Prosthetic sock multi ply bk 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

$313.00

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.

$313.00

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.

$21.91 with Superior Health Plan vs $313.00 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 $21.91 ↓ -93%
Superior Health Plan CHIP $21.91 ↓ -93%
Superior Health Plan MCDSTAR $21.91 ↓ -93%
Superior Health Plan STARPLUS $21.91 ↓ -93%
Superior Health Plan STARHealth $21.91 ↓ -93%
Humana Tricare $24.69 ↓ -92%
BCBS MGMCRHMO $24.95 ↓ -92%
BCBS MCRPPO $24.95 ↓ -92%
WellMed MGMCR $25.32 ↓ -92%
TriWest Health Alliance FEDERAL $25.45 ↓ -92%
Mutual of Omaha MGMCR $25.45 ↓ -92%
Amerigroup DualEligible $25.45 ↓ -92%
Humana MGMCR $25.45 ↓ -92%
Devoted Health SNP $25.45 ↓ -92%
Devoted Health HMO $25.45 ↓ -92%
Devoted Health POS $25.45 ↓ -92%
Devoted Health MCR $25.45 ↓ -92%
Devoted Health PPO $25.45 ↓ -92%
Devoted Health MME $25.45 ↓ -92%
United MGMCR $25.58 ↓ -92%
Aetna MCR $25.67 ↓ -92%
Care N Care MGMCR $25.70 ↓ -92%
Cigna Healthspring MGMCR $25.96 ↓ -92%
WellCare MGMCR $26.21 ↓ -92%
Integranet MGMCR $26.21 ↓ -92%
Superior Health Plan MGMCRPOS $26.72 ↓ -91%
Superior Health Plan MGMCRHMO $26.72 ↓ -91%
Superior Health Plan MGMCRPPO $26.72 ↓ -91%
Superior Health Plan MGMCRDualEligible $26.72 ↓ -91%
Superior Health Plan MGMCRPFFS $26.72 ↓ -91%
Superior Health Plan MGMCRSNP $26.72 ↓ -91%
American Health Plan of Texas, Inc. MGMCR $26.72 ↓ -91%
ProCare Advantge MCR $26.72 ↓ -91%
Texas Independent Health Plan MGMCR $26.98 ↓ -91%
Provider Partners Health Plan MCR $26.98 ↓ -91%
Molina MCR $27.74 ↓ -91%
Molina MMP $27.74 ↓ -91%
Molina MME $27.74 ↓ -91%
Imperial Insurance Company MCR $28.00 ↓ -91%
Universal Healthcare Group MCR $30.54 ↓ -90%
Verda Health Plan MGMCR $33.09 ↓ -89%
Bravo Health MCRHMO $38.17 ↓ -88%
Bravo Health MCRPPO $38.17 ↓ -88%
Bravo Health MCRSNP $38.17 ↓ -88%
Bravo Health MCRPFFS $38.17 ↓ -88%
Bravo Health MCRPOS $38.17 ↓ -88%
Cigna IFP $42.26 ↓ -86%
Cigna QHP $43.82 ↓ -86%
Superior ValueHMO $45.56 ↓ -85%
USA Managed Care WORKERSCOMP $48.35 ↓ -85%
Corvel Corporation WORKERSCOMP $50.39 ↓ -84%
Superior HMO $57.01 ↓ -82%
Superior EPO $57.01 ↓ -82%
United OptionsPPO $62.29 ↓ -80%
Molina Healthcare HIX $66.68 ↓ -79%
Unicare CHIP $75.12 ↓ -76%
BCBS BlueAdvantageHMO $77.31 ↓ -75%
BCBS MyBlueHealth $77.31 ↓ -75%
Cigna NewBusiness $82.63 ↓ -74%
Cigna LocalPlus $82.63 ↓ -74%
Cigna OpenAccessPlus $92.33 ↓ -71%
Cigna HMO $92.33 ↓ -71%
Cigna NetworkBenefit $92.33 ↓ -71%
BCBS BlueEssentialsAccess $99.85 ↓ -68%
BCBS BlueEssentials $99.85 ↓ -68%
BCBS EPOSOA $104.86 ↓ -66%
Healthcare Highways CityofPlano $105.79 ↓ -66%
BCBS PPO $109.55 ↓ -65%
Cigna AllOther $116.75 ↓ -63%
BCBS Traditional $138.97 ↓ -56%
City of McKinney COMM $140.85 ↓ -55%
Humana COMM $143.79 ↓ -54%
National ChoiceCare WCOMP $156.50 ↓ -50%
Aetna ASA $164.95 ↓ -47%
Physicians Coop of TX MGMCR $172.15 ↓ -45%
Rockport Health Group WORKERSCOMP $172.15 ↓ -45%
Aetna WCOMP $172.15 ↓ -45%
PC Texas Partners WCOMP $172.15 ↓ -45%
Averde Health, Inc PPO $181.54 ↓ -42%
USC Health Services COMM $187.80 ↓ -40%
Mega Life MGMCRPPO $219.10 ↓ -30%
Jostens WCOMP $219.10 ↓ -30%
Aetna Coventry First Health COMM $227.55 ↓ -27%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $234.75 ↓ -25%
HealthSmart Preferred Care PPO $234.75 ↓ -25%
USA Managed Care COMM $250.40 ↓ -20%
Galaxy Health Network PPO $266.05 ↓ -15%
Independent Medical Systems COMM $313.00 ↑ +0%
National Healthcare Solutions COMM $313.00 ↑ +0%
Unicare MCD $313.00 ↑ +0%

Visitor-reported prices

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Prosthetic sock multi ply bk at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $57.89 $16.40 – $77.18
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $57.89 $15.44 – $77.18
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $57.89 $15.44 – $77.18
BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE Grapevine $57.89 $14.47 – $77.18
BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING Irving $57.89 $10.61 – $77.18
BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE Rowlett $57.89 $10.61 – $77.18
BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY McKinney $57.89 $16.40 – $77.18
BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY Frisco $57.89 $27.01 – $77.18

All Texas hospitals for this procedure →