Emergency visit, highest (level 5) at Medical City Lewisville Hospital. CPT 99285.
What Medical City Lewisville Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$4,195cash price (self-pay)
$4,195list price
$77.04–$8,280range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | CHIP | $363 |
| Amerigroup | MGMCD | $363 |
| Molina | CHIP | $400 |
| Molina | MCDSTAR | $400 |
| Molina | STAR+PLUS | $400 |
| Molina | STARKIDS | $400 |
| Cigna | IFP | $566 |
| Cigna | QHP | $587 |
| Cigna Healthspring | MGMCD | $800 |
| Healthcare Highways | CityofPlano | $1,418 |
| BCBS | Traditional | $1,737 |
| City of McKinney | COMM | $1,888 |
| Aetna | ASA | $2,118 |
| Aetna | WCOMP | $2,307 |
| Aetna Coventry First Health | COMM | $2,404 |
| Averde Health, Inc | PPO | $2,433 |
| Coastal Comp Health Networks | WCOMP | $2,936 |
| Jostens | WCOMP | $2,936 |
| Mega Life | MGMCRPPO | $2,936 |
| HealthSmart Preferred Care | PPO | $3,146 |
| Lewisville Isd/Dls Consulting | Commppo | $3,146 |
| United | NarrowNetworkIndivExchange | $3,448 |
| Independent Medical Systems | COMM | $4,195 |
| United | SmallGroup | $4,320 |
| Healthcare Highways | NarrowNetwork | $4,871 |
| Cigna | LocalPlus | $4,980 |
| Cigna | NewBusiness | $4,985 |
| Evry Health | COMM | $5,030 |
| Cigna | HMO | $5,564 |
| Cigna | NetworkBenefit | $5,564 |
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