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Emergency visit, moderate (level 3) at Medical City Lewisville Hospital. CPT 99283.

What Medical City Lewisville Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.

Outpatient / ER

$2,430cash price (self-pay)
$2,430list price
$50.59–$2,931range insurers pay
Insurance planNegotiated rate
Molina | CHIP$200
Molina | MCDSTAR$200
Molina | STAR+PLUS$200
Molina | STARKIDS$200
Cigna | IFP$328
Cigna | QHP$340
Cigna Healthspring | MGMCD$350
Amerigroup | CHIP$363
Amerigroup | MGMCD$363
Healthcare Highways | CityofPlano$821
BCBS | Traditional$1,006
Healthcare Highways | NarrowNetwork$1,032
Evry Health | COMM$1,064
City of McKinney | COMM$1,093
BCBS | BlueAdvantageHMO$1,148
BCBS | MyBlueHealth$1,148
Aetna | ASA$1,227
Aetna | WCOMP$1,336
Curative Administrators | COMM$1,359
Aetna Coventry First Health | COMM$1,392
BCBS | BlueEssentials$1,400
BCBS | BlueEssentialsAccess$1,400
Averde Health, Inc | PPO$1,409
BCBS | Eposoa$1,470
BCBS | PPO$1,540
United | NarrowNetworkIndivExchange$1,545
Coastal Comp Health Networks | WCOMP$1,701
Jostens | WCOMP$1,701
Mega Life | MGMCRPPO$1,701
HealthSmart Preferred Care | PPO$1,822
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All common services at Medical City Lewisville Hospital