X-ray esophogram chest radiograph(s) & delayed images single contrast study at MEDICAL CITY LEWISVILLE HOSPITAL

1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533

Source: hospital's published price file ↗ · Published Sep 1, 2026 · Ingested Sep 23, 2026

not published by hospital

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

not published by hospital

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$96.10 with TEXAS HEALTH NETWORK vs $1,711.15 with Independent Medical Systems — 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 →

Payer
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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
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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 $96.10
United STARPLUS $97.56
Amerigroup MGMCD $97.56
Amerigroup CHIP $97.56
United STARKids $97.56
Parkland Community Health Plan MCD $97.56
Cook Childrens Health Plan STAR $97.56
United CHIP $97.56
Cook Childrens Health Plan CHIP $97.56
United STARPerinate $97.56
United STAR $97.56
Cigna Healthspring MGMCD $102.44
Aetna Better Health CHIP $105.36
Aetna Better Health MCD $105.36
Molina MCDSTAR $107.32
Molina CHIP $107.32
Molina STAR+PLUS $107.32
Molina STARKIDS $107.32
Superior Health Plan STARPLUS $119.78
Superior Health Plan MCDSTAR $119.78
Superior Health Plan STARHealth $119.78
Superior Health Plan CHIP $119.78
Superior Health Plan STARKids $119.78
Humana MGMCD $121.95
Aetna NewBusiness $167.02
Aetna Meritain $178.41
Aetna COMM $178.41
Aetna OON $211.15
Cigna IFP $231.01
Cigna QHP $239.56
BCBS BlueAdvantageHMO $249.64
BCBS MyBlueHealth $249.64
Cigna LocalPlus $274.79
Cigna NewBusiness $275.07
Cigna NetworkBenefit $306.92
Cigna HMO $306.92
Cigna OpenAccessPlus $306.92
United OptionsPPO $330.25
United SmallGroup $341.20
United NarrowNetworkIndivExchange $341.20
Cigna AllOther $388.45
United AllPayerAppendix $401.74
Unicare CHIP $410.68
Healthcare Highways NarrowNetwork $419.23
Evry Health COMM $441.48
Healthcare Highways CityofPlano $578.37
Curative Administrators COMM $684.46
BCBS Traditional $708.42
BCBS BlueEssentialsAccess $743.46
BCBS BlueEssentials $743.46
United GlobalBenefitPlan $770.02
City of McKinney COMM $770.02
Fidelis SecureCare MGMCR $770.02
BCBS EPOSOA $779.90
BCBS PPO $816.35
National ChoiceCare WCOMP $855.58
Aetna ASA $864.13
Physicians Coop of TX MGMCR $941.13
Aetna WCOMP $941.13
Rockport Health Group WORKERSCOMP $941.13
PC Texas Partners WCOMP $941.13
Aetna Coventry First Health COMM $980.49
Averde Health, Inc PPO $992.47
USC Health Services COMM $1,026.69
Jostens WCOMP $1,197.81
Coastal Comp Health Networks WCOMP $1,197.81
Mega Life MGMCRPPO $1,197.81
Multiplan PHCSPrimaryNetwork $1,283.36
LEWISVILLE ISD/DLS CONSULTING COMMPPO $1,283.36
HealthSmart Preferred Care PPO $1,283.36
USA Managed Care COMM $1,368.92
Multiplan ComplementaryNetwork $1,454.48
National Healthcare Solutions COMM $1,711.15
Unicare MCD $1,711.15
Independent Medical Systems COMM $1,711.15

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X-ray esophogram chest radiograph(s) & delayed images single contrast study at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $501.34 $97.56 – $626.68
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $501.34 $103.19 – $752.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $501.34 $97.56 – $626.68
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $501.34 $97.56 – $626.68
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $501.34 $104.39 – $752.01
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $501.34 $97.56 – $752.01
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $501.34 $97.56 – $752.01
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $501.34 $97.56 – $626.68

All Texas hospitals for this procedure →