Procedures & surgery prices at Medical City Lewisville
Lewisville, TX · every code in this section with a posted price and a Medicare benchmark.
66 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Arterial puncture (36600) | $106.17 | $106.17 | 0.8× |
| Blood transfusion service (36430) | $2,226.93 | $2,226.93 | 5.0× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) | $5,395.34 | $5,395.34 | 25.3× |
| Drainage of hematoma/fluid (10140) | $11,816.33 | $11,816.33 | 7.1× |
| Draw blood off venous device (36591) | $813.76 | $813.76 | 6.1× |
| Egd Balloon Dil Esoph30 Mm/> (43233) | $3,899.52 | $3,899.52 | 2.0× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) | $11,279.22 | $11,279.22 | 5.4× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) | $19,349.21 | $19,349.21 | 5.2× |
| Fetal non-stress test (59025) | $1,392.01 | $1,392.01 | 6.9× |
| I&d abscess simple (10060) | $132 | $132 | 0.7× |
| Ins cath ren art 1st bilat (36252) | $15,562.60 | $15,562.60 | 4.9× |
| Ins cath ren art 1st unilat (36251) | $9,427.75 | $9,427.75 | 3.0× |
| Ins cath ren art 2nd+ bilat (36254) | $8,446.66 | $8,446.66 | 2.7× |
| Ins cath ren art 2nd+ unilat (36253) | $9,427.75 | $9,427.75 | 1.7× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) | $21,513.94 | $21,513.94 | 2.0× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) | $25,127.82 | $25,127.82 | 2.4× |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) | $13,552.52 | $13,552.52 | 1.3× |
| Ins Pm Pls Gen W/Exist Single Lead (33212) | $11,047.29 | $11,047.29 | 1.3× |
| Ins/Rep Subq Defibrillator (33270) | $48,521.90 | $48,521.90 | 1.5× |
| Insert 1 electrode pm-defib (33216) | $6,895.51 | $6,895.51 | 0.8× |
| Insert non-tunnel cv cath (36556) | $11,654.26 | $11,654.26 | 3.7× |
| Insert pacing lead & connect (33224) | $10,835.10 | $10,835.10 | 1.0× |
| Insert tunneled cv cath (36561) | $25,988.10 | $25,988.10 | 8.2× |
| Insertion of defibrillator electrode (33271) | $23,218.08 | $23,218.08 | 2.8× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $13,355.12 | $13,355.12 | 1.6× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) | $9,589.88 | $9,589.88 | 1.2× |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) | $23,116.08 | $23,116.08 | 1.0× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) | $25,988.10 | $25,988.10 | 8.2× |
| Insj/rplcmt defib w/lead(s) (33249) | $43,560.34 | $43,560.34 | 1.4× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $8,856.26 | $8,856.26 | 1.1× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $2,074.16 | $2,074.16 | 1.3× |
| Pericardiocentesis W/Imaging (33016) | $8,523.98 | $8,523.98 | 5.4× |
| Perq av fistula creation uxtr sep access sites (36837) | $14,520 | $14,520 | 0.8× |
| Perq av fistula creation uxtr single access (36836) | $14,520 | $14,520 | 0.8× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) | $3,166.10 | $3,166.10 | 2.0× |
| Relocation of skin pocket for pacemaker (33222) | $9,828.42 | $9,828.42 | 4.7× |
| Removal Implantable Defib Pulse Generator Only (33241) | $8,244.36 | $8,244.36 | 2.2× |
| Removal ppm generator only (33233) | $8,639.12 | $8,639.12 | 1.0× |
| Removal subq cardiac rhythm monitor (33286) | $11,447.02 | $11,447.02 | 16.1× |
| Removal Tunneled Intraperitoneal Catheter (49422) | $4,840 | $4,840 | 1.5× |
| Remove intrvas foreign body (37197) | $8,734.84 | $8,734.84 | 2.8× |
| Remove&replace pm gen singl (33227) | $25,101.50 | $25,101.50 | 3.0× |
| Remv&replc cvd gen dual lead (33263) | $39,369.56 | $39,369.56 | 1.8× |
| Remv&replc cvd gen mult lead (33264) | $54,379.46 | $54,379.46 | 1.7× |
| Remv&replc cvd gen sing lead (33262) | $38,989.58 | $38,989.58 | 1.7× |
| Remv&replc pm gen dual lead (33228) | $27,290.88 | $27,290.88 | 2.6× |
| Remv&replc pm gen mult leads (33229) | $29,778.01 | $29,778.01 | 1.5× |
| Replace g/c tube perc (49450) | $5,081.87 | $5,081.87 | 5.6× |
| Repos Previously Implanted Subq Implantable Dfb (33273) | $15,324.16 | $15,324.16 | 4.1× |
| Reposition pacing-defib lead (33215) | $13,545.92 | $13,545.92 | 4.3× |
| Rmvl of subq defibrillator (33272) | $15,324.16 | $15,324.16 | 4.1× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $6,314.86 | $6,314.86 | 1.7× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) | $8,102.89 | $8,102.89 | 2.2× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) | $11,047.29 | $11,047.29 | 3.5× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) | $10,018.60 | $10,018.60 | 1.8× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) | $10,187.86 | $10,187.86 | 3.2× |
| Strapping unna boot (29580) | $381.43 | $381.43 | 2.3× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) | $129,093.44 | $129,093.44 | 6.7× |
| Tcat removal perm leadless pm right ventr w/img (33275) | $30,056 | $30,056 | 9.5× |
| Ther Apheresis,Plasma Pheresis (36514) | $13,148.56 | $13,148.56 | 8.4× |
| Ther Apheresis,Platelets (36513) | $2,383.36 | $2,383.36 | 5.4× |
| Ther Apheresis,Red Blood Cells (36512) | $13,148.56 | $13,148.56 | 8.4× |
| Ther Apheresis,White Blood Cells (36511) | $10,878.44 | $10,878.44 | 7.0× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) | $13,389.66 | $13,389.66 | 2.3× |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) | $10,473.22 | $10,473.22 | 1.0× |
| Venipuncture (36415) | $160.09 | $160.09 | 17.1× |