Transcath closure of asd at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$41,407.20
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.
$41,407.20
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.
$2,898.50 with Superior Health Plan vs $46,251.00 with Cigna — 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 | $2,898.50 | ↓ -93% |
| Superior Health Plan | STARHealth | $2,898.50 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $2,898.50 | ↓ -93% |
| Superior Health Plan | CHIP | $2,898.50 | ↓ -93% |
| Superior Health Plan | STARKids | $2,898.50 | ↓ -93% |
| Cigna | IFP | $5,589.97 | ↓ -87% |
| Cigna | QHP | $5,797.01 | ↓ -86% |
| United | OptionsPPO | $7,991.59 | ↓ -81% |
| Unicare | CHIP | $9,937.73 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $11,388.00 | ↓ -72% |
| Evry Health | COMM | $12,109.00 | ↓ -71% |
| Oscar | HIX | $12,897.00 | ↓ -69% |
| Healthcare Highways | CityofPlano | $13,995.63 | ↓ -66% |
| BCBS | Traditional | $17,142.58 | ↓ -59% |
| United | GlobalBenefitPlan | $18,633.24 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $18,633.24 | ↓ -55% |
| City of McKinney | COMM | $18,633.24 | ↓ -55% |
| National ChoiceCare | WCOMP | $20,703.60 | ↓ -50% |
| Aetna | ASA | $20,910.64 | ↓ -49% |
| PC Texas Partners | WCOMP | $22,773.96 | ↓ -45% |
| Aetna | WCOMP | $22,773.96 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $22,773.96 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $22,773.96 | ↓ -45% |
| Aetna Coventry First Health | COMM | $23,726.33 | ↓ -43% |
| Averde Health, Inc | PPO | $24,016.18 | ↓ -42% |
| USC Health Services | COMM | $24,844.32 | ↓ -40% |
| Aetna | NewBusiness | $26,718.00 | ↓ -35% |
| Aetna | COMM | $28,545.00 | ↓ -31% |
| Aetna | Meritain | $28,545.00 | ↓ -31% |
| Jostens | WCOMP | $28,985.04 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $28,985.04 | ↓ -30% |
| Mega Life | MGMCRPPO | $28,985.04 | ↓ -30% |
| United | SmallGroup | $28,998.00 | ↓ -30% |
| Multiplan | PHCSPrimaryNetwork | $31,055.40 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $31,055.40 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $31,055.40 | ↓ -25% |
| Cigna | LocalPlus | $32,724.00 | ↓ -21% |
| Cigna | NewBusiness | $32,756.00 | ↓ -21% |
| USA Managed Care | COMM | $33,125.76 | ↓ -20% |
| Aetna | OON | $33,769.00 | ↓ -18% |
| Multiplan | ComplementaryNetwork | $35,196.12 | ↓ -15% |
| BCBS | BlueAdvantageHMO | $36,502.53 | ↓ -12% |
| BCBS | MyBlueHealth | $36,502.53 | ↓ -12% |
| Cigna | HMO | $36,562.00 | ↓ -12% |
| Cigna | OpenAccessPlus | $36,562.00 | ↓ -12% |
| Cigna | NetworkBenefit | $36,562.00 | ↓ -12% |
| United | NarrowNetworkIndivExchange | $36,714.00 | ↓ -11% |
| United | AllPayerAppendix | $39,500.00 | ↓ -5% |
| BCBS | BlueEssentials | $40,646.92 | ↓ -2% |
| BCBS | BlueEssentialsAccess | $40,646.92 | ↓ -2% |
| Independent Medical Systems | COMM | $41,407.20 | ↑ +0% |
| National Healthcare Solutions | COMM | $41,407.20 | ↑ +0% |
| Unicare | MCD | $41,407.20 | ↑ +0% |
| BCBS | EPOSOA | $42,719.12 | ↑ +3% |
| Curative Administrators | COMM | $43,890.00 | ↑ +6% |
| BCBS | PPO | $44,631.92 | ↑ +8% |
| Cigna | AllOther | $46,251.00 | ↑ +12% |
Visitor-reported prices
Comments
Transcath closure of asd at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $27,128.00 | $6,299.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $28,600.65 | $5,886.97 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $26,635.92 | $5,327.18 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $27,128.00 | $7,234.13 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $28,600.65 | $9,180.81 – $43,439.01 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $28,600.65 | $14,777.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $26,635.92 | $8,878.64 – $43,439.01 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $27,128.00 | $7,234.13 – $43,439.01 |