Vaccine hepatitis b (hepb) adolescent 2 dose im 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.
$72.90 with Humana vs $659.10 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 |
|---|---|---|---|
| Humana | Tricare | $72.90 | — |
| United | SmallGroup | $124.00 | — |
| United | NarrowNetworkIndivExchange | $124.00 | — |
| United | AllPayerAppendix | $124.00 | — |
| Humana | COMM | $187.00 | — |
| BCBS | BlueAdvantageHMO | $202.62 | — |
| BCBS | MyBlueHealth | $202.62 | — |
| BCBS | BluePremier | $239.62 | — |
| BCBS | BlueEssentials | $296.59 | — |
| BCBS | BlueEssentialsAccess | $296.59 | — |
| BCBS | EPOSOA | $311.27 | — |
| BCBS | PPO | $325.95 | — |
| Cigna | LocalPlus | $466.35 | — |
| Cigna | NewBusiness | $466.81 | — |
| Cigna | HMO | $520.99 | — |
| Cigna | OpenAccessPlus | $520.99 | — |
| Cigna | NetworkBenefit | $520.99 | — |
| Cigna | AllOther | $659.10 | — |
| Molina | MME | not published by hospital | — |
| United | MGMCR | not published by hospital | — |
| USA Managed Care | WORKERSCOMP | not published by hospital | — |
| WellMed | MGMCR | not published by hospital | — |
| Cigna Healthspring | MGMCR | not published by hospital | — |
| Amerigroup | DualEligible | not published by hospital | — |
| Mutual of Omaha | MGMCR | not published by hospital | — |
| TriWest Health Alliance | FEDERAL | not published by hospital | — |
| Superior | EPO | not published by hospital | — |
| Superior | HMO | not published by hospital | — |
| Superior | ValueHMO | not published by hospital | — |
| Universal Healthcare Group | MCR | not published by hospital | — |
| Corvel Corporation | WORKERSCOMP | not published by hospital | — |
| Verda Health Plan | MGMCR | not published by hospital | — |
| Provider Partners Health Plan | MCR | not published by hospital | — |
| American Health Plan of Texas, Inc. | MGMCR | not published by hospital | — |
| Care N Care | MGMCR | not published by hospital | — |
| Imperial Insurance Company | MCR | not published by hospital | — |
| Integranet | MGMCR | not published by hospital | — |
| ProCare Advantge | MCR | not published by hospital | — |
| Texas Independent Health Plan | MGMCR | not published by hospital | — |
| Bravo Health | MCRHMO | not published by hospital | — |
| Bravo Health | MCRPOS | not published by hospital | — |
| Bravo Health | MCRPPO | not published by hospital | — |
| Bravo Health | MCRSNP | not published by hospital | — |
| Devoted Health | PPO | not published by hospital | — |
| Bravo Health | MCRPFFS | not published by hospital | — |
| Devoted Health | SNP | not published by hospital | — |
| Devoted Health | HMO | not published by hospital | — |
| Devoted Health | POS | not published by hospital | — |
| Devoted Health | MCR | not published by hospital | — |
| Devoted Health | MME | not published by hospital | — |
| Molina Healthcare | HIX | not published by hospital | — |
| Humana | MGMCR | not published by hospital | — |
| WellCare | MGMCR | not published by hospital | — |
| Aetna | MCR | not published by hospital | — |
| Superior Health Plan | MGMCRHMO | not published by hospital | — |
| Superior Health Plan | MGMCRPPO | not published by hospital | — |
| Superior Health Plan | MGMCRDualEligible | not published by hospital | — |
| Superior Health Plan | MGMCRPFFS | not published by hospital | — |
| Superior Health Plan | MGMCRPOS | not published by hospital | — |
| Superior Health Plan | MGMCRSNP | not published by hospital | — |
| Molina | MCR | not published by hospital | — |
| Molina | MMP | not published by hospital | — |
Visitor-reported prices
Comments
Vaccine hepatitis b (hepb) adolescent 2 dose im at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Providence | Waco | $216.63 | $73.85 – $203.79 |
| Ascension Seton Cedar Park Hospital | Cedar Park | $90.44 | $24.22 – $246.08 |
| Adventhealth Rollins Brook | Lampasas | not published | $226.11 – $226.11 |
| CHRISTUS Children's Hospital | San Antonio | not published | $70.81 – $70.81 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $75.15 – $254.60 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $75.15 – $254.60 |
| Covenant Children's Hospital | Lubbock | not published | $219.65 – $285.57 |
| HCA HOUSTON CONROE | CONROE | not published | $75.15 – $254.60 |