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 |
|---|---|---|---|---|
| Incision of lymph channels CPT 38308 | not published | not published | $949.21 – $3,952.94 | 11 |
| Incision of metatarsal CPT 28306 | not published | not published | $2,362.54 – $7,417.62 | 11 |
| Incision of metatarsal CPT 28307 | not published | not published | $2,362.54 – $7,417.62 | 11 |
| Incision of metatarsal CPT 28308 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Incision of metatarsals CPT 28309 | not published | not published | $3,205.92 – $7,417.62 | 11 |
| Incision of midfoot bones CPT 28304 | not published | not published | $2,362.54 – $7,417.62 | 11 |
| Incision of neck of femur CPT 27161 | not published | not published | $1,564.10 – $8,613.27 | 2 |
| Incision of palm tendon CPT 26450 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Incision of prostate CPT 52450 | not published | not published | $1,125.76 – $3,742.99 | 11 |
| Incision of pyloric muscle 43520 CPT 43520 | not published | not published | $891.54 – $4,867.66 | 2 |
| Incision of rectal abscess CPT 46060 | not published | not published | $925.83 – $2,906.78 | 11 |
| Incision of small bowel 44010 CPT 44010 | not published | not published | $1,114.54 – $6,141.52 | 2 |
| Incision of sperm duct CPT 55200 | not published | not published | $3,558.75 – $3,742.99 | 2 |
| Incision of spinal nerve 64772 CPT 64772 | not published | not published | $650.04 – $2,131.99 | 11 |
| Incision of stomach nerves CPT 64755 | not published | not published | $1,175.76 – $6,533.90 | 2 |
| Incision of tendon & muscle CPT 23405 | not published | not published | $2,362.54 – $7,417.62 | 11 |
| Incision of tendon sheath CPT 25000 | not published | not published | $584.14 – $1,680.68 | 11 |
| Incision of thigh CPT 27448 | not published | not published | $999.68 – $5,516.72 | 2 |
| Incision of thigh CPT 27450 | not published | not published | $1,309.38 – $7,120.08 | 2 |
| Incision of thigh tendon CPT 27306 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Incision of thigh tendon CPT 27390 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Incision of thigh tendons CPT 27307 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Incision of thigh tendons CPT 27391 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Incision of thigh tendons CPT 27392 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Incision of tibia CPT 27705 | not published | not published | $3,069.27 – $7,417.62 | 11 |
| Incision of tibia & fibula CPT 27709 | not published | not published | $6,242.25 – $14,756.88 | 11 |
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $584.14 – $1,680.68 | 11 |
| Incision of tongue fold CPT 41010 | not published | not published | $414.33 – $1,673.18 | 11 |
| Incision of tongue nerve CPT 64740 | not published | not published | $650.04 – $2,131.99 | 11 |
| Incision of urethra CPT 53000 | not published | not published | $643.01 – $2,196.72 | 11 |
| Incision of urethra CPT 53010 | not published | not published | $1,664.09 – $5,413.16 | 11 |
| Incision of urethra CPT 53020 | not published | not published | $643.01 – $2,196.72 | 11 |
| Incision of urethra CPT 53025 | not published | not published | $494.03 – $2,110.41 | 3 |
| Incision of vagus nerve CPT 64760 | not published | not published | $660.50 – $3,641.88 | 2 |
| Incision of windpipe CPT 31601 | not published | not published | $3,204.64 – $6,014.66 | 3 |
| Incision of windpipe CPT 31610 | not published | not published | $5,976.54 – $6,635.20 | 3 |
| Incision of wrist capsule CPT 25085 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Incision secondary cataract CPT 66820 | not published | not published | $837.19 – $2,507.11 | 11 |
| Incision tendon sheath CPT 26055 | not published | not published | $584.14 – $1,680.68 | 11 |
| Incisn of toe tndn CPT 28010 | not published | not published | $98.99 – $1,623.40 | 11 |
| Incisn windpipe CPT 31600 | not published | not published | $2,292.47 – $3,347.22 | 3 |
| Incis spine 3 column adl seg CPT 22208 | not published | not published | $772.22 – $772.22 | 1 |
| Incis spine 3 column lumbar CPT 22207 | not published | not published | $3,123.27 – $3,123.27 | 1 |
| Incis spine 3 column thorac CPT 22206 | not published | not published | $3,187.63 – $3,187.63 | 1 |
| Incobotulinumtoxin a HCPCS J0588 | not published | not published | $5.17 – $32.13 | 4 |
| Inc&subq plmt crnl bone grf CPT 61316 | not published | not published | $116.19 – $116.19 | 1 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | not published | not published | $15.35 – $61.72 | 3 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $630.11 – $3,438.35 | 2 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $673.01 – $3,731.01 | 2 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $536.26 – $2,924.58 | 2 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $490.68 – $2,802.82 | 2 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $671.67 – $3,624.57 | 2 |
| Induced abortion d&c CPT 59840 | not published | not published | $1,047.57 – $3,268.14 | 11 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $1,047.57 – $3,268.14 | 11 |
| Induction of vomiting CPT 99175 | not published | not published | $62.09 – $175.98 | 2 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $58.09 – $183.92 | 32 |
| Infect ag drug suscept pheno predict CPT 87900 | not published | not published | $78.21 – $497.12 | 33 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $9.00 – $56.80 | 33 |
| Infect ag eia influenza a or b ea CPT 87400 | $475.24 | $475.24 | $8.48 – $54.23 | 33 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $154.47 – $981.37 | 33 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $154.47 – $981.37 | 33 |
| Infect ag genotype na hiv-1 other region CPT 87906 | not published | not published | $77.24 – $490.67 | 33 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | not published | not published | $154.47 – $981.37 | 33 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $19.66 – $125.26 | 33 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $21.17 – $134.29 | 33 |
| Infect ag ia optc obs influenza CPT 87804 | not published | not published | $9.93 – $63.25 | 33 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $305.16 | $305.16 | $7.19 – $45.20 | 33 |
| Infect ag if hep delta agent CPT 87380 | $1,594.20 | $1,594.20 | $11.02 – $69.71 | 33 |
| Infect ag if influenza a CPT 87276 | not published | not published | $9.64 – $60.69 | 33 |
| Infect ag if influenza b CPT 87275 | not published | not published | $7.35 – $46.49 | 33 |
| Infect ag if legionella pneumophila CPT 87278 | $500.27 | $500.27 | $9.36 – $59.40 | 33 |
| Infect ag if nos ea CPT 87299 | not published | not published | $9.66 – $61.97 | 33 |
| Infect ag if pneumocystis carinii CPT 87281 | $395.20 | $395.20 | $7.19 – $45.20 | 33 |
| Infect ag if varicella zoster CPT 87290 | $642.02 | $642.02 | $8.05 – $51.66 | 33 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | $1,162.29 | $1,162.29 | $32.08 – $204.00 | 33 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $21.05 – $134.29 | 33 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $25.70 – $162.69 | 33 |
| Infect ag na hpv high-risk types CPT 87624 | not published | not published | $21.05 – $134.29 | 33 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $1,068.93 | $1,068.93 | $57.48 – $365.44 | 33 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $30.79 – $194.97 | 33 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $119.71 | $119.71 | $51.05 – $194.97 | 29 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $1,667.12 | $1,667.12 | $250.07 – $1,588.24 | 33 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $4,477.43 | $4,477.43 | $293.20 – $1,861.99 | 33 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $3,893.78 | $3,893.78 | $15.64 – $99.43 | 33 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $24.83 – $108.42 | 32 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | not published | not published | $7.19 – $45.20 | 33 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $8.05 – $51.66 | 33 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | not published | not published | $8.29 – $52.95 | 33 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $928.83 | $928.83 | $7.19 – $45.20 | 33 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $988.88 | $988.88 | $8.63 – $54.23 | 33 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | not published | not published | $6.20 – $38.75 | 33 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | not published | not published | $6.20 – $38.75 | 33 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $2,114.48 | $2,114.48 | $14.45 – $91.69 | 33 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | not published | not published | $7.19 – $45.20 | 33 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | not published | not published | $7.19 – $45.20 | 33 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $47.92 | $47.92 | $7.19 – $45.20 | 33 |
| Infectious agent nucleic acid amplified probe CPT 87798 | not published | not published | $21.05 – $134.29 | 33 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | not published | not published | $21.05 – $134.29 | 33 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $605.33 | $605.33 | $22.36 – $142.03 | 33 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | not published | not published | $250.07 – $1,588.24 | 30 |
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.