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 |
|---|---|---|---|---|
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | not published | not published | $140.93 – $410.41 | 11 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | not published | not published | $140.93 – $410.41 | 11 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | not published | not published | $140.93 – $410.41 | 11 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | not published | not published | $140.93 – $410.41 | 11 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | not published | not published | $140.93 – $410.41 | 11 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | not published | not published | $140.93 – $410.41 | 11 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | not published | not published | $213.55 – $746.15 | 11 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | not published | not published | $140.93 – $410.41 | 11 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | not published | not published | $213.55 – $746.15 | 11 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | not published | not published | $140.93 – $410.41 | 11 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $213.55 – $746.15 | 11 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $140.93 – $410.41 | 11 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $698.37 – $2,083.05 | 11 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $140.93 – $410.41 | 11 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $622.02 | $622.02 | $5.16 – $32.29 | 33 |
| Ghs low level laser therapy CPT 97039 | not published | not published | $26.36 – $26.36 | 1 |
| Ghs mbp CPT 83873 | $1,265.68 | $1,265.68 | $10.32 – $65.86 | 33 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $141.93 | $141.93 | $61.24 – $362.33 | 2 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | not published | not published | $216.03 – $687.11 | 2 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | not published | not published | $190.52 – $540.25 | 2 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | not published | not published | $25.51 – $74.54 | 2 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | not published | not published | $154.79 – $412.12 | 2 |
| Ghs musc test done w/n test comp CPT 95886 | not published | not published | $115.66 – $309.18 | 2 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | not published | not published | $101.22 – $275.42 | 2 |
| Ghs musc tst done w/n tst non ext CPT 95887 | not published | not published | $106.32 – $292.30 | 2 |
| Ghs myocardial strain img spckl track CPT 93356 | $5,577.84 | $5,577.84 | $16.05 – $16.05 | 1 |
| Ghs nailbed repair/nail removal CPT 11760 | not published | not published | $103.62 – $746.15 | 11 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | not published | not published | $335.66 – $1,006.94 | 11 |
| Ghs nerve blk intercostal, single level CPT 64420 | not published | not published | $258.92 – $775.06 | 11 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $335.66 – $1,006.94 | 11 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $335.66 – $1,006.94 | 11 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $335.66 – $1,006.94 | 11 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $335.66 – $1,006.94 | 11 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | not published | not published | $335.66 – $1,006.94 | 11 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $72.54 – $712.64 | 11 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $38.18 – $712.64 | 11 |
| Ghs ng placement w fluoro guidance CPT 43752 | not published | not published | $110.65 – $451.00 | 11 |
| Ghs o2 saturation CPT 82810 | $755.40 | $755.40 | $5.86 – $37.46 | 33 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $313.62 – $326.51 | 2 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $78.89 – $354.75 | 2 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $89.94 – $89.94 | 1 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $220.39 – $781.83 | 11 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $439.58 – $2,022.60 | 11 |
| Ghs optokenetic CPT 92544 | not published | not published | $6.80 – $16.53 | 2 |
| Ghs oscillating trac CPT 92545 | not published | not published | $6.80 – $16.53 | 2 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | not published | not published | $53.08 – $57.87 | 2 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $57.87 – $67.67 | 2 |
| Ghs ot dds rom CPT 95851 | $638.42 | $638.42 | $18.71 – $65.45 | 27 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $20.56 – $55.81 | 27 |
| Ghs ot prosthetic training/15 min CPT 97761 | not published | not published | $37.92 – $102.68 | 27 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $240.82 | $240.82 | $51.05 – $134.85 | 27 |
| Ghs ot work hardening-additional hours CPT 97546 | not published | not published | $111.42 – $415.34 | 2 |
| Ghs pacing - transcutaneous CPT 92953 | $2,967.46 | $2,967.46 | $7.01 – $665.21 | 2 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $21.98 – $287.05 | 5 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $86.27 – $252.51 | 11 |
| Ghs phenylketonurid CPT 84030 | $722.06 | $722.06 | $3.30 – $20.66 | 33 |
| Ghs picc line insert < 5 CPT 36568 | not published | not published | $439.58 – $1,589.23 | 11 |
| Ghs plngl fx pm cl CPT 26725 | not published | not published | $84.04 – $249.03 | 11 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $2.59 – $16.81 | 33 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $16,470.44 | $16,470.44 | $1,877.10 – $5,404.76 | 2 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $21.39 – $257.31 | 2 |
| Ghs ppd (tb intradermal) CPT 86580 | not published | not published | $13.78 – $69.47 | 5 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $581.97 | $581.97 | $5.80 – $37.46 | 33 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $3.37 – $21.94 | 33 |
| Ghs protoporphyrins fract CPT 84202 | not published | not published | $8.61 – $54.23 | 33 |
| Ghs pr without cont pulse ox CPT 94625 | not published | not published | $46.78 – $46.78 | 1 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $7.35 – $46.49 | 33 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | not published | not published | $221.13 – $1,040.93 | 2 |
| Ghs quinidine CPT 80194 | $713.72 | $713.72 | $8.76 – $55.51 | 33 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $222.83 – $639.04 | 2 |
| Ghs removal intranasal foreign body CPT 30300 | not published | not published | $134.32 – $487.95 | 3 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $450.85 – $548.33 | 3 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $584.14 – $1,680.68 | 11 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $725.38 | $725.38 | $9.53 – $60.69 | 33 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $2.59 – $16.81 | 33 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $8.35 – $52.95 | 33 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $2.56 – $16.81 | 33 |
| Ghs semen analysis fert CPT 89320 | $1,317.37 | $1,317.37 | $7.39 – $46.49 | 30 |
| Ghs semen analysis, post-vas CPT 89300 | $451.91 | $451.91 | $5.90 – $37.46 | 30 |
| Ghs sensitivity (per antimicro) CPT 87184 | not published | not published | $4.49 – $28.40 | 33 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $140.93 – $410.41 | 11 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $140.93 – $410.41 | 11 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $140.93 – $410.41 | 11 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $140.93 – $410.41 | 11 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $202.56 – $415.49 | 3 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $202.56 – $384.08 | 3 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $73.22 – $216.67 | 11 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $73.22 – $216.67 | 11 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $73.22 – $216.67 | 11 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $305.34 – $854.80 | 2 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $240.70 – $702.21 | 2 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $720.39 – $2,047.32 | 2 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $44.78 – $121.88 | 27 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $69.54 – $309.89 | 11 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $23.82 – $257.31 | 2 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $95.08 – $261.61 | 27 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $78.89 – $101.87 | 2 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $77.33 – $135.20 | 3 |
| Ghs st - re-eval for alt comm CPT 92597 | not published | not published | $67.39 – $182.30 | 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.