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 |
|---|---|---|---|---|
| Knee joint drop lock ea jnt HCPCS L2405 | not published | not published | $104.50 – $282.25 | 27 |
| Knee lift loop drop lock rin HCPCS L2492 | not published | not published | $126.87 – $342.67 | 27 |
| Knee MRI (with and without contrast) CPT 73723 | not published | not published | $360.92 – $761.00 | 12 |
| Knee MRI (with contrast) CPT 73722 | not published | not published | $318.59 – $857.83 | 12 |
| Knee MRI (without contrast) CPT 73721 | not published | not published | $205.71 – $761.00 | 12 |
| Knee orth pos locking joint HCPCS L1831 | not published | not published | $352.71 – $952.68 | 27 |
| Knee-shin exo fluid swing ph HCPCS L5724 | not published | not published | $2,389.94 – $6,455.31 | 27 |
| Knee-shin exo frct swg & sta HCPCS L5718 | not published | not published | $1,111.61 – $3,002.49 | 27 |
| Knee-shin exo frict swg & st HCPCS L5712 | not published | not published | $674.70 – $1,822.39 | 27 |
| Knee-shin exo mech stance ph HCPCS L5716 | not published | not published | $1,007.57 – $2,721.47 | 27 |
| Knee-shin exo mnl lock ultra HCPCS L5711 | not published | not published | $643.80 – $1,738.92 | 27 |
| Knee-shin exo variable frict HCPCS L5714 | not published | not published | $570.01 – $1,539.62 | 27 |
| Knee-shin ext jnts fld swg e HCPCS L5726 | not published | not published | $2,754.35 – $7,439.59 | 27 |
| Knee-shin fluid swg & stance HCPCS L5728 | not published | not published | $2,942.69 – $7,948.29 | 27 |
| Knee-shin pneum/hydra pneum HCPCS L5780 | not published | not published | $1,566.49 – $4,231.14 | 27 |
| Knee-shin pneum swg frct exo HCPCS L5722 | not published | not published | $1,080.64 – $2,918.84 | 27 |
| Knee-shin pro flex/ext cont HCPCS L5859 | not published | not published | $17,422.46 – $47,058.61 | 27 |
| Knee-shin sys hydraul stance HCPCS L5848 | not published | not published | $1,291.22 – $3,487.61 | 27 |
| Knee-shin sys stance flexion HCPCS L5845 | not published | not published | $2,152.26 – $5,813.31 | 27 |
| Knee X-ray CPT 73564 | not published | not published | $46.74 – $146.82 | 12 |
| Kne-shin exo sng axi mnl loc HCPCS L5710 | not published | not published | $508.27 – $1,372.85 | 27 |
| Kne sing axis fric shin sach HCPCS L5200 | not published | not published | $4,496.31 – $12,144.67 | 27 |
| Ko dbl upright w/air pre cst HCPCS L1847 | not published | not published | $689.32 – $1,861.88 | 27 |
| Ko dbl upright w/air pre ots HCPCS L1848 | not published | not published | $689.32 – $1,861.88 | 27 |
| Ko derot ant cruciate custom HCPCS L1840 | not published | not published | $1,259.33 – $3,401.49 | 27 |
| Ko elastic w/joints pre ots HCPCS L1812 | not published | not published | $68.02 – $183.71 | 27 |
| Ko rigid without joints pre ots HCPCS L1836 | $169.00 | $169.00 | $86.66 – $234.07 | 27 |
| Ko single upright pre cst HCPCS L1843 | not published | not published | $1,075.32 – $2,904.48 | 27 |
| Ko single upright prefab ots HCPCS L1851 | not published | not published | $582.76 – $1,574.04 | 27 |
| Ko supracondylar socket mold HCPCS L1860 | not published | not published | $1,219.02 – $3,292.61 | 27 |
| Ko swedish type pre ots HCPCS L1850 | $1,043.00 | $1,043.00 | $199.61 – $539.14 | 27 |
| Ko w/0 joint rigid molded to HCPCS L1834 | not published | not published | $865.26 – $2,337.09 | 27 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | not published | not published | $1,308.33 – $3,533.83 | 27 |
| Ko w/adj jt rot cntrl molded HCPCS L1844 | not published | not published | $1,860.19 – $5,024.43 | 27 |
| Kras gene addl variants CPT 81276 | not published | not published | $115.95 – $736.02 | 33 |
| Kras gene variants exon 2 CPT 81275 | $3,980.49 | $3,980.49 | $115.95 – $736.02 | 33 |
| Kyleena, 19.5 mg HCPCS J7296 | not published | not published | $2,519.43 – $7,496.77 | 4 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $2,792.58 – $15,501.71 | 2 |
| Kyphectomy 3 or more CPT 22819 | not published | not published | $3,195.23 – $3,195.23 | 1 |
| Kyphosis pad HCPCS L1020 | not published | not published | $122.17 – $329.99 | 27 |
| Kyphosis pad floating HCPCS L1025 | not published | not published | $139.00 – $375.45 | 27 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | not published | not published | $53.15 – $53.15 | 1 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | not published | not published | $53.15 – $53.15 | 1 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | not published | not published | $0.41 – $2.36 | 4 |
| Labioplasty 56800 CPT 56800 | not published | not published | $1,047.57 – $3,268.14 | 11 |
| Lab pathology consultation CPT 80500 | not published | not published | $207.05 – $207.05 | 1 |
| Lab pathology consultation CPT 80502 | not published | not published | $661.56 – $661.56 | 1 |
| Lacer molded to patient mode HCPCS L2330 | not published | not published | $463.88 – $1,252.96 | 27 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $549.20 | $549.20 | $1.21 – $1.21 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | not published | not published | $3.62 – $23.22 | 33 |
| Lactated ringers intravenous solution HCPCS J7120 | not published | not published | $2.23 – $20.49 | 4 |
| Lactic acid CPT 83605 | not published | not published | $6.94 – $43.92 | 33 |
| Lactoferrin fecal qualitative CPT 83630 | not published | not published | $11.82 – $74.89 | 33 |
| Lactoferrin fecal quant CPT 83631 | not published | not published | $11.78 – $74.89 | 33 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $2,362.54 – $7,417.62 | 11 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $2,362.54 – $7,417.62 | 11 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $2,362.54 – $7,417.62 | 11 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | not published | not published | $2,578.53 – $13,929.47 | 2 |
| Lamie bx/exc idrl spine lesn thrc 63281 CPT 63281 | not published | not published | $2,736.27 – $14,806.94 | 2 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | not published | not published | $7,325.73 – $12,167.30 | 3 |
| Lamination collar with couplin HCPCS L6629 | not published | not published | $210.76 – $569.27 | 27 |
| Laminotomy single cervical CPT 63040 | not published | not published | $7,325.73 – $7,417.62 | 2 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $2,362.54 – $7,417.62 | 11 |
| Lam w/cordotomy 1stg thrc CPT 63197 | not published | not published | $2,062.81 – $12,150.77 | 2 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | not published | not published | $38.36 – $227.18 | 4 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | not published | not published | $0.14 – $0.24 | 3 |
| Laparo ablate liver tumor rf CPT 47370 | not published | not published | $10,432.26 – $10,731.66 | 2 |
| Laparo ablate renal cyst CPT 50541 | not published | not published | $5,993.80 – $10,731.66 | 2 |
| Laparo ablate renal mass CPT 50542 | not published | not published | $10,432.26 – $10,731.66 | 2 |
| Laparo-asst vag hysterectomy CPT 58550 | not published | not published | $1,860.52 – $6,103.44 | 11 |
| Laparo cholecystectomy/explr CPT 47564 | not published | not published | $1,860.52 – $10,731.66 | 11 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $1,860.52 – $6,103.44 | 11 |
| Laparo cholecystoenterostomy CPT 47570 | not published | not published | $1,005.49 – $1,005.49 | 1 |
| Laparo drng lymphocele 49323 CPT 49323 | not published | not published | $5,993.80 – $6,103.44 | 2 |
| Laparo ligate spermatic vein CPT 55550 | not published | not published | $1,860.52 – $6,103.44 | 11 |
| Laparo-myomectomy complex CPT 58546 | not published | not published | $3,063.36 – $10,731.66 | 11 |
| Laparo new ureter/bladder CPT 50947 | not published | not published | $1,860.52 – $10,731.66 | 11 |
| Laparo new ureter/bladder CPT 50948 | not published | not published | $3,063.36 – $10,731.66 | 11 |
| Laparo partial colectomy 44204 CPT 44204 | not published | not published | $1,993.55 – $1,993.55 | 1 |
| Laparo partial nephrectomy CPT 50543 | not published | not published | $10,432.26 – $10,731.66 | 2 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | $5,993.80 – $6,103.44 | 2 |
| Laparo radical nephrectomy CPT 50545 | not published | not published | $1,732.58 – $1,732.58 | 1 |
| Laparo removal donor kidney CPT 50547 | not published | not published | $2,077.57 – $2,077.57 | 1 |
| Laparo remove w/ureter CPT 50548 | not published | not published | $1,742.40 – $1,742.40 | 1 |
| Laparoscope proc rectum CPT 45499 | not published | not published | $5,993.80 – $6,103.44 | 2 |
| Laparoscopic myomectomy CPT 58545 | not published | not published | $1,860.52 – $6,103.44 | 11 |
| Laparoscopic nephrectomy CPT 50546 | not published | not published | $1,557.39 – $1,557.39 | 1 |
| Laparoscopic proc CPT 45400 | not published | not published | $1,472.93 – $1,472.93 | 1 |
| Laparoscopic salpingostomy 58673 CPT 58673 | not published | not published | $1,860.52 – $10,731.66 | 11 |
| Laparoscopy adrenalectomy CPT 60650 | not published | not published | $1,542.20 – $1,542.20 | 1 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $1,860.52 – $6,103.44 | 11 |
| Laparoscopy biopsy CPT 49321 | not published | not published | $1,860.52 – $6,103.44 | 11 |
| Laparoscopye procstom 43659 CPT 43659 | not published | not published | $5,993.80 – $6,103.44 | 2 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $1,860.52 – $6,103.44 | 11 |
| Laparoscopy fundoplasty CPT 43280 | not published | not published | $10,432.26 – $10,731.66 | 2 |
| Laparoscopy gastrostomy CPT 43653 | not published | not published | $1,860.52 – $6,103.44 | 11 |
| Laparoscopy islet cell trans HCPCS G0342 | not published | not published | $904.05 – $5,020.68 | 2 |
| Laparoscopy lymphadenectomy CPT 38571 | not published | not published | $3,063.36 – $10,731.66 | 11 |
| Laparoscopy lymphadenectomy CPT 38572 | not published | not published | $3,063.36 – $10,731.66 | 11 |
| Laparoscopy lymph node biop CPT 38570 | not published | not published | $1,860.52 – $6,103.44 | 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.