Vital capacity test at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$1,367.69
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.
?
What you pay up front if you don't use insurance.
$1,367.69
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.
?
The hospital's undiscounted list price — almost no one pays this.
$95.74 with Superior Health Plan vs $1,367.69 with Unicare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | CHIP | $95.74 | ↓ -93% |
| Superior Health Plan | STARHealth | $95.74 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $95.74 | ↓ -93% |
| Superior Health Plan | STARPLUS | $95.74 | ↓ -93% |
| Superior Health Plan | STARKids | $95.74 | ↓ -93% |
| Cigna | IFP | $184.64 | ↓ -86% |
| Cigna | QHP | $191.48 | ↓ -86% |
| United | OptionsPPO | $263.96 | ↓ -81% |
| Aetna | NewBusiness | $268.07 | ↓ -80% |
| Oscar | HIX | $284.48 | ↓ -79% |
| Aetna | Meritain | $285.85 | ↓ -79% |
| Aetna | COMM | $285.85 | ↓ -79% |
| Unicare | CHIP | $328.25 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $335.08 | ↓ -76% |
| Aetna | OON | $337.82 | ↓ -75% |
| Evry Health | COMM | $352.86 | ↓ -74% |
| Cigna | LocalPlus | $361.07 | ↓ -74% |
| Cigna | NewBusiness | $361.07 | ↓ -74% |
| BCBS | MyBlueHealth | $380.46 | ↓ -72% |
| BCBS | BlueAdvantageHMO | $380.46 | ↓ -72% |
| Cigna | HMO | $403.47 | ↓ -70% |
| Cigna | NetworkBenefit | $403.47 | ↓ -70% |
| Cigna | OpenAccessPlus | $403.47 | ↓ -70% |
| Healthcare Highways | CityofPlano | $462.28 | ↓ -66% |
| Cigna | AllOther | $510.15 | ↓ -63% |
| Curative Administrators | COMM | $547.08 | ↓ -60% |
| BCBS | Traditional | $566.22 | ↓ -59% |
| City of McKinney | COMM | $615.46 | ↓ -55% |
| United | GlobalBenefitPlan | $615.46 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $615.46 | ↓ -55% |
| BCBS | BlueEssentialsAccess | $673.76 | ↓ -51% |
| BCBS | BlueEssentials | $673.76 | ↓ -51% |
| National ChoiceCare | WCOMP | $683.85 | ↓ -50% |
| Aetna | ASA | $690.68 | ↓ -50% |
| BCBS | EPOSOA | $706.97 | ↓ -48% |
| BCBS | PPO | $740.17 | ↓ -46% |
| Aetna | WCOMP | $752.23 | ↓ -45% |
| PC Texas Partners | WCOMP | $752.23 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $752.23 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $752.23 | ↓ -45% |
| Aetna Coventry First Health | COMM | $783.69 | ↓ -43% |
| Averde Health, Inc | PPO | $793.26 | ↓ -42% |
| USC Health Services | COMM | $820.61 | ↓ -40% |
| Mega Life | MGMCRPPO | $957.38 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $957.38 | ↓ -30% |
| Jostens | WCOMP | $957.38 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $1,025.77 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,025.77 | ↓ -25% |
| Multiplan | PHCSPrimaryNetwork | $1,025.77 | ↓ -25% |
| USA Managed Care | COMM | $1,094.15 | ↓ -20% |
| Multiplan | ComplementaryNetwork | $1,162.54 | ↓ -15% |
| Independent Medical Systems | COMM | $1,367.69 | ↑ +0% |
| National Healthcare Solutions | COMM | $1,367.69 | ↑ +0% |
| Unicare | MCD | $1,367.69 | ↑ +0% |
Visitor-reported prices
Comments
Vital capacity test at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $200.99 | $56.95 – $386.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $197.26 | $40.60 – $386.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $207.11 | $41.42 – $386.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $200.99 | $53.60 – $386.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $197.26 | $63.32 – $386.96 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $197.26 | $101.92 – $386.96 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $207.11 | $69.04 – $386.96 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $200.99 | $53.60 – $386.96 |