Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$1,148.47
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.
$1,148.47
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.
$80.39 with Superior Health Plan vs $1,148.47 with Unicare — 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 | $80.39 | ↓ -93% |
| Superior Health Plan | STARKids | $80.39 | ↓ -93% |
| Superior Health Plan | STARPLUS | $80.39 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $80.39 | ↓ -93% |
| Superior Health Plan | CHIP | $80.39 | ↓ -93% |
| Humana | Tricare | $129.47 | ↓ -89% |
| Cigna | IFP | $155.04 | ↓ -87% |
| Cigna | QHP | $160.79 | ↓ -86% |
| United | NarrowNetworkIndivExchange | $220.23 | ↓ -81% |
| United | AllPayerAppendix | $220.23 | ↓ -81% |
| United | SmallGroup | $220.23 | ↓ -81% |
| United | OptionsPPO | $221.65 | ↓ -81% |
| Unicare | CHIP | $275.63 | ↓ -76% |
| Healthcare Highways | CityofPlano | $388.18 | ↓ -66% |
| BCBS | BlueAdvantageHMO | $404.41 | ↓ -65% |
| BCBS | MyBlueHealth | $404.41 | ↓ -65% |
| BCBS | Traditional | $475.47 | ↓ -59% |
| United | GlobalBenefitPlan | $516.81 | ↓ -55% |
| City of McKinney | COMM | $516.81 | ↓ -55% |
| National ChoiceCare | WCOMP | $574.24 | ↓ -50% |
| Aetna | ASA | $579.98 | ↓ -49% |
| BCBS | BlueEssentials | $591.96 | ↓ -48% |
| BCBS | BlueEssentialsAccess | $591.96 | ↓ -48% |
| BCBS | EPOSOA | $621.27 | ↓ -46% |
| Physicians Coop of TX | MGMCR | $631.66 | ↓ -45% |
| Aetna | WCOMP | $631.66 | ↓ -45% |
| PC Texas Partners | WCOMP | $631.66 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $631.66 | ↓ -45% |
| BCBS | PPO | $650.57 | ↓ -43% |
| Aetna Coventry First Health | COMM | $658.07 | ↓ -43% |
| Averde Health, Inc | PPO | $666.11 | ↓ -42% |
| USC Health Services | COMM | $689.08 | ↓ -40% |
| Cigna | LocalPlus | $793.47 | ↓ -31% |
| Cigna | NewBusiness | $794.25 | ↓ -31% |
| Mega Life | MGMCRPPO | $803.93 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $803.93 | ↓ -30% |
| Jostens | WCOMP | $803.93 | ↓ -30% |
| Multiplan | PHCSPrimaryNetwork | $861.35 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $861.35 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $861.35 | ↓ -25% |
| Cigna | NetworkBenefit | $886.44 | ↓ -23% |
| Cigna | HMO | $886.44 | ↓ -23% |
| Cigna | OpenAccessPlus | $886.44 | ↓ -23% |
| USA Managed Care | COMM | $918.78 | ↓ -20% |
| Multiplan | ComplementaryNetwork | $976.20 | ↓ -15% |
| Cigna | AllOther | $1,121.42 | ↓ -2% |
| National Healthcare Solutions | COMM | $1,148.47 | ↑ +0% |
| Independent Medical Systems | COMM | $1,148.47 | ↑ +0% |
| Unicare | MCD | $1,148.47 | ↑ +0% |
Visitor-reported prices
Comments
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $620.18 | $451.30 – $451.30 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $804.01 | $133.47 – $1,049.49 |
| Covenant Children's Hospital | Lubbock | $858.60 | $438.40 – $507.19 |
| HCA HOUSTON CONROE | CONROE | $443.52 | $133.47 – $1,049.49 |
| HCA HOUSTON KINGWOOD | HUMBLE | $1,806.96 | $133.47 – $1,049.49 |
| St. Luke's Health - Patients Medical Center | Pasadena | $176.77 | $50.51 – $378.79 |
| Baylor St Luke's Medical Center | Houston | $161.19 | $11.13 – $96.56 |
| St. Luke's Health Memorial Lufkin | Lufkin | $440.51 | $3.51 – $38.95 |