Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$2,616.25
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.
$2,616.25
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.
$183.14 with Superior Health Plan vs $5,326.78 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 | $183.14 | ↓ -93% |
| Superior Health Plan | STARKids | $183.14 | ↓ -93% |
| Superior Health Plan | STARPLUS | $183.14 | ↓ -93% |
| Superior Health Plan | STARHealth | $183.14 | ↓ -93% |
| Superior Health Plan | CHIP | $183.14 | ↓ -93% |
| Cigna | IFP | $353.19 | ↓ -87% |
| Cigna | QHP | $366.27 | ↓ -86% |
| United | OptionsPPO | $504.94 | ↓ -81% |
| Superior | EPO | $523.25 | ↓ -80% |
| Superior | HMO | $523.25 | ↓ -80% |
| Superior | ValueHMO | $523.25 | ↓ -80% |
| Humana | Tricare | $611.85 | ↓ -77% |
| Unicare | CHIP | $627.90 | ↓ -76% |
| Molina Healthcare | HIX | $654.06 | ↓ -75% |
| Healthcare Highways | CityofPlano | $884.29 | ↓ -66% |
| BCBS | Traditional | $1,083.13 | ↓ -59% |
| City of McKinney | COMM | $1,177.31 | ↓ -55% |
| United | GlobalBenefitPlan | $1,177.31 | ↓ -55% |
| United | AllPayerAppendix | $1,178.22 | ↓ -55% |
| United | NarrowNetworkIndivExchange | $1,178.22 | ↓ -55% |
| United | SmallGroup | $1,178.22 | ↓ -55% |
| National ChoiceCare | WCOMP | $1,308.13 | ↓ -50% |
| Aetna | ASA | $1,321.21 | ↓ -49% |
| PC Texas Partners | WCOMP | $1,438.94 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $1,438.94 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $1,438.94 | ↓ -45% |
| Aetna | WCOMP | $1,438.94 | ↓ -45% |
| Aetna Coventry First Health | COMM | $1,499.11 | ↓ -43% |
| Averde Health, Inc | PPO | $1,517.42 | ↓ -42% |
| USC Health Services | COMM | $1,569.75 | ↓ -40% |
| BCBS | BlueAdvantageHMO | $1,707.75 | ↓ -35% |
| BCBS | MyBlueHealth | $1,707.75 | ↓ -35% |
| Coastal Comp Health Networks | WCOMP | $1,831.38 | ↓ -30% |
| Jostens | WCOMP | $1,831.38 | ↓ -30% |
| Mega Life | MGMCRPPO | $1,831.38 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $1,962.19 | ↓ -25% |
| Multiplan | PHCSPrimaryNetwork | $1,962.19 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,962.19 | ↓ -25% |
| USA Managed Care | COMM | $2,093.00 | ↓ -20% |
| Multiplan | ComplementaryNetwork | $2,223.81 | ↓ -15% |
| BCBS | BlueEssentials | $2,499.75 | ↓ -4% |
| BCBS | BlueEssentialsAccess | $2,499.75 | ↓ -4% |
| National Healthcare Solutions | COMM | $2,616.25 | ↑ +0% |
| Unicare | MCD | $2,616.25 | ↑ +0% |
| Independent Medical Systems | COMM | $2,616.25 | ↑ +0% |
| BCBS | EPOSOA | $2,623.50 | ↑ +0% |
| BCBS | PPO | $2,747.25 | ↑ +5% |
| Cigna | LocalPlus | $3,768.99 | ↑ +44% |
| Cigna | NewBusiness | $3,772.72 | ↑ +44% |
| Cigna | HMO | $4,210.60 | ↑ +61% |
| Cigna | OpenAccessPlus | $4,210.60 | ↑ +61% |
| Cigna | NetworkBenefit | $4,210.60 | ↑ +61% |
| Cigna | AllOther | $5,326.78 | ↑ +104% |
Visitor-reported prices
Comments
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $1,198.26 | $550.94 – $1,507.35 |
| Covenant Children's Hospital | Lubbock | $3,686.45 | $4,514.40 – $4,514.40 |
| HCA HOUSTON CONROE | CONROE | $1,204.99 | $630.77 – $1,507.35 |
| HCA HOUSTON KINGWOOD | HUMBLE | $2,676.14 | $630.77 – $1,507.35 |
| Baylor St Luke's Medical Center | Houston | $712.46 | $447.83 – $2,035.59 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $712.46 | $447.83 – $2,035.59 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $712.46 | $447.83 – $2,035.59 |
| HCA HOUSTON SOUTHEAST | PASADENA | $1,406.99 | $550.94 – $1,507.35 |