Supplies, drugs & other prices at Medical City Lewisville
Lewisville, TX · every code in this section with a posted price and a Medicare benchmark.
42 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) | $88.32 | $88.32 | 1.9× |
| Admin pneumococcal vaccine (G0009) | $88.32 | $88.32 | 1.9× |
| Catheterize for urine spec (P9612) | $463.60 | $463.60 | 49.6× |
| Covid-19 lab test non-cdc (U0002) | $118.18 | $118.18 | 2.3× |
| Diab manage trn per indiv (G0108) | $422.43 | $422.43 | 7.6× |
| Diab manage trn ind/group (G0109) | $249.05 | $249.05 | 15.5× |
| Direct refer hospital observ (G0379) | $234.32 | $234.32 | 0.4× |
| Drug test def 1-7 classes (G0480) | $1,457.97 | $1,457.97 | 12.7× |
| Elec stim other than wound (G0283) | $299.01 | $299.01 | 23.6× |
| Fern test (Q0114) | $75.04 | $75.04 | 7.7× |
| Group mnt 2 or more 30 mins (G0271) | $1,208.29 | $1,208.29 | 71.0× |
| Lev 1 hosp type b ed visit (G0380) | $669.06 | $669.06 | 9.0× |
| Lev 2 hosp type b ed visit (G0381) | $1,147.48 | $1,147.48 | 12.3× |
| Lev 3 hosp type b ed visit (G0382) | $1,749.99 | $1,749.99 | 10.1× |
| Lev 4 hosp type b ed visit (G0383) | $2,950.45 | $2,950.45 | 11.1× |
| Lev 5 hosp type b ed visit (G0384) | $3,751.27 | $3,751.27 | 9.1× |
| Mnt subs tx for change dx (G0270) | $163.75 | $163.75 | 5.2× |
| Mra w/cont, abd (C8900) | $4.69 | $4.69 | 0.0× |
| Mra w/cont, chest (C8909) | $4.69 | $4.69 | 0.0× |
| Mra w/cont, lwr ext (C8912) | $7,781.88 | $7,781.88 | 22.2× |
| Mra w/cont, pelvis (C8918) | $4.69 | $4.69 | 0.0× |
| Mra w/o cont, abd (C8901) | $4.69 | $4.69 | 0.0× |
| Mra w/o cont, chest (C8910) | $4.69 | $4.69 | 0.0× |
| Mra w/o cont, lwr ext (C8913) | $7,238.41 | $7,238.41 | 30.2× |
| Mra w/o cont, pelvis (C8919) | $4.69 | $4.69 | 0.0× |
| Mra w/o fol w/cont, abd (C8902) | $8,917.21 | $8,917.21 | 25.4× |
| Mra w/o fol w/cont, chest (C8911) | $9,498.16 | $9,498.16 | 27.1× |
| Mra w/o fol w/cont, lwr ext (C8914) | $8,256.64 | $8,256.64 | 23.6× |
| Mra w/o fol w/cont, pelvis (C8920) | $8,256.64 | $8,256.64 | 23.6× |
| Mra, w/o&w/dye, upper extr (C8936) | $8,256.64 | $8,256.64 | 23.6× |
| Mri w/o fol w/cont, breast, (C8908) | $8,280.06 | $8,280.06 | 23.6× |
| Mri w/o fol w/cont, brst, un (C8905) | $7,308.69 | $7,308.69 | 20.9× |
| Pathogen test for platelets (P9100) | $382.35 | $382.35 | 6.5× |
| Perc d-e cor revasc chro sin (C9607) | $67,521.02 | $67,521.02 | 3.7× |
| Perc d-e cor revasc t cabg s (C9604) | $67,521.02 | $67,521.02 | 5.8× |
| Perc drug-el cor stent sing (C9600) | $67,521.02 | $67,521.02 | 5.8× |
| Revasc intravasc lithotripsy (C9764) | $83,473.67 | $83,473.67 | 7.2× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $82,387.41 | $82,387.41 | 4.3× |
| Tomosynthesis, mammo (G0279) | $260.92 | $260.92 | 20.6× |
| Trauma respons w/hosp criti (G0390) | $26,204 | $26,204 | 19.6× |
| Tte w or wo fol wcon,doppler (C8929) | $13,385.47 | $13,385.47 | 17.0× |
| Unsched dialysis esrd pt hos (G0257) | $6,046.04 | $6,046.04 | 8.8× |