Medical City Lewisville
Cash prices and insurer rates for 16 common procedures, from the hospital’s own price file.
- Prices from each hospital’s official price file
- Checked October 30, 2026
- Outpatient facility prices
- Address
- 500 West Main Street, Lewisville, TX 75057
- Type
- Acute care hospital · emergency department
- Prices published
- September 1, 2026 · checked October 29, 2026
Outpatient facility charge only. These are the hospital’s own published prices for the facility part of the visit. The doctor’s or radiologist’s fee is billed separately and isn’t included, and your final bill can differ (extra tests, contrast, supplies). Not medical or insurance advice.
| Procedure | Cash price | List price | Insurers paylowest–highest | Area median cash |
|---|---|---|---|---|
| Brain MRICPT 70551 | $5–9,461same as list price: no self-pay discount in the file | $5–9,461 | $2–9,461median $382 | $1,931 |
| Lower back MRICPT 72148 | $5–9,887same as list price: no self-pay discount in the file | $5–9,887 | $2–9,887median $382 | $1,900 |
| Knee MRICPT 73721 | $9,034–13,551same as list price: no self-pay discount in the file | $9,034–13,551 | $230–13,551median $4,571 | $2,171 |
| Shoulder MRICPT 73221 | $9,034–13,551same as list price: no self-pay discount in the file | $9,034–13,551 | $230–13,551median $4,571 | $1,985 |
| Head CTCPT 70450 | $4–7,017same as list price: no self-pay discount in the file | $4–7,017 | $1–7,017median $856 | $1,416 |
| Abdomen and pelvis CTCPT 74177 | $17,973same as list price: no self-pay discount in the file | $17,973 | $341–17,973median $7,441 | $2,715 |
| Abdominal ultrasoundCPT 76700 | $3,511same as list price: no self-pay discount in the file | $3,511 | $115–3,511median $1,453 | $619 |
| Screening mammogramCPT 77067 | $1,250same as list price: no self-pay discount in the file | $1,250 | $84–1,250median $99 | $226 |
| ColonoscopyCPT 45378 | not published | – | $361–4,880median $2,467 | $1,647 |
| Screening colonoscopyCPT G0121 | not published | – | $361–4,880median $2,139 | $985 |
| Upper endoscopyCPT 43235 | not published | – | $368–4,723median $2,329 | $1,048 |
| Chest X-rayCPT 71046 | $1,113same as list price: no self-pay discount in the file | $1,113 | $37–1,113median $306 | $253 |
| Metabolic panelCPT 80053 | $2,268same as list price: no self-pay discount in the file | $2,268 | $10–2,268median $12 | $266 |
| CBC blood testCPT 85025 | not published | – | $7–42median $8 | $96 |
| Lipid panelCPT 80061 | $1,107same as list price: no self-pay discount in the file | $1,107 | $8–1,107median $15 | $140 |
| A1c testCPT 83036 | $314same as list price: no self-pay discount in the file | $314 | $9–314median $11 | $82 |
Source: MEDICAL CITY LEWISVILLE standard charges file, published September 1, 2026. “Area median” is the median cash price across the Dallas–Fort Worth hospitals’ price lists.
Cash or your insurance plan?Your plan pays a different rate at each hospital. See your plan’s own rate at every hospital nearby, next to the cash price, and what you would pay after your deductible. See an example report.
See what your plan paysInsurer rates
Brain MRI
Molina Healthcare $222–226 · UnitedHealthcare $2–4,257 · Superior HealthPlan $662 · Blue Cross and Blue Shield of Texas $2–3,917 · Aetna $2–5,421 · Cigna $1,277–1,325 · MultiPlan / PHCS (rental network) $4–8,042
Lower back MRI
Molina Healthcare $217–221 · UnitedHealthcare $2–4,449 · Superior HealthPlan $692 · Blue Cross and Blue Shield of Texas $2–4,093 · Aetna $2–5,665 · Cigna $1,335–1,384 · MultiPlan / PHCS (rental network) $4–8,404
Knee MRI
Molina Healthcare $230–234 · UnitedHealthcare $314–6,098 · Superior HealthPlan $632–949 · Cigna $1,220–1,897 · Blue Cross and Blue Shield of Texas $294–5,610 · Aetna $1,046–7,765 · MultiPlan / PHCS (rental network) $6,776–11,518
Shoulder MRI
Molina Healthcare $230–234 · UnitedHealthcare $314–6,098 · Superior HealthPlan $632–949 · Cigna $1,220–1,897 · Blue Cross and Blue Shield of Texas $294–5,610 · Aetna $1,046–7,765 · MultiPlan / PHCS (rental network) $6,776–11,518
Head CT
Molina Healthcare $115–117 · UnitedHealthcare $2–3,157 · Blue Cross and Blue Shield of Texas $2–2,905 · Superior HealthPlan $491 · Aetna $2–4,021 · Cigna $947–982 · MultiPlan / PHCS (rental network) $3–5,964
Abdomen and pelvis CT
Molina Healthcare $343–350 · UnitedHealthcare $341–8,088 · Superior HealthPlan $1,258 · Blue Cross and Blue Shield of Texas $481–7,441 · Cigna $2,426–2,516 · Aetna $801–10,299 · MultiPlan / PHCS (rental network) $13,480–15,277
Each insurer has several plans, often at different rates. Your plan’s price shows the rate for your own plan.