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 |
|---|---|---|---|---|
| Recon, cta for surg plan HCPCS G0288 | not published | not published | $47.68 – $245.16 | 2 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $1,884.96 – $10,501.20 | 3 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $1,894.35 – $10,400.55 | 3 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $5,976.54 – $10,171.63 | 3 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $5,976.54 – $9,079.48 | 3 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $1,715.14 – $9,456.12 | 2 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $1,328.14 – $7,337.76 | 2 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $1,924.91 – $6,014.66 | 11 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $2,514.21 – $6,014.66 | 11 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $1,238.31 – $22,017.15 | 4 |
| Reconstruct bronchus CPT 31775 | not published | not published | $1,808.99 – $9,950.08 | 2 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $7,325.73 – $7,688.37 | 3 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $1,924.91 – $6,014.66 | 11 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $873.32 – $3,347.22 | 11 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $3,066.41 – $6,014.66 | 11 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $1,924.91 – $6,014.66 | 11 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $1,924.91 – $6,014.66 | 11 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $1,924.91 – $6,014.66 | 11 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $2,726.45 – $2,726.45 | 1 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $2,982.96 – $2,982.96 | 1 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $3,211.31 – $17,754.27 | 2 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $3,057.99 – $9,111.60 | 12 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $10,043.19 – $22,017.15 | 12 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $12,961.68 – $16,121.49 | 3 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $3,086.74 – $7,417.62 | 11 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $4,738.85 – $14,756.88 | 11 |
| Reconstruct extra finger CPT 26587 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Reconstruct finger joint CPT 26545 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Reconstruct finger joint CPT 26548 | not published | not published | $1,071.95 – $3,394.44 | 11 |
| Reconstruct head of radius CPT 24365 | not published | not published | $7,032.71 – $14,756.88 | 11 |
| Reconstruct head of radius CPT 24366 | not published | not published | $7,336.80 – $14,756.88 | 11 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $1,429.14 – $7,869.93 | 2 |
| Reconstruction knee CPT 27427 | not published | not published | $3,123.33 – $7,417.62 | 11 |
| Reconstruction knee CPT 27428 | not published | not published | $6,169.35 – $14,756.88 | 11 |
| Reconstruction knee CPT 27429 | not published | not published | $8,348.76 – $14,756.88 | 11 |
| Reconstruction of anus CPT 46753 | not published | not published | $925.83 – $2,906.78 | 11 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $2,035.56 – $11,235.46 | 2 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $687.83 – $2,400.26 | 11 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $687.83 – $2,400.26 | 11 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $1,086.87 – $3,969.06 | 11 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $687.83 – $2,400.26 | 11 |
| Reconstruction of hip socket CPT 27120 | not published | not published | $1,668.22 – $9,235.07 | 2 |
| Reconstruction of hip socket CPT 27122 | not published | not published | $1,419.30 – $7,800.97 | 2 |
| Reconstruction of jaw CPT 21245 | not published | not published | $2,505.98 – $6,014.66 | 11 |
| Reconstruction of jaw CPT 21246 | not published | not published | $1,924.91 – $6,014.66 | 11 |
| Reconstruction of jaw CPT 21248 | not published | not published | $5,976.54 – $6,014.66 | 2 |
| Reconstruction of jaw CPT 21249 | not published | not published | $5,976.54 – $6,014.66 | 2 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $1,924.91 – $6,014.66 | 11 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $1,924.91 – $6,014.66 | 11 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $9,582.89 – $19,773.14 | 11 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $2,647.86 – $6,014.66 | 11 |
| Reconstruction of midface CPT 21188 | not published | not published | $2,147.73 – $11,964.56 | 2 |
| Reconstruction of mouth CPT 40840 | not published | not published | $1,924.91 – $6,014.66 | 11 |
| Reconstruction of mouth CPT 40842 | not published | not published | $1,924.91 – $6,014.66 | 11 |
| Reconstruction of mouth CPT 40843 | not published | not published | $1,924.91 – $6,014.66 | 11 |
| Reconstruction of mouth CPT 40844 | not published | not published | $1,924.91 – $6,014.66 | 11 |
| Reconstruction of mouth CPT 40845 | not published | not published | $1,924.91 – $6,014.66 | 11 |
| Reconstruction of nail bed CPT 11762 | not published | not published | $146.71 – $2,083.05 | 11 |
| Reconstruction of nose CPT 30410 | not published | not published | $1,924.91 – $6,014.66 | 11 |
| Reconstruction of nose CPT 30420 | not published | not published | $1,924.91 – $6,014.66 | 11 |
| Reconstruction of orbit CPT 21256 | not published | not published | $5,976.54 – $8,837.90 | 3 |
| Reconstruction of throat CPT 42950 | not published | not published | $1,924.91 – $6,014.66 | 11 |
| Reconstruction of urethra CPT 53410 | not published | not published | $1,664.09 – $5,413.16 | 11 |
| Reconstruction of urethra CPT 53415 | not published | not published | $1,461.32 – $8,169.67 | 2 |
| Reconstruction of urethra CPT 53430 | not published | not published | $1,664.09 – $5,413.16 | 11 |
| Reconstruction of urethra CPT 54308 | not published | not published | $1,664.09 – $5,413.16 | 11 |
| Reconstruction of urethra CPT 54312 | not published | not published | $1,125.76 – $3,742.99 | 11 |
| Reconstruction of urethra CPT 54316 | not published | not published | $1,664.09 – $9,557.15 | 11 |
| Reconstruction of urethra CPT 54318 | not published | not published | $1,125.76 – $3,742.99 | 11 |
| Reconstruction of urethra CPT 54322 | not published | not published | $1,125.76 – $3,742.99 | 11 |
| Reconstruction of urethra CPT 54324 | not published | not published | $1,125.76 – $3,742.99 | 11 |
| Reconstruction of urethra CPT 54326 | not published | not published | $1,125.76 – $3,558.75 | 11 |
| Reconstruction tongue fold CPT 41520 | not published | not published | $873.32 – $3,347.22 | 11 |
| Reconstruct larynx & pharynx CPT 31395 | not published | not published | $3,861.98 – $3,861.98 | 1 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $1,924.91 – $6,014.66 | 11 |
| Reconstruct lip w/local flap 40525 CPT 40525 | not published | not published | $873.32 – $3,347.22 | 11 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | $1,817.93 – $10,084.79 | 3 |
| Reconstruct lower jaw bone CPT 21247 | not published | not published | $2,102.15 – $11,647.87 | 2 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | $5,976.54 – $14,553.84 | 3 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $12,961.68 – $16,121.49 | 3 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $1,873.79 – $22,017.15 | 3 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | $3,089.05 – $7,417.62 | 11 |
| Reconstruct upper jaw bone CPT 21206 | not published | not published | $1,924.91 – $6,014.66 | 11 |
| Reconstruct urethra/bladder CPT 53431 | not published | not published | $1,664.09 – $5,413.16 | 11 |
| Reconstruct urethra stage 1 CPT 53420 | not published | not published | $1,664.09 – $5,413.16 | 11 |
| Reconstruct urethra stage 2 CPT 53425 | not published | not published | $1,664.09 – $5,413.16 | 11 |
| Reconstruct vena cava 34502 CPT 34502 | not published | not published | $1,996.69 – $11,062.77 | 2 |
| Reconstruct windpipe CPT 31780 | not published | not published | $1,532.81 – $8,417.19 | 2 |
| Reconstruct windpipe CPT 31781 | not published | not published | $1,782.62 – $9,855.44 | 2 |
| Rectal sensation test CPT 91120 | not published | not published | $978.95 – $2,579.55 | 2 |
| Red blood cells each unit HCPCS P9021 | not published | not published | $155.99 – $1,021.48 | 2 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | not published | not published | $1,149.21 – $2,015.55 | 2 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | not published | not published | $152.43 – $1,702.94 | 2 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $1,574.55 | $1,574.55 | $509.18 – $1,314.64 | 2 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | not published | not published | $573.04 – $1,861.39 | 2 |
| Red blood cells washed each unit HCPCS P9022 | not published | not published | $351.35 – $2,749.02 | 2 |
| Red cell mass multiple CPT 78121 | not published | not published | $75.70 – $107.70 | 11 |
| Red cell mass single CPT 78120 | not published | not published | $69.44 – $102.63 | 11 |
| Red cell sequestration CPT 78140 | not published | not published | $107.30 – $143.21 | 11 |
| Red cell survival study CPT 78130 | not published | not published | $121.45 – $166.63 | 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.