Ultrasound joint complete left 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$42.36 with Cigna vs $2,301.89 with National Healthcare Solutions — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Cigna | LocalPlus | $42.36 | — |
| Cigna | NewBusiness | $42.40 | — |
| Cigna | OpenAccessPlus | $47.31 | — |
| Cigna | HMO | $47.31 | — |
| Cigna | NetworkBenefit | $47.31 | — |
| Cigna | AllOther | $59.88 | — |
| Aetna | NewBusiness | $65.51 | — |
| Aetna | COMM | $69.97 | — |
| Aetna | Meritain | $69.97 | — |
| BCBS | MyBlueHealth | $79.49 | — |
| BCBS | BlueAdvantageHMO | $79.49 | — |
| Aetna | OON | $82.81 | — |
| TEXAS HEALTH NETWORK | MCD | $94.84 | — |
| United | STARPerinate | $96.28 | — |
| Parkland Community Health Plan | MCD | $96.28 | — |
| Cook Childrens Health Plan | CHIP | $96.28 | — |
| United | CHIP | $96.28 | — |
| Amerigroup | MGMCD | $96.28 | — |
| United | STAR | $96.28 | — |
| United | STARKids | $96.28 | — |
| United | STARPLUS | $96.28 | — |
| Amerigroup | CHIP | $96.28 | — |
| Cook Childrens Health Plan | STAR | $96.28 | — |
| Cigna Healthspring | MGMCD | $101.09 | — |
| Aetna Better Health | MCD | $103.98 | — |
| Aetna Better Health | CHIP | $103.98 | — |
| Molina | STAR+PLUS | $105.91 | — |
| Molina | CHIP | $105.91 | — |
| Molina | STARKIDS | $105.91 | — |
| Molina | MCDSTAR | $105.91 | — |
| Humana | MGMCD | $120.35 | — |
| United | NarrowNetworkIndivExchange | $154.52 | — |
| United | SmallGroup | $154.52 | — |
| Superior Health Plan | STARKids | $161.13 | — |
| Superior Health Plan | MCDSTAR | $161.13 | — |
| Superior Health Plan | STARPLUS | $161.13 | — |
| Superior Health Plan | CHIP | $161.13 | — |
| Superior Health Plan | STARHealth | $161.13 | — |
| BCBS | BlueEssentialsAccess | $236.72 | — |
| BCBS | BlueEssentials | $236.72 | — |
| United | AllPayerAppendix | $245.18 | — |
| BCBS | EPOSOA | $248.33 | — |
| BCBS | PPO | $259.93 | — |
| Cigna | IFP | $310.76 | — |
| Cigna | QHP | $322.26 | — |
| United | OptionsPPO | $444.26 | — |
| Unicare | CHIP | $552.45 | — |
| Healthcare Highways | NarrowNetwork | $563.96 | — |
| Evry Health | COMM | $593.89 | — |
| Healthcare Highways | CityofPlano | $778.04 | — |
| Curative Administrators | COMM | $920.76 | — |
| BCBS | Traditional | $952.98 | — |
| City of McKinney | COMM | $1,035.85 | — |
| United | GlobalBenefitPlan | $1,035.85 | — |
| Fidelis SecureCare | MGMCR | $1,035.85 | — |
| National ChoiceCare | WCOMP | $1,150.94 | — |
| Aetna | ASA | $1,162.45 | — |
| Aetna | WCOMP | $1,266.04 | — |
| PC Texas Partners | WCOMP | $1,266.04 | — |
| Physicians Coop of TX | MGMCR | $1,266.04 | — |
| Rockport Health Group | WORKERSCOMP | $1,266.04 | — |
| Aetna Coventry First Health | COMM | $1,318.98 | — |
| Averde Health, Inc | PPO | $1,335.10 | — |
| USC Health Services | COMM | $1,381.13 | — |
| Jostens | WCOMP | $1,611.32 | — |
| Mega Life | MGMCRPPO | $1,611.32 | — |
| Coastal Comp Health Networks | WCOMP | $1,611.32 | — |
| HealthSmart Preferred Care | PPO | $1,726.42 | — |
| Multiplan | PHCSPrimaryNetwork | $1,726.42 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,726.42 | — |
| USA Managed Care | COMM | $1,841.51 | — |
| Multiplan | ComplementaryNetwork | $1,956.61 | — |
| Independent Medical Systems | COMM | $2,301.89 | — |
| Unicare | MCD | $2,301.89 | — |
| National Healthcare Solutions | COMM | $2,301.89 | — |
Visitor-reported prices
Comments
Ultrasound joint complete left at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,399.39 | $223.38 – $223.38 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $623.67 | $96.28 – $779.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $544.62 | $112.10 – $816.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $499.95 | $96.28 – $624.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $623.67 | $96.28 – $779.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $544.62 | $99.77 – $816.93 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $544.62 | $96.28 – $816.93 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $499.95 | $96.28 – $749.92 |