Component ankle afo plastic jt mold to pt mdl foot cup 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

$3,512.00

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.

$3,512.00

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.

$245.84 with Superior Health Plan vs $4,619.50 with Humana — 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 $245.84 ↓ -93%
Superior Health Plan STARPLUS $245.84 ↓ -93%
Superior Health Plan STARKids $245.84 ↓ -93%
Superior Health Plan CHIP $245.84 ↓ -93%
Superior Health Plan MCDSTAR $245.84 ↓ -93%
Cigna IFP $474.12 ↓ -87%
Cigna QHP $491.68 ↓ -86%
United OptionsPPO $698.89 ↓ -80%
Humana Tricare $793.15 ↓ -77%
BCBS MCRPPO $801.65 ↓ -77%
BCBS MGMCRHMO $801.65 ↓ -77%
WellMed MGMCR $813.59 ↓ -77%
Amerigroup DualEligible $817.68 ↓ -77%
Devoted Health SNP $817.68 ↓ -77%
Devoted Health HMO $817.68 ↓ -77%
Devoted Health MME $817.68 ↓ -77%
Devoted Health POS $817.68 ↓ -77%
Devoted Health PPO $817.68 ↓ -77%
Devoted Health MCR $817.68 ↓ -77%
Humana MGMCR $817.68 ↓ -77%
Mutual of Omaha MGMCR $817.68 ↓ -77%
TriWest Health Alliance FEDERAL $817.68 ↓ -77%
United MGMCR $821.77 ↓ -77%
Aetna MCR $824.63 ↓ -77%
Care N Care MGMCR $825.86 ↓ -76%
Cigna Healthspring MGMCR $834.03 ↓ -76%
WellCare MGMCR $842.21 ↓ -76%
Integranet MGMCR $842.21 ↓ -76%
Unicare CHIP $842.88 ↓ -76%
Superior Health Plan MGMCRPOS $858.56 ↓ -76%
Superior Health Plan MGMCRHMO $858.56 ↓ -76%
Superior Health Plan MGMCRPPO $858.56 ↓ -76%
Superior Health Plan MGMCRDualEligible $858.56 ↓ -76%
Superior Health Plan MGMCRPFFS $858.56 ↓ -76%
Superior Health Plan MGMCRSNP $858.56 ↓ -76%
American Health Plan of Texas, Inc. MGMCR $858.56 ↓ -76%
ProCare Advantge MCR $858.56 ↓ -76%
Texas Independent Health Plan MGMCR $866.74 ↓ -75%
Provider Partners Health Plan MCR $866.74 ↓ -75%
BCBS BlueAdvantageHMO $867.46 ↓ -75%
BCBS MyBlueHealth $867.46 ↓ -75%
Molina MCR $891.27 ↓ -75%
Molina MME $891.27 ↓ -75%
Molina MMP $891.27 ↓ -75%
Imperial Insurance Company MCR $899.45 ↓ -74%
Cigna NewBusiness $927.17 ↓ -74%
Cigna LocalPlus $927.17 ↓ -74%
Universal Healthcare Group MCR $981.22 ↓ -72%
Cigna HMO $1,036.04 ↓ -71%
Cigna OpenAccessPlus $1,036.04 ↓ -71%
Cigna NetworkBenefit $1,036.04 ↓ -71%
Verda Health Plan MGMCR $1,062.98 ↓ -70%
BCBS BlueEssentials $1,120.33 ↓ -68%
BCBS BlueEssentialsAccess $1,120.33 ↓ -68%
BCBS EPOSOA $1,176.52 ↓ -67%
Healthcare Highways CityofPlano $1,187.06 ↓ -66%
Bravo Health MCRPFFS $1,226.52 ↓ -65%
Bravo Health MCRHMO $1,226.52 ↓ -65%
Bravo Health MCRPOS $1,226.52 ↓ -65%
Bravo Health MCRPPO $1,226.52 ↓ -65%
Bravo Health MCRSNP $1,226.52 ↓ -65%
BCBS PPO $1,229.20 ↓ -65%
Cigna AllOther $1,309.98 ↓ -63%
Superior ValueHMO $1,463.65 ↓ -58%
USA Managed Care WORKERSCOMP $1,553.59 ↓ -56%
BCBS Traditional $1,559.33 ↓ -56%
City of McKinney COMM $1,580.40 ↓ -55%
Corvel Corporation WORKERSCOMP $1,619.01 ↓ -54%
National ChoiceCare WCOMP $1,756.00 ↓ -50%
Superior EPO $1,831.60 ↓ -48%
Superior HMO $1,831.60 ↓ -48%
Aetna ASA $1,850.82 ↓ -47%
Aetna WCOMP $1,931.60 ↓ -45%
PC Texas Partners WCOMP $1,931.60 ↓ -45%
Physicians Coop of TX MGMCR $1,931.60 ↓ -45%
Rockport Health Group WORKERSCOMP $1,931.60 ↓ -45%
Averde Health, Inc PPO $2,036.96 ↓ -42%
USC Health Services COMM $2,107.20 ↓ -40%
Molina Healthcare HIX $2,142.32 ↓ -39%
Mega Life MGMCRPPO $2,458.40 ↓ -30%
Jostens WCOMP $2,458.40 ↓ -30%
Aetna Coventry First Health COMM $2,553.22 ↓ -27%
HealthSmart Preferred Care PPO $2,634.00 ↓ -25%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $2,634.00 ↓ -25%
USA Managed Care COMM $2,809.60 ↓ -20%
Galaxy Health Network PPO $2,985.20 ↓ -15%
Independent Medical Systems COMM $3,512.00 ↑ +0%
National Healthcare Solutions COMM $3,512.00 ↑ +0%
Unicare MCD $3,512.00 ↑ +0%
Humana COMM $4,619.50 ↑ +32%

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Component ankle afo plastic jt mold to pt mdl foot cup at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $622.80 $128.19 – $934.20
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $622.80 $124.56 – $830.40
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $622.80 $199.92 – $934.20
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $622.80 $321.78 – $934.20
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $622.80 $207.60 – $934.20
BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST Waco $622.80 $124.56 – $830.40
BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER Temple $622.80 $155.70 – $934.20
BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE Suite 100 $622.80 $114.18 – $934.20

All Texas hospitals for this procedure →