Medical City Lewisville
Lewisville, TX
Posts prices for 32 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-18.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) | $7,016.65 | $7,016.65 | 66.8× |
| MRI brain without contrast (70551) | $9,460.69 | $9,460.69 | 39.5× |
| MRI brain with contrast (70552) | $10,811.55 | $10,811.55 | 30.8× |
| MRI brain without and with contrast (70553) | $12,768.34 | $12,768.34 | 36.4× |
| X-ray lower spine, 4+ views (72110) | $2,033.15 | $2,033.15 | 19.4× |
| MRI lumbar spine without contrast (72148) | $9,887.03 | $9,887.03 | 41.2× |
| CT pelvis with contrast (72193) | $7,813.12 | $7,813.12 | 44.3× |
| MRI lower-extremity joint without contrast (73721) | $9,034.34 | $9,034.34 | 37.7× |
| CT abdomen and pelvis with contrast (74177) | $17,973.45 | $17,973.45 | 51.3× |
| Ultrasound, abdomen complete (76700) | $3,510.79 | $3,510.79 | 33.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $2,951.28 | $2,951.28 | 28.1× |
| Ultrasound, transvaginal (76830) | $2,477.27 | $2,477.27 | 23.6× |
| Mammography, one breast (diagnostic) (77065) | $1,216.18 | $1,216.18 | 14.1× |
| Mammography, both breasts (diagnostic) (77066) | $1,216.18 | $1,216.18 | 11.0× |
| Mammography, screening (bilateral) (77067) | $1,249.51 | $1,249.51 | 13.7× |
| Basic metabolic panel (80048) | $1,972.74 | $1,972.74 | 233.2× |
| Comprehensive metabolic panel (80053) | $2,267.90 | $2,267.90 | 214.8× |
| Lipid panel (80061) | $1,107.27 | $1,107.27 | 82.7× |
| Renal function panel (80069) | $2,658.12 | $2,658.12 | 306.2× |
| Hepatic function panel (80076) | $2,436.32 | $2,436.32 | 298.2× |
| Urinalysis, non-automated, without microscopy (81002) | $271.81 | $271.81 | 78.1× |
| PSA, total (84153) | $1,280.71 | $1,280.71 | 69.6× |
| Thyroid stimulating hormone (TSH) (84443) | $1,744.29 | $1,744.29 | 103.8× |
| CBC, automated (85027) | $875.49 | $875.49 | 135.3× |
| Prothrombin time (PT) (85610) | $760.42 | $760.42 | 177.3× |
| Partial thromboplastin time (PTT) (85730) | $878.82 | $878.82 | 146.2× |
| Left heart catheterization (93452) | $41,457.05 | $41,457.05 | 12.7× |
| Sleep study (attended polysomnography) (95810) | $16,470.44 | $16,470.44 | 19.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $240.82 | $240.82 | 8.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $476.46 | $476.46 | 3.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $608.55 | $608.55 | 4.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $681.67 | $681.67 | 5.1× |
More prices at this hospital
- Imaging: 378 codes with posted prices and Medicare benchmarks
- Lab & pathology: 690 codes with posted prices and Medicare benchmarks
- Visits & medical services: 219 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 66 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 42 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (JSON, 953.0 MB) ↓ — captured 2026-07-18
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