CMS Price Transparency Data

X-ray, ankle

Facility: Medical City Lewisville

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $286
  • Cash Discount Price: $1,533
  • vs. Medicare Baseline: 3.22x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Medical City Lewisville is $286. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,533. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.22x the Medicare baseline. Located in 500 West Main Street, Lewisville, TX.
Cash / Self-Pay
$1,533

Average discount available for prompt cash payment at this facility.

Insurance Median
$286

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $1,533 (1724%)
Insurance Median: $286 (322%)
Cash: $1,533 (1724% of Medicare)
Ins. Median: $286 (322% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 322% of the Medicare baseline (a markup of 222%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Texas Health Network $36 40%
Amerigroup $37 42%
Cook Childrens Health Plan $37 42%
Parkland Community Health Plan $37 42%
United $37 - $406 42%
Cigna $39 - $286 44%
Aetna $40 - $1,484 45%
Molina $40 - $41 45%
Humana $46 - $91 52%
Superior Health Plan $72 - $143 81%
Blue Cross Blue Shield $105 - $906 118%
Unicare $246 - $2,041 277%
Healthcare Highways $251 - $690 282%
Evry Health $265 - $527 298%
Curative Administrators $410 - $816 461%
City Of Mckinney $462 - $918 520%
Fidelis Securecare $462 - $918 520%
National Choicecare $513 - $1,020 577%
Pc Texas Partners $564 - $1,122 634%
Physicians Coop Of Tx $564 - $1,122 634%
Rockport Health Group $564 - $1,122 634%
Averde Health, Inc $595 - $1,184 669%
Usc Health Services $615 - $1,224 692%
Coastal Comp Health Networks $718 - $1,429 808%
Jostens $718 - $1,429 808%
Mega Life $718 - $1,429 808%
Multiplan Phcs $718 - $1,429 808%
Healthsmart Preferred Care $769 - $1,531 865%
Lewisville Isd/Dls Consulting $769 - $1,531 865%
Usa Managed Care $821 - $1,633 923%
Galaxy Health Network $872 - $1,735 981%
Independent Medical Systems $1,026 - $2,041 1154%
National Healthcare Solutions $1,026 - $2,041 1154%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 West Main Street, Lewisville, TX 75057
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals