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 |
|---|---|---|---|---|
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | not published | not published | $84.04 – $249.03 | 11 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | not published | not published | $84.04 – $267.39 | 11 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | not published | not published | $84.04 – $267.39 | 11 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | not published | not published | $84.04 – $267.39 | 11 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | not published | not published | $98.36 – $282.37 | 11 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $247.08 – $547.73 | 11 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | not published | not published | $84.04 – $249.03 | 11 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | not published | not published | $84.04 – $249.03 | 11 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | not published | not published | $84.04 – $267.39 | 11 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | not published | not published | $84.04 – $249.03 | 11 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | not published | not published | $84.04 – $249.03 | 11 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | not published | not published | $873.32 – $3,347.22 | 11 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | not published | not published | $584.14 – $1,680.68 | 11 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | not published | not published | $84.04 – $267.39 | 11 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | not published | not published | $84.04 – $267.39 | 11 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $84.04 – $267.39 | 11 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $84.04 – $267.39 | 11 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | not published | not published | $584.14 – $1,680.68 | 11 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | not published | not published | $84.04 – $249.03 | 11 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | not published | not published | $84.04 – $249.03 | 11 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | not published | not published | $584.14 – $1,680.68 | 11 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | not published | not published | $84.04 – $267.39 | 11 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | not published | not published | $584.14 – $1,680.68 | 11 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | not published | not published | $584.14 – $1,680.68 | 11 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | not published | not published | $584.14 – $1,680.68 | 11 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | not published | not published | $84.04 – $267.39 | 11 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | not published | not published | $58.36 – $249.03 | 11 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | not published | not published | $84.04 – $267.39 | 11 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | not published | not published | $584.14 – $1,680.68 | 11 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | not published | not published | $84.04 – $249.03 | 11 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $84.04 – $267.39 | 11 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $84.04 – $249.03 | 11 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | not published | not published | $84.04 – $249.03 | 11 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $84.04 – $267.39 | 11 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | not published | not published | $84.04 – $249.03 | 11 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | not published | not published | $84.04 – $267.39 | 11 |
| Clsr 1 vsd w/wo patch w/vlvt CPT 33684 | not published | not published | $2,452.96 – $13,510.69 | 2 |
| Clsr 1vsd w/wo ptch rmvl bnd CPT 33688 | not published | not published | $2,448.93 – $13,486.51 | 2 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | $84.04 – $267.39 | 11 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $584.14 – $1,680.68 | 11 |
| Cltx craniofacial separation CPT 21431 | not published | not published | $920.59 – $5,065.39 | 2 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $584.14 – $1,680.68 | 11 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $84.04 – $267.39 | 11 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | not published | not published | $584.14 – $1,680.68 | 11 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $84.04 – $267.39 | 11 |
| Cltx lunate dislc w/mnpj CPT 25690 | not published | not published | $584.14 – $1,680.68 | 11 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $1,924.91 – $6,014.66 | 11 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $414.33 – $1,673.18 | 11 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | $461.95 – $3,347.22 | 11 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $873.32 – $3,347.22 | 11 |
| Cltx post ankle fx CPT 27767 | not published | not published | $84.04 – $249.03 | 11 |
| Cltx post ankle fx w/mnpj CPT 27768 | not published | not published | $837.27 – $1,680.68 | 11 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $584.14 – $1,680.68 | 11 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $84.04 – $267.39 | 11 |
| Cltx thigh fx CPT 27267 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Cltx thigh fx w/mnpj CPT 27268 | not published | not published | $691.78 – $691.78 | 1 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $414.33 – $1,673.18 | 11 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $1,504.09 – $5,296.71 | 11 |
| C motor evoked lwr limbs CPT 95929 | not published | not published | $346.16 – $946.58 | 2 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $334.25 – $910.31 | 2 |
| C motor evoked upr&lwr limbs CPT 95939 | not published | not published | $946.64 – $2,650.95 | 2 |
| Cmp rpr tof wo plm atrs ptch CPT 33694 | not published | not published | $2,534.29 – $13,961.30 | 2 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $101.08 – $129.82 | 2 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $103.51 – $129.82 | 2 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $8.44 – $54.23 | 33 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $5.28 – $33.57 | 33 |
| #cmvcul-virus inoculation shell CPT 87254 | $428.56 | $428.56 | $11.74 – $74.89 | 33 |
| Cmv ig IV CPT 90291 | not published | not published | $3,582.93 – $11,906.37 | 4 |
| Cmv pcr-sendout CPT 87496 | not published | not published | $21.05 – $134.29 | 33 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $82.20 – $521.67 | 30 |
| Cntct lens hydrophil photoch HCPCS V2524 | not published | not published | $174.72 – $471.91 | 27 |
| Co2 monitor per day CPT 94681 | not published | not published | $320.91 – $597.32 | 2 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $28.92 | $28.92 | $2.45 – $16.04 | 4 |
| Coagulation time activated teg CPT 85347 | not published | not published | $2.57 – $16.81 | 33 |
| Coagulation time lee & white CPT 85345 | $565.30 | $565.30 | $2.81 – $18.09 | 33 |
| Coagulation time otr method CPT 85348 | not published | not published | $2.69 – $16.81 | 33 |
| Cocaine 4 % nasal solution HCPCS C9046 | $2,077.56 | $2,077.56 | $4.17 – $10.41 | 2 |
| Cocaine hcl nasal (numbrino) HCPCS C9143 | not published | not published | $4.17 – $13.86 | 2 |
| Coccidioidomycosis skin test CPT 86490 | not published | not published | $93.52 – $771.33 | 2 |
| Coch imp ext proc/contr rplc HCPCS L8619 | $13,128.00 | $13,128.00 | $9,867.13 – $26,651.43 | 27 |
| Coch implant headset replace HCPCS L8615 | not published | not published | $541.59 – $1,462.85 | 27 |
| Coch implant microphone repl HCPCS L8616 | not published | not published | $126.15 – $340.73 | 27 |
| Coch implant tran cable repl HCPCS L8618 | not published | not published | $31.49 – $85.05 | 27 |
| Coch implant trans coil repl HCPCS L8617 | not published | not published | $110.21 – $297.68 | 27 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $303.64 – $1,164.34 | 2 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $295.14 – $1,081.00 | 2 |
| Cocm by rhc/fqhc 60 min mo HCPCS G0512 | not published | not published | $146.30 – $558.06 | 2 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $1.65 – $9.66 | 3 |
| Cogenex amnio memb per sq cm HCPCS Q4229 | not published | not published | $7.52 – $1,998.71 | 4 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $4.84 – $31.01 | 33 |
| Cold agglutinin titer CPT 86157 | $905.50 | $905.50 | $4.84 – $31.01 | 33 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $2,157.12 – $11,870.56 | 2 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $2,417.19 – $13,333.07 | 2 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $2,688.01 – $14,872.83 | 2 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $1,739.27 – $9,564.14 | 2 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $2,518.19 – $13,860.08 | 2 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $2,147.28 – $11,840.16 | 2 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $2,742.09 – $15,133.94 | 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.