Tx atrial fib pulm vein isol at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$92,602.13
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.
$92,602.13
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.
$5,591.00 with Superior Health Plan vs $92,602.13 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 | STARHealth | $5,591.00 | ↓ -94% |
| Superior Health Plan | STARKids | $5,591.00 | ↓ -94% |
| Superior Health Plan | STARPLUS | $5,591.00 | ↓ -94% |
| Superior Health Plan | MCDSTAR | $5,591.00 | ↓ -94% |
| Superior Health Plan | CHIP | $5,591.00 | ↓ -94% |
| Oscar | HIX | $7,668.00 | ↓ -92% |
| Fidelis SecureCare | MGMCR | $8,300.00 | ↓ -91% |
| Cigna | IFP | $12,501.29 | ↓ -86% |
| Cigna | QHP | $12,964.30 | ↓ -86% |
| United | OptionsPPO | $17,872.21 | ↓ -81% |
| Unicare | CHIP | $22,224.51 | ↓ -76% |
| United | NarrowNetworkIndivExchange | $25,253.00 | ↓ -73% |
| United | SmallGroup | $27,726.00 | ↓ -70% |
| Healthcare Highways | NarrowNetwork | $27,837.00 | ↓ -70% |
| Evry Health | COMM | $29,597.00 | ↓ -68% |
| Healthcare Highways | CityofPlano | $31,299.52 | ↓ -66% |
| United | AllPayerAppendix | $33,939.00 | ↓ -63% |
| BCBS | Traditional | $38,337.28 | ↓ -59% |
| City of McKinney | COMM | $41,670.96 | ↓ -55% |
| United | GlobalBenefitPlan | $41,670.96 | ↓ -55% |
| Curative Administrators | COMM | $43,890.00 | ↓ -53% |
| National ChoiceCare | WCOMP | $46,301.07 | ↓ -50% |
| Aetna | ASA | $46,764.08 | ↓ -49% |
| BCBS | MyBlueHealth | $46,796.77 | ↓ -49% |
| BCBS | BlueAdvantageHMO | $46,796.77 | ↓ -49% |
| PC Texas Partners | WCOMP | $50,931.17 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $50,931.17 | ↓ -45% |
| Aetna | WCOMP | $50,931.17 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $50,931.17 | ↓ -45% |
| BCBS | BlueEssentialsAccess | $52,109.94 | ↓ -44% |
| BCBS | BlueEssentials | $52,109.94 | ↓ -44% |
| Aetna Coventry First Health | COMM | $53,061.02 | ↓ -43% |
| Averde Health, Inc | PPO | $53,709.24 | ↓ -42% |
| BCBS | EPOSOA | $54,766.52 | ↓ -41% |
| USC Health Services | COMM | $55,561.28 | ↓ -40% |
| BCBS | PPO | $57,218.76 | ↓ -38% |
| Coastal Comp Health Networks | WCOMP | $64,821.49 | ↓ -30% |
| Mega Life | MGMCRPPO | $64,821.49 | ↓ -30% |
| Jostens | WCOMP | $64,821.49 | ↓ -30% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $69,451.60 | ↓ -25% |
| Multiplan | PHCSPrimaryNetwork | $69,451.60 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $69,451.60 | ↓ -25% |
| USA Managed Care | COMM | $74,081.70 | ↓ -20% |
| Multiplan | ComplementaryNetwork | $78,711.81 | ↓ -15% |
| Independent Medical Systems | COMM | $92,602.13 | ↑ +0% |
| National Healthcare Solutions | COMM | $92,602.13 | ↑ +0% |
| Unicare | MCD | $92,602.13 | ↑ +0% |
Visitor-reported prices
Comments
Tx atrial fib pulm vein isol at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $36,478.99 | $6,299.00 – $58,835.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $36,478.99 | $7,508.59 – $58,835.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $36,478.99 | $7,295.80 – $58,835.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $36,478.99 | $9,727.73 – $58,835.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $36,478.99 | $11,709.76 – $58,835.89 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $36,478.99 | $18,847.48 – $58,835.89 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $36,478.99 | $12,159.66 – $58,835.89 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $36,478.99 | $9,727.73 – $58,835.89 |