Training self management diabetes individual outpatient department per 30 minutes at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$422.43
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.
$422.43
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.
$29.57 with Superior Health Plan vs $422.43 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 |
|---|---|---|---|
| Superior Health Plan | STARPLUS | $29.57 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $29.57 | ↓ -93% |
| Superior Health Plan | STARKids | $29.57 | ↓ -93% |
| Superior Health Plan | CHIP | $29.57 | ↓ -93% |
| Superior Health Plan | STARHealth | $29.57 | ↓ -93% |
| Humana | Tricare | $52.78 | ↓ -88% |
| WellMed | MGMCR | $54.14 | ↓ -87% |
| TriWest Health Alliance | FEDERAL | $54.41 | ↓ -87% |
| Devoted Health | SNP | $54.41 | ↓ -87% |
| Mutual of Omaha | MGMCR | $54.41 | ↓ -87% |
| BCBS | MGMCRHMO | $54.41 | ↓ -87% |
| Devoted Health | PPO | $54.41 | ↓ -87% |
| Amerigroup | DualEligible | $54.41 | ↓ -87% |
| Devoted Health | HMO | $54.41 | ↓ -87% |
| Devoted Health | POS | $54.41 | ↓ -87% |
| Devoted Health | MCR | $54.41 | ↓ -87% |
| Devoted Health | MME | $54.41 | ↓ -87% |
| BCBS | MCRPPO | $54.41 | ↓ -87% |
| Humana | MGMCR | $54.41 | ↓ -87% |
| Aetna | MCR | $54.87 | ↓ -87% |
| Care N Care | MGMCR | $54.95 | ↓ -87% |
| United | MGMCR | $55.50 | ↓ -87% |
| Cigna Healthspring | MGMCR | $55.50 | ↓ -87% |
| Integranet | MGMCR | $56.04 | ↓ -87% |
| WellCare | MGMCR | $56.04 | ↓ -87% |
| Cigna | IFP | $57.03 | ↓ -86% |
| Superior Health Plan | MGMCRPOS | $57.13 | ↓ -86% |
| Superior Health Plan | MGMCRSNP | $57.13 | ↓ -86% |
| Superior Health Plan | MGMCRDualEligible | $57.13 | ↓ -86% |
| Superior Health Plan | MGMCRPPO | $57.13 | ↓ -86% |
| Superior Health Plan | MGMCRHMO | $57.13 | ↓ -86% |
| American Health Plan of Texas, Inc. | MGMCR | $57.13 | ↓ -86% |
| Superior Health Plan | MGMCRPFFS | $57.13 | ↓ -86% |
| ProCare Advantge | MCR | $57.13 | ↓ -86% |
| Provider Partners Health Plan | MCR | $57.67 | ↓ -86% |
| Texas Independent Health Plan | MGMCR | $57.67 | ↓ -86% |
| Cigna | QHP | $59.14 | ↓ -86% |
| Molina | MCR | $59.31 | ↓ -86% |
| Molina | MME | $59.31 | ↓ -86% |
| Molina | MMP | $59.31 | ↓ -86% |
| Imperial Insurance Company | MCR | $59.85 | ↓ -86% |
| Universal Healthcare Group | MCR | $65.29 | ↓ -85% |
| Verda Health Plan | MGMCR | $70.73 | ↓ -83% |
| United | OptionsPPO | $81.53 | ↓ -81% |
| Bravo Health | MCRPOS | $81.61 | ↓ -81% |
| Bravo Health | MCRPPO | $81.61 | ↓ -81% |
| Bravo Health | MCRSNP | $81.61 | ↓ -81% |
| Bravo Health | MCRPFFS | $81.61 | ↓ -81% |
| Bravo Health | MCRHMO | $81.61 | ↓ -81% |
| Aetna | NewBusiness | $82.80 | ↓ -80% |
| Oscar | HIX | $87.87 | ↓ -79% |
| Aetna | COMM | $88.29 | ↓ -79% |
| Aetna | Meritain | $88.29 | ↓ -79% |
| Superior | ValueHMO | $97.39 | ↓ -77% |
| Unicare | CHIP | $101.38 | ↓ -76% |
| USA Managed Care | WORKERSCOMP | $103.38 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $103.50 | ↓ -75% |
| Aetna | OON | $104.34 | ↓ -75% |
| Corvel Corporation | WORKERSCOMP | $107.73 | ↓ -74% |
| Evry Health | COMM | $108.99 | ↓ -74% |
| Cigna | LocalPlus | $111.52 | ↓ -74% |
| Cigna | NewBusiness | $111.52 | ↓ -74% |
| Superior | EPO | $121.88 | ↓ -71% |
| Superior | HMO | $121.88 | ↓ -71% |
| Cigna | HMO | $124.62 | ↓ -70% |
| Cigna | NetworkBenefit | $124.62 | ↓ -70% |
| Cigna | OpenAccessPlus | $124.62 | ↓ -70% |
| Molina Healthcare | HIX | $142.55 | ↓ -66% |
| Healthcare Highways | CityofPlano | $142.78 | ↓ -66% |
| BCBS | BlueAdvantageHMO | $154.60 | ↓ -63% |
| BCBS | MyBlueHealth | $154.60 | ↓ -63% |
| Cigna | AllOther | $157.57 | ↓ -63% |
| Curative Administrators | COMM | $168.97 | ↓ -60% |
| BCBS | Traditional | $174.89 | ↓ -59% |
| City of McKinney | COMM | $190.09 | ↓ -55% |
| United | GlobalBenefitPlan | $190.09 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $190.09 | ↓ -55% |
| National ChoiceCare | WCOMP | $211.22 | ↓ -50% |
| Aetna | ASA | $213.33 | ↓ -49% |
| PC Texas Partners | WCOMP | $232.34 | ↓ -45% |
| Aetna | WCOMP | $232.34 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $232.34 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $232.34 | ↓ -45% |
| Aetna Coventry First Health | COMM | $242.05 | ↓ -43% |
| Averde Health, Inc | PPO | $245.01 | ↓ -42% |
| USC Health Services | COMM | $253.46 | ↓ -40% |
| BCBS | BlueEssentialsAccess | $273.79 | ↓ -35% |
| BCBS | BlueEssentials | $273.79 | ↓ -35% |
| BCBS | EPOSOA | $287.28 | ↓ -32% |
| Coastal Comp Health Networks | WCOMP | $295.70 | ↓ -30% |
| Mega Life | MGMCRPPO | $295.70 | ↓ -30% |
| Jostens | WCOMP | $295.70 | ↓ -30% |
| BCBS | PPO | $300.78 | ↓ -29% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $316.82 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $316.82 | ↓ -25% |
| Multiplan | PHCSPrimaryNetwork | $316.82 | ↓ -25% |
| USA Managed Care | COMM | $337.94 | ↓ -20% |
| Multiplan | ComplementaryNetwork | $359.07 | ↓ -15% |
| National Healthcare Solutions | COMM | $422.43 | ↑ +0% |
| Unicare | MCD | $422.43 | ↑ +0% |
| Independent Medical Systems | COMM | $422.43 | ↑ +0% |
Visitor-reported prices
Comments
Training self management diabetes individual outpatient department per 30 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $100.98 | $28.61 – $172.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $104.33 | $21.48 – $156.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $122.01 | $24.40 – $169.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $100.98 | $26.93 – $143.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $104.33 | $33.49 – $207.45 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $104.33 | $53.91 – $156.50 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $122.01 | $40.67 – $183.01 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $100.98 | $26.93 – $172.60 |