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 |
|---|---|---|---|---|
| Insulin total CPT 83525 | $800.44 | $800.44 | $6.86 – $43.92 | 33 |
| Ins vag brachytx device CPT 57156 | not published | not published | $114.99 – $335.69 | 11 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $37,982.00 | $37,982.00 | $1,449.52 – $9,332.09 | 4 |
| Integra meshed bil wound mat HCPCS C9363 | not published | not published | $209.78 – $416.37 | 2 |
| Intens behave ther cardio dx HCPCS G0446 | not published | not published | $14.45 – $14.45 | 1 |
| Intens cardiac rehab no exer HCPCS G0423 | not published | not published | $278.98 – $806.94 | 2 |
| Intens cardiac rehab w/exerc HCPCS G0422 | not published | not published | $278.98 – $806.94 | 2 |
| Interdental fixation CPT 21110 | not published | not published | $414.33 – $1,566.45 | 11 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $414.33 – $1,673.18 | 11 |
| Interdiscal perq aspir dx CPT 62267 | not published | not published | $253.74 – $756.41 | 11 |
| Interferon alfa-2a inj HCPCS J9213 | not published | not published | $57.87 – $289.94 | 3 |
| Interferon alfa-2b inj HCPCS J9214 | not published | not published | $21.50 – $244.30 | 4 |
| Interferon alfacon-1 inj HCPCS J9212 | not published | not published | $33.19 – $60.45 | 3 |
| Interferon alfa-n3 inj HCPCS J9215 | not published | not published | $59.63 – $187.78 | 4 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | not published | not published | $198.31 – $444.26 | 4 |
| Interferon beta-1a inj HCPCS J1826 | not published | not published | $5,575.00 – $13,328.17 | 4 |
| Interferon beta-1b / .25 mg HCPCS J1830 | not published | not published | $992.52 – $4,385.58 | 4 |
| Interferon gamma 1-b inj HCPCS J9216 | not published | not published | $16,750.11 – $52,213.11 | 4 |
| Interfyl, 1 mg HCPCS Q4171 | $568.00 | $568.00 | $11.77 – $64.27 | 3 |
| Intermediate visual field xm CPT 92082 | not published | not published | $129.82 – $180.77 | 2 |
| Interphalangeal joint spacer HCPCS L8658 | not published | not published | $362.43 – $978.94 | 27 |
| Interrogate subq defib CPT 93261 | not published | not published | $85.55 – $147.01 | 2 |
| Interrogation vad in person CPT 93750 | not published | not published | $112.27 – $393.10 | 2 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $85.55 – $101.08 | 2 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $54.26 – $98.72 | 2 |
| Interrog device eval heart CPT 93289 | not published | not published | $85.55 – $115.60 | 2 |
| Interrog evl pm/ldls pm ip CPT 93288 | $637.10 | $637.10 | $85.55 – $115.53 | 2 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $217.66 – $217.66 | 1 |
| Interrog&prgrmg ipnss polysm CPT 93152 | not published | not published | $671.63 – $671.63 | 1 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $217.66 – $217.66 | 1 |
| Interscap-thor myoelectronic HCPCS L6975 | not published | not published | $22,931.48 – $61,938.63 | 27 |
| Interscapular-thor switch CT HCPCS L6970 | not published | not published | $22,809.06 – $61,607.99 | 27 |
| Interstitial brachy inter CPT 77799 | $5.68 | $5.68 | $319.05 – $319.05 | 1 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $1,786.20 – $9,862.81 | 2 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $1,391.60 – $7,667.62 | 2 |
| Intestine transplnt cadaver CPT 44135 | not published | not published | $3,963.42 – $3,963.42 | 1 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $577.38 – $2,802.25 | 11 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $925.83 – $2,906.78 | 11 |
| Intl custm cong/latyp insert HCPCS L5681 | not published | not published | $1,579.49 – $4,266.25 | 27 |
| Intra-atrial pacing CPT 93610 | $25,914.84 | $25,914.84 | $12,948.56 – $12,948.56 | 1 |
| Intra-atrial recording CPT 93602 | $25,914.84 | $25,914.84 | $12,948.56 – $12,948.56 | 1 |
| Intracard echo interv w/s&i CPT 93662 | $5,414.93 | $5,414.93 | $346.16 – $346.16 | 1 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $1,904.18 – $1,904.18 | 1 |
| Intracranial angioplasty CPT 61630 | not published | not published | $1,816.14 – $1,816.14 | 1 |
| Intracranial complete study CPT 93886 | not published | not published | $230.02 – $870.55 | 11 |
| Intracranial limited study CPT 93888 | not published | not published | $105.28 – $519.87 | 11 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $2,953.90 – $15,877.99 | 2 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $5,519.03 – $5,519.03 | 1 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $3,715.85 – $3,715.85 | 1 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $6,096.84 – $6,096.84 | 1 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $2,845.32 – $15,524.53 | 2 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $4,862.55 – $4,862.55 | 1 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $87.54 – $1,566.45 | 11 |
| Intranasal reconstruction CPT 30620 | not published | not published | $1,924.91 – $6,014.66 | 11 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $901.15 – $977.25 | 2 |
| Intraop hipec px 1st 60 min CPT 96547 | not published | not published | $67.19 – $67.19 | 1 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $82.08 – $544.50 | 11 |
| Intraoral periapical first HCPCS D0220 | not published | not published | $70.82 – $70.82 | 1 |
| Intrapul surf admin endo tube CPT 94610 | $601.83 | $601.83 | $399.32 – $434.15 | 2 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $445.40 – $2,465.95 | 3 |
| Intraventricular pacing CPT 93612 | $25,914.84 | $25,914.84 | $12,948.56 – $12,948.56 | 1 |
| Intrinsic factor antibody CPT 86340 | $1,444.12 | $1,444.12 | $9.05 – $58.12 | 33 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $236.72 – $273.59 | 2 |
| Intro cath dialysis circuit CPT 36901 | not published | not published | $439.58 – $1,589.23 | 11 |
| Intro cath dialysis circuit w/pta CPT 36902 | not published | not published | $1,738.42 – $6,142.85 | 11 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $5,191.04 – $12,286.52 | 11 |
| Intro catheter aorta CPT 36200 | not published | not published | $2,860.12 – $2,860.12 | 1 |
| Intro cath svc/ivc CPT 36010 | not published | not published | $2,533.98 – $2,533.98 | 1 |
| Intro long gi tube CPT 44500 | not published | not published | $140.43 – $974.54 | 11 |
| Intro long gi tube w/mult fluo CPT 74340 | $3,342.57 | $3,342.57 | $36.35 – $484.73 | 3 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $517.82 – $1,796.95 | 11 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | not published | not published | $8,737.31 – $8,737.31 | 1 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | not published | not published | $898.65 – $898.65 | 1 |
| Intubation endotracheal emergency procedure CPT 31500 | not published | not published | $86.27 – $252.51 | 11 |
| Io anal gast n-stim init CPT 95980 | not published | not published | $325.42 – $325.42 | 1 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $135.20 – $232.78 | 2 |
| Iodine i-123 sod iodide mil HCPCS A9509 | $2,061.64 | $2,061.64 | $70.00 – $15,524.96 | 6 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $146.01 – $1,058.20 | 3 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $1,037.73 – $1,977.47 | 2 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $44.95 – $376.71 | 2 |
| Ionm in operatng room 15 min CPT 95940 | not published | not published | $79.11 – $232.42 | 2 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | not published | $437.17 – $437.17 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | not published | not published | $0.40 – $2.72 | 5 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | not published | not published | $0.14 – $1.10 | 5 |
| Io radiation tx management CPT 77469 | not published | not published | $545.13 – $1,343.05 | 3 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $532.51 – $680.26 | 2 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $627.80 – $754.61 | 2 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $0.84 – $2.07 | 4 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $174.81 – $1,109.81 | 4 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | not published | not published | $276.43 – $816.24 | 2 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | not published | not published | $401.44 – $1,185.37 | 2 |
| Ip/obs consltj new/est hi 80 CPT 99255 | not published | not published | $483.09 – $1,427.16 | 2 |
| Ip/obs consltj new/est sf 35 CPT 99252 | not published | not published | $179.45 – $530.38 | 2 |
| Ipratropium bromide comp HCPCS J7645 | not published | not published | $0.30 – $7.15 | 2 |
| Ipratropium bromide non-comp HCPCS J7644 | $40.69 | $40.69 | $0.35 – $2.36 | 4 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $16,330.87 | $16,330.87 | $1.59 – $9.87 | 4 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $17,820.73 | $17,820.73 | $63.32 – $394.89 | 4 |
| Iron CPT 83540 | not published | not published | $3.88 – $24.55 | 33 |
| Iron binding capacity CPT 83550 | $395.20 | $395.20 | $5.24 – $33.57 | 33 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $1,071.62 | $1,071.62 | $16.71 – $109.10 | 4 |
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.