Upgrade pm system at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$10,971.94
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.
$10,971.94
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.
$1,481.21 with Cigna vs $177,450.00 with Aetna — 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 |
|---|---|---|---|
| Cigna | IFP | $1,481.21 | ↓ -87% |
| Cigna | QHP | $1,536.07 | ↓ -86% |
| Fidelis SecureCare | MGMCR | $1,995.00 | ↓ -82% |
| United | OptionsPPO | $2,117.58 | ↓ -81% |
| Superior Health Plan | CHIP | $2,369.00 | ↓ -78% |
| Superior Health Plan | STARPLUS | $2,369.00 | ↓ -78% |
| Superior Health Plan | STARKids | $2,369.00 | ↓ -78% |
| Superior Health Plan | STARHealth | $2,369.00 | ↓ -78% |
| Superior Health Plan | MCDSTAR | $2,369.00 | ↓ -78% |
| Unicare | CHIP | $2,633.27 | ↓ -76% |
| Healthcare Highways | CityofPlano | $3,708.52 | ↓ -66% |
| BCBS | Traditional | $4,542.38 | ↓ -59% |
| United | GlobalBenefitPlan | $4,937.37 | ↓ -55% |
| City of McKinney | COMM | $4,937.37 | ↓ -55% |
| National ChoiceCare | WCOMP | $5,485.97 | ↓ -50% |
| Aetna | ASA | $5,540.83 | ↓ -49% |
| PC Texas Partners | WCOMP | $6,034.57 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $6,034.57 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $6,034.57 | ↓ -45% |
| Aetna | WCOMP | $6,034.57 | ↓ -45% |
| TEXAS HEALTH NETWORK | MCD | $6,251.53 | ↓ -43% |
| Aetna Coventry First Health | COMM | $6,286.92 | ↓ -43% |
| Cook Childrens Health Plan | STAR | $6,346.73 | ↓ -42% |
| United | STARPerinate | $6,346.73 | ↓ -42% |
| Cook Childrens Health Plan | CHIP | $6,346.73 | ↓ -42% |
| United | STAR | $6,346.73 | ↓ -42% |
| United | STARKids | $6,346.73 | ↓ -42% |
| United | STARPLUS | $6,346.73 | ↓ -42% |
| Parkland Community Health Plan | MCD | $6,346.73 | ↓ -42% |
| United | CHIP | $6,346.73 | ↓ -42% |
| Averde Health, Inc | PPO | $6,363.73 | ↓ -42% |
| USC Health Services | COMM | $6,583.16 | ↓ -40% |
| Amerigroup | CHIP | $6,664.07 | ↓ -39% |
| Cigna Healthspring | MGMCD | $6,664.07 | ↓ -39% |
| Amerigroup | MGMCD | $6,664.07 | ↓ -39% |
| Molina | MCDSTAR | $6,981.40 | ↓ -36% |
| Molina | STARKIDS | $6,981.40 | ↓ -36% |
| Molina | STAR+PLUS | $6,981.40 | ↓ -36% |
| Molina | CHIP | $6,981.40 | ↓ -36% |
| Aetna Better Health | MCD | $7,616.08 | ↓ -31% |
| Aetna Better Health | CHIP | $7,616.08 | ↓ -31% |
| Jostens | WCOMP | $7,680.36 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $7,680.36 | ↓ -30% |
| Mega Life | MGMCRPPO | $7,680.36 | ↓ -30% |
| Oscar | HIX | $7,883.00 | ↓ -28% |
| Humana | MGMCD | $7,933.41 | ↓ -28% |
| HealthSmart Preferred Care | PPO | $8,228.95 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $8,228.95 | ↓ -25% |
| Multiplan | PHCSPrimaryNetwork | $8,228.95 | ↓ -25% |
| USA Managed Care | COMM | $8,777.55 | ↓ -20% |
| Multiplan | ComplementaryNetwork | $9,326.15 | ↓ -15% |
| WellMed | MGMCR | $10,552.12 | ↓ -4% |
| Evry Health | COMM | $10,714.00 | ↓ -2% |
| Unicare | MCD | $10,971.94 | ↑ +0% |
| National Healthcare Solutions | COMM | $10,971.94 | ↑ +0% |
| Independent Medical Systems | COMM | $10,971.94 | ↑ +0% |
| Healthcare Highways | NarrowNetwork | $11,388.00 | ↑ +4% |
| Cigna | LocalPlus | $17,220.00 | ↑ +57% |
| Cigna | NewBusiness | $17,238.00 | ↑ +57% |
| Cigna | OpenAccessPlus | $19,240.00 | ↑ +75% |
| Cigna | HMO | $19,240.00 | ↑ +75% |
| Cigna | NetworkBenefit | $19,240.00 | ↑ +75% |
| BCBS | MyBlueHealth | $23,476.94 | ↑ +114% |
| BCBS | BlueAdvantageHMO | $23,476.94 | ↑ +114% |
| Curative Administrators | COMM | $24,035.00 | ↑ +119% |
| Cigna | AllOther | $24,339.00 | ↑ +122% |
| BCBS | BlueEssentials | $26,142.45 | ↑ +138% |
| BCBS | BlueEssentialsAccess | $26,142.45 | ↑ +138% |
| BCBS | EPOSOA | $27,475.20 | ↑ +150% |
| BCBS | PPO | $28,705.43 | ↑ +162% |
| United | NarrowNetworkIndivExchange | $48,042.00 | ↑ +338% |
| United | SmallGroup | $61,463.00 | ↑ +460% |
| United | AllPayerAppendix | $85,680.00 | ↑ +681% |
| Aetna | NewBusiness | $140,400.00 | ↑ +1180% |
| Aetna | Meritain | $150,000.00 | ↑ +1267% |
| Aetna | COMM | $150,000.00 | ↑ +1267% |
| Aetna | OON | $177,450.00 | ↑ +1517% |
Visitor-reported prices
Comments
Upgrade pm system at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $13,940.67 | $6,299.00 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $16,584.26 | $3,413.59 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $16,123.59 | $6,346.73 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $13,940.67 | $6,346.73 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $16,584.26 | $6,791.00 – $26,452.82 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $16,584.26 | $6,346.73 – $26,452.82 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $16,123.59 | $6,346.73 – $26,452.82 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $13,940.67 | $6,346.73 – $26,452.82 |