Tx l/r atrial fib addl at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$25,222.00
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.
$25,222.00
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.
$1,226.94 with BCBS vs $43,890.00 with Curative Administrators — 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 |
|---|---|---|---|
| BCBS | MyBlueHealth | $1,226.94 | ↓ -95% |
| BCBS | BlueAdvantageHMO | $1,226.94 | ↓ -95% |
| BCBS | BlueEssentials | $2,172.80 | ↓ -91% |
| BCBS | BlueEssentialsAccess | $2,172.80 | ↓ -91% |
| BCBS | EPOSOA | $2,279.88 | ↓ -91% |
| BCBS | PPO | $2,386.96 | ↓ -91% |
| Oscar | HIX | $2,636.00 | ↓ -90% |
| Cigna | IFP | $3,404.97 | ↓ -87% |
| Cigna | QHP | $3,531.08 | ↓ -86% |
| Imperial Insurance Company | MCR | $4,792.18 | ↓ -81% |
| United | OptionsPPO | $4,867.85 | ↓ -81% |
| Superior | EPO | $5,044.40 | ↓ -80% |
| Superior | ValueHMO | $5,044.40 | ↓ -80% |
| Superior | HMO | $5,044.40 | ↓ -80% |
| Superior Health Plan | STARPLUS | $5,591.00 | ↓ -78% |
| Superior Health Plan | STARKids | $5,591.00 | ↓ -78% |
| Superior Health Plan | CHIP | $5,591.00 | ↓ -78% |
| Superior Health Plan | STARHealth | $5,591.00 | ↓ -78% |
| Superior Health Plan | MCDSTAR | $5,591.00 | ↓ -78% |
| Unicare | CHIP | $6,053.28 | ↓ -76% |
| Molina Healthcare | HIX | $6,305.50 | ↓ -75% |
| Fidelis SecureCare | MGMCR | $8,300.00 | ↓ -67% |
| Healthcare Highways | CityofPlano | $8,525.04 | ↓ -66% |
| BCBS | Traditional | $10,441.91 | ↓ -59% |
| City of McKinney | COMM | $11,349.90 | ↓ -55% |
| United | GlobalBenefitPlan | $11,349.90 | ↓ -55% |
| National ChoiceCare | WCOMP | $12,611.00 | ↓ -50% |
| Aetna | ASA | $12,737.11 | ↓ -50% |
| PC Texas Partners | WCOMP | $13,872.10 | ↓ -45% |
| Aetna | WCOMP | $13,872.10 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $13,872.10 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $13,872.10 | ↓ -45% |
| Aetna Coventry First Health | COMM | $14,452.21 | ↓ -43% |
| Averde Health, Inc | PPO | $14,628.76 | ↓ -42% |
| USC Health Services | COMM | $15,133.20 | ↓ -40% |
| Jostens | WCOMP | $17,655.40 | ↓ -30% |
| Mega Life | MGMCRPPO | $17,655.40 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $17,655.40 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $18,916.50 | ↓ -25% |
| Multiplan | PHCSPrimaryNetwork | $18,916.50 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $18,916.50 | ↓ -25% |
| USA Managed Care | COMM | $20,177.60 | ↓ -20% |
| Multiplan | ComplementaryNetwork | $21,438.70 | ↓ -15% |
| Unicare | MCD | $25,222.00 | ↑ +0% |
| National Healthcare Solutions | COMM | $25,222.00 | ↑ +0% |
| Independent Medical Systems | COMM | $25,222.00 | ↑ +0% |
| United | NarrowNetworkIndivExchange | $25,253.00 | ↑ +0% |
| United | SmallGroup | $27,726.00 | ↑ +10% |
| Healthcare Highways | NarrowNetwork | $27,837.00 | ↑ +10% |
| Evry Health | COMM | $29,597.00 | ↑ +17% |
| United | AllPayerAppendix | $33,939.00 | ↑ +35% |
| Curative Administrators | COMM | $43,890.00 | ↑ +74% |
Visitor-reported prices
Comments
Tx l/r atrial fib addl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $12,204.38 | $1,369.71 – $17,289.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $6,395.20 | $1,316.34 – $9,592.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $10,871.82 | $1,347.40 – $13,589.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $12,204.38 | $1,044.01 – $17,289.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $6,395.20 | $1,646.33 – $9,592.79 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $6,395.20 | $3,304.18 – $9,592.79 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $10,871.82 | $1,347.40 – $16,307.73 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $12,204.38 | $1,369.71 – $17,289.54 |