X-ray surgical specimen 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.
$24.15 with Superior Health Plan 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 |
|---|---|---|---|
| Superior Health Plan | MCDSTAR | $24.15 | — |
| Superior Health Plan | STARPLUS | $24.15 | — |
| Superior Health Plan | CHIP | $24.15 | — |
| Superior Health Plan | STARKids | $24.15 | — |
| Superior Health Plan | STARHealth | $24.15 | — |
| TEXAS HEALTH NETWORK | MCD | $42.14 | — |
| Parkland Community Health Plan | MCD | $42.78 | — |
| Amerigroup | MGMCD | $42.78 | — |
| Amerigroup | CHIP | $42.78 | — |
| United | STARPerinate | $42.78 | — |
| United | STARPLUS | $42.78 | — |
| Cook Childrens Health Plan | CHIP | $42.78 | — |
| United | CHIP | $42.78 | — |
| Cook Childrens Health Plan | STAR | $42.78 | — |
| United | STARKids | $42.78 | — |
| United | STAR | $42.78 | — |
| Cigna Healthspring | MGMCD | $44.92 | — |
| Aetna Better Health | MCD | $46.20 | — |
| Aetna Better Health | CHIP | $46.20 | — |
| Cigna | IFP | $46.57 | — |
| Molina | MCDSTAR | $47.06 | — |
| Molina | STARKIDS | $47.06 | — |
| Molina | STAR+PLUS | $47.06 | — |
| Molina | CHIP | $47.06 | — |
| Cigna | QHP | $48.30 | — |
| Humana | MGMCD | $53.48 | — |
| Aetna | NewBusiness | $58.54 | — |
| Aetna | Meritain | $62.53 | — |
| Aetna | COMM | $62.53 | — |
| United | OptionsPPO | $66.58 | — |
| Aetna | OON | $74.00 | — |
| Unicare | CHIP | $82.80 | — |
| Healthcare Highways | NarrowNetwork | $84.52 | — |
| Evry Health | COMM | $89.01 | — |
| Cigna | LocalPlus | $104.33 | — |
| Cigna | NewBusiness | $104.43 | — |
| Cigna | OpenAccessPlus | $116.52 | — |
| Cigna | NetworkBenefit | $116.52 | — |
| Cigna | HMO | $116.52 | — |
| Healthcare Highways | CityofPlano | $116.61 | — |
| Curative Administrators | COMM | $138.00 | — |
| BCBS | Traditional | $142.83 | — |
| Cigna | AllOther | $147.48 | — |
| United | GlobalBenefitPlan | $155.25 | — |
| City of McKinney | COMM | $155.25 | — |
| Fidelis SecureCare | MGMCR | $155.25 | — |
| National ChoiceCare | WCOMP | $172.50 | — |
| Aetna | ASA | $174.22 | — |
| Physicians Coop of TX | MGMCR | $189.74 | — |
| PC Texas Partners | WCOMP | $189.74 | — |
| Rockport Health Group | WORKERSCOMP | $189.74 | — |
| Aetna | WCOMP | $189.74 | — |
| Aetna Coventry First Health | COMM | $197.68 | — |
| Averde Health, Inc | PPO | $200.09 | — |
| USC Health Services | COMM | $206.99 | — |
| Jostens | WCOMP | $241.49 | — |
| Coastal Comp Health Networks | WCOMP | $241.49 | — |
| Mega Life | MGMCRPPO | $241.49 | — |
| Multiplan | PHCSPrimaryNetwork | $258.74 | — |
| HealthSmart Preferred Care | PPO | $258.74 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $258.74 | — |
| USA Managed Care | COMM | $275.99 | — |
| Multiplan | ComplementaryNetwork | $293.24 | — |
| National Healthcare Solutions | COMM | $344.99 | — |
| Unicare | MCD | $344.99 | — |
| Independent Medical Systems | COMM | $344.99 | — |
| United | SmallGroup | $657.03 | — |
| United | NarrowNetworkIndivExchange | $657.03 | — |
| BCBS | BlueAdvantageHMO | $659.76 | — |
| BCBS | MyBlueHealth | $659.76 | — |
| United | AllPayerAppendix | $1,086.50 | — |
| 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 surgical specimen at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $458.88 | $42.78 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $638.62 | $131.45 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $565.09 | $42.78 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $458.88 | $42.78 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $638.62 | $45.77 – $1,366.64 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $638.62 | $42.78 – $1,366.64 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $565.09 | $42.78 – $1,366.64 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $458.88 | $42.78 – $1,366.64 |