Allograft graftjacket 2x12cm-q4107-cost per sq cm at MEDICAL CITY LEWISVILLE HOSPITAL

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

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

$1,897.67

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.

$1,897.67

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.

$132.84 with Superior Health Plan vs $1,897.67 with Unicare — 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 MCDSTAR $132.84 ↓ -93%
Superior Health Plan STARHealth $132.84 ↓ -93%
Superior Health Plan CHIP $132.84 ↓ -93%
Superior Health Plan STARKids $132.84 ↓ -93%
Superior Health Plan STARPLUS $132.84 ↓ -93%
United AllPayerAppendix $209.78 ↓ -89%
United SmallGroup $209.78 ↓ -89%
United NarrowNetworkIndivExchange $209.78 ↓ -89%
Aetna QHPHIX $256.19 ↓ -86%
Cigna IFP $256.19 ↓ -86%
Cigna QHP $265.67 ↓ -86%
BCBS MyBlueHealth $355.59 ↓ -81%
BCBS BlueAdvantageHMO $355.59 ↓ -81%
Aetna NewBusiness $377.64 ↓ -80%
United OptionsPPO $377.64 ↓ -80%
Aetna Meritain $404.20 ↓ -79%
Aetna COMM $404.20 ↓ -79%
BCBS BluePremier $420.53 ↓ -78%
Unicare CHIP $455.44 ↓ -76%
Aetna OON $476.32 ↓ -75%
Cigna LocalPlus $520.14 ↓ -73%
BCBS BlueEssentialsAccess $520.50 ↓ -73%
BCBS BlueEssentials $520.50 ↓ -73%
Cigna NewBusiness $520.66 ↓ -73%
BCBS EPOSOA $546.27 ↓ -71%
BCBS PPO $572.04 ↓ -70%
Cigna OpenAccessPlus $581.09 ↓ -69%
Cigna HMO $581.09 ↓ -69%
Cigna NetworkBenefit $581.09 ↓ -69%
Humana COMM $625.88 ↓ -67%
Healthcare Highways CityofPlano $641.41 ↓ -66%
Cigna AllOther $735.13 ↓ -61%
BCBS Traditional $842.57 ↓ -56%
City of McKinney COMM $853.95 ↓ -55%
National ChoiceCare WCOMP $948.84 ↓ -50%
Aetna ASA $1,000.07 ↓ -47%
Rockport Health Group WORKERSCOMP $1,043.72 ↓ -45%
Physicians Coop of TX MGMCR $1,043.72 ↓ -45%
PC Texas Partners WCOMP $1,043.72 ↓ -45%
Aetna WCOMP $1,043.72 ↓ -45%
Averde Health, Inc PPO $1,100.65 ↓ -42%
USC Health Services COMM $1,138.60 ↓ -40%
Coastal Comp Health Networks WCOMP $1,328.37 ↓ -30%
Jostens WCOMP $1,328.37 ↓ -30%
Mega Life MGMCRPPO $1,328.37 ↓ -30%
Aetna Coventry First Health COMM $1,379.61 ↓ -27%
HealthSmart Preferred Care PPO $1,423.25 ↓ -25%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $1,423.25 ↓ -25%
USA Managed Care COMM $1,518.14 ↓ -20%
Galaxy Health Network PPO $1,613.02 ↓ -15%
National Healthcare Solutions COMM $1,897.67 ↑ +0%
Independent Medical Systems COMM $1,897.67 ↑ +0%
Unicare MCD $1,897.67 ↑ +0%

Visitor-reported prices

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Allograft graftjacket 2x12cm-q4107-cost per sq cm at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $5,705.88 $47.48 – $268.77
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $5,705.88 $34.49 – $251.35
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $5,705.88 $33.51 – $209.46
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $5,705.88 $44.68 – $268.77
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $5,705.88 $53.79 – $251.35
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $5,705.88 $86.58 – $251.35
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $5,705.88 $55.86 – $251.35
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $5,705.88 $44.68 – $268.77

All Texas hospitals for this procedure →