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 |
|---|---|---|---|---|
| Catheter without bag 2-way latex HCPCS A4311 | not published | not published | $15.70 – $48.02 | 27 |
| Cath ext adhere actv m 28mm HCPCS A4349 | not published | not published | $2.46 – $7.52 | 27 |
| Cath follower heyman 20f HCPCS A4352 | not published | not published | $7.80 – $23.87 | 27 |
| Cath impl vasc access portal HCPCS A4300 | not published | not published | $62.88 – $62.88 | 1 |
| Cath indw foley 3 way HCPCS A4346 | not published | not published | $20.31 – $62.15 | 27 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | not published | not published | $2.22 – $6.76 | 27 |
| Cath insertion tray w/bag HCPCS A4354 | not published | not published | $14.40 – $44.09 | 27 |
| Cathj rmvl dev ischmc rmdlg CPT 53866 | not published | not published | $252.24 – $359.95 | 2 |
| Cathj umbilical vein dx/ther nb CPT 36510 | not published | not published | $188.43 – $188.43 | 1 |
| Cath left heart/lv gram CPT 93452 | not published | not published | $9,490.33 – $9,490.33 | 1 |
| Cath left heart transseptal punc CPT 93462 | not published | not published | $1,504.07 – $1,504.07 | 1 |
| Cath lt/rt pulm art CPT 36014 | not published | not published | $4,389.22 – $4,389.22 | 1 |
| Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340 | not published | not published | $38.73 – $118.56 | 27 |
| Cath place 1st order venous 36011 CPT 36011 | not published | not published | $4,580.01 – $4,580.01 | 1 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | not published | not published | $9,490.33 – $9,490.33 | 1 |
| Cath plc art/angio/rt hrt cath CPT 93456 | not published | not published | $9,490.33 – $9,490.33 | 1 |
| Cath plc art/grft/angio right hrt CPT 93457 | not published | not published | $9,490.33 – $9,490.33 | 1 |
| Cath right heart w/o2 sat & card CPT 93451 | not published | not published | $9,490.33 – $9,490.33 | 1 |
| Cath right hrt mnpul art CPT 36013 | not published | not published | $4,403.67 – $4,403.67 | 1 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | not published | not published | $420.28 – $420.28 | 1 |
| Cath segmntl pulm art CPT 36015 | not published | not published | $4,717.72 – $4,717.72 | 1 |
| Cath soaker 5in 400mlx4ml/hr on-q silvr dual 2ml site HCPCS A4306 | not published | not published | $86.99 – $86.99 | 1 |
| Cath stripping venous s&i CPT 75901 | $2,483.93 | $2,483.93 | $233.69 – $626.50 | 3 |
| Cath suction replogle 8fr neonatal esophageal HCPCS A4624 | not published | not published | $3.21 – $9.85 | 27 |
| Cath w/drainage 2-way latex HCPCS A4314 | not published | not published | $30.84 – $94.40 | 27 |
| Cath w/drainage 2-way silcne HCPCS A4315 | not published | not published | $31.36 – $96.02 | 27 |
| Cath without bag 2-way silicone HCPCS A4312 | not published | not published | $22.01 – $67.33 | 27 |
| Cauterization chemical granulation tissue CPT 17250 | not published | not published | $202.56 – $294.73 | 3 |
| Cauterization of cervix 57510 CPT 57510 | not published | not published | $77.99 – $3,268.14 | 11 |
| Cbc/diffwbc without platelet HCPCS G0306 | not published | not published | $4.66 – $29.68 | 33 |
| CBC without platelet HCPCS G0307 | not published | not published | $3.88 – $24.55 | 33 |
| #cbg+cort-cbg CPT 84449 | not published | not published | $10.80 – $68.43 | 33 |
| Cciiv4 vacc abx free im CPT 90756 | not published | not published | $69.41 – $193.27 | 3 |
| Cciiv4 vac no prsv 0.5 ml im CPT 90674 | not published | not published | $73.21 – $203.98 | 3 |
| Ccnd1/igh translocation alys CPT 81168 | not published | not published | $124.39 – $790.25 | 30 |
| Cdna analysis for variants CPT 81403 | not published | not published | $111.12 – $706.30 | 33 |
| Cdp-sot 6 cond w/i&r CPT 92548 | not published | not published | $257.31 – $497.25 | 2 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $257.31 – $257.31 | 1 |
| Cebpa gene full sequence CPT 81218 | not published | not published | $145.14 – $921.97 | 33 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | not published | not published | $0.81 – $5.08 | 4 |
| Cefepime 1 gram solution for injection HCPCS J0692 | not published | not published | $1.16 – $7.44 | 4 |
| Cefotaxime sodium injection HCPCS J0698 | $96.99 | $96.99 | $7.14 – $60.51 | 4 |
| Cefotetan 1 gm vial HCPCS S0074 | not published | not published | $22.94 – $82.55 | 3 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | not published | not published | $4.86 – $31.04 | 4 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | not published | not published | $3.87 – $25.66 | 4 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | not published | not published | $1.55 – $9.92 | 4 |
| Ceftazidime and avibactam HCPCS J0714 | $1,954.35 | $1,954.35 | $97.48 – $635.05 | 4 |
| Ceftizoxime sodium / 500 mg HCPCS J0715 | not published | not published | $31.71 – $37.49 | 2 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | not published | not published | $0.48 – $8.73 | 4 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | not published | not published | $1.95 – $13.86 | 4 |
| #celiac hla-dq2 CPT 81377 | not published | not published | $56.84 – $361.55 | 33 |
| #celiac hla-dq8 CPT 81383 | not published | not published | $65.48 – $415.78 | 33 |
| Cell count body fluid CPT 89050 | not published | not published | $2.83 – $18.09 | 33 |
| Cell count w differential body fluid CPT 89051 | not published | not published | $3.36 – $21.94 | 33 |
| Cell cryopreserve/storage CPT 88240 | not published | not published | $7.84 – $50.38 | 33 |
| Cell enumeration & id CPT 86152 | not published | not published | $150.47 – $955.54 | 30 |
| Cell enumeration phys interp CPT 86153 | not published | not published | $44.22 – $308.46 | 3 |
| Cellesta or duo per sq cm HCPCS Q4184 | not published | not published | $7.52 – $484.32 | 4 |
| Cell function assay w/stim CPT 86352 | not published | not published | $81.52 – $517.78 | 33 |
| Cell marker study CPT 88182 | not published | not published | $49.76 – $785.64 | 5 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $28.05 – $173.66 | 4 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $1,734.71 – $32,379.02 | 4 |
| Cephalin floculation test HCPCS P2028 | not published | not published | $2.97 – $12.97 | 29 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $311.03 – $1,717.75 | 2 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $3,097.64 – $3,268.14 | 2 |
| Cerebrospinal fld flw imag CPT 78645 | $4,336.44 | $4,336.44 | $295.88 – $470.37 | 11 |
| Cer post col occ/man sup adj HCPCS L0180 | $85.00 | $85.00 | $458.81 – $1,239.26 | 27 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | not published | not published | $3.86 – $32.71 | 4 |
| Cerv collar supp adj cerv ba HCPCS L0190 | not published | not published | $594.13 – $1,604.78 | 27 |
| Cervical collar molded to pt HCPCS L0170 | not published | not published | $762.43 – $2,059.35 | 27 |
| Cervical laminoplsty 2/> seg CPT 63050 | not published | not published | $1,943.95 – $1,943.95 | 1 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $6,703.78 – $10,088.09 | 3 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | not published | not published | $66.34 – $266.26 | 2 |
| Cerv sr wire occ/man pre ots HCPCS L0160 | not published | not published | $232.77 – $628.72 | 27 |
| Cesarean section delivery only 59514 CPT 59514 | not published | not published | $1,176.65 – $6,488.33 | 2 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $12,263.37 | $12,263.37 | $75.19 – $474.82 | 4 |
| #cf-97variants CPT 81220 | $1,188.98 | $1,188.98 | $333.96 – $2,121.54 | 33 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $261.04 – $1,657.99 | 33 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $101.25 – $643.04 | 33 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $58.33 – $370.58 | 33 |
| Change cystostomy tube; complex 51710 CPT 51710 | not published | not published | $234.58 – $703.98 | 11 |
| Change cystostomy tube simple CPT 51705 | not published | not published | $50.99 – $252.24 | 11 |
| Change gastric port open CPT 43888 | not published | not published | $1,435.76 – $3,691.84 | 11 |
| Change g-tube to g-j perc CPT 49446 | not published | not published | $556.50 – $1,937.29 | 11 |
| Change nephroureteral cath CPT 50387 | not published | not published | $643.01 – $2,196.72 | 11 |
| Change of ureter tube/stent CPT 50688 | not published | not published | $643.01 – $2,196.72 | 11 |
| Change of windpipe airway 31502 CPT 31502 | not published | not published | $86.27 – $252.51 | 11 |
| Change stent via transureth CPT 50385 | not published | not published | $643.01 – $2,196.72 | 11 |
| Change ureter stent percut CPT 50382 | not published | not published | $643.01 – $2,196.72 | 11 |
| Charger coch impl/aoi battry HCPCS L8625 | not published | not published | $226.79 – $612.56 | 27 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $77.21 – $2,115.68 | 5 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $202.56 – $216.67 | 3 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $216.67 – $1,478.38 | 3 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $396.19 – $852.72 | 3 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $396.19 – $1,236.80 | 3 |
| Chemo adm cns w/lmbr punct CPT 96450 | $1,035.85 | $1,035.85 | $193.07 – $1,273.79 | 2 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $73.35 – $712.64 | 11 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $84.26 – $712.64 | 11 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $67.63 – $712.64 | 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.