Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$796.59
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.
$796.59
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.
$55.76 with Superior Health Plan vs $796.59 with National Healthcare Solutions — 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 | CHIP | $55.76 | ↓ -93% |
| Superior Health Plan | STARHealth | $55.76 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $55.76 | ↓ -93% |
| Superior Health Plan | STARPLUS | $55.76 | ↓ -93% |
| Superior Health Plan | STARKids | $55.76 | ↓ -93% |
| Cigna | IFP | $107.54 | ↓ -86% |
| Cigna | QHP | $111.52 | ↓ -86% |
| United | OptionsPPO | $153.74 | ↓ -81% |
| Aetna | NewBusiness | $156.13 | ↓ -80% |
| Oscar | HIX | $165.69 | ↓ -79% |
| Aetna | COMM | $166.49 | ↓ -79% |
| Aetna | Meritain | $166.49 | ↓ -79% |
| Unicare | CHIP | $191.18 | ↓ -76% |
| Aetna | OON | $196.76 | ↓ -75% |
| Healthcare Highways | CityofPlano | $269.25 | ↓ -66% |
| BCBS | MyBlueHealth | $299.83 | ↓ -62% |
| BCBS | BlueAdvantageHMO | $299.83 | ↓ -62% |
| BCBS | Traditional | $329.79 | ↓ -59% |
| United | GlobalBenefitPlan | $358.47 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $358.47 | ↓ -55% |
| City of McKinney | COMM | $358.47 | ↓ -55% |
| National ChoiceCare | WCOMP | $398.30 | ↓ -50% |
| Aetna | ASA | $402.28 | ↓ -49% |
| PC Texas Partners | WCOMP | $438.12 | ↓ -45% |
| Aetna | WCOMP | $438.12 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $438.12 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $438.12 | ↓ -45% |
| Aetna Coventry First Health | COMM | $456.45 | ↓ -43% |
| Averde Health, Inc | PPO | $462.02 | ↓ -42% |
| USC Health Services | COMM | $477.95 | ↓ -40% |
| BCBS | BlueEssentialsAccess | $530.98 | ↓ -33% |
| BCBS | BlueEssentials | $530.98 | ↓ -33% |
| BCBS | EPOSOA | $557.14 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $557.61 | ↓ -30% |
| Jostens | WCOMP | $557.61 | ↓ -30% |
| Mega Life | MGMCRPPO | $557.61 | ↓ -30% |
| BCBS | PPO | $583.31 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $597.44 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $597.44 | ↓ -25% |
| Multiplan | PHCSPrimaryNetwork | $597.44 | ↓ -25% |
| USA Managed Care | COMM | $637.27 | ↓ -20% |
| Multiplan | ComplementaryNetwork | $677.10 | ↓ -15% |
| Unicare | MCD | $796.59 | ↑ +0% |
| Independent Medical Systems | COMM | $796.59 | ↑ +0% |
| National Healthcare Solutions | COMM | $796.59 | ↑ +0% |
Visitor-reported prices
Comments
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $327.58 | $419.77 – $419.77 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $349.13 | $98.92 – $436.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $312.44 | $64.31 – $468.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $420.58 | $84.12 – $525.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $349.13 | $93.10 – $436.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $312.44 | $100.29 – $468.67 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $312.44 | $161.43 – $3,235.82 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $420.58 | $126.97 – $630.87 |