Wbc automated 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.
$1.52 with Cook Childrens Health Plan vs $403.54 with National Healthcare Solutions — 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 |
|---|---|---|---|
| Cook Childrens Health Plan | CHIP | $1.52 | — |
| Cook Childrens Health Plan | STAR | $1.52 | — |
| TEXAS HEALTH NETWORK | MCD | $2.10 | — |
| United | CHIP | $2.13 | — |
| United | STAR | $2.13 | — |
| Amerigroup | CHIP | $2.13 | — |
| United | STARKids | $2.13 | — |
| Amerigroup | MGMCD | $2.13 | — |
| United | STARPerinate | $2.13 | — |
| United | STARPLUS | $2.13 | — |
| Parkland Community Health Plan | MCD | $2.13 | — |
| Cigna Healthspring | MGMCD | $2.24 | — |
| Aetna Better Health | CHIP | $2.30 | — |
| Aetna Better Health | MCD | $2.30 | — |
| Molina | CHIP | $2.34 | — |
| Molina | STAR+PLUS | $2.34 | — |
| Molina | STARKIDS | $2.34 | — |
| Molina | MCDSTAR | $2.34 | — |
| WellMed | MGMCR | $2.53 | — |
| Devoted Health | PPO | $2.54 | — |
| Devoted Health | POS | $2.54 | — |
| Devoted Health | MCR | $2.54 | — |
| Devoted Health | MME | $2.54 | — |
| Humana | MGMCR | $2.54 | — |
| United | AllPayerAppendix | $2.54 | — |
| United | NarrowNetworkIndivExchange | $2.54 | — |
| United | SmallGroup | $2.54 | — |
| Amerigroup | DualEligible | $2.54 | — |
| Devoted Health | SNP | $2.54 | — |
| Devoted Health | HMO | $2.54 | — |
| Mutual of Omaha | MGMCR | $2.54 | — |
| TriWest Health Alliance | FEDERAL | $2.54 | — |
| BCBS | MCRPPO | $2.54 | — |
| BCBS | MGMCRHMO | $2.54 | — |
| Aetna | MCR | $2.56 | — |
| Care N Care | MGMCR | $2.57 | — |
| Cigna Healthspring | MGMCR | $2.59 | — |
| United | MGMCR | $2.59 | — |
| Integranet | MGMCR | $2.62 | — |
| WellCare | MGMCR | $2.62 | — |
| Humana | MGMCD | $2.66 | — |
| Superior Health Plan | MGMCRHMO | $2.67 | — |
| Humana | Tricare | $2.67 | — |
| Superior Health Plan | MGMCRSNP | $2.67 | — |
| ProCare Advantge | MCR | $2.67 | — |
| Superior Health Plan | MGMCRPOS | $2.67 | — |
| Superior Health Plan | MGMCRPFFS | $2.67 | — |
| Superior Health Plan | MGMCRDualEligible | $2.67 | — |
| Superior Health Plan | MGMCRPPO | $2.67 | — |
| American Health Plan of Texas, Inc. | MGMCR | $2.67 | — |
| Texas Independent Health Plan | MGMCR | $2.69 | — |
| Provider Partners Health Plan | MCR | $2.69 | — |
| Molina | MMP | $2.77 | — |
| Molina | MCR | $2.77 | — |
| Molina | MME | $2.77 | — |
| Imperial Insurance Company | MCR | $2.79 | — |
| Aetna | NewBusiness | $2.86 | — |
| Universal Healthcare Group | MCR | $3.05 | — |
| Aetna | Meritain | $3.06 | — |
| Aetna | COMM | $3.06 | — |
| Verda Health Plan | MGMCR | $3.30 | — |
| Aetna | OON | $3.62 | — |
| Bravo Health | MCRPPO | $3.81 | — |
| Bravo Health | MCRHMO | $3.81 | — |
| Bravo Health | MCRPFFS | $3.81 | — |
| Bravo Health | MCRSNP | $3.81 | — |
| Bravo Health | MCRPOS | $3.81 | — |
| BCBS | BlueAdvantageHMO | $4.45 | — |
| BCBS | MyBlueHealth | $4.45 | — |
| Superior | ValueHMO | $4.55 | — |
| USA Managed Care | WORKERSCOMP | $4.83 | — |
| Corvel Corporation | WORKERSCOMP | $5.03 | — |
| Superior | HMO | $5.69 | — |
| Superior | EPO | $5.69 | — |
| BCBS | BlueEssentialsAccess | $6.27 | — |
| BCBS | BlueEssentials | $6.27 | — |
| BCBS | EPOSOA | $6.58 | — |
| Oscar | HIX | $6.60 | — |
| Molina Healthcare | HIX | $6.65 | — |
| BCBS | PPO | $6.88 | — |
| Cigna | LocalPlus | $9.02 | — |
| Cigna | NewBusiness | $9.03 | — |
| Cigna | HMO | $10.08 | — |
| Cigna | OpenAccessPlus | $10.08 | — |
| Cigna | NetworkBenefit | $10.08 | — |
| Cigna | AllOther | $12.76 | — |
| Superior Health Plan | STARHealth | $28.25 | — |
| Superior Health Plan | CHIP | $28.25 | — |
| Superior Health Plan | STARKids | $28.25 | — |
| Superior Health Plan | STARPLUS | $28.25 | — |
| Superior Health Plan | MCDSTAR | $28.25 | — |
| Cigna | IFP | $54.48 | — |
| Cigna | QHP | $56.50 | — |
| United | OptionsPPO | $77.88 | — |
| Unicare | CHIP | $96.85 | — |
| Healthcare Highways | NarrowNetwork | $98.87 | — |
| Evry Health | COMM | $104.11 | — |
| Healthcare Highways | CityofPlano | $136.40 | — |
| BCBS | Traditional | $167.07 | — |
| City of McKinney | COMM | $181.59 | — |
| Fidelis SecureCare | MGMCR | $181.59 | — |
| United | GlobalBenefitPlan | $181.59 | — |
| National ChoiceCare | WCOMP | $201.77 | — |
| Aetna | ASA | $203.79 | — |
| Physicians Coop of TX | MGMCR | $221.95 | — |
| PC Texas Partners | WCOMP | $221.95 | — |
| Rockport Health Group | WORKERSCOMP | $221.95 | — |
| Aetna | WCOMP | $221.95 | — |
| Aetna Coventry First Health | COMM | $231.23 | — |
| Averde Health, Inc | PPO | $234.05 | — |
| USC Health Services | COMM | $242.12 | — |
| Coastal Comp Health Networks | WCOMP | $282.48 | — |
| Jostens | WCOMP | $282.48 | — |
| Mega Life | MGMCRPPO | $282.48 | — |
| Multiplan | PHCSPrimaryNetwork | $302.65 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $302.65 | — |
| HealthSmart Preferred Care | PPO | $302.65 | — |
| USA Managed Care | COMM | $322.83 | — |
| Multiplan | ComplementaryNetwork | $343.01 | — |
| Independent Medical Systems | COMM | $403.54 | — |
| Unicare | MCD | $403.54 | — |
| National Healthcare Solutions | COMM | $403.54 | — |
Visitor-reported prices
Comments
Wbc automated at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $48.08 | $2.13 – $60.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $27.13 | $3.72 – $40.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $36.00 | $2.13 – $45.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $48.08 | $2.13 – $60.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $27.13 | $2.28 – $40.69 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $27.13 | $2.13 – $40.69 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $36.00 | $2.13 – $54.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $48.08 | $2.13 – $60.10 |