Xe133 xenon 10mci 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

$810.94

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.

$810.94

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.

$56.77 with Superior Health Plan vs $2,225.23 with Cigna — 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
Superior Health Plan STARHealth $56.77 ↓ -93%
Superior Health Plan STARKids $56.77 ↓ -93%
Superior Health Plan STARPLUS $56.77 ↓ -93%
Superior Health Plan MCDSTAR $56.77 ↓ -93%
Superior Health Plan CHIP $56.77 ↓ -93%
Imaging Providers of Texas HMOBlue $70.00 ↓ -91%
Cigna IFP $109.48 ↓ -86%
Cigna QHP $113.53 ↓ -86%
Imperial Insurance Company MCR $154.08 ↓ -81%
United OptionsPPO $156.51 ↓ -81%
Superior ValueHMO $162.19 ↓ -80%
Superior HMO $162.19 ↓ -80%
Superior EPO $162.19 ↓ -80%
Oscar HIX $168.68 ↓ -79%
Unicare CHIP $194.63 ↓ -76%
Healthcare Highways NarrowNetwork $198.68 ↓ -76%
Molina Healthcare HIX $202.74 ↓ -75%
Evry Health COMM $209.22 ↓ -74%
Healthcare Highways CityofPlano $274.10 ↓ -66%
Curative Administrators COMM $324.38 ↓ -60%
BCBS Traditional $335.73 ↓ -59%
United GlobalBenefitPlan $364.92 ↓ -55%
City of McKinney COMM $364.92 ↓ -55%
Fidelis SecureCare MGMCR $364.92 ↓ -55%
National ChoiceCare WCOMP $405.47 ↓ -50%
Aetna WCOMP $446.02 ↓ -45%
PC Texas Partners WCOMP $446.02 ↓ -45%
Physicians Coop of TX MGMCR $446.02 ↓ -45%
Rockport Health Group WORKERSCOMP $446.02 ↓ -45%
Aetna Coventry First Health COMM $464.67 ↓ -43%
Averde Health, Inc PPO $470.35 ↓ -42%
USC Health Services COMM $486.56 ↓ -40%
United AllPayerAppendix $505.38 ↓ -38%
United NarrowNetworkIndivExchange $505.38 ↓ -38%
United SmallGroup $505.38 ↓ -38%
Mega Life MGMCRPPO $567.66 ↓ -30%
Coastal Comp Health Networks WCOMP $567.66 ↓ -30%
Jostens WCOMP $567.66 ↓ -30%
Multiplan PHCSPrimaryNetwork $608.21 ↓ -25%
HealthSmart Preferred Care PPO $608.21 ↓ -25%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $608.21 ↓ -25%
USA Managed Care COMM $648.75 ↓ -20%
Multiplan ComplementaryNetwork $689.30 ↓ -15%
BCBS MyBlueHealth $720.60 ↓ -11%
BCBS BlueAdvantageHMO $720.60 ↓ -11%
Unicare MCD $810.94 ↑ +0%
National Healthcare Solutions COMM $810.94 ↑ +0%
Independent Medical Systems COMM $810.94 ↑ +0%
BCBS BlueEssentials $1,054.79 ↑ +30%
BCBS BlueEssentialsAccess $1,054.79 ↑ +30%
BCBS EPOSOA $1,107.01 ↑ +37%
BCBS PPO $1,159.23 ↑ +43%
Cigna LocalPlus $1,574.47 ↑ +94%
Cigna NewBusiness $1,576.03 ↑ +94%
Cigna HMO $1,758.95 ↑ +117%
Cigna OpenAccessPlus $1,758.95 ↑ +117%
Cigna NetworkBenefit $1,758.95 ↑ +117%
Cigna AllOther $2,225.23 ↑ +174%

Visitor-reported prices

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Xe133 xenon 10mci at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $565.76 $405.18 – $629.68
HCA HOUSTON KINGWOOD HUMBLE $1,280.09 $405.18 – $629.68
HCA HOUSTON NORTHWEST SPRING $1,328.96 $405.18 – $629.68
St. Luke's Health - Patients Medical Center Pasadena $290.43 $100.00 – $622.35
Baylor St Luke's Medical Center Houston $336.00 $100.00 – $960.00
St. Joseph Health Madison Hospital Madisonville $81.03 $58.99 – $416.70
St. Luke's Health Memorial Lufkin Lufkin $102.67 $100.00 – $603.90
HCA HOUSTON PEARLAND Pearland $435.25 $405.18 – $629.68

All Texas hospitals for this procedure →