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 |
|---|---|---|---|---|
| Tracheostoma revision; simple, without flap rotation CPT 31613 | not published | not published | $873.32 – $5,998.17 | 11 |
| Tracheostoma stent/stud/bttn HCPCS A7524 | not published | not published | $94.43 – $289.06 | 27 |
| Tracheostomy care kit HCPCS A4629 | not published | not published | $5.67 – $17.37 | 27 |
| Trach/laryn tube plug/stop HCPCS A7527 | not published | not published | $4.37 – $13.36 | 27 |
| Train for caregiver add 15 HCPCS G0540 | not published | not published | $17.23 – $68.97 | 2 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $422.43 | $422.43 | $52.78 – $142.55 | 27 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $1,622.88 | $1,622.88 | $0.10 – $0.21 | 2 |
| Transabdom amnioinfus w/us CPT 59070 | not published | not published | $307.65 – $619.95 | 2 |
| Transab esoph hiat hern repair 43332 CPT 43332 | not published | not published | $23,036.77 – $23,036.77 | 1 |
| Transab esoph hiat hern rpr CPT 43333 | not published | not published | $25,087.44 – $25,087.44 | 1 |
| Transcath biopsy CPT 37200 | not published | not published | $1,910.06 – $10,525.28 | 11 |
| Transcath closure of asd CPT 93580 | $41,407.20 | $41,407.20 | $36,502.53 – $36,502.53 | 1 |
| Transcath closure of vsd CPT 93581 | not published | not published | $36,502.53 – $36,502.53 | 1 |
| Transcatheter bx s&i CPT 75970 | $4,152.15 | $4,152.15 | $55.79 – $849.13 | 2 |
| Transcath mv repair addl prosthesis CPT 33419 | not published | not published | $3,049.05 – $3,049.05 | 1 |
| Transcath mv repair init prosthesis CPT 33418 | not published | not published | $35,930.35 – $35,930.35 | 1 |
| Transcath occlusion cns CPT 61624 | not published | not published | $23,119.17 – $23,119.17 | 1 |
| Transcath occlusion non-cns CPT 61626 | not published | not published | $11,654.77 – $22,690.42 | 2 |
| Trans cath replace aortic valve 33366 CPT 33366 | not published | not published | $38,426.71 – $38,426.71 | 1 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | $31,487.24 | $31,487.24 | $3,187.73 – $6,346.23 | 2 |
| Transcochlear approach/skull CPT 61596 | not published | not published | $48,076.25 – $48,076.25 | 1 |
| Transcondylar approach/skull CPT 61597 | not published | not published | $58,651.60 – $58,651.60 | 1 |
| Transcrv abltj utrn fibrd rf CPT 58580 | not published | not published | $7,486.47 – $16,487.54 | 2 |
| Transcutaneous carboxyhb CPT 88740 | not published | not published | $5.62 – $36.14 | 30 |
| Transcutaneous hgb 88738 CPT 88738 | not published | not published | $3.01 – $19.37 | 30 |
| Transcutaneous methb CPT 88741 | not published | not published | $5.62 – $36.14 | 30 |
| Transect artery sinus CPT 61611 | not published | not published | $9,519.19 – $9,519.19 | 1 |
| Transect pulmonary artery CPT 33922 | not published | not published | $27,371.23 – $27,371.23 | 1 |
| Transfer of abdominal muscle CPT 27100 | not published | not published | $3,199.70 – $13,698.67 | 11 |
| Transfer of embryo CPT 58976 | not published | not published | $307.65 – $619.95 | 2 |
| Transfer of iliopsoas muscle CPT 27110 | not published | not published | $3,486.57 – $13,698.67 | 11 |
| Transfer of iliopsoas muscle CPT 27111 | not published | not published | $1,071.95 – $6,268.76 | 11 |
| Transfer of spinal muscle CPT 27105 | not published | not published | $1,071.95 – $6,268.76 | 11 |
| Transferrin CPT 84466 | $895.49 | $895.49 | $7.66 – $49.05 | 33 |
| Transfer skin pedicle flap CPT 15650 | not published | not published | $698.37 – $3,716.07 | 11 |
| Transfer tendon to pelvis CPT 27098 | not published | not published | $1,071.95 – $6,268.76 | 11 |
| Transfusion blood/blood component(s) CPT 36430 | not published | not published | $30.27 – $445.40 | 11 |
| Transorl lwr esophgl myotomy CPT 43497 | not published | not published | $6,129.05 – $7,181.21 | 2 |
| Transparent film >16<=48 in HCPCS A6258 | not published | not published | $5.25 – $16.09 | 27 |
| Transparent film <= 16 sq in HCPCS A6257 | not published | not published | $1.88 – $5.71 | 27 |
| Transperi needle place pros CPT 55875 | not published | not published | $1,664.09 – $9,690.41 | 11 |
| Transpetrosal approach/skull CPT 61598 | not published | not published | $56,854.79 – $56,854.79 | 1 |
| Transpl allograft pancreas CPT 48554 | not published | not published | $50,682.41 – $50,682.41 | 1 |
| Transplantation heart/lung CPT 33935 | not published | not published | $98,690.15 – $98,690.15 | 1 |
| Transplantation of heart CPT 33945 | not published | not published | $96,934.44 – $96,934.44 | 1 |
| Transplantation of liver CPT 47135 | not published | not published | $107,194.28 – $107,194.28 | 1 |
| Transplant femur ridge CPT 27140 | not published | not published | $17,618.74 – $17,618.74 | 1 |
| Transplant forearm tendon CPT 25310 | not published | not published | $1,071.95 – $6,268.76 | 11 |
| Transplant forearm tendon CPT 25312 | not published | not published | $1,071.95 – $6,268.76 | 11 |
| Transplant/graft hand tendon CPT 26483 | not published | not published | $1,071.95 – $6,268.76 | 11 |
| Transplant/graft palm tendon CPT 26489 | not published | not published | $1,071.95 – $6,268.76 | 11 |
| Transplant hand tendon CPT 26480 | not published | not published | $1,071.95 – $6,268.76 | 11 |
| Transplant of thigh tendon CPT 27396 | not published | not published | $2,362.54 – $13,698.67 | 11 |
| Transplant palm tendon CPT 26485 | not published | not published | $1,071.95 – $6,268.76 | 11 |
| Transplants of thigh tendons CPT 27397 | not published | not published | $2,362.54 – $13,698.67 | 11 |
| Transplant ureter to skin CPT 50860 | not published | not published | $18,743.60 – $18,743.60 | 1 |
| Transplj hematopoietic boost CPT 38243 | not published | not published | $556.15 – $4,093.12 | 11 |
| Transplt allo hct/donor CPT 38240 | not published | not published | $63,503.69 – $85,728.17 | 2 |
| Transplt allo lymphocytes CPT 38242 | not published | not published | $556.15 – $4,093.12 | 11 |
| Transplt autol hct/donor CPT 38241 | not published | not published | $556.15 – $3,031.09 | 11 |
| Transposition of vein valve CPT 34510 | not published | not published | $5,617.79 – $10,525.28 | 2 |
| Transposition ovary(s) CPT 58825 | not published | not published | $13,490.18 – $13,490.18 | 1 |
| Trans shoe caliper plate new HCPCS L3610 | not published | not published | $120.40 – $325.19 | 27 |
| Trans shoe calip plate exist HCPCS L3600 | not published | not published | $91.47 – $247.07 | 27 |
| Trans shoe solid stirrup exi HCPCS L3620 | not published | not published | $91.47 – $247.07 | 27 |
| Trans shoe solid stirrup new HCPCS L3630 | not published | not published | $120.40 – $325.19 | 27 |
| Transtemporal approach/skull CPT 61595 | not published | not published | $46,731.97 – $46,731.97 | 1 |
| Transthor cath for stent CPT 33621 | not published | not published | $18,517.33 – $18,517.33 | 1 |
| Transthor diaphrag hern repair 43334 CPT 43334 | not published | not published | $24,833.77 – $24,833.77 | 1 |
| Transthor diaphrag hern rpr CPT 43335 | not published | not published | $26,568.73 – $26,568.73 | 1 |
| Transurethral rf treatment CPT 53860 | not published | not published | $2,110.41 – $4,833.03 | 2 |
| Transvrs a-arch grf hypthrm CPT 33871 | not published | not published | $64,974.89 – $64,974.89 | 1 |
| Trapezius sling HCPCS L1070 | not published | not published | $113.59 – $306.80 | 27 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | not published | not published | $71.23 – $460.97 | 4 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | not published | not published | $54.69 – $312.67 | 4 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | not published | not published | $10.12 – $355.49 | 4 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | not published | not published | $2,450.66 – $2,450.66 | 1 |
| Tray trach basic clean/care ster HCPCS A4626 | not published | not published | $3.31 – $10.11 | 27 |
| Trb@ gene rearrange dirprobe CPT 81341 | not published | not published | $29.75 – $188.52 | 33 |
| Treat ankle dislocation CPT 27842 | not published | not published | $774.19 – $3,103.84 | 11 |
| Treat ankle dislocation CPT 27846 | not published | not published | $2,362.54 – $13,698.67 | 11 |
| Treat ankle dislocation CPT 27848 | not published | not published | $3,104.23 – $13,698.67 | 11 |
| Treat ankle fracture CPT 28445 | not published | not published | $3,311.27 – $13,698.67 | 11 |
| Treat big toe fracture CPT 28505 | not published | not published | $1,071.95 – $6,268.76 | 11 |
| Treat cheek bone fracturemalar 21360 CPT 21360 | not published | not published | $1,924.91 – $11,107.71 | 11 |
| Treat chest lining CPT 32215 | not published | not published | $15,732.86 – $15,732.86 | 1 |
| Treat clavicle dislocation 23545 CPT 23545 | not published | not published | $84.04 – $493.82 | 11 |
| Treat each add spine fx CPT 22328 | not published | not published | $5,658.00 – $5,658.00 | 1 |
| Treat ectopic pregnancy CPT 59150 | not published | not published | $1,860.52 – $11,069.20 | 11 |
| Treat ectopic pregnancy CPT 59151 | not published | not published | $1,860.52 – $11,069.20 | 11 |
| Treat ectopic pregnancy CPT 59140 | not published | not published | $7,989.94 – $7,989.94 | 1 |
| Treat elbow dislocation CPT 24605 | not published | not published | $584.14 – $3,103.84 | 11 |
| Treat elbow dislocation CPT 24615 | not published | not published | $3,297.47 – $13,698.67 | 11 |
| Treat elbow fracture CPT 24586 | not published | not published | $6,719.85 – $27,252.63 | 11 |
| Treat elbow fracture CPT 24620 | not published | not published | $584.14 – $3,103.84 | 11 |
| Treat elbow fracture CPT 24635 | not published | not published | $3,273.78 – $13,698.67 | 11 |
| Treat eyelid by injection CPT 68200 | not published | not published | $249.68 – $451.00 | 2 |
| Treat eyelid lesion 67850 CPT 67850 | not published | not published | $124.08 – $1,006.43 | 11 |
| Treat finger fracture each CPT 26727 | not published | not published | $1,071.95 – $6,268.76 | 11 |
| Treat finger fracture each CPT 26742 | not published | not published | $584.14 – $3,103.84 | 11 |
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.