X-ray exam of sinuses 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.
$31.92 with TEXAS HEALTH NETWORK vs $818.78 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 |
|---|---|---|---|
| TEXAS HEALTH NETWORK | MCD | $31.92 | — |
| United | STARPLUS | $32.41 | — |
| Amerigroup | MGMCD | $32.41 | — |
| United | STARKids | $32.41 | — |
| Amerigroup | CHIP | $32.41 | — |
| Parkland Community Health Plan | MCD | $32.41 | — |
| Cook Childrens Health Plan | STAR | $32.41 | — |
| United | CHIP | $32.41 | — |
| United | STARPerinate | $32.41 | — |
| Cook Childrens Health Plan | CHIP | $32.41 | — |
| United | STAR | $32.41 | — |
| Cigna Healthspring | MGMCD | $34.03 | — |
| Aetna Better Health | CHIP | $35.00 | — |
| Aetna Better Health | MCD | $35.00 | — |
| Molina | CHIP | $35.65 | — |
| Molina | STAR+PLUS | $35.65 | — |
| Molina | STARKIDS | $35.65 | — |
| Molina | MCDSTAR | $35.65 | — |
| Humana | MGMCD | $40.51 | — |
| Aetna | NewBusiness | $55.44 | — |
| Superior Health Plan | STARKids | $57.31 | — |
| Superior Health Plan | MCDSTAR | $57.31 | — |
| Superior Health Plan | STARHealth | $57.31 | — |
| Superior Health Plan | CHIP | $57.31 | — |
| Superior Health Plan | STARPLUS | $57.31 | — |
| Aetna | Meritain | $59.22 | — |
| Aetna | COMM | $59.22 | — |
| Aetna | OON | $70.09 | — |
| United | NarrowNetworkIndivExchange | $83.86 | — |
| United | SmallGroup | $83.86 | — |
| Cigna | LocalPlus | $92.69 | — |
| Cigna | NewBusiness | $92.79 | — |
| Cigna | HMO | $103.53 | — |
| Cigna | NetworkBenefit | $103.53 | — |
| Cigna | OpenAccessPlus | $103.53 | — |
| BCBS | BlueAdvantageHMO | $109.34 | — |
| BCBS | MyBlueHealth | $109.34 | — |
| Cigna | IFP | $110.54 | — |
| Cigna | QHP | $114.63 | — |
| Cigna | AllOther | $131.03 | — |
| United | OptionsPPO | $158.02 | — |
| United | AllPayerAppendix | $182.03 | — |
| Unicare | CHIP | $196.51 | — |
| Healthcare Highways | NarrowNetwork | $200.60 | — |
| Evry Health | COMM | $211.25 | — |
| Healthcare Highways | CityofPlano | $276.75 | — |
| BCBS | BlueEssentials | $325.62 | — |
| BCBS | BlueEssentialsAccess | $325.62 | — |
| Curative Administrators | COMM | $327.51 | — |
| BCBS | Traditional | $338.97 | — |
| BCBS | EPOSOA | $341.59 | — |
| BCBS | PPO | $357.55 | — |
| Fidelis SecureCare | MGMCR | $368.45 | — |
| United | GlobalBenefitPlan | $368.45 | — |
| City of McKinney | COMM | $368.45 | — |
| National ChoiceCare | WCOMP | $409.39 | — |
| Aetna | ASA | $413.48 | — |
| Aetna | WCOMP | $450.33 | — |
| Rockport Health Group | WORKERSCOMP | $450.33 | — |
| PC Texas Partners | WCOMP | $450.33 | — |
| Physicians Coop of TX | MGMCR | $450.33 | — |
| Aetna Coventry First Health | COMM | $469.16 | — |
| Averde Health, Inc | PPO | $474.89 | — |
| USC Health Services | COMM | $491.27 | — |
| Coastal Comp Health Networks | WCOMP | $573.15 | — |
| Mega Life | MGMCRPPO | $573.15 | — |
| Jostens | WCOMP | $573.15 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $614.09 | — |
| Multiplan | PHCSPrimaryNetwork | $614.09 | — |
| HealthSmart Preferred Care | PPO | $614.09 | — |
| USA Managed Care | COMM | $655.02 | — |
| Multiplan | ComplementaryNetwork | $695.96 | — |
| Unicare | MCD | $818.78 | — |
| Independent Medical Systems | COMM | $818.78 | — |
| National Healthcare Solutions | COMM | $818.78 | — |
Visitor-reported prices
Comments
X-ray exam of sinuses at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $830.26 | $307.27 – $307.27 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $151.82 | $32.41 – $225.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $188.79 | $38.86 – $283.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $249.35 | $32.41 – $311.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $151.82 | $32.41 – $225.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $188.79 | $34.68 – $283.19 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $188.79 | $32.41 – $283.19 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $249.35 | $32.41 – $374.03 |