Vaccine dtap < 7 years im at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$167.00
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.
$167.00
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.
$11.69 with Superior Health Plan vs $283.41 with Cigna — 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 | STARHealth | $11.69 | ↓ -93% |
| Superior Health Plan | CHIP | $11.69 | ↓ -93% |
| Superior Health Plan | STARKids | $11.69 | ↓ -93% |
| Superior Health Plan | STARPLUS | $11.69 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $11.69 | ↓ -93% |
| Cigna | IFP | $22.55 | ↓ -86% |
| Cigna | QHP | $23.38 | ↓ -86% |
| Humana | Tricare | $31.98 | ↓ -81% |
| United | OptionsPPO | $32.23 | ↓ -81% |
| Superior | EPO | $33.40 | ↓ -80% |
| Superior | HMO | $33.40 | ↓ -80% |
| Superior | ValueHMO | $33.40 | ↓ -80% |
| Unicare | CHIP | $40.08 | ↓ -76% |
| Molina Healthcare | HIX | $41.75 | ↓ -75% |
| Healthcare Highways | CityofPlano | $56.45 | ↓ -66% |
| United | AllPayerAppendix | $61.12 | ↓ -63% |
| United | SmallGroup | $61.12 | ↓ -63% |
| United | NarrowNetworkIndivExchange | $61.12 | ↓ -63% |
| BCBS | Traditional | $69.14 | ↓ -59% |
| City of McKinney | COMM | $75.15 | ↓ -55% |
| United | GlobalBenefitPlan | $75.15 | ↓ -55% |
| National ChoiceCare | WCOMP | $83.50 | ↓ -50% |
| Aetna | ASA | $84.33 | ↓ -50% |
| Aetna | WCOMP | $91.85 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $91.85 | ↓ -45% |
| PC Texas Partners | WCOMP | $91.85 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $91.85 | ↓ -45% |
| BCBS | MyBlueHealth | $95.43 | ↓ -43% |
| BCBS | BlueAdvantageHMO | $95.43 | ↓ -43% |
| Aetna Coventry First Health | COMM | $95.69 | ↓ -43% |
| Averde Health, Inc | PPO | $96.86 | ↓ -42% |
| USC Health Services | COMM | $100.20 | ↓ -40% |
| Mega Life | MGMCRPPO | $116.90 | ↓ -30% |
| Jostens | WCOMP | $116.90 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $116.90 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $125.25 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $125.25 | ↓ -25% |
| Multiplan | PHCSPrimaryNetwork | $125.25 | ↓ -25% |
| USA Managed Care | COMM | $133.60 | ↓ -20% |
| BCBS | BlueEssentialsAccess | $139.68 | ↓ -16% |
| BCBS | BlueEssentials | $139.68 | ↓ -16% |
| Multiplan | ComplementaryNetwork | $141.95 | ↓ -15% |
| BCBS | EPOSOA | $146.60 | ↓ -12% |
| BCBS | PPO | $153.51 | ↓ -8% |
| Unicare | MCD | $167.00 | ↑ +0% |
| National Healthcare Solutions | COMM | $167.00 | ↑ +0% |
| Independent Medical Systems | COMM | $167.00 | ↑ +0% |
| Cigna | LocalPlus | $200.53 | ↑ +20% |
| Cigna | NewBusiness | $200.73 | ↑ +20% |
| Cigna | OpenAccessPlus | $224.03 | ↑ +34% |
| Cigna | HMO | $224.03 | ↑ +34% |
| Cigna | NetworkBenefit | $224.03 | ↑ +34% |
| Cigna | AllOther | $283.41 | ↑ +70% |
Visitor-reported prices
Comments
Vaccine dtap < 7 years im at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $101.02 | $25.56 – $127.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $101.02 | $18.57 – $135.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $101.02 | $18.04 – $112.76 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $101.02 | $24.06 – $127.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $101.02 | $28.96 – $135.31 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $101.02 | $46.61 – $135.31 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $101.02 | $30.07 – $135.31 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $101.02 | $24.06 – $127.80 |