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 |
|---|---|---|---|---|
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $234.58 – $703.98 | 11 |
| Circumcision (newborn) CPT 54150 | not published | not published | $643.01 – $2,196.72 | 11 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | not published | not published | $2.77 – $11.80 | 4 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $197.71 – $1,255.08 | 33 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $9.89 – $83.46 | 4 |
| C-laminoplasty w/graft/plate CPT 63051 | not published | not published | $2,221.46 – $2,221.46 | 1 |
| Clamp neck artery CPT 61703 | not published | not published | $1,743.75 – $9,644.55 | 2 |
| Claviculectomy partial CPT 23120 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Claviculectomy total CPT 23125 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $131.98 – $544.50 | 11 |
| Clearance of airways CPT 31720 | not published | not published | $221.07 – $228.11 | 2 |
| Clearance of airways CPT 31725 | not published | not published | $102.34 – $571.87 | 2 |
| Clearance of tear duct CPT 68530 | not published | not published | $106.67 – $320.45 | 11 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $257.31 – $343.02 | 2 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $257.31 – $362.33 | 2 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $129.82 – $415.49 | 2 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $78.89 – $386.44 | 2 |
| C-lens fitg tech ou CPT 92314 | not published | not published | $26.21 – $85.05 | 2 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | not published | not published | $1.56 – $10.11 | 4 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $1,047.57 – $3,268.14 | 11 |
| Cllr miami j sm HCPCS L0174 | not published | not published | $306.20 – $827.06 | 27 |
| Cl mult vsd w/rem pul band CPT 33677 | not published | not published | $2,730.91 – $2,730.91 | 1 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $15.53 – $276.83 | 4 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $404.83 | $404.83 | $15.71 – $106.92 | 4 |
| Close bladder-uterus fistula CPT 51920 | not published | not published | $986.72 – $5,505.77 | 2 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $3,622.00 – $19,842.00 | 2 |
| Close chest after drainage CPT 32810 | not published | not published | $1,157.87 – $6,400.63 | 2 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | $84.04 – $249.03 | 11 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $584.14 – $1,680.68 | 11 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $958.12 – $5,288.37 | 2 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $41.06 – $267.39 | 11 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $584.14 – $1,680.68 | 11 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $84.04 – $249.03 | 11 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | not published | not published | $584.14 – $1,680.68 | 11 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | not published | not published | $69.54 – $249.03 | 11 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $414.33 – $1,673.18 | 11 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $184.41 – $547.73 | 11 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $540.40 – $1,673.18 | 11 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $584.14 – $1,680.68 | 11 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $873.32 – $3,347.22 | 11 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $91.78 – $249.03 | 3 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $84.04 – $249.03 | 11 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Close kidney-skin fistula CPT 50520 | not published | not published | $1,501.53 – $8,228.19 | 2 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | not published | not published | $86.27 – $252.51 | 11 |
| Close mastoid fistula CPT 69700 | not published | not published | $414.33 – $1,673.18 | 11 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $880.81 – $4,848.92 | 2 |
| Close mult vsd CPT 33675 | not published | not published | $2,517.75 – $2,517.75 | 1 |
| Close mult vsd w/resection CPT 33676 | not published | not published | $2,629.47 – $2,629.47 | 1 |
| Close nephrovisceral fistula CPT 50525 | not published | not published | $1,905.52 – $10,450.91 | 2 |
| Close nephrovisceral fistula CPT 50526 | not published | not published | $2,042.71 – $11,203.91 | 2 |
| Close tear duct opening CPT 68760 | not published | not published | $106.67 – $320.45 | 11 |
| Close tear duct opening CPT 68761 | not published | not published | $77.44 – $320.45 | 11 |
| Close tear system fistula CPT 68770 | not published | not published | $687.83 – $2,400.26 | 11 |
| Clostridium toxin a w/optic CPT 87803 | $1,492.47 | $1,492.47 | $9.60 – $60.69 | 33 |
| Clos txnose fx without stablz 21315 CPT 21315 | not published | not published | $414.33 – $1,673.18 | 11 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $1,123.46 – $6,192.53 | 2 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $2,074.89 – $11,439.62 | 2 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $1,315.18 – $7,266.59 | 2 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $1,816.59 – $10,001.52 | 2 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | not published | not published | $184.41 – $547.73 | 11 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $330.19 – $1,006.43 | 11 |
| Closure of salivary fistula CPT 42600 | not published | not published | $873.32 – $3,347.22 | 11 |
| Closure of valve CPT 33600 | not published | not published | $2,204.48 – $12,272.39 | 2 |
| Closure of valve CPT 33602 | not published | not published | $2,138.79 – $11,908.19 | 2 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $873.32 – $3,347.22 | 11 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $633.31 – $781.83 | 2 |
| Closure ureter/bowel fistula CPT 50930 | not published | not published | $1,425.12 – $7,959.14 | 2 |
| Closure ureter/skin fistula CPT 50920 | not published | not published | $1,134.19 – $6,360.78 | 2 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $11.36 – $72.32 | 33 |
| Clot factor viii reltd antgn CPT 85244 | $2,097.82 | $2,097.82 | $12.25 – $77.49 | 33 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $11.36 – $72.32 | 33 |
| Clot factor xii hageman CPT 85280 | $1,572.51 | $1,572.51 | $11.61 – $73.60 | 33 |
| Clot factor xiii fibrin scrn CPT 85291 | not published | not published | $5.47 – $34.86 | 33 |
| Clot factor xiii fibrin stab CPT 85290 | $1,173.95 | $1,173.95 | $9.80 – $61.97 | 33 |
| Clotting assay whole blood CPT 85396 | not published | not published | $19.89 – $185.81 | 5 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $1.62 – $7.23 | 3 |
| Clsd ostomy pouch w/flange HCPCS A5054 | not published | not published | $2.19 – $6.71 | 27 |
| Clsd ostomy pouch without barr HCPCS A5052 | not published | not published | $1.82 – $5.55 | 27 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | not published | not published | $84.04 – $267.39 | 11 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | not published | not published | $84.04 – $267.39 | 11 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | not published | not published | $84.04 – $249.03 | 11 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $584.14 – $1,680.68 | 11 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $84.04 – $267.39 | 11 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | not published | not published | $584.14 – $1,680.68 | 11 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | not published | not published | $84.04 – $267.39 | 11 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $84.04 – $249.03 | 11 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | not published | not published | $4.79 – $249.03 | 11 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | not published | not published | $84.04 – $267.39 | 11 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | not published | not published | $84.04 – $267.39 | 11 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | not published | not published | $48.27 – $249.03 | 11 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | not published | not published | $584.14 – $1,680.68 | 11 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $584.14 – $1,680.68 | 11 |
| Clsd tx fracture of radius 25500 CPT 25500 | not published | not published | $84.04 – $249.03 | 11 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | not published | not published | $77.99 – $249.03 | 11 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | not published | not published | $84.04 – $249.03 | 11 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | not published | not published | $84.04 – $249.03 | 11 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | not published | not published | $584.14 – $1,680.68 | 11 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | not published | not published | $84.04 – $249.03 | 11 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | not published | not published | $584.14 – $1,680.68 | 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.