Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-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

$1,145.00

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.

$1,145.00

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.

$48.30 with Humana vs $1,145.00 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
Humana Tricare $48.30 ↓ -96%
Superior Health Plan CHIP $80.15 ↓ -93%
Superior Health Plan STARHealth $80.15 ↓ -93%
Superior Health Plan MCDSTAR $80.15 ↓ -93%
Superior Health Plan STARPLUS $80.15 ↓ -93%
Superior Health Plan STARKids $80.15 ↓ -93%
BCBS BlueAdvantageHMO $138.76 ↓ -88%
BCBS MyBlueHealth $138.76 ↓ -88%
Cigna IFP $154.57 ↓ -87%
Aetna QHPHIX $154.57 ↓ -87%
Cigna QHP $160.30 ↓ -86%
BCBS BluePremier $164.10 ↓ -86%
BCBS BlueEssentialsAccess $203.11 ↓ -82%
BCBS BlueEssentials $203.11 ↓ -82%
United AllPayerAppendix $209.78 ↓ -82%
United NarrowNetworkIndivExchange $209.78 ↓ -82%
United SmallGroup $209.78 ↓ -82%
BCBS EPOSOA $213.17 ↓ -81%
BCBS PPO $223.22 ↓ -81%
United OptionsPPO $227.85 ↓ -80%
Aetna NewBusiness $227.85 ↓ -80%
Aetna Meritain $243.88 ↓ -79%
Aetna COMM $243.88 ↓ -79%
Humana COMM $256.03 ↓ -78%
Unicare CHIP $274.80 ↓ -76%
Aetna OON $287.39 ↓ -75%
Cigna LocalPlus $325.30 ↓ -72%
Cigna NewBusiness $325.62 ↓ -72%
Cigna OpenAccessPlus $363.42 ↓ -68%
Cigna HMO $363.42 ↓ -68%
Cigna NetworkBenefit $363.42 ↓ -68%
Healthcare Highways CityofPlano $387.01 ↓ -66%
Cigna AllOther $459.76 ↓ -60%
BCBS Traditional $508.38 ↓ -56%
City of McKinney COMM $515.25 ↓ -55%
National ChoiceCare WCOMP $572.50 ↓ -50%
Aetna ASA $603.41 ↓ -47%
Rockport Health Group WORKERSCOMP $629.75 ↓ -45%
Physicians Coop of TX MGMCR $629.75 ↓ -45%
PC Texas Partners WCOMP $629.75 ↓ -45%
Aetna WCOMP $629.75 ↓ -45%
Averde Health, Inc PPO $664.10 ↓ -42%
USC Health Services COMM $687.00 ↓ -40%
Coastal Comp Health Networks WCOMP $801.50 ↓ -30%
Jostens WCOMP $801.50 ↓ -30%
Mega Life MGMCRPPO $801.50 ↓ -30%
Aetna Coventry First Health COMM $832.41 ↓ -27%
HealthSmart Preferred Care PPO $858.75 ↓ -25%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $858.75 ↓ -25%
USA Managed Care COMM $916.00 ↓ -20%
Galaxy Health Network PPO $973.25 ↓ -15%
National Healthcare Solutions COMM $1,145.00 ↑ +0%
Independent Medical Systems COMM $1,145.00 ↑ +0%
Unicare MCD $1,145.00 ↑ +0%

Visitor-reported prices

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Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $321.43 $10.68 – $268.77
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $321.43 $7.76 – $56.53
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $321.43 $7.54 – $131.26
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $321.43 $10.05 – $268.77
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $321.43 $12.10 – $186.89
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $321.43 $19.47 – $56.53
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $321.43 $12.56 – $186.89
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $321.43 $10.05 – $268.77

All Texas hospitals for this procedure →