Use 1st target lesion at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$3,195.08
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.
$3,195.08
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.
$92.16 with TEXAS HEALTH NETWORK vs $3,195.08 with National Healthcare Solutions — 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 | $92.16 | ↓ -97% |
| United | CHIP | $93.56 | ↓ -97% |
| Amerigroup | MGMCD | $93.56 | ↓ -97% |
| Amerigroup | CHIP | $93.56 | ↓ -97% |
| Parkland Community Health Plan | MCD | $93.56 | ↓ -97% |
| Cook Childrens Health Plan | STAR | $93.56 | ↓ -97% |
| United | STARPerinate | $93.56 | ↓ -97% |
| United | STARPLUS | $93.56 | ↓ -97% |
| United | STARKids | $93.56 | ↓ -97% |
| United | STAR | $93.56 | ↓ -97% |
| Cook Childrens Health Plan | CHIP | $93.56 | ↓ -97% |
| Cigna Healthspring | MGMCD | $98.24 | ↓ -97% |
| Aetna Better Health | CHIP | $101.04 | ↓ -97% |
| Aetna Better Health | MCD | $101.04 | ↓ -97% |
| Molina | CHIP | $102.92 | ↓ -97% |
| Molina | STAR+PLUS | $102.92 | ↓ -97% |
| Molina | STARKIDS | $102.92 | ↓ -97% |
| Molina | MCDSTAR | $102.92 | ↓ -97% |
| Humana | MGMCD | $116.95 | ↓ -96% |
| United | SmallGroup | $151.89 | ↓ -95% |
| United | NarrowNetworkIndivExchange | $151.89 | ↓ -95% |
| Aetna | NewBusiness | $152.28 | ↓ -95% |
| BCBS | BlueAdvantageHMO | $153.55 | ↓ -95% |
| BCBS | MyBlueHealth | $153.55 | ↓ -95% |
| Aetna | COMM | $162.66 | ↓ -95% |
| Aetna | Meritain | $162.66 | ↓ -95% |
| Aetna | OON | $192.51 | ↓ -94% |
| Superior Health Plan | STARHealth | $223.66 | ↓ -93% |
| Superior Health Plan | STARKids | $223.66 | ↓ -93% |
| Superior Health Plan | CHIP | $223.66 | ↓ -93% |
| Superior Health Plan | STARPLUS | $223.66 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $223.66 | ↓ -93% |
| United | AllPayerAppendix | $245.18 | ↓ -92% |
| Cigna | LocalPlus | $252.81 | ↓ -92% |
| Cigna | NewBusiness | $253.07 | ↓ -92% |
| Cigna | OpenAccessPlus | $282.37 | ↓ -91% |
| Cigna | NetworkBenefit | $282.37 | ↓ -91% |
| Cigna | HMO | $282.37 | ↓ -91% |
| Cigna | AllOther | $357.38 | ↓ -89% |
| Cigna | IFP | $431.34 | ↓ -86% |
| Cigna | QHP | $447.31 | ↓ -86% |
| BCBS | BlueEssentials | $457.29 | ↓ -86% |
| BCBS | BlueEssentialsAccess | $457.29 | ↓ -86% |
| BCBS | EPOSOA | $479.70 | ↓ -85% |
| BCBS | PPO | $502.12 | ↓ -84% |
| United | OptionsPPO | $616.65 | ↓ -81% |
| Unicare | CHIP | $766.82 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $782.79 | ↓ -76% |
| Evry Health | COMM | $824.33 | ↓ -74% |
| Healthcare Highways | CityofPlano | $1,079.94 | ↓ -66% |
| Curative Administrators | COMM | $1,278.03 | ↓ -60% |
| BCBS | Traditional | $1,322.76 | ↓ -59% |
| United | GlobalBenefitPlan | $1,437.79 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $1,437.79 | ↓ -55% |
| City of McKinney | COMM | $1,437.79 | ↓ -55% |
| National ChoiceCare | WCOMP | $1,597.54 | ↓ -50% |
| Aetna | ASA | $1,613.52 | ↓ -49% |
| Aetna | WCOMP | $1,757.29 | ↓ -45% |
| PC Texas Partners | WCOMP | $1,757.29 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $1,757.29 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $1,757.29 | ↓ -45% |
| Aetna Coventry First Health | COMM | $1,830.78 | ↓ -43% |
| Averde Health, Inc | PPO | $1,853.15 | ↓ -42% |
| USC Health Services | COMM | $1,917.05 | ↓ -40% |
| Jostens | WCOMP | $2,236.56 | ↓ -30% |
| Mega Life | MGMCRPPO | $2,236.56 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $2,236.56 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $2,396.31 | ↓ -25% |
| Multiplan | PHCSPrimaryNetwork | $2,396.31 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $2,396.31 | ↓ -25% |
| USA Managed Care | COMM | $2,556.06 | ↓ -20% |
| Multiplan | ComplementaryNetwork | $2,715.82 | ↓ -15% |
| Independent Medical Systems | COMM | $3,195.08 | ↑ +0% |
| Unicare | MCD | $3,195.08 | ↑ +0% |
| National Healthcare Solutions | COMM | $3,195.08 | ↑ +0% |
Visitor-reported prices
Comments
Use 1st target lesion at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $355.91 | $93.56 – $444.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $352.21 | $72.50 – $528.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $353.09 | $93.56 – $441.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $355.91 | $93.56 – $444.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $352.21 | $99.77 – $528.31 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $352.21 | $93.56 – $528.31 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $353.09 | $93.56 – $529.63 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $355.91 | $93.56 – $444.88 |