Unsched dialysis esrd pt hos at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$6,046.04
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.
$6,046.04
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.
$343.75 with United vs $6,046.04 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 |
|---|---|---|---|
| United | CHIP | $343.75 | ↓ -94% |
| United | STARPerinate | $343.75 | ↓ -94% |
| United | STARPLUS | $343.75 | ↓ -94% |
| United | STARKids | $343.75 | ↓ -94% |
| United | STAR | $343.75 | ↓ -94% |
| Superior Health Plan | STARPLUS | $423.22 | ↓ -93% |
| Superior Health Plan | STARHealth | $423.22 | ↓ -93% |
| Superior Health Plan | CHIP | $423.22 | ↓ -93% |
| Superior Health Plan | STARKids | $423.22 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $423.22 | ↓ -93% |
| Cigna | IFP | $816.22 | ↓ -86% |
| Cigna | QHP | $846.45 | ↓ -86% |
| United | OptionsPPO | $1,166.89 | ↓ -81% |
| Aetna | NewBusiness | $1,185.02 | ↓ -80% |
| Oscar | HIX | $1,257.58 | ↓ -79% |
| Aetna | Meritain | $1,263.62 | ↓ -79% |
| Aetna | COMM | $1,263.62 | ↓ -79% |
| Unicare | CHIP | $1,451.05 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $1,481.28 | ↓ -75% |
| Aetna | OON | $1,493.37 | ↓ -75% |
| Evry Health | COMM | $1,559.88 | ↓ -74% |
| Cigna | LocalPlus | $1,596.15 | ↓ -74% |
| Cigna | NewBusiness | $1,596.15 | ↓ -74% |
| BCBS | BlueAdvantageHMO | $1,760.08 | ↓ -71% |
| BCBS | MyBlueHealth | $1,760.08 | ↓ -71% |
| Cigna | HMO | $1,783.58 | ↓ -71% |
| Cigna | NetworkBenefit | $1,783.58 | ↓ -71% |
| Cigna | OpenAccessPlus | $1,783.58 | ↓ -71% |
| Healthcare Highways | CityofPlano | $2,043.56 | ↓ -66% |
| Cigna | AllOther | $2,255.17 | ↓ -63% |
| Curative Administrators | COMM | $2,418.42 | ↓ -60% |
| BCBS | Traditional | $2,503.06 | ↓ -59% |
| United | GlobalBenefitPlan | $2,720.72 | ↓ -55% |
| City of McKinney | COMM | $2,720.72 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $2,720.72 | ↓ -55% |
| National ChoiceCare | WCOMP | $3,023.02 | ↓ -50% |
| Aetna | ASA | $3,053.25 | ↓ -50% |
| BCBS | BlueEssentials | $3,116.95 | ↓ -48% |
| BCBS | BlueEssentialsAccess | $3,116.95 | ↓ -48% |
| BCBS | EPOSOA | $3,270.55 | ↓ -46% |
| Aetna | WCOMP | $3,325.32 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $3,325.32 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $3,325.32 | ↓ -45% |
| PC Texas Partners | WCOMP | $3,325.32 | ↓ -45% |
| BCBS | PPO | $3,424.16 | ↓ -43% |
| Aetna Coventry First Health | COMM | $3,464.38 | ↓ -43% |
| Averde Health, Inc | PPO | $3,506.70 | ↓ -42% |
| USC Health Services | COMM | $3,627.62 | ↓ -40% |
| Coastal Comp Health Networks | WCOMP | $4,232.23 | ↓ -30% |
| Jostens | WCOMP | $4,232.23 | ↓ -30% |
| Mega Life | MGMCRPPO | $4,232.23 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $4,534.53 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $4,534.53 | ↓ -25% |
| Multiplan | PHCSPrimaryNetwork | $4,534.53 | ↓ -25% |
| USA Managed Care | COMM | $4,836.83 | ↓ -20% |
| Multiplan | ComplementaryNetwork | $5,139.13 | ↓ -15% |
| National Healthcare Solutions | COMM | $6,046.04 | ↑ +0% |
| Independent Medical Systems | COMM | $6,046.04 | ↑ +0% |
| Unicare | MCD | $6,046.04 | ↑ +0% |
Visitor-reported prices
Comments
Unsched dialysis esrd pt hos at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,951.63 | $552.96 – $2,439.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,748.01 | $359.80 – $2,622.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $789.50 | $157.90 – $1,731.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,951.63 | $520.43 – $2,439.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,748.01 | $561.11 – $2,622.01 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,748.01 | $903.14 – $2,622.01 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $789.50 | $263.17 – $1,731.11 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,951.63 | $520.43 – $2,439.53 |