Hip or knee replacement (inpatient stay)
Facility: Medical City Lewisville
Billing Code: 470 (MS-DRG)
This hospital's typical commercial price is $21,349 compared to the $22,907 fair price benchmark.
3-Star CMS clinical quality rating paired with 0.93× fair market pricing.
Highest price of the 9 TX hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.
A fair price for a Hip or knee replacement (inpatient stay) is about $22,907 (about 1.6× the $14,044 Medicare rate). Medical City Lewisville charges insurers about $21,349 — about the fair price. Located in Lewisville, TX.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $4,100 - $55,235 | 29% |
| Blue Cross Blue Shieldmajor | $17,285 - $62,442 | 123% |
| Aetnamajor | $2,433 - $17,061 | 17% |
| Cignamajor | $17,631 - $79,937 | 126% |
| Humanamajor | $16,940 - $56,866 | 121% |
| Amerigroup | $17,285 | 123% |
| Devoted Health | $17,631 | 126% |
| Fidelis Care | $19,532 | 139% |
| Healthcare Highways | $6,200 - $60,000 | 44% |
| Independent Health | $17,631 | 126% |
| Molina | $18,841 - $34,363 | 134% |
| Oscar Health | $21,955 | 156% |
| WellCare | $17,458 | 124% |
| WellMed | $17,234 | 123% |
| + 13 smaller / regional plans | $17,285 - $38,719 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Medical City Lewisville
Compare: Hip or knee replacement (inpatient stay) at other TX hospitals
- Childrens Medical Ctr of Dallas · Dallas $8,277
- Childrens Medical Center Plano · Plano $8,277
- Columbus Community Hospital · Columbus $9,241
- Memorial Medical Center · Port Lavaca $9,356
- Yoakum Community Hospital · Yoakum $10,446
- Coon Memorial Hospital · Dalhart $11,018
- Dell Seton Med Center at the University of Tx · Austin $11,474
- Northwest Hills Surgical Hospital · Austin $11,474
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Medical City Lewisville (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $18,599
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $18,599).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Medical City Lewisville's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $22,907 Fair BaseRate ($14,044 Medicare)
Your bill ($51,238) is $28,331 above the denoised Fair BaseRate ($22,907) and 3.6× the $14,044 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.