Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$86.72
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.
$86.72
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.
$6.07 with Superior Health Plan vs $292.91 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 | MCDSTAR | $6.07 | ↓ -93% |
| Superior Health Plan | STARKids | $6.07 | ↓ -93% |
| Superior Health Plan | STARPLUS | $6.07 | ↓ -93% |
| Superior Health Plan | STARHealth | $6.07 | ↓ -93% |
| Superior Health Plan | CHIP | $6.07 | ↓ -93% |
| Cigna | IFP | $11.71 | ↓ -86% |
| Cigna | QHP | $12.14 | ↓ -86% |
| United | OptionsPPO | $16.74 | ↓ -81% |
| Superior | EPO | $17.34 | ↓ -80% |
| Superior | HMO | $17.34 | ↓ -80% |
| Superior | ValueHMO | $17.34 | ↓ -80% |
| Unicare | CHIP | $20.81 | ↓ -76% |
| Molina Healthcare | HIX | $21.68 | ↓ -75% |
| Healthcare Highways | CityofPlano | $29.31 | ↓ -66% |
| Humana | Tricare | $31.59 | ↓ -64% |
| BCBS | Traditional | $35.90 | ↓ -59% |
| United | GlobalBenefitPlan | $39.02 | ↓ -55% |
| City of McKinney | COMM | $39.02 | ↓ -55% |
| National ChoiceCare | WCOMP | $43.36 | ↓ -50% |
| Aetna | ASA | $43.79 | ↓ -50% |
| Aetna | WCOMP | $47.70 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $47.70 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $47.70 | ↓ -45% |
| PC Texas Partners | WCOMP | $47.70 | ↓ -45% |
| Aetna Coventry First Health | COMM | $49.69 | ↓ -43% |
| Averde Health, Inc | PPO | $50.30 | ↓ -42% |
| USC Health Services | COMM | $52.03 | ↓ -40% |
| Jostens | WCOMP | $60.70 | ↓ -30% |
| Mega Life | MGMCRPPO | $60.70 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $60.70 | ↓ -30% |
| United | SmallGroup | $62.07 | ↓ -28% |
| United | AllPayerAppendix | $62.07 | ↓ -28% |
| United | NarrowNetworkIndivExchange | $62.07 | ↓ -28% |
| HealthSmart Preferred Care | PPO | $65.04 | ↓ -25% |
| Multiplan | PHCSPrimaryNetwork | $65.04 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $65.04 | ↓ -25% |
| USA Managed Care | COMM | $69.38 | ↓ -20% |
| Multiplan | ComplementaryNetwork | $73.71 | ↓ -15% |
| Independent Medical Systems | COMM | $86.72 | ↑ +0% |
| National Healthcare Solutions | COMM | $86.72 | ↑ +0% |
| Unicare | MCD | $86.72 | ↑ +0% |
| BCBS | BlueAdvantageHMO | $101.15 | ↑ +17% |
| BCBS | MyBlueHealth | $101.15 | ↑ +17% |
| BCBS | BlueEssentials | $148.07 | ↑ +71% |
| BCBS | BlueEssentialsAccess | $148.07 | ↑ +71% |
| BCBS | EPOSOA | $155.40 | ↑ +79% |
| BCBS | PPO | $162.73 | ↑ +88% |
| Cigna | LocalPlus | $207.25 | ↑ +139% |
| Cigna | NewBusiness | $207.45 | ↑ +139% |
| Cigna | HMO | $231.53 | ↑ +167% |
| Cigna | OpenAccessPlus | $231.53 | ↑ +167% |
| Cigna | NetworkBenefit | $231.53 | ↑ +167% |
| Cigna | AllOther | $292.91 | ↑ +238% |
Visitor-reported prices
Comments
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $220.12 | $109.66 – $134.90 |
| HCA HOUSTON CONROE | CONROE | $177.68 | $33.36 – $289.86 |
| St. Joseph Health Madison Hospital | Madisonville | $6.83 | $4.97 – $39.00 |
| St. Joseph Health College Station Hospital | College Station | $6.83 | $21.45 – $39.00 |
| Texas Health Presbyterian Hospital Allen | Allen | $72.98 | $38.26 – $38.26 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $72.98 | $60.05 – $60.05 |
| St. Joseph Health Grimes Hospital | Navasota | $6.83 | $14.15 – $43.29 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $72.98 | $38.26 – $38.26 |