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 |
|---|---|---|---|---|
| Ligation upper jaw artery CPT 30920 | not published | not published | $1,101.45 – $3,436.39 | 11 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $1,101.45 – $3,436.39 | 11 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $1,101.45 – $3,436.39 | 11 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $1,101.45 – $3,436.39 | 11 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $1,937.07 – $5,750.69 | 4 |
| Limb exercise test CPT 95875 | not published | not published | $175.21 – $487.60 | 2 |
| Limited ankle motion ea jnt HCPCS L2200 | $265.00 | $265.00 | $70.65 – $190.84 | 27 |
| Limited autopsy CPT 88036 | not published | not published | $8.10 – $941.94 | 5 |
| Limited autopsy CPT 88037 | not published | not published | $7.22 – $835.58 | 5 |
| Limited motion knee joint HCPCS L2184 | not published | not published | $166.14 – $448.75 | 27 |
| Limited visual field xm CPT 92081 | not published | not published | $122.83 – $129.82 | 2 |
| Lincomycin injection HCPCS J2010 | not published | not published | $6.05 – $33.95 | 4 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | not published | not published | $3.37 – $49.68 | 4 |
| Lipase CPT 83690 | not published | not published | $4.13 – $25.83 | 33 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $873.32 – $3,347.22 | 11 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $20.32 – $129.11 | 33 |
| Lipoprotein blood quant CPT 83704 | $328.52 | $328.52 | $20.51 – $130.40 | 33 |
| Lipoprotein direct measurement hdl CPT 83718 | $695.38 | $695.38 | $4.91 – $31.01 | 33 |
| Lipoprotein direct measurement ldl CPT 83721 | not published | not published | $6.30 – $40.03 | 33 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $20.51 – $130.40 | 33 |
| Lip surgery procedure CPT 40799 | not published | not published | $239.12 – $252.51 | 2 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $500,948.74 – $1,409,872.86 | 3 |
| Listeria monocytogenes CPT 86723 | $1,562.52 | $1,562.52 | $7.91 – $50.38 | 33 |
| Lith ion batt cid, ear level HCPCS L8624 | not published | not published | $193.62 – $522.98 | 27 |
| Lith ion batt cid,non-earlvl HCPCS L8623 | not published | not published | $77.65 – $209.73 | 27 |
| Lithium ion battery charger HCPCS L7368 | not published | not published | $606.05 – $1,636.95 | 27 |
| Lithium therapeutic drug level CPT 80178 | not published | not published | $3.97 – $25.83 | 33 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $1,194.07 – $1,194.07 | 1 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $1,422.43 – $1,422.43 | 1 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $1,571.70 – $8,566.77 | 2 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $175.31 – $461.62 | 29 |
| Liver elastography 91200 CPT 91200 | not published | not published | $29.95 – $326.51 | 10 |
| Liver Function Test CPT 80076 | not published | not published | $4.90 – $31.01 | 33 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $1,882.28 – $10,317.35 | 2 |
| Liver imaging CPT 78201 | $5,853.97 | $5,853.97 | $176.41 – $270.00 | 11 |
| Liver imag w/vasclr flow CPT 78202 | $5,141.43 | $5,141.43 | $192.53 – $297.63 | 11 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $181.67 – $274.53 | 11 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $7,116.59 | $7,116.59 | $126.71 – $169.70 | 11 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $516.71 – $2,399.65 | 2 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Lockingelbow forearm cntrbal HCPCS L6693 | not published | not published | $3,408.98 – $9,207.75 | 27 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $0.90 – $10.89 | 5 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $137.71 – $749.84 | 3 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $205.64 – $1,311.49 | 4 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $175.03 – $472.75 | 27 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $52.40 | $52.40 | $1.28 – $7.99 | 4 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $55.39 – $149.60 | 27 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | not published | not published | $93.42 – $252.33 | 27 |
| Loudness balance test CPT 92562 | not published | not published | $318.48 – $326.51 | 2 |
| Low back disk surgery CPT 63030 | not published | not published | $2,362.54 – $7,417.62 | 11 |
| Low cost skin substitute app HCPCS C5271 | not published | not published | $616.30 – $616.30 | 1 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $2,012.20 – $2,012.20 | 1 |
| Low cost skin substitute app HCPCS C5275 | not published | not published | $616.30 – $616.30 | 1 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $616.30 – $616.30 | 1 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | not published | not published | $172.43 – $584.00 | 12 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | not published | not published | $171.14 – $584.00 | 12 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | not published | not published | $103.18 – $584.00 | 12 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | not published | not published | $324.19 – $761.00 | 12 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | not published | not published | $274.81 – $761.00 | 12 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | not published | not published | $194.18 – $761.00 | 12 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | not published | not published | $39.50 – $146.82 | 12 |
| Lower jaw bone graft CPT 21215 | not published | not published | $2,746.27 – $6,014.66 | 11 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $375.96 – $989.97 | 27 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $26.24 – $92.58 | 3 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $1,860.52 – $10,731.66 | 11 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $10,432.26 – $10,731.66 | 2 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $3,063.36 – $10,731.66 | 11 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $10,432.26 – $10,731.66 | 2 |
| Lso corset front HCPCS L0972 | not published | not published | $148.19 – $400.26 | 27 |
| Lso flex no ri stays pre ots HCPCS L0628 | $1,322.00 | $1,322.00 | $59.61 – $161.00 | 27 |
| Lso full corset HCPCS L0976 | $604.00 | $604.00 | $209.77 – $566.60 | 27 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $194.06 – $524.16 | 27 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $1,580.62 – $4,269.32 | 27 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $844.05 – $2,279.79 | 27 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $115.07 – $310.81 | 27 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $1,185.77 – $3,202.79 | 27 |
| Lso sagittal rigid panel cus HCPCS L0636 | $1,892.00 | $1,892.00 | $1,607.47 – $4,341.84 | 27 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $343.68 – $928.29 | 27 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $203.77 – $550.38 | 27 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $1,254.00 – $3,387.08 | 27 |
| Lso s/c shell/panel prefab HCPCS L0639 | $6,932.00 | $6,932.00 | $1,455.99 – $3,932.67 | 27 |
| L/s ratio fetal lung CPT 83661 | $4,457.42 | $4,457.42 | $13.19 – $83.95 | 33 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $1.95 – $5.95 | 27 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $94.55 – $255.37 | 27 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $93.46 – $252.44 | 27 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $109.93 – $2,252.35 | 12 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $98.83 – $266.95 | 27 |
| Lumbar sling HCPCS L1090 | not published | not published | $114.27 – $308.64 | 27 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $6,945.49 – $17,701.79 | 11 |
| Lumizyme injection HCPCS J0221 | not published | not published | $195.52 – $1,250.26 | 4 |
| Lung function test (mbc/mvv) CPT 94200 | $795.72 | $795.72 | $129.82 – $149.37 | 2 |
| Lung Function Test (Spirometry) CPT 94010 | $1,917.44 | $1,917.44 | $188.07 – $326.51 | 2 |
| Lung perfusion imaging CPT 78580 | $4,920.44 | $4,920.44 | $217.88 – $318.49 | 11 |
| Lung transplant double CPT 32853 | not published | not published | $5,966.81 – $5,966.81 | 1 |
| Lung transplant single CPT 32851 | not published | not published | $4,261.05 – $23,417.64 | 2 |
| Lung transplant with bypass CPT 32852 | not published | not published | $4,632.40 – $25,476.47 | 2 |
| Lung transplant with bypass CPT 32854 | not published | not published | $6,332.80 – $6,332.80 | 1 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,898.81 – $10,328.08 | 2 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $198.89 – $1,247.29 | 4 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $40.00 – $253.90 | 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.