Ultrasound ob >=14wks ea addl gest 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.
$59.25 with BCBS vs $3,771.72 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 |
|---|---|---|---|
| BCBS | MyBlueHealth | $59.25 | — |
| BCBS | BlueAdvantageHMO | $59.25 | — |
| TEXAS HEALTH NETWORK | MCD | $86.23 | — |
| United | CHIP | $87.54 | — |
| Cook Childrens Health Plan | CHIP | $87.54 | — |
| Amerigroup | MGMCD | $87.54 | — |
| United | STAR | $87.54 | — |
| Parkland Community Health Plan | MCD | $87.54 | — |
| Cook Childrens Health Plan | STAR | $87.54 | — |
| United | STARPerinate | $87.54 | — |
| United | STARPLUS | $87.54 | — |
| United | STARKids | $87.54 | — |
| Amerigroup | CHIP | $87.54 | — |
| Cigna Healthspring | MGMCD | $91.92 | — |
| Aetna Better Health | MCD | $94.54 | — |
| Aetna Better Health | CHIP | $94.54 | — |
| Molina | STAR+PLUS | $96.29 | — |
| Molina | CHIP | $96.29 | — |
| Molina | STARKIDS | $96.29 | — |
| Molina | MCDSTAR | $96.29 | — |
| Aetna | NewBusiness | $96.48 | — |
| Aetna | Meritain | $103.06 | — |
| Aetna | COMM | $103.06 | — |
| Humana | MGMCD | $109.43 | — |
| Aetna | OON | $121.97 | — |
| BCBS | BlueEssentials | $176.46 | — |
| BCBS | BlueEssentialsAccess | $176.46 | — |
| BCBS | EPOSOA | $185.11 | — |
| BCBS | PPO | $193.76 | — |
| Superior Health Plan | CHIP | $264.02 | — |
| Superior Health Plan | STARHealth | $264.02 | — |
| Superior Health Plan | MCDSTAR | $264.02 | — |
| Superior Health Plan | STARKids | $264.02 | — |
| Superior Health Plan | STARPLUS | $264.02 | — |
| Cigna | IFP | $509.18 | — |
| Cigna | QHP | $528.04 | — |
| Imperial Insurance Company | MCR | $716.63 | — |
| United | OptionsPPO | $727.94 | — |
| Superior | EPO | $754.34 | — |
| Superior | HMO | $754.34 | — |
| Superior | ValueHMO | $754.34 | — |
| Unicare | CHIP | $905.21 | — |
| Healthcare Highways | NarrowNetwork | $924.07 | — |
| Molina Healthcare | HIX | $942.93 | — |
| Evry Health | COMM | $973.10 | — |
| Healthcare Highways | CityofPlano | $1,274.84 | — |
| Curative Administrators | COMM | $1,508.69 | — |
| BCBS | Traditional | $1,561.49 | — |
| United | GlobalBenefitPlan | $1,697.27 | — |
| City of McKinney | COMM | $1,697.27 | — |
| Fidelis SecureCare | MGMCR | $1,697.27 | — |
| National ChoiceCare | WCOMP | $1,885.86 | — |
| Aetna | ASA | $1,904.72 | — |
| Rockport Health Group | WORKERSCOMP | $2,074.45 | — |
| PC Texas Partners | WCOMP | $2,074.45 | — |
| Physicians Coop of TX | MGMCR | $2,074.45 | — |
| Aetna | WCOMP | $2,074.45 | — |
| Aetna Coventry First Health | COMM | $2,161.20 | — |
| Averde Health, Inc | PPO | $2,187.60 | — |
| USC Health Services | COMM | $2,263.03 | — |
| Coastal Comp Health Networks | WCOMP | $2,640.20 | — |
| Mega Life | MGMCRPPO | $2,640.20 | — |
| Jostens | WCOMP | $2,640.20 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $2,828.79 | — |
| HealthSmart Preferred Care | PPO | $2,828.79 | — |
| Multiplan | PHCSPrimaryNetwork | $2,828.79 | — |
| USA Managed Care | COMM | $3,017.38 | — |
| Multiplan | ComplementaryNetwork | $3,205.96 | — |
| Independent Medical Systems | COMM | $3,771.72 | — |
| National Healthcare Solutions | COMM | $3,771.72 | — |
| Unicare | MCD | $3,771.72 | — |
Visitor-reported prices
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Ultrasound ob >=14wks ea addl gest at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $470.69 | $86.50 – $666.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $567.63 | $94.99 – $851.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $459.43 | $87.54 – $574.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $470.69 | $87.54 – $666.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $567.63 | $93.67 – $851.45 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $567.63 | $87.54 – $851.45 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $459.43 | $87.54 – $689.14 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $470.69 | $86.50 – $666.82 |