Vein x-ray kidney 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.
$117.84 with TEXAS HEALTH NETWORK vs $12,415.33 with BCBS — 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 |
|---|---|---|---|
| TEXAS HEALTH NETWORK | MCD | $117.84 | — |
| United | STARPLUS | $119.63 | — |
| Amerigroup | CHIP | $119.63 | — |
| Amerigroup | MGMCD | $119.63 | — |
| United | STARKids | $119.63 | — |
| United | STAR | $119.63 | — |
| United | STARPerinate | $119.63 | — |
| United | CHIP | $119.63 | — |
| Cook Childrens Health Plan | STAR | $119.63 | — |
| Parkland Community Health Plan | MCD | $119.63 | — |
| Cook Childrens Health Plan | CHIP | $119.63 | — |
| Cigna Healthspring | MGMCD | $125.61 | — |
| Aetna Better Health | CHIP | $129.20 | — |
| Aetna Better Health | MCD | $129.20 | — |
| Molina | CHIP | $131.59 | — |
| Molina | STAR+PLUS | $131.59 | — |
| Molina | STARKIDS | $131.59 | — |
| Molina | MCDSTAR | $131.59 | — |
| Humana | MGMCD | $149.54 | — |
| Aetna | NewBusiness | $157.70 | — |
| Aetna | Meritain | $168.45 | — |
| Aetna | COMM | $168.45 | — |
| Aetna | OON | $199.36 | — |
| Cigna | LocalPlus | $266.77 | — |
| Cigna | NewBusiness | $267.04 | — |
| Cigna | NetworkBenefit | $297.96 | — |
| Cigna | HMO | $297.96 | — |
| Cigna | OpenAccessPlus | $297.96 | — |
| Cigna | AllOther | $377.11 | — |
| Superior Health Plan | STARKids | $410.65 | — |
| Superior Health Plan | CHIP | $410.65 | — |
| Superior Health Plan | STARPLUS | $410.65 | — |
| Superior Health Plan | MCDSTAR | $410.65 | — |
| Superior Health Plan | STARHealth | $410.65 | — |
| Cigna | IFP | $791.96 | — |
| Cigna | QHP | $821.29 | — |
| United | OptionsPPO | $1,132.21 | — |
| Unicare | CHIP | $1,407.93 | — |
| Healthcare Highways | NarrowNetwork | $1,437.26 | — |
| Evry Health | COMM | $1,513.52 | — |
| Healthcare Highways | CityofPlano | $1,982.83 | — |
| Curative Administrators | COMM | $2,346.55 | — |
| BCBS | Traditional | $2,428.68 | — |
| United | GlobalBenefitPlan | $2,639.87 | — |
| City of McKinney | COMM | $2,639.87 | — |
| Fidelis SecureCare | MGMCR | $2,639.87 | — |
| National ChoiceCare | WCOMP | $2,933.18 | — |
| Aetna | ASA | $2,962.52 | — |
| PC Texas Partners | WCOMP | $3,226.50 | — |
| Aetna | WCOMP | $3,226.50 | — |
| Rockport Health Group | WORKERSCOMP | $3,226.50 | — |
| Physicians Coop of TX | MGMCR | $3,226.50 | — |
| Aetna Coventry First Health | COMM | $3,361.43 | — |
| United | NarrowNetworkIndivExchange | $3,365.20 | — |
| United | SmallGroup | $3,365.20 | — |
| Averde Health, Inc | PPO | $3,402.49 | — |
| USC Health Services | COMM | $3,519.82 | — |
| BCBS | BlueAdvantageHMO | $3,796.65 | — |
| BCBS | MyBlueHealth | $3,796.65 | — |
| Jostens | WCOMP | $4,106.46 | — |
| Coastal Comp Health Networks | WCOMP | $4,106.46 | — |
| Mega Life | MGMCRPPO | $4,106.46 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $4,399.78 | — |
| Multiplan | PHCSPrimaryNetwork | $4,399.78 | — |
| HealthSmart Preferred Care | PPO | $4,399.78 | — |
| USA Managed Care | COMM | $4,693.10 | — |
| Multiplan | ComplementaryNetwork | $4,986.41 | — |
| Independent Medical Systems | COMM | $5,866.37 | — |
| Unicare | MCD | $5,866.37 | — |
| National Healthcare Solutions | COMM | $5,866.37 | — |
| United | AllPayerAppendix | $6,438.74 | — |
| BCBS | BlueEssentialsAccess | $11,306.82 | — |
| BCBS | BlueEssentials | $11,306.82 | — |
| BCBS | EPOSOA | $11,861.08 | — |
| BCBS | PPO | $12,415.33 | — |
Visitor-reported prices
Comments
Vein x-ray kidney at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,571.95 | $119.63 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,216.83 | $71.00 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,650.18 | $71.00 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,571.95 | $119.63 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,216.83 | $85.00 – $7,896.23 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,216.83 | $119.63 – $7,896.23 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,650.18 | $71.00 – $7,896.23 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,571.95 | $119.63 – $7,896.23 |