Drop lock knee at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$622.00
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.
$622.00
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.
$43.54 with Superior Health Plan vs $744.77 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 →
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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 | CHIP | $43.54 | ↓ -93% |
| Superior Health Plan | STARHealth | $43.54 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $43.54 | ↓ -93% |
| Superior Health Plan | STARPLUS | $43.54 | ↓ -93% |
| Superior Health Plan | STARKids | $43.54 | ↓ -93% |
| Cigna | IFP | $83.97 | ↓ -87% |
| Cigna | QHP | $87.08 | ↓ -86% |
| United | OptionsPPO | $123.78 | ↓ -80% |
| Humana | Tricare | $127.86 | ↓ -79% |
| BCBS | MGMCRHMO | $129.23 | ↓ -79% |
| BCBS | MCRPPO | $129.23 | ↓ -79% |
| WellMed | MGMCR | $131.15 | ↓ -79% |
| Devoted Health | SNP | $131.81 | ↓ -79% |
| Devoted Health | HMO | $131.81 | ↓ -79% |
| Devoted Health | POS | $131.81 | ↓ -79% |
| Devoted Health | PPO | $131.81 | ↓ -79% |
| Devoted Health | MCR | $131.81 | ↓ -79% |
| Mutual of Omaha | MGMCR | $131.81 | ↓ -79% |
| Humana | MGMCR | $131.81 | ↓ -79% |
| TriWest Health Alliance | FEDERAL | $131.81 | ↓ -79% |
| Devoted Health | MME | $131.81 | ↓ -79% |
| Amerigroup | DualEligible | $131.81 | ↓ -79% |
| United | MGMCR | $132.47 | ↓ -79% |
| Aetna | MCR | $132.93 | ↓ -79% |
| Care N Care | MGMCR | $133.13 | ↓ -79% |
| Cigna Healthspring | MGMCR | $134.45 | ↓ -78% |
| WellCare | MGMCR | $135.76 | ↓ -78% |
| Integranet | MGMCR | $135.76 | ↓ -78% |
| Superior Health Plan | MGMCRPOS | $138.40 | ↓ -78% |
| Superior Health Plan | MGMCRHMO | $138.40 | ↓ -78% |
| Superior Health Plan | MGMCRPPO | $138.40 | ↓ -78% |
| Superior Health Plan | MGMCRDualEligible | $138.40 | ↓ -78% |
| Superior Health Plan | MGMCRPFFS | $138.40 | ↓ -78% |
| Superior Health Plan | MGMCRSNP | $138.40 | ↓ -78% |
| American Health Plan of Texas, Inc. | MGMCR | $138.40 | ↓ -78% |
| ProCare Advantge | MCR | $138.40 | ↓ -78% |
| Texas Independent Health Plan | MGMCR | $139.72 | ↓ -78% |
| Provider Partners Health Plan | MCR | $139.72 | ↓ -78% |
| Molina | MMP | $143.67 | ↓ -77% |
| Molina | MME | $143.67 | ↓ -77% |
| Molina | MCR | $143.67 | ↓ -77% |
| Imperial Insurance Company | MCR | $144.99 | ↓ -77% |
| Unicare | CHIP | $149.28 | ↓ -76% |
| BCBS | MyBlueHealth | $153.63 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $153.63 | ↓ -75% |
| Universal Healthcare Group | MCR | $158.17 | ↓ -75% |
| Cigna | LocalPlus | $164.21 | ↓ -74% |
| Cigna | NewBusiness | $164.21 | ↓ -74% |
| Verda Health Plan | MGMCR | $171.35 | ↓ -72% |
| Cigna | HMO | $183.49 | ↓ -71% |
| Cigna | NetworkBenefit | $183.49 | ↓ -71% |
| Cigna | OpenAccessPlus | $183.49 | ↓ -71% |
| Bravo Health | MCRPOS | $197.72 | ↓ -68% |
| Bravo Health | MCRPPO | $197.72 | ↓ -68% |
| Bravo Health | MCRSNP | $197.72 | ↓ -68% |
| Bravo Health | MCRPFFS | $197.72 | ↓ -68% |
| Bravo Health | MCRHMO | $197.72 | ↓ -68% |
| BCBS | BlueEssentialsAccess | $198.42 | ↓ -68% |
| BCBS | BlueEssentials | $198.42 | ↓ -68% |
| BCBS | EPOSOA | $208.37 | ↓ -67% |
| Healthcare Highways | CityofPlano | $210.24 | ↓ -66% |
| BCBS | PPO | $217.70 | ↓ -65% |
| Cigna | AllOther | $232.01 | ↓ -63% |
| Superior | ValueHMO | $235.94 | ↓ -62% |
| USA Managed Care | WORKERSCOMP | $250.44 | ↓ -60% |
| Corvel Corporation | WORKERSCOMP | $260.98 | ↓ -58% |
| BCBS | Traditional | $276.17 | ↓ -56% |
| City of McKinney | COMM | $279.90 | ↓ -55% |
| Superior | HMO | $295.25 | ↓ -53% |
| Superior | EPO | $295.25 | ↓ -53% |
| National ChoiceCare | WCOMP | $311.00 | ↓ -50% |
| Aetna | ASA | $327.79 | ↓ -47% |
| PC Texas Partners | WCOMP | $342.10 | ↓ -45% |
| Aetna | WCOMP | $342.10 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $342.10 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $342.10 | ↓ -45% |
| Molina Healthcare | HIX | $345.34 | ↓ -44% |
| Averde Health, Inc | PPO | $360.76 | ↓ -42% |
| USC Health Services | COMM | $373.20 | ↓ -40% |
| Jostens | WCOMP | $435.40 | ↓ -30% |
| Mega Life | MGMCRPPO | $435.40 | ↓ -30% |
| Aetna Coventry First Health | COMM | $452.19 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $466.50 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $466.50 | ↓ -25% |
| USA Managed Care | COMM | $497.60 | ↓ -20% |
| Galaxy Health Network | PPO | $528.70 | ↓ -15% |
| National Healthcare Solutions | COMM | $622.00 | ↑ +0% |
| Independent Medical Systems | COMM | $622.00 | ↑ +0% |
| Unicare | MCD | $622.00 | ↑ +0% |
| Humana | COMM | $744.77 | ↑ +20% |
Visitor-reported prices
Comments
Drop lock knee at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MEDICAL CITY ARGYLE HOSPITAL | Argyle | $1,001.00 | $127.86 – $345.34 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK | $1,646.00 | $127.86 – $345.34 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving | $1,035.00 | $127.86 – $345.34 |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford | $1,646.00 | $129.23 – $744.77 |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH | $1,119.00 | $127.86 – $345.34 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney | $838.00 | $127.86 – $345.34 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $129.17 – $283.39 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $129.17 – $283.39 |