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 |
|---|---|---|---|---|
| Dup scan/hemodialysis access 93990 CPT 93990 | $4,004.83 | $4,004.83 | $105.28 – $477.23 | 11 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $5,351.73 | $5,351.73 | $155.34 – $516.74 | 11 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | not published | not published | $193.20 – $612.32 | 11 |
| Duragen 1x1 5ea/bx HCPCS C9354 | not published | not published | $117.27 – $117.27 | 1 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | not published | not published | $209.78 – $209.78 | 1 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $81.35 – $515.85 | 4 |
| Dxa bone density axl vrt fx CPT 77085 | $423.20 | $423.20 | $52.66 – $146.82 | 12 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $351.24 – $351.24 | 1 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $41.58 – $41.58 | 1 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $517.82 – $1,796.95 | 11 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $517.82 – $1,796.95 | 11 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $517.82 – $1,796.95 | 11 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $342.66 – $858.07 | 2 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $915.67 – $974.54 | 2 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $329.93 – $974.54 | 11 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $217.99 – $313.84 | 2 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $129.91 – $171.55 | 2 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $46.61 – $46.61 | 1 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $124.74 – $124.74 | 1 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $40.85 – $40.85 | 1 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $153.26 – $468.58 | 11 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $517.82 – $1,796.95 | 11 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $79.46 – $79.46 | 1 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $80.10 – $252.24 | 3 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $123.90 – $597.32 | 2 |
| Dynamic surface emg CPT 96002 | not published | not published | $53.57 – $157.67 | 2 |
| Ear and throat examination CPT 92502 | not published | not published | $547.73 – $681.96 | 2 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $93.54 – $1,566.45 | 11 |
| Ear cartilage graft CPT 21235 | not published | not published | $1,924.91 – $6,014.66 | 11 |
| Ear irrigation 69209 CPT 69209 | not published | not published | $59.56 – $96.29 | 3 |
| Ear protector evaluation CPT 92596 | not published | not published | $56.83 – $468.28 | 2 |
| Ecallantide injection HCPCS J1290 | not published | not published | $547.70 – $3,509.52 | 4 |
| Ecg 12 lead tracing only CPT 93005 | not published | not published | $57.59 – $129.82 | 2 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $17.02 – $50.36 | 2 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $601.34 | $601.34 | $38.27 – $129.82 | 2 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $401.44 – $1,171.20 | 2 |
| Ecg external < 48 hours recording CPT 93225 | $4,171.44 | $4,171.44 | $180.77 – $257.31 | 2 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $1,421.32 | $1,421.32 | $257.31 – $258.11 | 2 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $57.53 – $57.53 | 1 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $94.62 – $94.62 | 1 |
| Ecg record/review CPT 93268 | not published | not published | $128.03 – $484.79 | 2 |
| Ecg/review interpret only CPT 93272 | not published | not published | $18.65 – $61.24 | 2 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $13,365.37 | $13,365.37 | $319.80 – $931.70 | 2 |
| Echocardiography doppler color flow mapping CPT 93325 | $4,025.38 | $4,025.38 | $52.72 – $154.59 | 2 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $13,385.47 | $13,385.47 | $1,606.74 – $1,606.74 | 1 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $5,745.49 | $5,745.49 | $96.77 – $174.36 | 10 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | not published | not published | $901.17 – $901.17 | 1 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $3,346.38 | $3,346.38 | $46.78 – $137.71 | 2 |
| Echo exam of eye CPT 76516 | not published | not published | $40.32 – $146.82 | 12 |
| Echo exam of eye CPT 76519 | not published | not published | $61.72 – $146.82 | 12 |
| Echo exam of eye CPT 76529 | not published | not published | $83.86 – $208.93 | 12 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $5.94 – $30.12 | 12 |
| Echo exam of fetal heart CPT 76825 | $4,908.16 | $4,908.16 | $255.41 – $713.04 | 12 |
| Echo exam of fetal heart CPT 76826 | $3,236.84 | $3,236.84 | $154.68 – $457.90 | 12 |
| Echo exam of fetal heart CPT 76827 | $624.75 | $624.75 | $69.11 – $163.73 | 12 |
| Echo exam of fetal heart CPT 76828 | $624.75 | $624.75 | $38.63 – $146.82 | 12 |
| Echo exam uterus 76831- CPT 76831 | $2,310.58 | $2,310.58 | $114.86 – $319.96 | 12 |
| Echograp trans r pros study CPT 76873 | not published | not published | $103.18 – $382.97 | 12 |
| Echo guidance radiotherapy CPT 76965 | $3,476.01 | $3,476.01 | $33.05 – $98.07 | 3 |
| Echo guidance radiotherapy HCPCS G6001 | not published | not published | $134.94 – $159.10 | 2 |
| Echo guide for amniocentesis CPT 76946 | $3,871.74 | $3,871.74 | $17.46 – $52.51 | 3 |
| Echo guide for artery repair CPT 76936 | $2,059.82 | $2,059.82 | $228.03 – $644.61 | 12 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $44.38 – $284.42 | 3 |
| Echo guide for transfusion CPT 76941 | not published | not published | $88.63 – $281.68 | 3 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $53.34 – $147.93 | 3 |
| Echo guide villus sampling CPT 76945 | $1,039.33 | $1,039.33 | $46.74 – $281.68 | 3 |
| Echo stress CPT 93350 | $12,627.68 | $12,627.68 | $182.33 – $279.83 | 10 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $24.68 – $67.19 | 10 |
| Echo tee guidance CPT 93355 | $18,574.36 | $18,574.36 | $216.56 – $558.80 | 10 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $18,574.36 | $18,574.36 | $232.36 – $328.30 | 10 |
| Echo transesophageal CPT 93313 | $12,960.00 | $12,960.00 | $10.86 – $28.06 | 10 |
| Echo transesophageal CPT 93314 | not published | not published | $350.41 – $1,009.03 | 2 |
| Echo transesophageal CPT 93315 | not published | not published | $354.12 – $1,173.72 | 10 |
| Echo transesophageal CPT 93317 | not published | not published | $224.53 – $1,667.03 | 2 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $245.52 – $1,173.72 | 10 |
| Echo transthoracic CPT 93303 | $13,385.47 | $13,385.47 | $216.89 – $411.65 | 10 |
| Echo transthoracic CPT 93304 | $7,807.63 | $7,807.63 | $153.05 – $296.84 | 10 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $12,776.90 | $12,776.90 | $134.61 – $228.80 | 10 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $300.30 – $1,670.25 | 2 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | not published | not published | $308.80 – $1,724.18 | 2 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | not published | not published | $445.54 – $2,467.17 | 2 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | not published | not published | $401.75 – $2,216.36 | 2 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $1,084.14 – $5,976.27 | 2 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $1,082.36 – $5,971.12 | 2 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $618.49 – $3,410.81 | 2 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $553.24 – $3,051.55 | 2 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $620.27 – $3,425.41 | 2 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | not published | not published | $555.48 – $3,066.58 | 2 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $671.22 – $3,701.75 | 2 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $677.03 – $3,741.17 | 2 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $356.61 – $1,966.41 | 2 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $240.42 – $1,328.08 | 2 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $368.68 – $2,042.74 | 2 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | not published | not published | $308.80 – $1,700.01 | 2 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $637.71 – $3,556.25 | 2 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $611.33 – $3,369.11 | 2 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $305.67 – $1,685.63 | 2 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $240.42 – $1,328.08 | 2 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $303.89 – $1,690.49 | 2 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | not published | not published | $239.98 – $1,330.52 | 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.