CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Medical City Lewisville

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $214
Cash Discount Price: $476
vs. Medicare Baseline: 1.82x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Medical City Lewisville is $214. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $476. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.82x the Medicare baseline. Located in 500 West Main Street, Lewisville, TX.

Cash / Self-Pay

$476

Average discount available for prompt cash payment at this facility.

Insurance Median

$214

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$117.57

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $117.57 (100%)

Cash / Self-Pay: $476 (405%)

Insurance Median: $214 (182%)

Cash: $476 (405% of Medicare)

Ins. Median: $214 (182% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $117.57 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Superior Health Plan	$33	28%
Aetna	$64 - $346	54%
Cigna	$64 - $67	54%
Imperial Insurance Company	$91	77%
United	$95	81%
Unicare	$114 - $476	97%
Healthcare Highways	$117 - $161	100%
Evry Health	$123	105%
Curative Administrators	$191	162%
Blue Cross Blue Shield	$212 - $415	180%
Humana	$213	181%
City Of Mckinney	$214	182%
Fidelis Securecare	$214	182%
National Choicecare	$238	202%
Pc Texas Partners	$262	223%
Physicians Coop Of Tx	$262	223%
Rockport Health Group	$262	223%
Averde Health, Inc	$276	235%
Usc Health Services	$286	243%
Coastal Comp Health Networks	$334	284%
Jostens	$334	284%
Mega Life	$334	284%
Multiplan Phcs	$334	284%
Healthsmart Preferred Care	$357	304%
Lewisville Isd/Dls Consulting	$357	304%
Usa Managed Care	$381	324%
Galaxy Health Network	$405	344%
Independent Medical Systems	$476	405%
National Healthcare Solutions	$476	405%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $476.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 99203.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Medical City Lewisville is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 99203.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.