healthcosts.net

MEDICAL CITY LEWISVILLE HOSPITAL

1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

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
Cystourethro cut ejacul duct CPT 52402 not published not published $3,558.75 – $3,742.99 2
Cystourethroscop/calib/dilat stric 52281 CPT 52281 not published not published $643.01 – $2,196.72 11
Cystourethroscopy w/biopsy(s) 52204 CPT 52204 not published not published $643.01 – $2,196.72 11
Cystourethro w/addl implant 52442 CPT 52442 not published not published $78.21 – $6,196.11 2
Cystourethro w/implant CPT 52441 not published not published $292.71 – $7,051.26 2
Cysto with bx(s) with blue light HCPCS C7550 not published not published $1,340.49 – $1,340.49 1
Cysto w/renal stricture tx CPT 52343 not published not published $1,125.76 – $3,558.75 11
Cysto w/up stricture tx CPT 52342 not published not published $1,125.76 – $3,742.99 11
Cysto w/ureter stricture tx CPT 52341 not published not published $1,125.76 – $3,742.99 11
Cytarabine 20 mg/ml injection solution HCPCS J9100 not published not published $0.79 – $4.90 4
Cytarabine liposome inj HCPCS J9098 not published not published $2,036.98 – $4,495.17 3
Cytog alys chrml abnr lw-ps CPT 81349 not published not published $523.60 – $4,419.96 33
Cytogenetics 25-99 CPT 88274 $945.51 $945.51 $25.43 – $161.40 33
Cytogenetics 3-5 CPT 88272 $1,834.32 $1,834.32 $24.42 – $154.94 33
Cytogenomic neo microra alys CPT 81277 not published not published $696.00 – $4,419.96 30
Cytogenom microarray copy nmbr var CPT 81228 not published not published $540.00 – $3,429.57 30
Cytog genom-wid alys hem mal CPT 81195 not published not published $1,263.53 – $4,881.64 28
Cytomegalovirus ag ia CPT 87332 not published not published $7.19 – $45.20 33
Cytomegalovirus (cmv) antibody igg CPT 86644 not published not published $8.63 – $54.23 33
Cytomegalovirus (cmv) antibody igm CPT 86645 $1,107.27 $1,107.27 $10.11 – $64.58 33
Cytomegalovirus dfa CPT 87271 $863.81 $863.81 $8.05 – $51.66 33
Cytomegalovirus imm IV /vial HCPCS J0850 not published not published $1,757.65 – $10,948.92 4
Cytomeg dna dir probe CPT 87495 not published not published $18.02 – $114.92 33
Cyto/molecular report CPT 88291 not published not published $31.13 – $84.83 5
Cytopath c/v auto in fluid CPT 88174 not published not published $15.22 – $96.83 33
Cytopath c/v automated CPT 88147 not published not published $30.34 – $192.41 33
Cytopath c/v auto redo CPT 88152 not published not published $16.58 – $105.89 33
Cytopath c/v auto rescreen CPT 88148 not published not published $10.66 – $65.86 33
Cytopath c/v index add-on CPT 88155 $255.13 $255.13 $8.79 – $55.51 33
Cytopath c/v manual CPT 88150 not published not published $10.66 – $65.86 33
Cytopath c/v redo CPT 88153 not published not published $14.42 – $91.69 33
Cytopath c/v thin layer redo CPT 88143 not published not published $13.82 – $87.80 33
Cytopath fl nongyn filter CPT 88106 not published not published $24.67 – $382.43 5
Cytopathology cellular enhancement technique non-gyn CPT 88112 $248.46 $248.46 $49.76 – $342.84 5
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 not published not published $15.97 – $102.00 33
Cytopathology cervical/vaginal thin layer manual screening CPT 88142 not published not published $12.16 – $77.49 33
Cytopathology concentration technique smears & interpretation CPT 88108 $1,480.81 $1,480.81 $33.84 – $324.66 5
Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 $1,449.11 $1,449.11 $33.84 – $373.25 5
Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 $1,425.78 $1,425.78 $7.33 – $66.77 5
Cytopathology fna adequacy evaluation first episode each site CPT 88172 $1,239.02 $1,239.02 $25.52 – $243.95 5
Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 $2,441.32 $2,441.32 $49.76 – $700.97 5
Cytopath smear other source CPT 88160 $326.84 $326.84 $24.67 – $394.58 5
Cytopath smear other source CPT 88162 not published not published $49.76 – $491.31 5
Cytopath smear oth prep screen & interp CPT 88161 $360.21 $360.21 $24.67 – $345.89 5
Cytopath tbs c/v auto redo CPT 88166 not published not published $10.66 – $65.86 33
Cytopath tbs c/v manual CPT 88164 $436.90 $436.90 $10.66 – $65.86 33
Cytopath tbs c/v redo CPT 88165 not published not published $25.33 – $161.40 33
Cytopath tbs c/v select CPT 88167 not published not published $10.66 – $65.86 33
Cytotoxic antibody screening CPT 86807 not published not published $47.19 – $299.58 33
Cytotoxic antibody screening CPT 86808 not published not published $17.81 – $113.63 33
Cytp urine 3-5 probes cmptr CPT 88121 not published not published $291.26 – $4,131.93 5
Dacarbazine 100 mg intravenous solution HCPCS J9130 $168.07 $168.07 $4.37 – $23.11 4
Dactinomycin 0.5 mg intravenous solution HCPCS J9120 $12,817.44 $12,817.44 $280.14 – $3,621.84 4
Dalbavancin 500 mg intravenous solution HCPCS J0875 not published not published $15.10 – $94.09 4
Dalteparin sodium HCPCS J1645 $560.70 $560.70 $15.56 – $109.16 4
Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 $4,157.72 $4,157.72 $0.03 – $1.93 4
Daptomycin (xellia) unrefrig HCPCS J0872 not published not published $0.05 – $1.28 4
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 not published not published $51.40 – $330.81 4
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 not published not published $2.83 – $17.61 4
Darbepoetin alfa, esrd use HCPCS J0882 not published not published $2.83 – $18.15 4
Dark field exam spec collj CPT 87164 $800.44 $800.44 $6.44 – $41.31 33
Dark field exam without collj CPT 87166 not published not published $6.78 – $42.60 33
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 not published not published $241.55 – $1,543.55 4
Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 not published not published $25.61 – $159.94 4
Daunorubicin citrate inj HCPCS J9151 not published not published $348.90 – $1,974.42 3
Dbrdmt prmlg les w/pdt CPT 96574 not published not published $412.36 – $1,685.91 2
D&c after delivery 59160 CPT 59160 not published not published $1,047.57 – $3,268.14 11
D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 not published not published $1,047.57 – $3,268.14 11
Dch glucoscan CPT 82948 not published not published $3.02 – $19.37 33
Dch pulmonary stress test CPT 94621 $3,876.35 $3,876.35 $219.43 – $656.28 2
Dch validity tests CPT 81002 not published not published $2.09 – $12.92 33
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 not published not published $650.04 – $2,131.99 11
Dcmprn orbit only transcrnl CPT 61330 not published not published $3,247.92 – $12,750.68 3
Dcmprn plantar digital nerve CPT 64726 not published not published $650.04 – $2,131.99 11
D&c of cervical stump CPT 57558 not published not published $1,047.57 – $3,268.14 11
Deamidated gliadin antibody iga CPT 86258 not published not published $7.23 – $46.49 33
Debr g/per/abd wall 11006 CPT 11006 not published not published $913.43 – $913.43 1
Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 not published not published $28.55 – $746.15 11
Debridement (>20 cm) charge pt CPT 97598 not published not published $27.21 – $120.70 27
Debridement bone <= 20 sq cm CPT 11044 not published not published $558.12 – $1,702.02 11
Debridement subcutaneous tissue <= 20 sq cm CPT 11042 not published not published $168.94 – $410.41 11
Debride nail1-5 11720 CPT 11720 not published not published $59.56 – $125.62 3
Debride nail6 or more 11721 CPT 11721 not published not published $59.56 – $140.07 3
Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 not published not published $253.74 – $756.41 11
Debride skin bone at fx site CPT 11012 not published not published $802.97 – $2,932.54 11
Debride skn/sq/musc/abd wall 11004 CPT 11004 not published not published $745.85 – $745.85 1
Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 not published not published $1,011.75 – $1,011.75 1
Debrid mastoidectomy cavity simple 69220 CPT 69220 not published not published $202.56 – $216.67 3
Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 not published not published $253.74 – $756.41 11
Debr inf skin add-on 11001 CPT 11001 not published not published $48.29 – $48.29 1
Debr musc/fascia 20sq cm/< 11043 CPT 11043 not published not published $258.69 – $746.15 11
Decalcification CPT 88311 $923.82 $923.82 $8.72 – $78.56 5
Decitabine 50 mg intravenous solution HCPCS J0894 $30,656.48 $30,656.48 $1.07 – $27.32 4
Declotting thrombolytic agent implanted vas access device 36 CPT 36593 not published not published $25.91 – $333.47 11
Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 not published not published $1,071.95 – $3,394.44 11
Decomp forearm 1 space 25020 CPT 25020 not published not published $584.14 – $1,680.68 11
Decomp forearm 2 spaces w/debrid 25025 CPT 25025 not published not published $584.14 – $1,680.68 11
Decompress fasciotomyhand 26037 CPT 26037 not published not published $1,071.95 – $3,394.44 11
Decompress fingers/hand CPT 26035 not published not published $1,071.95 – $3,394.44 11
Decompress forearm 1 space CPT 25023 not published not published $1,071.95 – $3,394.44 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.