Vaccine Administration (one shot) 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.
$7.95 with Superior Health Plan vs $323.51 with BCBS — 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 | $7.95 | — |
| Superior Health Plan | STARPLUS | $7.95 | — |
| Superior Health Plan | STARKids | $7.95 | — |
| Superior Health Plan | STARHealth | $7.95 | — |
| Superior Health Plan | MCDSTAR | $7.95 | — |
| Cigna | IFP | $15.33 | — |
| Cigna | QHP | $15.90 | — |
| United | OptionsPPO | $21.92 | — |
| Aetna | NewBusiness | $22.26 | — |
| Oscar | HIX | $23.62 | — |
| Aetna | Meritain | $23.74 | — |
| Aetna | COMM | $23.74 | — |
| Unicare | CHIP | $27.26 | — |
| Healthcare Highways | NarrowNetwork | $27.82 | — |
| Aetna | OON | $28.05 | — |
| Evry Health | COMM | $29.30 | — |
| Cigna | LocalPlus | $29.98 | — |
| Cigna | NewBusiness | $29.98 | — |
| Cigna | NetworkBenefit | $33.50 | — |
| Cigna | HMO | $33.50 | — |
| Cigna | OpenAccessPlus | $33.50 | — |
| Healthcare Highways | CityofPlano | $38.39 | — |
| Cigna | AllOther | $42.36 | — |
| Curative Administrators | COMM | $45.43 | — |
| BCBS | Traditional | $47.02 | — |
| City of McKinney | COMM | $51.11 | — |
| Fidelis SecureCare | MGMCR | $51.11 | — |
| United | GlobalBenefitPlan | $51.11 | — |
| National ChoiceCare | WCOMP | $56.78 | — |
| Aetna | ASA | $57.35 | — |
| Physicians Coop of TX | MGMCR | $62.46 | — |
| Aetna | WCOMP | $62.46 | — |
| PC Texas Partners | WCOMP | $62.46 | — |
| Rockport Health Group | WORKERSCOMP | $62.46 | — |
| Aetna Coventry First Health | COMM | $65.08 | — |
| Averde Health, Inc | PPO | $65.87 | — |
| USC Health Services | COMM | $68.14 | — |
| Coastal Comp Health Networks | WCOMP | $79.50 | — |
| Jostens | WCOMP | $79.50 | — |
| Mega Life | MGMCRPPO | $79.50 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $85.18 | — |
| Multiplan | PHCSPrimaryNetwork | $85.18 | — |
| HealthSmart Preferred Care | PPO | $85.18 | — |
| USA Managed Care | COMM | $90.86 | — |
| Multiplan | ComplementaryNetwork | $96.53 | — |
| Unicare | MCD | $113.57 | — |
| Independent Medical Systems | COMM | $113.57 | — |
| National Healthcare Solutions | COMM | $113.57 | — |
| BCBS | BlueAdvantageHMO | $166.29 | — |
| BCBS | MyBlueHealth | $166.29 | — |
| BCBS | BlueEssentials | $294.49 | — |
| BCBS | BlueEssentialsAccess | $294.49 | — |
| BCBS | EPOSOA | $309.00 | — |
| BCBS | PPO | $323.51 | — |
Visitor-reported prices
Comments
Vaccine Administration (one shot) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $215.25 | $232.81 – $232.81 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $77.72 | $22.02 – $174.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $67.70 | $13.94 – $174.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $66.51 | $12.32 – $174.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $77.72 | $20.73 – $174.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $67.70 | $21.73 – $174.51 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $67.70 | $34.98 – $174.51 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $66.51 | $20.53 – $174.51 |