Upper Back (Thoracic Spine) MRI (without contrast) 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.
$0.33 with Superior Health Plan vs $1,321.00 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $0.33 | — |
| Superior Health Plan | STARHealth | $0.33 | — |
| Superior Health Plan | MCDSTAR | $0.33 | — |
| Superior Health Plan | STARPLUS | $0.33 | — |
| Superior Health Plan | STARKids | $0.33 | — |
| Cigna | IFP | $0.63 | — |
| Cigna | QHP | $0.66 | — |
| United | OptionsPPO | $0.91 | — |
| Unicare | CHIP | $1.13 | — |
| Healthcare Highways | CityofPlano | $1.59 | — |
| BCBS | Traditional | $1.94 | — |
| Fidelis SecureCare | MGMCR | $2.11 | — |
| United | GlobalBenefitPlan | $2.11 | — |
| City of McKinney | COMM | $2.11 | — |
| National ChoiceCare | WCOMP | $2.34 | — |
| Aetna | ASA | $2.37 | — |
| Rockport Health Group | WORKERSCOMP | $2.58 | — |
| Physicians Coop of TX | MGMCR | $2.58 | — |
| PC Texas Partners | WCOMP | $2.58 | — |
| Aetna | WCOMP | $2.58 | — |
| Aetna Coventry First Health | COMM | $2.69 | — |
| Averde Health, Inc | PPO | $2.72 | — |
| USC Health Services | COMM | $2.81 | — |
| Jostens | WCOMP | $3.28 | — |
| Mega Life | MGMCRPPO | $3.28 | — |
| Coastal Comp Health Networks | WCOMP | $3.28 | — |
| Multiplan | PHCSPrimaryNetwork | $3.52 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3.52 | — |
| HealthSmart Preferred Care | PPO | $3.52 | — |
| USA Managed Care | COMM | $3.75 | — |
| Multiplan | ComplementaryNetwork | $3.99 | — |
| Independent Medical Systems | COMM | $4.69 | — |
| Unicare | MCD | $4.69 | — |
| National Healthcare Solutions | COMM | $4.69 | — |
| TEXAS HEALTH NETWORK | MCD | $193.20 | — |
| United | STARKids | $196.14 | — |
| United | CHIP | $196.14 | — |
| United | STAR | $196.14 | — |
| United | STARPLUS | $196.14 | — |
| United | STARPerinate | $196.14 | — |
| Amerigroup | CHIP | $196.14 | — |
| Amerigroup | MGMCD | $196.14 | — |
| Cook Childrens Health Plan | CHIP | $196.14 | — |
| Cook Childrens Health Plan | STAR | $196.14 | — |
| Parkland Community Health Plan | MCD | $196.14 | — |
| Cigna Healthspring | MGMCD | $205.95 | — |
| Aetna Better Health | MCD | $211.83 | — |
| Aetna Better Health | CHIP | $211.83 | — |
| Molina | STARKIDS | $215.75 | — |
| Molina | MCDSTAR | $215.75 | — |
| Molina | CHIP | $215.75 | — |
| Molina | STAR+PLUS | $215.75 | — |
| Humana | MGMCD | $245.17 | — |
| BCBS | MyBlueHealth | $293.63 | — |
| BCBS | BlueAdvantageHMO | $293.63 | — |
| United | SmallGroup | $313.62 | — |
| United | NarrowNetworkIndivExchange | $313.62 | — |
| Imaging Providers of Texas | HMOBlue | $450.00 | — |
| United | AllPayerAppendix | $517.79 | — |
| BCBS | BlueEssentials | $906.53 | — |
| BCBS | BlueEssentialsAccess | $906.53 | — |
| BCBS | EPOSOA | $950.80 | — |
| BCBS | PPO | $995.08 | — |
| Aetna | NewBusiness | $1,046.00 | — |
| Aetna | COMM | $1,117.00 | — |
| Aetna | Meritain | $1,117.00 | — |
| Aetna | OON | $1,321.00 | — |
Visitor-reported prices
Comments
Upper Back (Thoracic Spine) MRI (without contrast) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,034.41 | $196.14 – $2,543.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,143.16 | $314.76 – $3,214.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,192.54 | $196.14 – $2,740.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,034.41 | $196.14 – $2,543.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,143.16 | $209.87 – $3,214.75 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,143.16 | $196.14 – $3,214.75 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,192.54 | $196.14 – $3,288.81 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,034.41 | $196.14 – $2,543.02 |