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 |
|---|---|---|---|---|
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $1,117.14 | $1,117.14 | $261.23 – $1,553.29 | 4 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $303.51 – $1,860.99 | 4 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $849.78 | $849.78 | $47.58 – $303.16 | 4 |
| Vaccine rabies im CPT 90675 | not published | not published | $305.76 – $2,945.38 | 4 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $328.06 – $2,079.24 | 4 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $2,616.25 | $2,616.25 | $611.85 – $3,768.99 | 4 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $611.85 – $3,768.99 | 4 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $314.99 – $2,076.16 | 4 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $160.19 – $996.36 | 4 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $104.87 – $669.72 | 4 |
| Vaccine tdap >=7 years im CPT 90715 | $1,186.81 | $1,186.81 | $38.30 – $330.38 | 4 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $622.30 | $622.30 | $37.59 – $286.33 | 4 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $226.56 – $1,043.01 | 3 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $197.14 – $1,240.21 | 4 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $388.23 – $1,593.71 | 3 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.02 – $0.06 | 2 |
| Vacuum drain bottle/tube kit HCPCS A7048 | not published | not published | $58.80 – $158.82 | 27 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | not published | not published | $562.11 – $1,518.26 | 27 |
| Vad cable power module dc input HCPCS Q0478 | not published | not published | $220.67 – $596.02 | 27 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | not published | not published | $5,015.72 – $13,547.63 | 27 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $5,050.37 – $9,781.83 | 2 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $5,050.37 – $9,781.83 | 2 |
| Vag hyst including t/o CPT 58262 | not published | not published | $1,504.09 – $9,781.83 | 11 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $7,486.47 – $15,351.24 | 2 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $5,050.37 – $9,781.83 | 2 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $5,050.37 – $9,781.83 | 2 |
| Vaginal bx CPT 58999 | not published | not published | $204.11 – $380.25 | 2 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $3,268.14 – $5,720.65 | 2 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $41,444.30 – $41,444.30 | 1 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $1,504.09 – $9,781.83 | 11 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $3,268.14 – $5,720.65 | 2 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $74.12 – $4,426.62 | 27 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $34,963.25 – $34,963.25 | 1 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $17,413.02 – $17,413.02 | 1 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $2,235.83 – $2,235.83 | 1 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $23,756.86 – $23,756.86 | 1 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $23,448.39 – $23,448.39 | 1 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $13.88 | $13.88 | $0.04 – $0.17 | 3 |
| Valproic acid total therapeutic drug level CPT 80164 | not published | not published | $8.12 – $51.66 | 33 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,232.40 – $8,330.96 | 4 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $16,793.75 – $16,793.75 | 1 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $38,323.76 – $38,323.76 | 1 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $45,353.63 – $45,353.63 | 1 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $33,589.75 – $33,589.75 | 1 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $33,589.75 – $33,589.75 | 1 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $61,388.12 – $61,388.12 | 1 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $48,494.53 – $48,494.53 | 1 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | not published | not published | $0.03 – $0.18 | 4 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | not published | not published | $0.10 – $0.73 | 4 |
| Vancomycin hcl injection HCPCS J3370 | not published | not published | $1.89 – $4.90 | 2 |
| Vancomycin peak therapeutic drug level CPT 80202 | not published | not published | $8.12 – $51.66 | 33 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $21.05 – $134.29 | 33 |
| Vantas implant HCPCS J9225 | not published | not published | $7,770.72 – $30,081.58 | 3 |
| Variable concentration mask HCPCS A4620 | not published | not published | $0.73 – $2.25 | 27 |
| Varicella zoster antibody igg CPT 86787 | not published | not published | $7.73 – $49.05 | 33 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $3,899.36 – $15,456.98 | 3 |
| Varus/valgus strap padded/li HCPCS L2270 | not published | not published | $59.86 – $161.68 | 27 |
| Vasc emb/occ w/prs cath HCPCS C9797 | not published | not published | $56,637.78 – $56,637.78 | 1 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $1,071.95 – $6,268.76 | 11 |
| Vasectomy CPT 55250 | not published | not published | $643.01 – $4,056.85 | 11 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $73.88 | $73.88 | $0.51 – $11.21 | 4 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $43,488.12 – $43,488.12 | 1 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $22,399.07 – $22,399.07 | 1 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | not published | not published | $20.35 – $133.49 | 4 |
| Veeg cont 2-12 hrs CPT 95713 | $9,391.34 | $9,391.34 | $1,335.43 – $1,335.43 | 1 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $18,827.52 | $18,827.52 | $2,499.61 – $2,499.61 | 1 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $4,485.41 | $4,485.41 | $696.02 – $696.02 | 1 |
| Veeg unmon 12-26 hrs CPT 95714 | not published | not published | $1,335.43 – $1,335.43 | 1 |
| Veeg unmon 2-12 hrs CPT 95711 | not published | not published | $696.02 – $696.02 | 1 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $28,694.96 – $28,694.96 | 1 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $33,241.98 – $33,241.98 | 1 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $27,096.82 – $27,096.82 | 1 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $33,166.44 – $33,166.44 | 1 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $126.71 – $3,796.65 | 12 |
| Vein x-ray adrenal glands CPT 75842 | $14,403.74 | $14,403.74 | $156.66 – $198.81 | 9 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $106.31 – $863.80 | 12 |
| Vein x-ray kidney CPT 75831 | not published | not published | $117.84 – $3,796.65 | 12 |
| Vein x-ray liver CPT 75891 | $7,318.40 | $7,318.40 | $122.44 – $3,796.65 | 12 |
| Vein x-ray liver w/hemodynam CPT 75885 | $5,866.37 | $5,866.37 | $134.61 – $3,796.65 | 12 |
| Vein x-ray liver w/hemodynam CPT 75889 | $5,182.52 | $5,182.52 | $121.78 – $3,796.65 | 12 |
| Vein x-ray liver without hemodyn CPT 75887 | $3,612.43 | $3,612.43 | $117.50 – $283.54 | 12 |
| Vein x-ray skull CPT 75870 | not published | not published | $153.36 – $380.40 | 12 |
| Vein x-ray skull epidural CPT 75872 | $5,746.77 | $5,746.77 | $126.71 – $863.80 | 12 |
| Vein x-ray spleen/liver CPT 75810 | not published | not published | $603.40 – $6,545.83 | 12 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $376.52 – $2,300.47 | 4 |
| Vemp test i&r cervical CPT 92517 | not published | not published | $78.84 – $78.84 | 1 |
| Vemp test i&r ocular CPT 92518 | not published | not published | $78.84 – $78.84 | 1 |
| Vemp tst i&r cervical&ocular CPT 92519 | not published | not published | $117.93 – $117.93 | 1 |
| Ven-artl shunt det mbubb njx CPT 93898 | not published | not published | $536.77 – $735.00 | 2 |
| Ven blood coll snf/hha HCPCS G0471 | not published | not published | $6.50 – $40.03 | 30 |
| Vendaje, per square centimet HCPCS Q4252 | not published | not published | $7.52 – $320.70 | 3 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | not published | not published | $23.87 – $23.87 | 1 |
| Venipuncture <3 yrs other vein CPT 36406 | not published | not published | $53.15 – $53.15 | 1 |
| Venogram ext bil s&i CPT 75822 | $5,561.25 | $5,561.25 | $109.12 – $252.81 | 12 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | not published | not published | $106.31 – $863.80 | 12 |
| Venous mech thrombectomy CPT 37187 | not published | not published | $5,268.40 – $11,654.77 | 11 |
| Venous m-thrombectomy add-on CPT 37188 | not published | not published | $1,521.57 – $6,346.23 | 11 |
| Venous sampling s&i CPT 75893 | $14,403.74 | $14,403.74 | $103.67 – $6,296.78 | 12 |
| Venous thrombosis imaging CPT 78457 | not published | not published | $154.68 – $313.14 | 11 |
| Ven thrombosis images bilat CPT 78458 | $2,799.54 | $2,799.54 | $192.53 – $354.99 | 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.