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 |
|---|---|---|---|---|
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Decompression fasct forearm CPT 24495 | not published | not published | $2,362.54 – $7,417.62 | 11 |
| Decompression of leg CPT 27892 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Decompression of leg CPT 27893 | not published | not published | $2,362.54 – $7,417.62 | 11 |
| Decompression of leg CPT 27894 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Decompression of lower leg CPT 27600 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Decompression of lower leg CPT 27601 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $584.14 – $1,680.68 | 11 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $2,362.54 – $7,417.62 | 11 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $650.04 – $2,131.99 | 11 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $650.04 – $2,131.99 | 11 |
| Decompressive craniotomy CPT 61322 | not published | not published | $3,117.03 – $3,117.03 | 1 |
| Decompress optic nerve CPT 67570 | not published | not published | $1,086.87 – $3,969.06 | 11 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $2,362.54 – $7,417.62 | 11 |
| Decompress small bowel CPT 44021 | not published | not published | $1,264.69 – $6,941.81 | 2 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $2,362.54 – $7,417.62 | 11 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $7,325.73 – $7,417.62 | 2 |
| Decompress spine cord add-on CPT 63066 | not published | not published | $1,478.67 – $1,478.67 | 1 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $2,284.32 – $2,284.32 | 1 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $802.97 – $2,932.54 | 11 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $689.54 | $689.54 | $7.96 – $54.58 | 4 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $4,426.79 | $4,426.79 | $4.23 – $26.38 | 4 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $2,247.50 – $10,088.09 | 11 |
| Delay flap arms/legs CPT 15610 | not published | not published | $698.37 – $2,083.05 | 11 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $698.37 – $2,083.05 | 11 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $698.37 – $2,083.05 | 11 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $1,435.76 – $3,691.84 | 11 |
| Delivery of placenta 59414 CPT 59414 | not published | not published | $650.84 – $3,268.14 | 11 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $1,209.27 – $6,716.97 | 2 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $1,675.38 – $9,154.38 | 2 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $887.07 – $4,904.43 | 2 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $273.59 – $603.20 | 2 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $607.08 | $607.08 | $118.04 – $434.15 | 2 |
| Denervation of hip joint CPT 27035 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $67.86 – $447.29 | 3 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $22,701.09 | $22,701.09 | $26.98 – $176.93 | 4 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | not published | not published | $134.32 – $135.20 | 2 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | $5.00 | $5.00 | $3.16 – $9.67 | 27 |
| Depo-estradiol cypionate inj HCPCS J1000 | $1,108.87 | $1,108.87 | $41.05 – $283.85 | 4 |
| Dermabrasion other than face CPT 15782 | not published | not published | $469.44 – $2,932.54 | 3 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $382.21 – $826.18 | 3 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $200.20 – $744.06 | 3 |
| Dermabrasion total face CPT 15780 | not published | not published | $701.69 – $2,932.54 | 3 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $1,435.76 – $3,691.84 | 11 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $7.52 – $5,272.66 | 4 |
| Dermagraft HCPCS Q4106 | not published | not published | $126.72 – $271.93 | 3 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $183.56 – $183.56 | 1 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $52.98 – $274.78 | 3 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $1,435.76 – $3,691.84 | 11 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $698.37 – $2,083.05 | 11 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $124.24 – $657.14 | 3 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $97.10 – $10,438.22 | 4 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $2,324.24 – $2,324.24 | 1 |
| Description not available HCPCS S0013 | not published | not published | $91.98 – $414.00 | 2 |
| Design custom breast implant CPT 19396 | not published | not published | $949.21 – $3,952.94 | 11 |
| Design mlc device for imrt CPT 77338 | not published | not published | $410.80 – $1,180.87 | 3 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | not published | not published | $4.36 – $23.54 | 4 |
| Desoxycorticosterone CPT 82633 | $1,404.10 | $1,404.10 | $18.59 – $117.52 | 33 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $509.90 – $509.90 | 1 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $1,994.90 – $1,994.90 | 1 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $1,444.33 – $1,444.33 | 1 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $202.56 – $343.02 | 3 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $92.18 – $202.56 | 11 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $103.36 – $202.56 | 11 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $73.22 – $202.56 | 11 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $73.22 – $202.56 | 11 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $202.56 – $398.60 | 3 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $171.47 – $216.67 | 3 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $202.56 – $357.54 | 3 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $202.56 – $400.96 | 3 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $202.56 – $422.71 | 3 |
| Destroy cervthor facet jnt 64633 CPT 64633 | not published | not published | $650.04 – $2,131.99 | 11 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $128.99 – $1,208.10 | 11 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $89.42 – $216.67 | 3 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $698.37 – $2,083.05 | 11 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $109.35 – $2,083.05 | 11 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $202.56 – $314.05 | 3 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $212.70 – $746.15 | 11 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $140.93 – $410.41 | 11 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $276.24 – $2,083.05 | 11 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $19.31 – $19.31 | 1 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $157.62 – $2,083.05 | 11 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $925.83 – $2,906.78 | 11 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $135.80 – $410.41 | 11 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $202.56 – $285.00 | 3 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $335.66 – $1,006.94 | 11 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | not published | not published | $650.04 – $2,131.99 | 11 |
| Destruction ciliary body CPT 66700 | not published | not published | $837.19 – $2,507.11 | 11 |
| Destruction ciliary body CPT 66720 | not published | not published | $687.83 – $2,400.26 | 11 |
| Destruction ciliary body CPT 66740 | not published | not published | $687.83 – $2,400.26 | 11 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $73.22 – $202.56 | 11 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $925.83 – $2,906.78 | 11 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $43.49 – $2,400.26 | 11 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $105.81 – $410.41 | 11 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $118.35 – $410.41 | 11 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $107.44 – $410.41 | 11 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $118.35 – $410.41 | 11 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $188.43 – $410.41 | 3 |
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.