93% |
| Superior Health Plan | CHIP | $217.46 | ↓ -93% |
| Cigna | HMO | $225.18 | ↓ -93% |
| Cigna | NetworkBenefit | $225.18 | ↓ -93% |
| Cigna | OpenAccessPlus | $225.18 | ↓ -93% |
| Cigna | AllOther | $284.87 | ↓ -91% |
| Cigna | IFP | $419.39 | ↓ -87% |
| Cigna | QHP | $434.93 | ↓ -86% |
| BCBS | MyBlueHealth | $523.71 | ↓ -83% |
| BCBS | BlueAdvantageHMO | $523.71 | ↓ -83% |
| Imperial Insurance Company | MCR | $590.26 | ↓ -81% |
| United | OptionsPPO | $599.58 | ↓ -81% |
| Superior | HMO | $621.32 | ↓ -80% |
| Superior | ValueHMO | $621.32 | ↓ -80% |
| Superior | EPO | $621.32 | ↓ -80% |
| Oscar | HIX | $646.18 | ↓ -79% |
| Unicare | CHIP | $745.59 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $761.12 | ↓ -76% |
| BCBS | BlueEssentialsAccess | $766.59 | ↓ -75% |
| BCBS | BlueEssentials | $766.59 | ↓ -75% |
| Molina Healthcare | HIX | $776.65 | ↓ -75% |
| Evry Health | COMM | $801.51 | ↓ -74% |
| BCBS | EPOSOA | $804.54 | ↓ -74% |
| BCBS | PPO | $842.49 | ↓ -73% |
| Healthcare Highways | CityofPlano | $1,050.04 | ↓ -66% |
| Curative Administrators | COMM | $1,242.65 | ↓ -60% |
| BCBS | Traditional | $1,286.14 | ↓ -59% |
| City of McKinney | COMM | $1,397.98 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $1,397.98 | ↓ -55% |
| United | GlobalBenefitPlan | $1,397.98 | ↓ -55% |
| National ChoiceCare | WCOMP | $1,553.31 | ↓ -50% |
| Aetna | WCOMP | $1,708.64 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $1,708.64 | ↓ -45% |
| PC Texas Partners | WCOMP | $1,708.64 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $1,708.64 | ↓ -45% |
| Aetna Coventry First Health | COMM | $1,780.09 | ↓ -43% |
| Averde Health, Inc | PPO | $1,801.84 | ↓ -42% |
| USC Health Services | COMM | $1,863.97 | ↓ -40% |
| Coastal Comp Health Networks | WCOMP | $2,174.63 | ↓ -30% |
| Jostens | WCOMP | $2,174.63 | ↓ -30% |
| Mega Life | MGMCRPPO | $2,174.63 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $2,329.97 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $2,329.97 | ↓ -25% |
| Multiplan | PHCSPrimaryNetwork | $2,329.97 | ↓ -25% |
| USA Managed Care | COMM | $2,485.30 | ↓ -20% |
| Multiplan | ComplementaryNetwork | $2,640.63 | ↓ -15% |
| National Healthcare Solutions | COMM | $3,106.62 | ↑ +0% |
| Independent Medical Systems | COMM | $3,106.62 | ↑ +0% |
| Unicare | MCD | $3,106.62 | ↑ +0% |
Visitor-reported prices
Comments
Tl-201 thallium diag per mci at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $27.09 | $20.13 – $538.00 |
| Baylor St Luke's Medical Center | Houston | $28.35 | $21.87 – $538.00 |
| St. Joseph Health Madison Hospital | Madisonville | $33.78 | $24.59 – $193.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $171.90 | $38.72 – $954.90 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $28.35 | $21.06 – $538.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $28.35 | $21.06 – $538.00 |
| St. Joseph Health College Station Hospital | College Station | $33.78 | $38.60 – $193.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $28.35 | $21.06 – $538.00 |