X-ray exam of middle ear 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.
$61.22 with TEXAS HEALTH NETWORK vs $2,157.48 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 | $61.22 | — |
| Cook Childrens Health Plan | CHIP | $62.15 | — |
| United | STARPLUS | $62.15 | — |
| United | STARKids | $62.15 | — |
| United | STAR | $62.15 | — |
| United | STARPerinate | $62.15 | — |
| United | CHIP | $62.15 | — |
| Amerigroup | MGMCD | $62.15 | — |
| Amerigroup | CHIP | $62.15 | — |
| Parkland Community Health Plan | MCD | $62.15 | — |
| Cook Childrens Health Plan | STAR | $62.15 | — |
| Cigna Healthspring | MGMCD | $65.26 | — |
| Aetna Better Health | MCD | $67.12 | — |
| Aetna Better Health | CHIP | $67.12 | — |
| Molina | MCDSTAR | $68.37 | — |
| Molina | CHIP | $68.37 | — |
| Molina | STAR+PLUS | $68.37 | — |
| Molina | STARKIDS | $68.37 | — |
| Humana | MGMCD | $77.69 | — |
| Aetna | NewBusiness | $102.71 | — |
| Superior Health Plan | STARKids | $106.90 | — |
| Superior Health Plan | CHIP | $106.90 | — |
| Superior Health Plan | STARPLUS | $106.90 | — |
| Superior Health Plan | MCDSTAR | $106.90 | — |
| Superior Health Plan | STARHealth | $106.90 | — |
| Aetna | COMM | $109.72 | — |
| Aetna | Meritain | $109.72 | — |
| Aetna | OON | $129.85 | — |
| Cigna | LocalPlus | $172.75 | — |
| Cigna | NewBusiness | $172.93 | — |
| Cigna | OpenAccessPlus | $192.95 | — |
| Cigna | NetworkBenefit | $192.95 | — |
| Cigna | HMO | $192.95 | — |
| Cigna | IFP | $206.17 | — |
| Cigna | QHP | $213.80 | — |
| Cigna | AllOther | $244.21 | — |
| United | OptionsPPO | $294.74 | — |
| United | NarrowNetworkIndivExchange | $313.62 | — |
| United | SmallGroup | $313.62 | — |
| Unicare | CHIP | $366.52 | — |
| Healthcare Highways | NarrowNetwork | $374.15 | — |
| Evry Health | COMM | $394.00 | — |
| Healthcare Highways | CityofPlano | $516.18 | — |
| Curative Administrators | COMM | $610.86 | — |
| BCBS | Traditional | $632.24 | — |
| BCBS | MyBlueHealth | $659.76 | — |
| BCBS | BlueAdvantageHMO | $659.76 | — |
| United | GlobalBenefitPlan | $687.22 | — |
| City of McKinney | COMM | $687.22 | — |
| Fidelis SecureCare | MGMCR | $687.22 | — |
| National ChoiceCare | WCOMP | $763.58 | — |
| Aetna | ASA | $771.21 | — |
| Aetna | WCOMP | $839.93 | — |
| PC Texas Partners | WCOMP | $839.93 | — |
| Physicians Coop of TX | MGMCR | $839.93 | — |
| Rockport Health Group | WORKERSCOMP | $839.93 | — |
| Aetna Coventry First Health | COMM | $875.06 | — |
| Averde Health, Inc | PPO | $885.75 | — |
| USC Health Services | COMM | $916.29 | — |
| Coastal Comp Health Networks | WCOMP | $1,069.01 | — |
| Mega Life | MGMCRPPO | $1,069.01 | — |
| Jostens | WCOMP | $1,069.01 | — |
| United | AllPayerAppendix | $1,086.50 | — |
| HealthSmart Preferred Care | PPO | $1,145.36 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,145.36 | — |
| Multiplan | PHCSPrimaryNetwork | $1,145.36 | — |
| USA Managed Care | COMM | $1,221.72 | — |
| Multiplan | ComplementaryNetwork | $1,298.08 | — |
| Independent Medical Systems | COMM | $1,527.15 | — |
| Unicare | MCD | $1,527.15 | — |
| National Healthcare Solutions | COMM | $1,527.15 | — |
| BCBS | BlueEssentials | $1,964.85 | — |
| BCBS | BlueEssentialsAccess | $1,964.85 | — |
| BCBS | EPOSOA | $2,061.16 | — |
| BCBS | PPO | $2,157.48 | — |
Visitor-reported prices
Comments
X-ray exam of middle ear at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $322.45 | $66.37 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $338.57 | $62.15 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $322.45 | $66.50 – $1,366.64 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $322.45 | $62.15 – $1,366.64 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $338.57 | $62.15 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $322.45 | $62.15 – $1,366.64 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $322.45 | $62.15 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $338.57 | $62.15 – $1,618.11 |