Bk molded distal cushion 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

$2,026.00

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.

$2,026.00

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.

$141.82 with Superior Health Plan vs $2,026.00 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 STARKids $141.82 ↓ -93%
Superior Health Plan CHIP $141.82 ↓ -93%
Superior Health Plan MCDSTAR $141.82 ↓ -93%
Superior Health Plan STARPLUS $141.82 ↓ -93%
Superior Health Plan STARHealth $141.82 ↓ -93%
Humana Tricare $159.89 ↓ -92%
BCBS MGMCRHMO $161.61 ↓ -92%
BCBS MCRPPO $161.61 ↓ -92%
WellMed MGMCR $164.02 ↓ -92%
TriWest Health Alliance FEDERAL $164.84 ↓ -92%
Mutual of Omaha MGMCR $164.84 ↓ -92%
Amerigroup DualEligible $164.84 ↓ -92%
Humana MGMCR $164.84 ↓ -92%
Devoted Health SNP $164.84 ↓ -92%
Devoted Health HMO $164.84 ↓ -92%
Devoted Health POS $164.84 ↓ -92%
Devoted Health MCR $164.84 ↓ -92%
Devoted Health PPO $164.84 ↓ -92%
Devoted Health MME $164.84 ↓ -92%
United MGMCR $165.66 ↓ -92%
Aetna MCR $166.24 ↓ -92%
Care N Care MGMCR $166.49 ↓ -92%
Cigna Healthspring MGMCR $168.14 ↓ -92%
WellCare MGMCR $169.79 ↓ -92%
Integranet MGMCR $169.79 ↓ -92%
Superior Health Plan MGMCRPOS $173.08 ↓ -91%
Superior Health Plan MGMCRHMO $173.08 ↓ -91%
Superior Health Plan MGMCRPPO $173.08 ↓ -91%
Superior Health Plan MGMCRDualEligible $173.08 ↓ -91%
Superior Health Plan MGMCRPFFS $173.08 ↓ -91%
Superior Health Plan MGMCRSNP $173.08 ↓ -91%
American Health Plan of Texas, Inc. MGMCR $173.08 ↓ -91%
ProCare Advantge MCR $173.08 ↓ -91%
Texas Independent Health Plan MGMCR $174.73 ↓ -91%
Provider Partners Health Plan MCR $174.73 ↓ -91%
Molina MCR $179.68 ↓ -91%
Molina MMP $179.68 ↓ -91%
Molina MME $179.68 ↓ -91%
Imperial Insurance Company MCR $181.32 ↓ -91%
Universal Healthcare Group MCR $197.81 ↓ -90%
Verda Health Plan MGMCR $214.29 ↓ -89%
Bravo Health MCRHMO $247.26 ↓ -88%
Bravo Health MCRPPO $247.26 ↓ -88%
Bravo Health MCRSNP $247.26 ↓ -88%
Bravo Health MCRPFFS $247.26 ↓ -88%
Bravo Health MCRPOS $247.26 ↓ -88%
Cigna IFP $273.51 ↓ -87%
Cigna QHP $283.64 ↓ -86%
Superior ValueHMO $295.06 ↓ -85%
USA Managed Care WORKERSCOMP $313.20 ↓ -85%
Corvel Corporation WORKERSCOMP $326.38 ↓ -84%
Superior HMO $369.24 ↓ -82%
Superior EPO $369.24 ↓ -82%
United OptionsPPO $403.17 ↓ -80%
Molina Healthcare HIX $431.88 ↓ -79%
Unicare CHIP $486.24 ↓ -76%
BCBS BlueAdvantageHMO $500.42 ↓ -75%
BCBS MyBlueHealth $500.42 ↓ -75%
Cigna NewBusiness $534.86 ↓ -74%
Cigna LocalPlus $534.86 ↓ -74%
Cigna OpenAccessPlus $597.67 ↓ -71%
Cigna HMO $597.67 ↓ -71%
Cigna NetworkBenefit $597.67 ↓ -71%
BCBS BlueEssentialsAccess $646.29 ↓ -68%
BCBS BlueEssentials $646.29 ↓ -68%
BCBS EPOSOA $678.71 ↓ -67%
Healthcare Highways CityofPlano $684.79 ↓ -66%
BCBS PPO $709.10 ↓ -65%
Cigna AllOther $755.70 ↓ -63%
BCBS Traditional $899.54 ↓ -56%
City of McKinney COMM $911.70 ↓ -55%
Humana COMM $931.27 ↓ -54%
National ChoiceCare WCOMP $1,013.00 ↓ -50%
Aetna ASA $1,067.70 ↓ -47%
Physicians Coop of TX MGMCR $1,114.30 ↓ -45%
Rockport Health Group WORKERSCOMP $1,114.30 ↓ -45%
Aetna WCOMP $1,114.30 ↓ -45%
PC Texas Partners WCOMP $1,114.30 ↓ -45%
Averde Health, Inc PPO $1,175.08 ↓ -42%
USC Health Services COMM $1,215.60 ↓ -40%
Mega Life MGMCRPPO $1,418.20 ↓ -30%
Jostens WCOMP $1,418.20 ↓ -30%
Aetna Coventry First Health COMM $1,472.90 ↓ -27%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $1,519.50 ↓ -25%
HealthSmart Preferred Care PPO $1,519.50 ↓ -25%
USA Managed Care COMM $1,620.80 ↓ -20%
Galaxy Health Network PPO $1,722.10 ↓ -15%
Independent Medical Systems COMM $2,026.00 ↑ +0%
National Healthcare Solutions COMM $2,026.00 ↑ +0%
Unicare MCD $2,026.00 ↑ +0%

Visitor-reported prices

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Bk molded distal cushion at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON CLEAR LAKE FRIENDSWOOD not published $161.54 – $354.41
HCA HOUSTON MEDICAL CENTER Houston not published $161.54 – $354.41
HCA HOUSTON CONROE CONROE not published $161.54 – $354.41
HCA HOUSTON KINGWOOD HUMBLE not published $161.54 – $354.41
HCA HOUSTON NORTHWEST SPRING not published $161.54 – $354.41
HCA HOUSTON PEARLAND Pearland not published $161.54 – $354.41
HCA HOUSTON SOUTHEAST PASADENA not published $161.54 – $354.41
HCA HOUSTON WEST HOUSTON not published $161.54 – $354.41

All Texas hospitals for this procedure →