Vaccine pneumococcal conjugate 13 valent (pcv13) im at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$1,585.13
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.
$1,585.13
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.
$110.96 with Superior Health Plan vs $2,168.79 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 | $110.96 | ↓ -93% |
| Superior Health Plan | CHIP | $110.96 | ↓ -93% |
| Superior Health Plan | STARKids | $110.96 | ↓ -93% |
| Superior Health Plan | STARPLUS | $110.96 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $110.96 | ↓ -93% |
| Cigna | IFP | $213.99 | ↓ -87% |
| Cigna | QHP | $221.92 | ↓ -86% |
| United | OptionsPPO | $305.93 | ↓ -81% |
| Unicare | CHIP | $380.43 | ↓ -76% |
| United | AllPayerAppendix | $425.45 | ↓ -73% |
| United | NarrowNetworkIndivExchange | $425.45 | ↓ -73% |
| United | SmallGroup | $425.45 | ↓ -73% |
| Healthcare Highways | CityofPlano | $535.77 | ↓ -66% |
| BCBS | MyBlueHealth | $637.56 | ↓ -60% |
| BCBS | BlueAdvantageHMO | $637.56 | ↓ -60% |
| BCBS | Traditional | $656.24 | ↓ -59% |
| City of McKinney | COMM | $713.31 | ↓ -55% |
| United | GlobalBenefitPlan | $713.31 | ↓ -55% |
| National ChoiceCare | WCOMP | $792.57 | ↓ -50% |
| Aetna | ASA | $800.49 | ↓ -50% |
| Rockport Health Group | WORKERSCOMP | $871.82 | ↓ -45% |
| PC Texas Partners | WCOMP | $871.82 | ↓ -45% |
| Aetna | WCOMP | $871.82 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $871.82 | ↓ -45% |
| Aetna Coventry First Health | COMM | $908.28 | ↓ -43% |
| Averde Health, Inc | PPO | $919.38 | ↓ -42% |
| BCBS | BlueEssentials | $933.24 | ↓ -41% |
| BCBS | BlueEssentialsAccess | $933.24 | ↓ -41% |
| USC Health Services | COMM | $951.08 | ↓ -40% |
| BCBS | EPOSOA | $979.44 | ↓ -38% |
| BCBS | PPO | $1,025.64 | ↓ -35% |
| Coastal Comp Health Networks | WCOMP | $1,109.59 | ↓ -30% |
| Jostens | WCOMP | $1,109.59 | ↓ -30% |
| Mega Life | MGMCRPPO | $1,109.59 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $1,188.85 | ↓ -25% |
| Multiplan | PHCSPrimaryNetwork | $1,188.85 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,188.85 | ↓ -25% |
| USA Managed Care | COMM | $1,268.10 | ↓ -20% |
| Multiplan | ComplementaryNetwork | $1,347.36 | ↓ -15% |
| Cigna | LocalPlus | $1,534.53 | ↓ -3% |
| Cigna | NewBusiness | $1,536.06 | ↓ -3% |
| Independent Medical Systems | COMM | $1,585.13 | ↑ +0% |
| Unicare | MCD | $1,585.13 | ↑ +0% |
| National Healthcare Solutions | COMM | $1,585.13 | ↑ +0% |
| Cigna | OpenAccessPlus | $1,714.34 | ↑ +8% |
| Cigna | NetworkBenefit | $1,714.34 | ↑ +8% |
| Cigna | HMO | $1,714.34 | ↑ +8% |
| Cigna | AllOther | $2,168.79 | ↑ +37% |
Visitor-reported prices
Comments
Vaccine pneumococcal conjugate 13 valent (pcv13) im at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $1,420.90 | $257.99 – $1,997.77 |
| HCA HOUSTON MEDICAL CENTER | Houston | $2,719.72 | $257.99 – $1,997.77 |
| Covenant Children's Hospital | Lubbock | $1,496.71 | $691.15 – $980.36 |
| HCA HOUSTON NORTHWEST | SPRING | $2,622.56 | $257.99 – $1,997.77 |
| Baylor St Luke's Medical Center | Houston | $303.17 | $92.58 – $803.63 |
| St. Joseph Health Madison Hospital | Madisonville | $20.30 | $14.78 – $116.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $1,570.75 | $286.57 – $4,712.24 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $303.17 | $63.65 – $803.63 |