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 |
|---|---|---|---|---|
| Foot arch supp premold metat HCPCS L3050 | not published | not published | $56.40 – $152.33 | 27 |
| Foot drp splt w/exp heel lg HCPCS L4398 | not published | not published | $92.59 – $250.08 | 27 |
| Foot external keel sach foot HCPCS L5970 | not published | not published | $270.28 – $730.04 | 27 |
| Foot insert plastazote or eq HCPCS L3002 | $912.00 | $912.00 | $193.52 – $522.72 | 27 |
| Foot insert remov molded spe HCPCS L3001 | not published | not published | $158.49 – $428.08 | 27 |
| Foot insert silicone gel eac HCPCS L3003 | not published | not published | $208.82 – $564.03 | 27 |
| Foot lamin/prepreg composite HCPCS L3031 | not published | not published | $146.77 – $396.43 | 27 |
| Foot longitudinal arch suppo HCPCS L3010 | $480.00 | $480.00 | $208.82 – $564.03 | 27 |
| Foot longitud/metatarsal sup HCPCS L3020 | $922.00 | $922.00 | $237.77 – $642.21 | 27 |
| Foot plas heel stabi pre ots HCPCS L3170 | not published | not published | $60.95 – $164.64 | 27 |
| Foot plate molded stirrup at HCPCS L2250 | not published | not published | $396.06 – $1,069.77 | 27 |
| Foot single axis ankle/foot HCPCS L5974 | not published | not published | $314.78 – $850.24 | 27 |
| Foot X-ray CPT 73630 | not published | not published | $33.89 – $104.55 | 12 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | not published | not published | $1,210.44 – $3,269.45 | 27 |
| Forearm/arm cuffs free motio HCPCS L3720 | not published | not published | $827.56 – $2,235.25 | 27 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $1,435.76 – $3,691.84 | 11 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $45.12 – $5,226.21 | 5 |
| Forensic cytopathology CPT 88125 | not published | not published | $17.41 – $105.91 | 5 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | not published | not published | $108.50 – $291.28 | 11 |
| Formoterol comp unit HCPCS J7640 | not published | not published | $10.47 – $15.74 | 2 |
| Formoterol fumarate, inh HCPCS J7606 | $31.10 | $31.10 | $1.65 – $58.68 | 4 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $2,727.02 | $2,727.02 | $0.12 – $4.97 | 4 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $11.07 – $267.75 | 4 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | not published | not published | $2.21 – $16.88 | 4 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $17.10 – $108.46 | 33 |
| Fracture assessment via dxa CPT 77086 | $277.53 | $277.53 | $33.24 – $104.55 | 12 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $26.93 – $170.43 | 33 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $1,125.76 – $3,742.99 | 11 |
| Frame typ sock above elb/dis HCPCS L6688 | not published | not published | $809.58 – $2,186.70 | 27 |
| Frame typ socket bel elbow/w HCPCS L6687 | not published | not published | $684.98 – $1,850.14 | 27 |
| Frame typ socket shoulder di HCPCS L6689 | not published | not published | $847.15 – $2,288.18 | 27 |
| Frame typ sock interscap-tho HCPCS L6690 | not published | not published | $919.18 – $2,482.74 | 27 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $2,953.46 – $16,265.44 | 2 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $1,419.30 – $7,804.11 | 2 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $2,817.61 – $13,609.84 | 2 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $2,958.83 – $16,372.46 | 2 |
| Free omental flap microvasc CPT 49906 | not published | not published | $2,094.99 – $13,061.30 | 2 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $2,061.48 – $11,333.68 | 2 |
| Free skin flap microvasc CPT 15757 | not published | not published | $2,927.54 – $16,113.49 | 2 |
| Frenectomy 41115 CPT 41115 | not published | not published | $159.80 – $1,566.45 | 11 |
| Frenotomy 40806 CPT 40806 | not published | not published | $71.72 – $544.50 | 11 |
| Frenulotomy of penis CPT 54164 | not published | not published | $643.01 – $2,196.72 | 11 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | not published | not published | $118.38 – $531.09 | 2 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $376.49 | $376.49 | $137.69 – $518.00 | 2 |
| Fresh frozen plasma thawing ea un CPT 86927 | not published | not published | $22.05 – $176.28 | 5 |
| Fr frz plasma donor retested HCPCS P9060 | not published | not published | $29.00 – $345.88 | 2 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $33.84 – $887.23 | 5 |
| Frozen blood prep CPT 86930 | not published | not published | $154.02 – $1,042.18 | 5 |
| Frozen blood thaw CPT 86931 | not published | not published | $115.62 – $780.87 | 5 |
| Frozen cell preparation CPT 88241 | not published | not published | $7.25 – $46.49 | 33 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $1.74 – $433.30 | 3 |
| Fructosamine glycated protein CPT 82985 | not published | not published | $10.06 – $63.25 | 33 |
| Ft arch suprt premold longit HCPCS L3040 | not published | not published | $56.40 – $152.33 | 27 |
| Ft insert ucb berkeley shell HCPCS L3000 | $1,188.00 | $1,188.00 | $376.48 – $1,016.87 | 27 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $892.42 – $5,667.30 | 30 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $41.71 – $264.73 | 30 |
| Ftl cgen abnor four anal CPT 81511 | not published | not published | $92.10 – $584.92 | 30 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $33.32 – $211.78 | 30 |
| Ftl cgen abnor two proteins CPT 81508 | not published | not published | $32.58 – $206.61 | 30 |
| Ft prosth multiaxial ankl/ft HCPCS L5978 | not published | not published | $404.16 – $1,091.65 | 27 |
| Full field erg w/i&r CPT 92273 | not published | not published | $231.35 – $231.35 | 1 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $52.66 – $305.28 | 12 |
| Full sole/heel wedge btween HCPCS L3420 | not published | not published | $65.52 – $176.98 | 27 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $698.37 – $2,083.05 | 11 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $698.37 – $2,083.05 | 11 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $698.37 – $2,083.05 | 11 |
| Functional brain mapping CPT 96020 | not published | not published | $397.19 – $1,567.23 | 2 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $241.15 – $257.31 | 2 |
| Furnsh initial orthosis only HCPCS L1200 | not published | not published | $2,008.58 – $5,425.23 | 27 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | not published | not published | $0.02 – $0.12 | 4 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | not published | $5.00 – $6.44 | 2 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $4,220.38 – $23,059.17 | 2 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $1,781.73 – $9,820.53 | 2 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $1,814.36 – $9,981.41 | 2 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $1,808.09 – $9,943.86 | 2 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $1,687.44 – $9,341.52 | 2 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $1,911.32 – $10,510.57 | 2 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $1,981.93 – $10,865.75 | 2 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $3,931.25 – $21,656.97 | 2 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $2,154.88 – $2,154.88 | 1 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $1,691.91 – $9,339.08 | 2 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $1,411.26 – $7,775.57 | 2 |
| Fuse upper gi structures CPT 47721 | not published | not published | $1,758.49 – $9,639.04 | 2 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $3,673.84 – $7,417.62 | 11 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $7,013.79 – $14,756.88 | 11 |
| Fusion of big toe joint CPT 28750 | not published | not published | $3,419.41 – $7,417.62 | 11 |
| Fusion of big toe joint CPT 28755 | not published | not published | $2,362.54 – $7,417.62 | 11 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $1,644.09 – $9,124.83 | 2 |
| Fusion of finger joint CPT 26860 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Fusion of finger tendons CPT 26471 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Fusion of finger tendons CPT 26474 | not published | not published | $584.14 – $1,680.68 | 11 |
| Fusion of foot bones CPT 28730 | not published | not published | $7,271.28 – $14,756.88 | 11 |
| Fusion of foot bones CPT 28735 | not published | not published | $7,393.09 – $14,756.88 | 11 |
| Fusion of foot bones CPT 28740 | not published | not published | $3,546.17 – $7,417.62 | 11 |
| Fusion of hand joint CPT 26843 | not published | not published | $3,202.69 – $7,417.62 | 11 |
| Fusion of knee CPT 27580 | not published | not published | $1,858.15 – $10,196.96 | 2 |
| Fusion of knuckle CPT 26850 | not published | not published | $2,362.54 – $7,417.62 | 11 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $1,386.55 – $3,394.44 | 11 |
| Fusion of knuckle joints CPT 26517 | 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.