Ureteral reflux study at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$4,744.90
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.
$4,744.90
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.
$200.77 with TEXAS HEALTH NETWORK vs $4,744.90 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 |
|---|---|---|---|
| TEXAS HEALTH NETWORK | MCD | $200.77 | ↓ -96% |
| Parkland Community Health Plan | MCD | $203.83 | ↓ -96% |
| Cook Childrens Health Plan | STAR | $203.83 | ↓ -96% |
| Cook Childrens Health Plan | CHIP | $203.83 | ↓ -96% |
| United | STAR | $203.83 | ↓ -96% |
| Amerigroup | MGMCD | $203.83 | ↓ -96% |
| Amerigroup | CHIP | $203.83 | ↓ -96% |
| United | STARPerinate | $203.83 | ↓ -96% |
| United | STARPLUS | $203.83 | ↓ -96% |
| United | STARKids | $203.83 | ↓ -96% |
| United | CHIP | $203.83 | ↓ -96% |
| Cigna Healthspring | MGMCD | $214.02 | ↓ -95% |
| Aetna Better Health | CHIP | $220.14 | ↓ -95% |
| Aetna Better Health | MCD | $220.14 | ↓ -95% |
| Molina | MCDSTAR | $224.21 | ↓ -95% |
| Molina | STAR+PLUS | $224.21 | ↓ -95% |
| Molina | STARKIDS | $224.21 | ↓ -95% |
| Molina | CHIP | $224.21 | ↓ -95% |
| Humana | MGMCD | $254.79 | ↓ -95% |
| BCBS | BlueAdvantageHMO | $272.05 | ↓ -94% |
| BCBS | MyBlueHealth | $272.05 | ↓ -94% |
| Superior Health Plan | STARPLUS | $332.14 | ↓ -93% |
| Superior Health Plan | STARKids | $332.14 | ↓ -93% |
| Superior Health Plan | STARHealth | $332.14 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $332.14 | ↓ -93% |
| Superior Health Plan | CHIP | $332.14 | ↓ -93% |
| Aetna | NewBusiness | $417.75 | ↓ -91% |
| Aetna | Meritain | $446.24 | ↓ -91% |
| Aetna | COMM | $446.24 | ↓ -91% |
| United | SmallGroup | $471.74 | ↓ -90% |
| United | NarrowNetworkIndivExchange | $471.74 | ↓ -90% |
| Aetna | OON | $528.13 | ↓ -89% |
| Cigna | IFP | $640.56 | ↓ -87% |
| Cigna | QHP | $664.29 | ↓ -86% |
| BCBS | BlueEssentials | $810.21 | ↓ -83% |
| BCBS | BlueEssentialsAccess | $810.21 | ↓ -83% |
| United | AllPayerAppendix | $848.52 | ↓ -82% |
| BCBS | EPOSOA | $849.92 | ↓ -82% |
| BCBS | PPO | $889.64 | ↓ -81% |
| United | OptionsPPO | $915.77 | ↓ -81% |
| Unicare | CHIP | $1,138.78 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $1,162.50 | ↓ -76% |
| Evry Health | COMM | $1,224.18 | ↓ -74% |
| Healthcare Highways | CityofPlano | $1,603.78 | ↓ -66% |
| Curative Administrators | COMM | $1,897.96 | ↓ -60% |
| BCBS | Traditional | $1,964.39 | ↓ -59% |
| United | GlobalBenefitPlan | $2,135.20 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $2,135.20 | ↓ -55% |
| City of McKinney | COMM | $2,135.20 | ↓ -55% |
| National ChoiceCare | WCOMP | $2,372.45 | ↓ -50% |
| Aetna | ASA | $2,396.17 | ↓ -50% |
| Aetna | WCOMP | $2,609.69 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $2,609.69 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $2,609.69 | ↓ -45% |
| PC Texas Partners | WCOMP | $2,609.69 | ↓ -45% |
| Aetna Coventry First Health | COMM | $2,718.83 | ↓ -43% |
| Averde Health, Inc | PPO | $2,752.04 | ↓ -42% |
| USC Health Services | COMM | $2,846.94 | ↓ -40% |
| Jostens | WCOMP | $3,321.43 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $3,321.43 | ↓ -30% |
| Mega Life | MGMCRPPO | $3,321.43 | ↓ -30% |
| Multiplan | PHCSPrimaryNetwork | $3,558.68 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $3,558.68 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3,558.68 | ↓ -25% |
| USA Managed Care | COMM | $3,795.92 | ↓ -20% |
| Multiplan | ComplementaryNetwork | $4,033.16 | ↓ -15% |
| Independent Medical Systems | COMM | $4,744.90 | ↑ +0% |
| National Healthcare Solutions | COMM | $4,744.90 | ↑ +0% |
| Unicare | MCD | $4,744.90 | ↑ +0% |
Visitor-reported prices
Comments
Ureteral reflux study at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $432.89 | $209.50 – $1,021.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,298.73 | $267.32 – $1,948.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,200.74 | $209.50 – $1,500.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $432.89 | $209.50 – $1,021.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,298.73 | $224.16 – $1,948.10 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,298.73 | $209.50 – $1,948.10 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,200.74 | $209.50 – $1,801.12 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $432.89 | $209.50 – $1,021.72 |