Tlso rig fram pelvic pre cst at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$5,563.00
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.
$5,563.00
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.
$389.41 with Superior Health Plan vs $5,563.00 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 |
|---|---|---|---|
| Superior Health Plan | STARKids | $389.41 | ↓ -93% |
| Superior Health Plan | CHIP | $389.41 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $389.41 | ↓ -93% |
| Superior Health Plan | STARPLUS | $389.41 | ↓ -93% |
| Superior Health Plan | STARHealth | $389.41 | ↓ -93% |
| Humana | Tricare | $552.42 | ↓ -90% |
| BCBS | MGMCRHMO | $558.34 | ↓ -90% |
| BCBS | MCRPPO | $558.34 | ↓ -90% |
| WellMed | MGMCR | $566.66 | ↓ -90% |
| TriWest Health Alliance | FEDERAL | $569.51 | ↓ -90% |
| Mutual of Omaha | MGMCR | $569.51 | ↓ -90% |
| Amerigroup | DualEligible | $569.51 | ↓ -90% |
| Humana | MGMCR | $569.51 | ↓ -90% |
| Devoted Health | SNP | $569.51 | ↓ -90% |
| Devoted Health | HMO | $569.51 | ↓ -90% |
| Devoted Health | POS | $569.51 | ↓ -90% |
| Devoted Health | MCR | $569.51 | ↓ -90% |
| Devoted Health | PPO | $569.51 | ↓ -90% |
| Devoted Health | MME | $569.51 | ↓ -90% |
| United | MGMCR | $572.36 | ↓ -90% |
| Aetna | MCR | $574.35 | ↓ -90% |
| Care N Care | MGMCR | $575.21 | ↓ -90% |
| Cigna Healthspring | MGMCR | $580.90 | ↓ -90% |
| WellCare | MGMCR | $586.60 | ↓ -89% |
| Integranet | MGMCR | $586.60 | ↓ -89% |
| Superior Health Plan | MGMCRPOS | $597.99 | ↓ -89% |
| Superior Health Plan | MGMCRHMO | $597.99 | ↓ -89% |
| Superior Health Plan | MGMCRPPO | $597.99 | ↓ -89% |
| Superior Health Plan | MGMCRDualEligible | $597.99 | ↓ -89% |
| Superior Health Plan | MGMCRPFFS | $597.99 | ↓ -89% |
| Superior Health Plan | MGMCRSNP | $597.99 | ↓ -89% |
| American Health Plan of Texas, Inc. | MGMCR | $597.99 | ↓ -89% |
| ProCare Advantge | MCR | $597.99 | ↓ -89% |
| Texas Independent Health Plan | MGMCR | $603.68 | ↓ -89% |
| Provider Partners Health Plan | MCR | $603.68 | ↓ -89% |
| Molina | MMP | $620.77 | ↓ -89% |
| Molina | MME | $620.77 | ↓ -89% |
| Molina | MCR | $620.77 | ↓ -89% |
| Imperial Insurance Company | MCR | $626.46 | ↓ -89% |
| Universal Healthcare Group | MCR | $683.41 | ↓ -88% |
| Verda Health Plan | MGMCR | $740.36 | ↓ -87% |
| Cigna | IFP | $751.00 | ↓ -87% |
| Cigna | QHP | $778.82 | ↓ -86% |
| Bravo Health | MCRPFFS | $854.26 | ↓ -85% |
| Bravo Health | MCRSNP | $854.26 | ↓ -85% |
| Bravo Health | MCRPPO | $854.26 | ↓ -85% |
| Bravo Health | MCRPOS | $854.26 | ↓ -85% |
| Bravo Health | MCRHMO | $854.26 | ↓ -85% |
| Superior | ValueHMO | $1,019.42 | ↓ -82% |
| USA Managed Care | WORKERSCOMP | $1,082.07 | ↓ -81% |
| United | OptionsPPO | $1,107.04 | ↓ -80% |
| Corvel Corporation | WORKERSCOMP | $1,127.63 | ↓ -80% |
| Superior | EPO | $1,275.70 | ↓ -77% |
| Superior | HMO | $1,275.70 | ↓ -77% |
| Unicare | CHIP | $1,335.12 | ↓ -76% |
| BCBS | BlueAdvantageHMO | $1,374.06 | ↓ -75% |
| BCBS | MyBlueHealth | $1,374.06 | ↓ -75% |
| Cigna | LocalPlus | $1,468.63 | ↓ -74% |
| Cigna | NewBusiness | $1,468.63 | ↓ -74% |
| Molina Healthcare | HIX | $1,492.12 | ↓ -73% |
| Cigna | OpenAccessPlus | $1,641.09 | ↓ -70% |
| Cigna | NetworkBenefit | $1,641.09 | ↓ -70% |
| Cigna | HMO | $1,641.09 | ↓ -70% |
| BCBS | BlueEssentialsAccess | $1,774.60 | ↓ -68% |
| BCBS | BlueEssentials | $1,774.60 | ↓ -68% |
| BCBS | EPOSOA | $1,863.61 | ↓ -66% |
| Healthcare Highways | CityofPlano | $1,880.29 | ↓ -66% |
| BCBS | PPO | $1,947.05 | ↓ -65% |
| Cigna | AllOther | $2,075.00 | ↓ -63% |
| BCBS | Traditional | $2,469.97 | ↓ -56% |
| City of McKinney | COMM | $2,503.35 | ↓ -55% |
| National ChoiceCare | WCOMP | $2,781.50 | ↓ -50% |
| Aetna | ASA | $2,931.70 | ↓ -47% |
| PC Texas Partners | WCOMP | $3,059.65 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $3,059.65 | ↓ -45% |
| Aetna | WCOMP | $3,059.65 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $3,059.65 | ↓ -45% |
| Humana | COMM | $3,217.52 | ↓ -42% |
| Averde Health, Inc | PPO | $3,226.54 | ↓ -42% |
| USC Health Services | COMM | $3,337.80 | ↓ -40% |
| Mega Life | MGMCRPPO | $3,894.10 | ↓ -30% |
| Jostens | WCOMP | $3,894.10 | ↓ -30% |
| Aetna Coventry First Health | COMM | $4,044.30 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $4,172.25 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $4,172.25 | ↓ -25% |
| USA Managed Care | COMM | $4,450.40 | ↓ -20% |
| Galaxy Health Network | PPO | $4,728.55 | ↓ -15% |
| Independent Medical Systems | COMM | $5,563.00 | ↑ +0% |
| National Healthcare Solutions | COMM | $5,563.00 | ↑ +0% |
| Unicare | MCD | $5,563.00 | ↑ +0% |
Visitor-reported prices
Comments
Tlso rig fram pelvic pre cst at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MEDICAL CITY ARGYLE HOSPITAL | Argyle | $7,218.00 | $552.42 – $1,492.12 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving | $9,832.00 | $552.42 – $1,492.12 |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH | $8,339.00 | $552.42 – $1,492.12 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney | $7,494.00 | $552.42 – $1,492.12 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $558.12 – $1,224.45 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $558.12 – $1,224.45 |
| HCA HOUSTON CONROE | CONROE | not published | $558.12 – $1,224.45 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $558.12 – $1,224.45 |