Trauma partial team response w/critical care services level 4 at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
not published by hospital
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.
not published by hospital
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.
$1,834.28 with Superior Health Plan vs $26,204.00 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 | $1,834.28 | — |
| Superior Health Plan | MCDSTAR | $1,834.28 | — |
| Superior Health Plan | STARHealth | $1,834.28 | — |
| Superior Health Plan | CHIP | $1,834.28 | — |
| Superior Health Plan | STARPLUS | $1,834.28 | — |
| BCBS | BlueAdvantageHMO | $2,450.66 | — |
| BCBS | MyBlueHealth | $2,450.66 | — |
| Cigna | IFP | $3,537.54 | — |
| Cigna | QHP | $3,668.56 | — |
| BCBS | BlueEssentialsAccess | $4,339.90 | — |
| BCBS | BlueEssentials | $4,339.90 | — |
| BCBS | EPOSOA | $4,553.78 | — |
| BCBS | PPO | $4,767.65 | — |
| United | OptionsPPO | $5,057.37 | — |
| Unicare | CHIP | $6,288.96 | — |
| Healthcare Highways | CityofPlano | $8,856.95 | — |
| BCBS | Traditional | $10,848.46 | — |
| United | GlobalBenefitPlan | $11,791.80 | — |
| Fidelis SecureCare | MGMCR | $11,791.80 | — |
| City of McKinney | COMM | $11,791.80 | — |
| National ChoiceCare | WCOMP | $13,102.00 | — |
| Aetna | ASA | $13,233.02 | — |
| Rockport Health Group | WORKERSCOMP | $14,412.20 | — |
| Physicians Coop of TX | MGMCR | $14,412.20 | — |
| PC Texas Partners | WCOMP | $14,412.20 | — |
| Aetna | WCOMP | $14,412.20 | — |
| Aetna Coventry First Health | COMM | $15,014.89 | — |
| Averde Health, Inc | PPO | $15,198.32 | — |
| USC Health Services | COMM | $15,722.40 | — |
| Coastal Comp Health Networks | WCOMP | $18,342.80 | — |
| Jostens | WCOMP | $18,342.80 | — |
| Mega Life | MGMCRPPO | $18,342.80 | — |
| HealthSmart Preferred Care | PPO | $19,653.00 | — |
| Multiplan | PHCSPrimaryNetwork | $19,653.00 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $19,653.00 | — |
| USA Managed Care | COMM | $20,963.20 | — |
| Multiplan | ComplementaryNetwork | $22,273.40 | — |
| Independent Medical Systems | COMM | $26,204.00 | — |
| National Healthcare Solutions | COMM | $26,204.00 | — |
| Unicare | MCD | $26,204.00 | — |
Visitor-reported prices
Comments
Trauma partial team response w/critical care services level 4 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $8,026.96 | $167.57 – $6,858.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $8,026.96 | $121.74 – $6,292.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $8,026.96 | $118.29 – $3,391.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $8,026.96 | $157.71 – $6,292.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $8,026.96 | $189.85 – $6,292.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $8,026.96 | $305.57 – $3,391.62 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $8,026.96 | $197.14 – $3,391.62 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $8,026.96 | $157.71 – $6,292.00 |