MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Rp loclzj tum spect w/ct 2 CPT 78832 | $14,161.65 | $14,161.65 | $811.60 – $1,301.99 | 11 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | not published | not published | $439.58 – $2,022.60 | 11 |
| Rpl tun-cvad w subq port CPT 36582 | not published | not published | $1,101.45 – $3,436.39 | 11 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $3,289.01 – $5,699.28 | 11 |
| Rpl tun cvc wo subq port CPT 36581 | not published | not published | $1,455.60 – $3,436.39 | 11 |
| Rpm tx mgmt 1st 20 min CPT 99457 | not published | not published | $76.56 – $76.56 | 1 |
| Rpm tx mgmt ea addl 20 min CPT 99458 | not published | not published | $77.41 – $77.41 | 1 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $1,363.00 – $1,363.00 | 1 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $1,134.27 – $6,535.84 | 11 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $1,134.27 – $6,463.07 | 11 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $1,134.27 – $6,535.84 | 11 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $1,134.27 – $4,391.99 | 11 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $1,134.27 – $6,463.07 | 11 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | not published | not published | $1,651.69 – $1,651.69 | 1 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | not published | not published | $1,178.88 – $1,178.88 | 1 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | not published | not published | $1,144.47 – $1,144.47 | 1 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $1,860.52 – $6,535.84 | 11 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $1,860.52 – $6,463.07 | 11 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $1,860.52 – $4,391.99 | 11 |
| Rpr acq av fistula thrx&abd CPT 35189 | not published | not published | $1,931.44 – $10,806.24 | 2 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $5,617.79 – $7,140.61 | 3 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $5,617.79 – $6,677.48 | 3 |
| Rpr blvs gr ot/th vn ntrth w CPT 35271 | not published | not published | $1,788.43 – $9,864.81 | 2 |
| Rpr blvs gr ot/t vn ntrth wo CPT 35276 | not published | not published | $1,890.76 – $10,434.17 | 2 |
| Rpr blvsl gr ot/th vn ntr-ab CPT 35281 | not published | not published | $2,092.76 – $11,554.44 | 2 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | not published | not published | $2,252.30 – $12,469.40 | 2 |
| Rpr blvsl vn grf ntrthrc w/b CPT 35241 | not published | not published | $1,863.06 – $10,355.12 | 2 |
| Rpr cgen av fistula thrx&abd CPT 35182 | not published | not published | $2,319.78 – $12,756.91 | 2 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $1,924.91 – $6,014.66 | 11 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $1,924.91 – $6,014.66 | 11 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | not published | $1,432.26 – $7,795.39 | 2 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $1,217.77 – $6,668.75 | 2 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $1,101.57 – $6,041.16 | 2 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $1,134.27 – $3,855.58 | 11 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $5,993.80 – $6,103.44 | 2 |
| Rpr hypopl a-arch w/byp CPT 33853 | not published | not published | $2,317.55 – $13,093.27 | 2 |
| Rpr hypopl a-arch wo byp CPT 33852 | not published | not published | $1,724.08 – $9,985.28 | 2 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $1,664.09 – $5,413.16 | 11 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $1,125.76 – $3,742.99 | 11 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $1,134.27 – $3,855.58 | 11 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $1,134.27 – $3,855.58 | 11 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $1,134.27 – $3,855.58 | 11 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $1,134.27 – $6,535.84 | 11 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $3,614.70 – $3,855.58 | 2 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $3,317.30 – $3,317.30 | 1 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $2,800.44 – $6,306.70 | 11 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $2,800.44 – $6,621.19 | 11 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $988.06 – $988.06 | 1 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | not published | $1,219.11 – $1,219.11 | 1 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $2,230.40 – $2,230.40 | 1 |
| Rpr&refitg spect xcp aphakia CPT 92370 | not published | not published | $39.13 – $216.97 | 2 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $79.33 – $129.82 | 2 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $1,134.27 – $3,855.58 | 11 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $3,052.22 – $16,793.17 | 2 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $2,456.08 – $13,998.65 | 2 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $2,406.03 – $13,241.86 | 2 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $2,334.08 – $12,848.62 | 2 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $2,456.08 – $13,518.99 | 2 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $2,970.00 – $16,949.05 | 2 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $3,024.52 – $16,640.22 | 2 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $3,007.53 – $16,548.44 | 2 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $2,751.47 – $15,145.38 | 2 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $2,832.36 – $15,591.56 | 2 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $2,362.54 – $7,417.62 | 11 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $310.99 – $321.95 | 2 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $1,664.09 – $9,557.15 | 11 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $2,668.34 – $14,754.08 | 2 |
| Rsv assay w/optic CPT 87807 | not published | not published | $7.86 – $50.38 | 33 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $574.20 – $1,965.36 | 3 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $18.64 – $53.89 | 27 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $82.60 – $82.60 | 1 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $40.65 – $127.86 | 27 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $40.65 – $129.51 | 27 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $48.47 – $137.18 | 27 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $38.06 – $105.59 | 27 |
| Rubella antibody igg CPT 86762 | not published | not published | $8.63 – $54.23 | 33 |
| Rubeola ag if CPT 87283 | not published | not published | $36.48 – $231.15 | 33 |
| Rubeola antibody igg CPT 86765 | not published | not published | $7.73 – $49.05 | 33 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $197.71 – $1,255.08 | 33 |
| Russell viper venom diluted CPT 85613 | $645.35 | $645.35 | $5.75 – $36.14 | 33 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $550.25 – $2,402.75 | 29 |
| Sach foot, replacement HCPCS L5971 | not published | not published | $270.28 – $730.04 | 27 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $34.73 – $219.41 | 4 |
| Safety plan interven HCPCS G0560 | not published | not published | $33.59 – $118.36 | 2 |
| Salivary gland function exam CPT 78232 | not published | not published | $100.38 – $140.39 | 11 |
| Salivary gland imaging CPT 78230 | not published | not published | $163.90 – $245.22 | 11 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $102.03 – $139.83 | 11 |
| Salmonella antibody CPT 86768 | not published | not published | $7.91 – $50.38 | 33 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $3,097.64 – $5,961.18 | 3 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $273.59 – $787.41 | 2 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $7.50 – $9.66 | 2 |
| Sargramostim injection HCPCS J2820 | $3,376.35 | $3,376.35 | $58.08 – $339.40 | 4 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $42.22 – $134.75 | 32 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $156.69 – $960.29 | 3 |
| Sarscov coronavirus ag ia CPT 87426 | not published | not published | $21.20 – $92.56 | 32 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $52.60 – $184.16 | 32 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $1,660.88 – $6,129.05 | 11 |
| Sbrt management CPT 77435 | $2.30 | $2.30 | $1,097.78 – $2,660.04 | 3 |
| Sbrt w/positron emission del HCPCS G0563 | not published | not published | $13,126.75 – $13,126.75 | 1 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | not published | not published | $329.15 – $974.62 | 2 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.