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 |
|---|---|---|---|---|
| Endovasc tempory vessel occl CPT 61623 | not published | not published | $11,654.77 – $12,286.52 | 2 |
| Endovasc visc aorta 1 graft CPT 34841 | not published | not published | $1,340.49 – $1,340.49 | 1 |
| Endovasc visc aorta 2 graft CPT 34842 | not published | not published | $1,340.49 – $1,340.49 | 1 |
| Endovasc visc aorta 3 graft CPT 34843 | not published | not published | $1,340.49 – $1,340.49 | 1 |
| Endovasc visc aorta 4 graft CPT 34844 | not published | not published | $1,340.49 – $1,340.49 | 1 |
| Endovas iliac a device addon CPT 34808 | not published | not published | $273.05 – $1,494.19 | 2 |
| Endovenous laser vein addon 36479 CPT 36479 | not published | not published | $1,176.43 – $1,176.43 | 1 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | $921.17 – $3,187.73 | 11 |
| Endovenous mchnchem add-on CPT 36474 | not published | not published | $1,280.30 – $1,280.30 | 1 |
| Endovenous rf abl vein addl CPT 36476 | not published | not published | $1,065.33 – $1,065.33 | 1 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | not published | not published | $2,231.29 – $13,269.11 | 3 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | not published | not published | $367.20 – $367.20 | 1 |
| Energy storing foot HCPCS L5976 | not published | not published | $720.85 – $1,947.03 | 27 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | not published | not published | $35.54 – $221.83 | 4 |
| Enfuvirtide injection HCPCS J1324 | not published | not published | $0.54 – $4.15 | 4 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | not published | not published | $0.50 – $4.21 | 4 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $1,033.88 | $1,033.88 | $7.19 – $45.20 | 33 |
| Entamoeb hist dispr ag ia CPT 87336 | not published | not published | $9.60 – $60.69 | 33 |
| Enterectomy cong add-on CPT 44128 | not published | not published | $317.29 – $1,744.43 | 2 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $314.61 – $1,732.48 | 2 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $1,585.55 – $8,726.58 | 2 |
| Enterectomy without taper cong CPT 44126 | not published | not published | $3,187.63 – $17,579.14 | 2 |
| Enterectomy w/taper cong CPT 44127 | not published | not published | $3,708.69 – $20,330.89 | 2 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $1,703.52 – $9,358.68 | 2 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $1,830.44 – $10,070.19 | 2 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $2,100.81 – $11,567.32 | 2 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $1,092.19 – $5,996.30 | 2 |
| Enterovirus antibody dfa CPT 87267 | not published | not published | $8.05 – $51.66 | 33 |
| Envrn ivntj med mgmt psyc pt CPT 90882 | not published | not published | $554.70 – $554.70 | 1 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $26.42 – $167.86 | 33 |
| Enzyme histochemistry CPT 88319 | $240.13 | $240.13 | $149.97 – $1,067.94 | 5 |
| Eo, adj lock joint prefab ot HCPCS L3761 | not published | not published | $545.44 – $1,473.25 | 27 |
| Eo elas w/metal jnts pre ots HCPCS L3710 | not published | not published | $162.04 – $437.67 | 27 |
| Ep & ablate supravent arrhyt CPT 93653 | $92,602.13 | $92,602.13 | $5,989.15 – $44,957.59 | 2 |
| Ep & ablate ventric tachy CPT 93654 | $92,602.13 | $92,602.13 | $8,022.59 – $44,957.59 | 2 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $53.21 – $336.80 | 4 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $698.37 – $2,083.05 | 11 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $698.37 – $2,083.05 | 11 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $335.66 – $1,006.94 | 11 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $335.66 – $1,006.94 | 11 |
| Epiglottidectomy CPT 31420 | not published | not published | $1,924.91 – $6,014.66 | 11 |
| Epikeratoplasty CPT 65767 | not published | not published | $1,651.69 – $1,651.69 | 1 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $43.60 – $9,330.59 | 30 |
| Ep induct arrhy by elect pacing CPT 93618 | $4,299.47 | $4,299.47 | $2,715.79 – $2,715.79 | 1 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | not published | not published | $4.95 – $13.19 | 3 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | not published | not published | $2.28 – $8.73 | 3 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | not published | not published | $0.71 – $3.51 | 3 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | not published | not published | $1.83 – $13.80 | 3 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $15,486.33 | $15,486.33 | $1.57 – $9.62 | 4 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | not published | not published | $138.73 – $3,268.14 | 3 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $83.15 | $83.15 | $0.69 – $5.52 | 4 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | not published | not published | $6.86 – $45.81 | 4 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | not published | not published | $6.87 – $55.06 | 4 |
| Epoetin beta esrd use HCPCS J0887 | not published | not published | $1.22 – $8.53 | 4 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $1.22 – $8.53 | 4 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $511.02 | $511.02 | $15.60 – $98.03 | 4 |
| Epstein barr early antigen antibody CPT 86663 | $668.70 | $668.70 | $7.87 – $50.38 | 33 |
| Epstein barr nuclear antigen antibody CPT 86664 | $668.70 | $668.70 | $9.17 – $58.12 | 33 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | not published | not published | $10.88 – $69.71 | 33 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | not published | not published | $5.81 – $193.29 | 4 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $18.74 – $120.11 | 4 |
| Ercp biliary & pancreas CPT 74330 | $3,870.02 | $3,870.02 | $60.90 – $582.80 | 3 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $2,183.25 – $6,129.05 | 11 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $1,102.47 – $3,892.41 | 11 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $1,102.47 – $3,892.41 | 11 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $1,660.88 – $6,129.05 | 11 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $1,102.47 – $3,892.41 | 11 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $1,102.47 – $3,718.86 | 11 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $1,102.47 – $3,718.86 | 11 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $2,216.90 – $6,129.05 | 11 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $1,102.47 – $3,892.41 | 11 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $16.42 – $29.47 | 3 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | not published | not published | $115.19 – $632.81 | 4 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $1,508.74 | $1,508.74 | $8.90 – $116.33 | 4 |
| ER Visit (level 1, minor) CPT 99281 | not published | not published | $50.59 – $110.12 | 5 |
| ER Visit (level 2) CPT 99282 | not published | not published | $50.59 – $200.52 | 5 |
| ER Visit (level 3) CPT 99283 | not published | not published | $50.59 – $356.49 | 5 |
| ER Visit (level 4) CPT 99284 | not published | not published | $544.91 – $544.91 | 1 |
| ER Visit (level 5, high severity) CPT 99285 | not published | not published | $777.72 – $777.72 | 1 |
| Erwinaze injection HCPCS J9019 | not published | not published | $1,390.63 – $2,967.57 | 3 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | not published | not published | $33.26 – $454.13 | 4 |
| Escharotomy ea addl incision CPT 16036 | not published | not published | $105.46 – $584.17 | 2 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $3,029.80 – $3,029.80 | 1 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $0.40 – $2.54 | 4 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | not published | not published | $0.27 – $1.69 | 4 |
| Esophageal dilat s&i CPT 74360 | not published | not published | $37.77 – $582.80 | 3 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $150.60 – $150.60 | 1 |
| Esophageal motility CPT 78258 | $8,820.47 | $8,820.47 | $197.80 – $285.24 | 11 |
| Esophageal recording CPT 93615 | not published | not published | $2,715.79 – $2,715.79 | 1 |
| Esophageal recording CPT 93616 | not published | not published | $2,715.79 – $2,715.79 | 1 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $273.03 – $273.03 | 1 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $1,729.44 – $9,509.56 | 2 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $1,730.78 – $9,553.62 | 2 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $3,544.69 – $3,544.69 | 1 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $556.50 – $1,937.29 | 11 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $118.07 – $915.67 | 11 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $556.50 – $1,937.29 | 11 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $2,627.53 – $6,129.05 | 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.