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 |
|---|---|---|---|---|
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | not published | not published | $0.28 – $2.48 | 4 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | not published | not published | $0.95 – $5.99 | 4 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | not published | not published | $0.32 – $3.11 | 4 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $698.37 – $2,083.05 | 11 |
| Filtered speech hearing test CPT 92571 | not published | not published | $78.89 – $188.07 | 2 |
| Filters elec/combo vad, rep HCPCS Q0500 | $180.00 | $180.00 | $36.67 – $99.04 | 27 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $1,025.16 – $5,661.51 | 2 |
| Finasteride, 5 mg HCPCS S0138 | $109.60 | $109.60 | $0.48 – $14.52 | 3 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | not published | not published | $191.16 – $714.92 | 11 |
| Fine needle asp without image guide 10021 CPT 10021 | not published | not published | $50.99 – $410.41 | 11 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | not published | not published | $400.09 – $1,080.65 | 27 |
| Finger tendon transfer CPT 26497 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Finger tendon transfer CPT 26498 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $1,331.26 – $7,279.25 | 2 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $848.18 – $4,701.13 | 2 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $129.82 – $149.80 | 2 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $129.82 – $149.73 | 2 |
| Fitg c-lens keratoconus 1st CPT 92072 | not published | not published | $217.40 – $241.55 | 2 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $78.89 – $93.86 | 2 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $78.89 – $144.58 | 2 |
| Fit spectacles bifocal CPT 92341 | not published | not published | $57.84 – $286.65 | 2 |
| Fit spectacles monofocal CPT 92340 | not published | not published | $45.08 – $249.16 | 2 |
| Fit spectacles multifocal CPT 92342 | not published | not published | $65.49 – $306.89 | 2 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $35.17 – $204.11 | 11 |
| Fixation of ankle joint CPT 27860 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Fixation of knee joint CPT 27570 | not published | not published | $584.14 – $1,680.68 | 11 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $2,362.54 – $7,417.62 | 11 |
| Fix g/colon tube w/device CPT 49460 | not published | not published | $329.93 – $974.54 | 11 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Flebogamma injection HCPCS J1572 | not published | not published | $146.28 – $326.75 | 4 |
| Flecainide (tambocor)-sendout CPT 80181 | not published | not published | $11.18 – $71.03 | 33 |
| Fl exam g/colon tube w contrast CPT 49465 | not published | not published | $240.89 – $288.97 | 2 |
| Flex/ext wrist w/wo friction HCPCS L6621 | not published | not published | $2,746.54 – $7,418.48 | 27 |
| Flex foot system HCPCS L5980 | not published | not published | $4,657.18 – $12,579.20 | 27 |
| Flexible keel foot HCPCS L5972 | not published | not published | $508.83 – $1,374.37 | 27 |
| Flexible metal hinge pair HCPCS L6610 | not published | not published | $240.16 – $648.69 | 27 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $128.71 – $938.87 | 11 |
| Flexion/extension wrist unit HCPCS L6620 | not published | not published | $398.38 – $1,076.03 | 27 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $2,362.54 – $7,417.62 | 11 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $2,362.54 – $7,417.62 | 11 |
| Flex thermoplastic collar mo HCPCS L0130 | not published | not published | $181.86 – $491.20 | 27 |
| Flex-walk sys low ext prosth HCPCS L5981 | not published | not published | $3,556.67 – $9,606.68 | 27 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $103.36 – $1,667.42 | 11 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $2,614.71 – $20,984.87 | 5 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $612.15 – $2,194.89 | 3 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $1,107.51 – $3,908.28 | 3 |
| Flow cytometry interp 16 or more CPT 88189 | not published | not published | $85.14 – $780.96 | 5 |
| Flow cytometry marker each additional CPT 88185 | not published | not published | $23.03 – $258.25 | 5 |
| Flow cytometry one marker technical component CPT 88184 | not published | not published | $89.91 – $573.37 | 5 |
| Floweramnioflo, 0.1 cc HCPCS Q4177 | not published | not published | $297.00 – $925.80 | 3 |
| Floweramniopatch, per sq cm HCPCS Q4178 | not published | not published | $89.27 – $563.41 | 3 |
| #flow interp 9 - 15 markers CPT 88188 | not published | not published | $62.81 – $583.45 | 5 |
| Floxuridine injection HCPCS J9200 | not published | not published | $283.76 – $24,963.70 | 4 |
| Flt3 gene CPT 81245 | not published | not published | $99.31 – $630.13 | 33 |
| Flt3 gene analysis CPT 81246 | not published | not published | $49.80 – $316.35 | 33 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | not published | not published | $3.47 – $21.77 | 4 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $829.83 | $829.83 | $57.74 – $433.55 | 4 |
| Fluidotherapy charges pt CPT 97022 | not published | not published | $13.17 – $34.98 | 27 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $253.74 – $756.41 | 11 |
| Flulaval vacc, 3 yrs & >, im HCPCS Q2036 | not published | not published | $25.84 – $61.38 | 3 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $476.05 – $3,012.19 | 4 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $329.84 – $2,055.89 | 4 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $169.04 – $1,146.04 | 2 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $115.66 – $289.51 | 2 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $421.00 – $1,188.09 | 2 |
| Fluorescent antibody titer dna CPT 86256 | not published | not published | $7.23 – $46.49 | 33 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $1,411.66 – $3,078.99 | 3 |
| Fluoroestradiol f 18 HCPCS A9591 | not published | not published | $2.59 – $4,747.31 | 3 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $2,831.99 | $2,831.99 | $90.17 – $258.99 | 3 |
| Fluoroguide needle placement CPT 77002 | not published | not published | $97.73 – $266.16 | 3 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $11.35 – $72.32 | 33 |
| Fluoroscopy up to 1 hour CPT 76000 | not published | not published | $42.01 – $108.22 | 12 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $60.17 | $60.17 | $2.14 – $10.41 | 4 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | not published | not published | $8.57 – $67.90 | 4 |
| Flurpiridaz f18, diag, 1 mci HCPCS A9611 | not published | not published | $183.02 – $874.50 | 3 |
| Flutamide 125 mg HCPCS S0175 | not published | not published | $4.17 – $274.90 | 3 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $3,207.62 – $28,328.65 | 5 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | not published | not published | $20.39 – $126.55 | 4 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | not published | not published | $36.29 – $92.30 | 4 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $162.57 – $2,452.85 | 4 |
| Fmri brain by tech CPT 70554 | not published | not published | $229.97 – $761.00 | 11 |
| Fna bx w/ct gdn 1st les CPT 10009 | not published | not published | $253.74 – $714.92 | 11 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $253.74 – $714.92 | 11 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | not published | not published | $103.87 – $103.87 | 1 |
| Foam drg >16<=48 sq in without b HCPCS A6210 | not published | not published | $24.31 – $74.41 | 27 |
| Foam drg <=16 sq in w/border HCPCS A6212 | not published | not published | $11.84 – $36.26 | 27 |
| Foam drg > 48 sq in w/border HCPCS A6214 | not published | not published | $12.56 – $38.46 | 27 |
| Foam drg > 48 sq in without brdr HCPCS A6211 | not published | not published | $35.83 – $109.67 | 27 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | $46.00 | $46.00 | $9.11 – $27.90 | 27 |
| Foam/fabric leg strap HCPCS A5114 | not published | not published | $10.92 – $33.41 | 27 |
| Foam stability fetal lung CPT 83662 | not published | not published | $11.35 – $72.32 | 33 |
| Folic acid CPT 82746 | $510.29 | $510.29 | $8.82 – $55.51 | 33 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | not published | not published | $0.06 – $0.36 | 4 |
| Follow-up angiography CPT 75898 | $3,302.71 | $3,302.71 | $131.70 – $4,760.60 | 12 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $115.96 – $273.59 | 2 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $687.83 – $2,400.26 | 11 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $36,218.61 | $36,218.61 | $10.61 – $94.93 | 4 |
| Fondaparinux sodium HCPCS J1652 | not published | not published | $0.83 – $8.04 | 4 |
| Fo nontorsion joint cf HCPCS L3935 | not published | not published | $241.01 – $650.97 | 27 |
| Foot arch support remov prem HCPCS L3030 | not published | not published | $91.47 – $247.07 | 27 |
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.