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 |
|---|---|---|---|---|
| Crnec treph exc brn abs sttl CPT 61514 | not published | not published | $2,500.77 – $13,452.46 | 2 |
| Crnec treph exc cyst sttl CPT 61516 | not published | not published | $2,433.74 – $13,191.07 | 2 |
| Crnop skull defect>5 cm diam CPT 62141 | not published | not published | $1,483.21 – $8,040.19 | 2 |
| Crnop w/autograft<5 cm diam CPT 62146 | not published | not published | $1,531.47 – $8,712.56 | 2 |
| Crnop w/autograft>5 cm diam CPT 62147 | not published | not published | $1,875.57 – $10,359.20 | 2 |
| Cromolyn sodium noncomp unit HCPCS J7631 | not published | not published | $0.28 – $21.56 | 4 |
| Cross-over vein graft CPT 34520 | not published | not published | $5,617.79 – $5,699.28 | 2 |
| Crotalidae poly immune fab HCPCS J0840 | $40,217.86 | $40,217.86 | $1,703.14 – $11,261.70 | 4 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | not published | not published | $1,028.73 – $5,675.46 | 2 |
| Crutches underarm other than wood adjustable or e0114 HCPCS E0114 | not published | not published | $50.23 – $153.74 | 27 |
| Cryoablate prostate CPT 55873 | not published | not published | $9,557.15 – $43,836.51 | 3 |
| Cryocautery of cervix 57511 CPT 57511 | not published | not published | $94.21 – $307.65 | 11 |
| Cryo fib comp path redu each HCPCS P9026 | not published | not published | $135.74 – $135.74 | 1 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $301.84 | $301.84 | $8.48 – $54.23 | 33 |
| Cryoprecipitate each unit HCPCS P9012 | not published | not published | $16.28 – $314.83 | 2 |
| Cryopreservation embryo(s) CPT 89258 | not published | not published | $656.15 – $2,024.47 | 4 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $149.16 – $877.34 | 4 |
| Cryopreservation sperm CPT 89259 | not published | not published | $149.16 – $417.60 | 4 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $445.40 – $481.17 | 2 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $49.76 – $225.36 | 4 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $3,756.64 – $3,952.94 | 2 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $202.56 – $216.67 | 3 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $24.18 – $59.56 | 3 |
| Cryptococcus abs qn - sendout CPT 86641 | not published | not published | $8.65 – $55.51 | 33 |
| Cryptosporidium antigen CPT 87272 | not published | not published | $7.19 – $45.20 | 33 |
| Crystal identification light microscopy CPT 89060 | not published | not published | $4.40 – $28.40 | 33 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | $2,994.13 – $16,294.63 | 2 |
| C-section delivery incl p/p care 59515 CPT 59515 | not published | not published | $1,626.66 – $8,929.89 | 2 |
| Csf leakage imaging CPT 78650 | $5,882.29 | $5,882.29 | $248.81 – $400.49 | 11 |
| Csf shunt reprogram 62252 CPT 62252 | not published | not published | $29.45 – $310.08 | 11 |
| Csf ventriculography CPT 78635 | not published | not published | $310.03 – $487.83 | 11 |
| Cstb gene detc abnor allele CPT 81188 | not published | not published | $82.20 – $521.67 | 30 |
| Cstb gene full gene sequence CPT 81189 | not published | not published | $164.90 – $1,047.19 | 30 |
| Cstb gene known famil vrnt CPT 81190 | not published | not published | $111.12 – $706.30 | 30 |
| CT 3d report other modality w/workstation CPT 76377 | not published | not published | $41.54 – $584.00 | 3 |
| Cta abdomen without & /or w/contrast CPT 74175 | not published | not published | $172.43 – $584.00 | 12 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | not published | not published | $172.43 – $584.00 | 12 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | not published | not published | $172.43 – $382.18 | 12 |
| Cta neck without &/or w/contrast CPT 70498 | not published | not published | $172.43 – $584.00 | 12 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | not published | not published | $341.20 – $584.00 | 11 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | not published | not published | $172.43 – $584.00 | 11 |
| CT Angiogram of the Head CPT 70496 | not published | not published | $172.43 – $584.00 | 12 |
| CT angio hrt w/3d image CPT 75574 | not published | not published | $172.43 – $584.00 | 11 |
| CT angio pelvis CPT 72191 | not published | not published | $172.43 – $584.00 | 12 |
| Cta upper extremity w &/or without contrast left CPT 73206 | not published | not published | $172.43 – $584.00 | 12 |
| CT bone density axial CPT 77078 | not published | not published | $78.56 – $584.00 | 11 |
| CT cerebral perf w cont & prcssng CPT 70473 | not published | not published | $241.92 – $584.00 | 2 |
| CT colonography dx CPT 74261 | not published | not published | $103.18 – $584.00 | 11 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $172.43 – $584.00 | 11 |
| CT colonography screening CPT 74263 | not published | not published | $584.00 – $2,611.79 | 4 |
| CT guidance for needle placement CPT 77012 | not published | not published | $102.44 – $584.00 | 3 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | not published | not published | $83.56 – $584.00 | 3 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $249.03 – $267.39 | 2 |
| CT guid parench tis ablat CPT 77013 | not published | not published | $257.77 – $1,751.10 | 3 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $140.27 | $140.27 | $83.86 – $584.00 | 11 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $172.43 – $584.00 | 11 |
| CT hrt w/3d image CPT 75572 | not published | not published | $172.43 – $584.00 | 11 |
| CT limited or localized follow-up study CPT 76380 | not published | not published | $83.86 – $584.00 | 11 |
| CT lower extremity w/contrast (both sides) CPT 73701 | not published | not published | $168.84 – $584.00 | 12 |
| CT lower extremity without contrast (both sides) CPT 73700 | not published | not published | $103.18 – $584.00 | 12 |
| Ctlso a-p-l control molded HCPCS L0700 | not published | not published | $2,287.38 – $6,178.27 | 27 |
| Ctlso a-p-l control with inter HCPCS L0710 | not published | not published | $2,464.10 – $6,655.61 | 27 |
| Ctlso axilla sling HCPCS L1010 | not published | not published | $88.17 – $238.16 | 27 |
| Ctlso milwauke initial model HCPCS L1000 | not published | not published | $2,460.30 – $6,645.34 | 27 |
| CT lwr extremity w/o&w/dye CPT 73702 | not published | not published | $172.43 – $584.00 | 12 |
| CT neck soft tissue w/contrast CPT 70491 | not published | not published | $172.43 – $584.00 | 12 |
| CT neck soft tissue without contrast CPT 70490 | not published | not published | $103.18 – $584.00 | 12 |
| CT neck soft tissue without & w/contrast CPT 70492 | not published | not published | $172.43 – $584.00 | 12 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | not published | not published | $172.43 – $584.00 | 12 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | not published | not published | $172.43 – $584.00 | 12 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | not published | not published | $103.18 – $584.00 | 12 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $86.27 – $252.51 | 11 |
| CT scan for localization CPT 77011 | not published | not published | $220.94 – $659.23 | 3 |
| CT scan for therapy guide CPT 77014 | $4.31 | $4.31 | $101.03 – $101.03 | 1 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | not published | not published | $341.20 – $584.00 | 11 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | not published | not published | $307.40 – $584.00 | 11 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | not published | not published | $185.29 – $584.00 | 11 |
| CT thoracic spine w/contrast CPT 72129 | not published | not published | $172.13 – $584.00 | 12 |
| CT thoracic spine without contrast CPT 72128 | not published | not published | $103.18 – $584.00 | 12 |
| CT thorax low dose for lung screening without contrast CPT 71271 | not published | not published | $103.18 – $584.00 | 11 |
| CT t-spine w /wo contrast CPT 72130 | not published | not published | $172.43 – $584.00 | 12 |
| CT upper extremity w/contrast (both sides) CPT 73201 | not published | not published | $203.39 – $584.00 | 12 |
| CT upper extremity without contrast (both sides) CPT 73200 | not published | not published | $103.18 – $584.00 | 12 |
| CT uppr extremity w/o&w/dye CPT 73202 | not published | not published | $172.43 – $584.00 | 12 |
| Cuffs adj lock with active con HCPCS L3740 | not published | not published | $1,554.30 – $4,198.21 | 27 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $149.16 – $8,097.66 | 5 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $149.16 – $8,422.77 | 5 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $1,435.76 – $3,691.84 | 11 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $698.37 – $2,083.05 | 11 |
| Culture aerobic additional method definitive id each CPT 87077 | $773.75 | $773.75 | $4.85 – $31.01 | 33 |
| Culture afb any source CPT 87116 | not published | not published | $6.48 – $41.31 | 33 |
| Culture anaerobic additional method definitive id each CPT 87076 | not published | not published | $4.85 – $31.01 | 33 |
| Culture anaerobic except blood CPT 87075 | not published | not published | $5.68 – $36.14 | 33 |
| Culture bacteria anaerobic CPT 87073 | not published | not published | $5.80 – $37.46 | 33 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $18.84 – $130.41 | 4 |
| Culture bact stool aero addl path ea CPT 87046 | not published | not published | $5.66 – $36.14 | 33 |
| Culture body fluid CPT 87070 | not published | not published | $5.17 – $32.29 | 33 |
| Culture fungi definitive id mold CPT 87107 | $857.12 | $857.12 | $6.19 – $38.75 | 33 |
| Culture fungi definitive id yeast CPT 87106 | not published | not published | $6.19 – $38.75 | 33 |
| Culture fungi other (except blood) CPT 87102 | not published | not published | $5.05 – $32.29 | 33 |
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.