Vaccine tdap >=7 years im at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$1,186.81
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.
$1,186.81
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.
$38.30 with Humana vs $1,186.81 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 |
|---|---|---|---|
| Humana | Tricare | $38.30 | ↓ -97% |
| United | AllPayerAppendix | $65.14 | ↓ -95% |
| United | SmallGroup | $65.14 | ↓ -95% |
| United | NarrowNetworkIndivExchange | $65.14 | ↓ -95% |
| Superior Health Plan | STARHealth | $83.08 | ↓ -93% |
| Superior Health Plan | STARKids | $83.08 | ↓ -93% |
| Superior Health Plan | CHIP | $83.08 | ↓ -93% |
| Superior Health Plan | STARPLUS | $83.08 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $83.08 | ↓ -93% |
| BCBS | BlueAdvantageHMO | $136.34 | ↓ -89% |
| BCBS | MyBlueHealth | $136.34 | ↓ -89% |
| Cigna | IFP | $160.22 | ↓ -86% |
| Cigna | QHP | $166.15 | ↓ -86% |
| BCBS | BlueEssentials | $199.58 | ↓ -83% |
| BCBS | BlueEssentialsAccess | $199.58 | ↓ -83% |
| BCBS | EPOSOA | $209.46 | ↓ -82% |
| BCBS | PPO | $219.34 | ↓ -82% |
| United | OptionsPPO | $229.05 | ↓ -81% |
| Superior | EPO | $237.36 | ↓ -80% |
| Superior | HMO | $237.36 | ↓ -80% |
| Superior | ValueHMO | $237.36 | ↓ -80% |
| Unicare | CHIP | $284.83 | ↓ -76% |
| Molina Healthcare | HIX | $296.70 | ↓ -75% |
| Cigna | LocalPlus | $330.38 | ↓ -72% |
| Cigna | NewBusiness | $330.71 | ↓ -72% |
| Cigna | HMO | $369.10 | ↓ -69% |
| Cigna | OpenAccessPlus | $369.10 | ↓ -69% |
| Cigna | NetworkBenefit | $369.10 | ↓ -69% |
| Healthcare Highways | CityofPlano | $401.14 | ↓ -66% |
| Cigna | AllOther | $466.94 | ↓ -61% |
| BCBS | Traditional | $491.34 | ↓ -59% |
| United | GlobalBenefitPlan | $534.06 | ↓ -55% |
| City of McKinney | COMM | $534.06 | ↓ -55% |
| National ChoiceCare | WCOMP | $593.40 | ↓ -50% |
| Aetna | ASA | $599.34 | ↓ -49% |
| Physicians Coop of TX | MGMCR | $652.75 | ↓ -45% |
| Aetna | WCOMP | $652.75 | ↓ -45% |
| PC Texas Partners | WCOMP | $652.75 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $652.75 | ↓ -45% |
| Aetna Coventry First Health | COMM | $680.04 | ↓ -43% |
| Averde Health, Inc | PPO | $688.35 | ↓ -42% |
| USC Health Services | COMM | $712.09 | ↓ -40% |
| Mega Life | MGMCRPPO | $830.77 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $830.77 | ↓ -30% |
| Jostens | WCOMP | $830.77 | ↓ -30% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $890.11 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $890.11 | ↓ -25% |
| Multiplan | PHCSPrimaryNetwork | $890.11 | ↓ -25% |
| USA Managed Care | COMM | $949.45 | ↓ -20% |
| Multiplan | ComplementaryNetwork | $1,008.79 | ↓ -15% |
| Independent Medical Systems | COMM | $1,186.81 | ↑ +0% |
| National Healthcare Solutions | COMM | $1,186.81 | ↑ +0% |
| Unicare | MCD | $1,186.81 | ↑ +0% |
Visitor-reported prices
Comments
Vaccine tdap >=7 years im at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $395.35 | $152.15 – $152.15 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $167.69 | $43.43 – $235.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $167.69 | $34.19 – $249.16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $167.69 | $33.22 – $207.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $167.69 | $43.43 – $235.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $167.69 | $43.43 – $249.16 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $167.69 | $43.43 – $249.16 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $167.69 | $43.43 – $249.16 |