Kafo fem fx cast thermoplas at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$6,115.00
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.
?
What you pay up front if you don't use insurance.
$6,115.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$428.05 with Superior Health Plan vs $7,774.00 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $428.05 | ↓ -93% |
| Superior Health Plan | STARHealth | $428.05 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $428.05 | ↓ -93% |
| Superior Health Plan | STARPLUS | $428.05 | ↓ -93% |
| Superior Health Plan | STARKids | $428.05 | ↓ -93% |
| Cigna | IFP | $825.52 | ↓ -87% |
| Cigna | QHP | $856.10 | ↓ -86% |
| United | OptionsPPO | $1,216.88 | ↓ -80% |
| Humana | Tricare | $1,334.75 | ↓ -78% |
| BCBS | MGMCRHMO | $1,349.05 | ↓ -78% |
| BCBS | MCRPPO | $1,349.05 | ↓ -78% |
| WellMed | MGMCR | $1,369.15 | ↓ -78% |
| Devoted Health | SNP | $1,376.03 | ↓ -77% |
| Devoted Health | HMO | $1,376.03 | ↓ -77% |
| Devoted Health | POS | $1,376.03 | ↓ -77% |
| Devoted Health | PPO | $1,376.03 | ↓ -77% |
| Devoted Health | MCR | $1,376.03 | ↓ -77% |
| Mutual of Omaha | MGMCR | $1,376.03 | ↓ -77% |
| Humana | MGMCR | $1,376.03 | ↓ -77% |
| TriWest Health Alliance | FEDERAL | $1,376.03 | ↓ -77% |
| Devoted Health | MME | $1,376.03 | ↓ -77% |
| Amerigroup | DualEligible | $1,376.03 | ↓ -77% |
| United | MGMCR | $1,382.91 | ↓ -77% |
| Aetna | MCR | $1,387.73 | ↓ -77% |
| Care N Care | MGMCR | $1,389.79 | ↓ -77% |
| Cigna Healthspring | MGMCR | $1,403.55 | ↓ -77% |
| WellCare | MGMCR | $1,417.31 | ↓ -77% |
| Integranet | MGMCR | $1,417.31 | ↓ -77% |
| Superior Health Plan | MGMCRPOS | $1,444.83 | ↓ -76% |
| Superior Health Plan | MGMCRHMO | $1,444.83 | ↓ -76% |
| Superior Health Plan | MGMCRPPO | $1,444.83 | ↓ -76% |
| Superior Health Plan | MGMCRDualEligible | $1,444.83 | ↓ -76% |
| Superior Health Plan | MGMCRPFFS | $1,444.83 | ↓ -76% |
| Superior Health Plan | MGMCRSNP | $1,444.83 | ↓ -76% |
| American Health Plan of Texas, Inc. | MGMCR | $1,444.83 | ↓ -76% |
| ProCare Advantge | MCR | $1,444.83 | ↓ -76% |
| Provider Partners Health Plan | MCR | $1,458.59 | ↓ -76% |
| Texas Independent Health Plan | MGMCR | $1,458.59 | ↓ -76% |
| Unicare | CHIP | $1,467.60 | ↓ -76% |
| Molina | MMP | $1,499.87 | ↓ -75% |
| Molina | MME | $1,499.87 | ↓ -75% |
| Molina | MCR | $1,499.87 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $1,510.40 | ↓ -75% |
| BCBS | MyBlueHealth | $1,510.40 | ↓ -75% |
| Imperial Insurance Company | MCR | $1,513.63 | ↓ -75% |
| Cigna | LocalPlus | $1,614.36 | ↓ -74% |
| Cigna | NewBusiness | $1,614.36 | ↓ -74% |
| Universal Healthcare Group | MCR | $1,651.24 | ↓ -73% |
| Verda Health Plan | MGMCR | $1,788.84 | ↓ -71% |
| Cigna | NetworkBenefit | $1,803.92 | ↓ -71% |
| Cigna | HMO | $1,803.92 | ↓ -71% |
| Cigna | OpenAccessPlus | $1,803.92 | ↓ -71% |
| BCBS | BlueEssentialsAccess | $1,950.68 | ↓ -68% |
| BCBS | BlueEssentials | $1,950.68 | ↓ -68% |
| BCBS | EPOSOA | $2,048.53 | ↓ -66% |
| Bravo Health | MCRHMO | $2,064.05 | ↓ -66% |
| Bravo Health | MCRPOS | $2,064.05 | ↓ -66% |
| Bravo Health | MCRPFFS | $2,064.05 | ↓ -66% |
| Bravo Health | MCRPPO | $2,064.05 | ↓ -66% |
| Bravo Health | MCRSNP | $2,064.05 | ↓ -66% |
| Healthcare Highways | CityofPlano | $2,066.87 | ↓ -66% |
| BCBS | PPO | $2,140.25 | ↓ -65% |
| Cigna | AllOther | $2,280.89 | ↓ -63% |
| Superior | ValueHMO | $2,463.09 | ↓ -60% |
| USA Managed Care | WORKERSCOMP | $2,614.46 | ↓ -57% |
| BCBS | Traditional | $2,715.06 | ↓ -56% |
| Corvel Corporation | WORKERSCOMP | $2,724.54 | ↓ -55% |
| City of McKinney | COMM | $2,751.75 | ↓ -55% |
| National ChoiceCare | WCOMP | $3,057.50 | ↓ -50% |
| Superior | HMO | $3,082.31 | ↓ -50% |
| Superior | EPO | $3,082.31 | ↓ -50% |
| Aetna | ASA | $3,222.61 | ↓ -47% |
| PC Texas Partners | WCOMP | $3,363.25 | ↓ -45% |
| Aetna | WCOMP | $3,363.25 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $3,363.25 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $3,363.25 | ↓ -45% |
| Averde Health, Inc | PPO | $3,546.70 | ↓ -42% |
| Molina Healthcare | HIX | $3,605.20 | ↓ -41% |
| USC Health Services | COMM | $3,669.00 | ↓ -40% |
| Mega Life | MGMCRPPO | $4,280.50 | ↓ -30% |
| Jostens | WCOMP | $4,280.50 | ↓ -30% |
| Aetna Coventry First Health | COMM | $4,445.60 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $4,586.25 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $4,586.25 | ↓ -25% |
| USA Managed Care | COMM | $4,892.00 | ↓ -20% |
| Galaxy Health Network | PPO | $5,197.75 | ↓ -15% |
| Independent Medical Systems | COMM | $6,115.00 | ↑ +0% |
| National Healthcare Solutions | COMM | $6,115.00 | ↑ +0% |
| Unicare | MCD | $6,115.00 | ↑ +0% |
| Humana | COMM | $7,774.00 | ↑ +27% |
Visitor-reported prices
Comments
Kafo fem fx cast thermoplas at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MEDICAL CITY ARGYLE HOSPITAL | Argyle | $7,934.00 | $1,334.75 – $3,605.20 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK | $17,807.00 | $1,334.75 – $3,605.20 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving | $10,807.00 | $1,334.75 – $3,605.20 |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford | $17,807.00 | $1,349.05 – $7,774.00 |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH | $9,166.00 | $1,334.75 – $3,605.20 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney | $8,238.00 | $1,334.75 – $3,605.20 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $1,348.51 – $2,958.46 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $1,348.51 – $2,958.46 |