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 |
|---|---|---|---|---|
| Fusion of knuckle joints CPT 26518 | not published | not published | $3,075.70 – $7,417.62 | 11 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $2,362.54 – $7,417.62 | 11 |
| Fusion of skull arteries CPT 61711 | not published | not published | $3,387.83 – $18,465.56 | 2 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $2,110.41 – $2,196.72 | 2 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $3,558.75 – $3,742.99 | 2 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Fusion of thumb CPT 26841 | not published | not published | $2,362.54 – $7,417.62 | 11 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $7,300.35 – $14,756.88 | 11 |
| Fusion of toes CPT 28280 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $1,813.02 – $9,935.34 | 2 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $1,585.55 – $8,702.05 | 2 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $1,492.15 – $8,333.92 | 2 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $164.90 – $1,047.19 | 30 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $82.20 – $521.67 | 30 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $164.90 – $1,047.19 | 30 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $111.12 – $706.30 | 30 |
| G0180 home health certification HCPCS G0180 | not published | not published | $127.58 – $376.07 | 2 |
| G6pc gene CPT 81250 | not published | not published | $35.09 – $223.37 | 33 |
| G6pd full gene sequence CPT 81249 | not published | not published | $360.00 – $2,286.83 | 33 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $104.89 – $666.31 | 33 |
| G6pd known familial variant CPT 81248 | not published | not published | $225.15 – $1,429.40 | 33 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $717.03 | $717.03 | $37.47 – $852.51 | 6 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $81.89 – $540.53 | 5 |
| Gabapentin non-blood CPT 80355 | not published | not published | $0.02 – $91.69 | 11 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.25 – $1.57 | 5 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $1.45 – $8.89 | 5 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $85.68 | $85.68 | $0.12 – $0.73 | 5 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $14.27 – $88.95 | 5 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $2,603.08 | $2,603.08 | $12.64 – $80.06 | 33 |
| Galactokinase - sendout CPT 82759 | not published | not published | $12.89 – $81.34 | 33 |
| Galactose transferase test CPT 82776 | not published | not published | $7.04 – $45.20 | 33 |
| Galectin-3 CPT 82777 | not published | not published | $26.55 – $169.14 | 30 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $1,860.52 – $6,103.44 | 11 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $5.96 – $46.77 | 3 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $222.73 – $4,700.66 | 3 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $222.73 – $4,800.98 | 3 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $789.56 – $6,376.91 | 3 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $598.13 – $3,778.00 | 3 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $6.87 – $12.59 | 3 |
| Galsulfase injection HCPCS J1458 | not published | not published | $470.33 – $3,058.84 | 4 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $172.46 – $1,025.79 | 4 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $47.42 – $292.99 | 4 |
| Gammaglobulin iga CPT 82784 | not published | not published | $5.58 – $34.86 | 33 |
| Gammaglobulin ige CPT 82785 | $960.52 | $960.52 | $9.88 – $63.25 | 33 |
| Gamma glutamyltransferase CPT 82977 | $918.83 | $918.83 | $4.32 – $27.11 | 33 |
| Gammagraft HCPCS Q4111 | not published | not published | $7.37 – $209.78 | 4 |
| Gammaplex injection HCPCS J1557 | not published | not published | $55.76 – $378.01 | 4 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $46.90 – $290.63 | 4 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $1,019.19 | $1,019.19 | $31.13 – $239.74 | 4 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $54,979.20 – $121,326.75 | 3 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $21.05 – $134.29 | 33 |
| Gardner vag dna quant CPT 87512 | not published | not published | $25.06 – $158.84 | 33 |
| Gastric analy w/ph ea spec CPT 82930 | $273.48 | $273.48 | $4.03 – $25.83 | 33 |
| Gastric emptying imag study CPT 78265 | not published | not published | $359.07 – $546.48 | 11 |
| Gastric emptying imag study CPT 78266 | not published | not published | $408.12 – $617.80 | 11 |
| Gastric motility studies CPT 91020 | not published | not published | $415.05 – $1,100.81 | 2 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $185.29 – $280.73 | 11 |
| Gastrin test CPT 82938 | not published | not published | $10.61 – $67.14 | 33 |
| Gastroduodenostomy CPT 43810 | not published | not published | $1,314.29 – $7,249.56 | 2 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $227.09 – $336.51 | 11 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $335.10 – $941.71 | 2 |
| Gastrointestinal repair CPT 43360 | not published | not published | $2,915.03 – $16,075.22 | 2 |
| Gastrointestinal repair CPT 43361 | not published | not published | $3,500.45 – $19,193.02 | 2 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $1,741.51 – $9,561.06 | 2 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $1,692.80 – $9,323.49 | 2 |
| Gastro/jejuno tube, std HCPCS B4087 | not published | not published | $32.02 – $32.02 | 1 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $2,524.90 – $2,524.90 | 1 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $915.67 – $4,216.25 | 3 |
| Gated heart multiple CPT 78473 | $13,024.24 | $13,024.24 | $225.00 – $348.34 | 12 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | not published | not published | $2.96 – $9.07 | 27 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $3.16 – $9.67 | 27 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | not published | not published | $2.60 – $7.96 | 27 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $1.17 – $3.56 | 27 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $4.40 – $13.44 | 27 |
| Gba gene CPT 81251 | not published | not published | $28.35 – $179.49 | 33 |
| Gc stocking full lngth 18-30 HCPCS A6536 | not published | not published | $71.73 – $193.75 | 27 |
| Gc stocking full lngth 30-40 HCPCS A6537 | not published | not published | $85.04 – $229.70 | 27 |
| Gc stocking full lngth 40+ HCPCS A6538 | not published | not published | $99.57 – $268.94 | 27 |
| Gc stocking thighlngth 18-30 HCPCS A6533 | not published | not published | $53.21 – $143.73 | 27 |
| Gc stocking thighlngth 30-40 HCPCS A6534 | not published | not published | $60.77 – $164.14 | 27 |
| Gc stocking thighlngth 40+ HCPCS A6535 | not published | not published | $69.97 – $188.98 | 27 |
| Gc stocking waistlngth 18-30 HCPCS A6539 | not published | not published | $94.92 – $256.39 | 27 |
| Gc stocking waistlngth 30-40 HCPCS A6540 | not published | not published | $113.18 – $305.70 | 27 |
| Gc stocking waistlngth 40+ HCPCS A6541 | not published | not published | $134.06 – $362.11 | 27 |
| Gefitinib oral HCPCS J8565 | not published | not published | $480.15 – $1,609.08 | 4 |
| Gel cap app device for trach HCPCS L8515 | not published | not published | $75.80 – $204.73 | 27 |
| Gel cap for trach voice pros HCPCS L8512 | not published | not published | $2.62 – $7.07 | 27 |
| Gel-one HCPCS J7326 | not published | not published | $522.33 – $3,170.85 | 4 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.57 – $3.93 | 4 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $13,017.22 | $13,017.22 | $2.89 – $17.91 | 4 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $65,694.84 | $65,694.84 | $226.13 – $1,431.79 | 4 |
| General health panel CPT 80050 | $5,357.91 | $5,357.91 | $45.36 – $154.94 | 5 |
| Genetic counseling 30 min CPT 96040 | not published | not published | $110.57 – $322.63 | 2 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $1,469.14 – $9,330.59 | 30 |
| Genioplasty augmentation CPT 21120 | not published | not published | $5,976.54 – $6,014.66 | 2 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $873.32 – $3,347.22 | 11 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $873.32 – $3,347.22 | 11 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $1,924.91 – $6,014.66 | 11 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | not published | not published | $6,496.49 – $6,496.49 | 1 |
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.