Western blot test at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$1,462.44
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.
$1,462.44
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.
$10.22 with Cook Childrens Health Plan vs $1,462.44 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 | $10.22 | ↓ -99% |
| Cook Childrens Health Plan | STAR | $10.22 | ↓ -99% |
| TEXAS HEALTH NETWORK | MCD | $14.10 | ↓ -99% |
| United | CHIP | $14.31 | ↓ -99% |
| United | STAR | $14.31 | ↓ -99% |
| Amerigroup | CHIP | $14.31 | ↓ -99% |
| United | STARKids | $14.31 | ↓ -99% |
| Amerigroup | MGMCD | $14.31 | ↓ -99% |
| United | STARPerinate | $14.31 | ↓ -99% |
| United | STARPLUS | $14.31 | ↓ -99% |
| Parkland Community Health Plan | MCD | $14.31 | ↓ -99% |
| Cigna Healthspring | MGMCD | $15.03 | ↓ -99% |
| Aetna Better Health | CHIP | $15.45 | ↓ -99% |
| Aetna Better Health | MCD | $15.45 | ↓ -99% |
| Molina | CHIP | $15.74 | ↓ -99% |
| Molina | STAR+PLUS | $15.74 | ↓ -99% |
| Molina | STARKIDS | $15.74 | ↓ -99% |
| Molina | MCDSTAR | $15.74 | ↓ -99% |
| WellMed | MGMCR | $16.94 | ↓ -99% |
| Devoted Health | PPO | $17.03 | ↓ -99% |
| Devoted Health | POS | $17.03 | ↓ -99% |
| Devoted Health | MCR | $17.03 | ↓ -99% |
| Devoted Health | MME | $17.03 | ↓ -99% |
| Humana | MGMCR | $17.03 | ↓ -99% |
| United | AllPayerAppendix | $17.03 | ↓ -99% |
| United | NarrowNetworkIndivExchange | $17.03 | ↓ -99% |
| United | SmallGroup | $17.03 | ↓ -99% |
| Amerigroup | DualEligible | $17.03 | ↓ -99% |
| Devoted Health | SNP | $17.03 | ↓ -99% |
| Devoted Health | HMO | $17.03 | ↓ -99% |
| Mutual of Omaha | MGMCR | $17.03 | ↓ -99% |
| TriWest Health Alliance | FEDERAL | $17.03 | ↓ -99% |
| BCBS | MCRPPO | $17.03 | ↓ -99% |
| BCBS | MGMCRHMO | $17.03 | ↓ -99% |
| Aetna | MCR | $17.17 | ↓ -99% |
| Care N Care | MGMCR | $17.20 | ↓ -99% |
| Cigna Healthspring | MGMCR | $17.37 | ↓ -99% |
| United | MGMCR | $17.37 | ↓ -99% |
| WellCare | MGMCR | $17.54 | ↓ -99% |
| Integranet | MGMCR | $17.54 | ↓ -99% |
| Superior Health Plan | MGMCRPPO | $17.88 | ↓ -99% |
| Humana | Tricare | $17.88 | ↓ -99% |
| Superior Health Plan | MGMCRSNP | $17.88 | ↓ -99% |
| ProCare Advantge | MCR | $17.88 | ↓ -99% |
| Superior Health Plan | MGMCRPOS | $17.88 | ↓ -99% |
| Superior Health Plan | MGMCRPFFS | $17.88 | ↓ -99% |
| Superior Health Plan | MGMCRDualEligible | $17.88 | ↓ -99% |
| Superior Health Plan | MGMCRHMO | $17.88 | ↓ -99% |
| American Health Plan of Texas, Inc. | MGMCR | $17.88 | ↓ -99% |
| Humana | MGMCD | $17.89 | ↓ -99% |
| Provider Partners Health Plan | MCR | $18.05 | ↓ -99% |
| Texas Independent Health Plan | MGMCR | $18.05 | ↓ -99% |
| Molina | MCR | $18.56 | ↓ -99% |
| Molina | MME | $18.56 | ↓ -99% |
| Molina | MMP | $18.56 | ↓ -99% |
| Imperial Insurance Company | MCR | $18.73 | ↓ -99% |
| Aetna | NewBusiness | $19.21 | ↓ -99% |
| Universal Healthcare Group | MCR | $20.44 | ↓ -99% |
| Aetna | Meritain | $20.54 | ↓ -99% |
| Aetna | COMM | $20.54 | ↓ -99% |
| Verda Health Plan | MGMCR | $22.14 | ↓ -98% |
| Aetna | OON | $24.32 | ↓ -98% |
| Bravo Health | MCRPPO | $25.55 | ↓ -98% |
| Bravo Health | MCRHMO | $25.55 | ↓ -98% |
| Bravo Health | MCRPFFS | $25.55 | ↓ -98% |
| Bravo Health | MCRSNP | $25.55 | ↓ -98% |
| Bravo Health | MCRPOS | $25.55 | ↓ -98% |
| BCBS | BlueAdvantageHMO | $29.80 | ↓ -98% |
| BCBS | MyBlueHealth | $29.80 | ↓ -98% |
| Superior | ValueHMO | $30.48 | ↓ -98% |
| USA Managed Care | WORKERSCOMP | $32.36 | ↓ -98% |
| Corvel Corporation | WORKERSCOMP | $33.72 | ↓ -98% |
| Superior | HMO | $38.15 | ↓ -97% |
| Superior | EPO | $38.15 | ↓ -97% |
| BCBS | BlueEssentialsAccess | $42.06 | ↓ -97% |
| BCBS | BlueEssentials | $42.06 | ↓ -97% |
| BCBS | EPOSOA | $44.11 | ↓ -97% |
| Oscar | HIX | $44.28 | ↓ -97% |
| Molina Healthcare | HIX | $44.62 | ↓ -97% |
| BCBS | PPO | $46.15 | ↓ -97% |
| Cigna | LocalPlus | $64.58 | ↓ -96% |
| Cigna | NewBusiness | $64.64 | ↓ -96% |
| Cigna | HMO | $72.13 | ↓ -95% |
| Cigna | OpenAccessPlus | $72.13 | ↓ -95% |
| Cigna | NetworkBenefit | $72.13 | ↓ -95% |
| Cigna | AllOther | $91.29 | ↓ -94% |
| Superior Health Plan | STARHealth | $102.37 | ↓ -93% |
| Superior Health Plan | CHIP | $102.37 | ↓ -93% |
| Superior Health Plan | STARKids | $102.37 | ↓ -93% |
| Superior Health Plan | STARPLUS | $102.37 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $102.37 | ↓ -93% |
| Cigna | IFP | $197.43 | ↓ -86% |
| Cigna | QHP | $204.74 | ↓ -86% |
| United | OptionsPPO | $282.25 | ↓ -81% |
| Unicare | CHIP | $350.99 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $358.30 | ↓ -75% |
| Evry Health | COMM | $377.31 | ↓ -74% |
| Healthcare Highways | CityofPlano | $494.30 | ↓ -66% |
| BCBS | Traditional | $605.45 | ↓ -59% |
| City of McKinney | COMM | $658.10 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $658.10 | ↓ -55% |
| United | GlobalBenefitPlan | $658.10 | ↓ -55% |
| National ChoiceCare | WCOMP | $731.22 | ↓ -50% |
| Aetna | ASA | $738.53 | ↓ -50% |
| Physicians Coop of TX | MGMCR | $804.34 | ↓ -45% |
| PC Texas Partners | WCOMP | $804.34 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $804.34 | ↓ -45% |
| Aetna | WCOMP | $804.34 | ↓ -45% |
| Aetna Coventry First Health | COMM | $837.98 | ↓ -43% |
| Averde Health, Inc | PPO | $848.22 | ↓ -42% |
| USC Health Services | COMM | $877.46 | ↓ -40% |
| Coastal Comp Health Networks | WCOMP | $1,023.71 | ↓ -30% |
| Jostens | WCOMP | $1,023.71 | ↓ -30% |
| Mega Life | MGMCRPPO | $1,023.71 | ↓ -30% |
| Multiplan | PHCSPrimaryNetwork | $1,096.83 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,096.83 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $1,096.83 | ↓ -25% |
| USA Managed Care | COMM | $1,169.95 | ↓ -20% |
| Multiplan | ComplementaryNetwork | $1,243.07 | ↓ -15% |
| Independent Medical Systems | COMM | $1,462.44 | ↑ +0% |
| Unicare | MCD | $1,462.44 | ↑ +0% |
| National Healthcare Solutions | COMM | $1,462.44 | ↑ +0% |
Visitor-reported prices
Comments
Western blot test at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $247.50 | $10.00 – $188.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $247.50 | $12.00 – $231.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $247.50 | $12.00 – $197.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $247.50 | $10.00 – $188.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $247.50 | $12.00 – $231.97 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $247.50 | $8.00 – $231.97 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $247.50 | $12.00 – $237.06 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $247.50 | $10.00 – $188.15 |