Visits & medical services prices at Medical City Lewisville

Lewisville, TX · every code in this section with a posted price and a Medicare benchmark.

219 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $35,751.91 $35,751.91 4.6×
Airway inhalation treatment (94640) $444.79 $444.79 2.0×
Application of heat wave therapy (97024) $273.14 $273.14 37.2×
Arrhythmia induction (93618) $4,299.47 $4,299.47 3.5×
Assessment of aphasia (96105) $1,228.36 $1,228.36 12.6×
Behavioral and qualitative analysis of voice and resonance (92524) $689.34 $689.34 6.3×
Bfb training 1st 15 min (90912) $228.01 $228.01 2.8×
Bfb training ea addl 15 min (90913) $228.01 $228.01 7.0×
Biofeedback training any modality (90901) $303.86 $303.86 7.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $3,688.18 $3,688.18 9.8×
Bundle of his recording (93600) $25,914.84 $25,914.84 3.3×
Canalith Repositioning (95992) $357.19 $357.19 8.8×
Capsule endoscopy (91110) $5,995.31 $5,995.31 6.6×
Car seat/bed test 60 min (94780) $352.66 $352.66 9.4×
Cardiac Stress Tst,Tracing Only (93017) $4,694.31 $4,694.31 21.6×
Cardiopulmonary exercise testing (94621) $3,876.35 $3,876.35 10.3×
Cardiopulmonary resuscitation (92950) $3,819.78 $3,819.78 17.6×
Cardioversion (92960) $5,036.32 $5,036.32 7.6×
Caregiver training 1st 30 min (97550) $286.08 $286.08 5.4×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $286.08 $286.08 11.0×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $33,277.73 $33,277.73 10.2×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $38,004.63 $38,004.63 11.7×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $39,873.60 $39,873.60 2.2×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $65,180.07 $65,180.07 20.0×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $56,795.83 $56,795.83 17.4×
Cbt 1st hour (94644) $796.59 $796.59 6.0×
Chemo IV push addl drug (96411) $335.39 $335.39 4.6×
Chemo Iv Push Sngl Drug (96409) $418.08 $418.08 1.3×
Chemother, IV infusion, 1 hr (96413) $385.34 $385.34 1.2×
Chemother, IV infusion, ea add hr (96415) $151.61 $151.61 2.1×
Chemotherapy admn intraarterial infusion ea hr (96423) $384.77 $384.77 8.2×
Chemotx Admn Cns Req Spinal Puncture (96450) $1,035.85 $1,035.85 3.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $151.61 $151.61 2.1×
Circadian respiratry pattern rec 12-24 hr infant (94772) $6,681.38 $6,681.38 17.8×
Color/duplex Doppler, complete (93975) $4,055.61 $4,055.61 16.9×
Color/duplex Doppler, limited (93976) $3,835.03 $3,835.03 36.5×
Continuous Glucose Monitoring (95250) $986.15 $986.15 7.4×
Coronary artery angio s&i (93454) $24,896.58 $24,896.58 7.6×
Cpap initiation and management (94660) $6,304.25 $6,304.25 28.7×
Cpt initial (94667) $849.23 $849.23 6.4×
Critical care (99291) $5,959.95 $5,959.95 7.2×
Debridement Open Wound 20 Sq Cm< (97597) $474.38 $474.38 2.4×
Demo &/or eval,pt use,aerosol device (94664) $607.08 $607.08 2.8×
Developmental tst admin phys/qhp 1st hour (96112) $735.39 $735.39 5.7×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $4,241.23 $4,241.23 10.1×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $4,672.31 $4,672.31 19.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $4,004.83 $4,004.83 38.1×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $6,273.02 $6,273.02 59.7×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $6,993.89 $6,993.89 29.2×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $3,953.25 $3,953.25 37.6×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $6,993.89 $6,993.89 29.2×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $3,953.25 $3,953.25 37.6×
Dup-scan xtr veins unilateral/limited study (93971) $3,953.25 $3,953.25 37.6×
Duplex hemodialysis access (93990) $4,004.83 $4,004.83 38.1×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $3,245.37 $3,245.37 13.5×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $3,245.37 $3,245.37 30.9×
Duplex scan extracranial art compl bi study (93880) $3,111.26 $3,111.26 13.0×
Echo Heart Xthoracic,Limited (93308) $5,745.49 $5,745.49 24.0×
Echo r-t 2d w/probe placement only (93313) $12,960 $12,960 23.6×
Echo transesophageal (93312) $18,574.36 $18,574.36 33.8×
Echo Transthoracic - Congenital Tte Complete (93303) $13,385.47 $13,385.47 24.4×
Echo Transthoracic - Congenital Tte Limited (93304) $7,807.63 $7,807.63 14.2×
EEG awake asleep (95819) $4,060.70 $4,060.70 18.7×
EEG awake drowsy (95816) $3,221.10 $3,221.10 14.8×
EEG cerebral death evaluation (95824) $3,742.52 $3,742.52 10.0×
EEG cont rec w/video by tech min 8 channels (95700) $4,095.75 $4,095.75 18.9×
Eeg Extended Monitoring 61-119 Minutes (95813) $9,202.12 $9,202.12 42.4×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $2,663.22 $2,663.22 12.3×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $4,716.71 $4,716.71 12.6×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $6,095.95 $6,095.95 16.3×
EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) $5,547.90 $5,547.90 14.8×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $5,120.38 $5,120.38 23.6×
EEG w/o video by tech 2-12hr continuous r-t mntr (95707) $4,360.66 $4,360.66 20.1×
EKG (93005) $1,604.95 $1,604.95 27.1×
EKG rhythm strip (93041) $601.34 $601.34 10.1×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $2,040.86 $2,040.86 9.4×
Ep & ablate supravent arrhyt (93653) $92,602.13 $92,602.13 3.5×
Ep & ablate ventric tachy (93654) $92,602.13 $92,602.13 3.5×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $25,914.84 $25,914.84 3.3×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $25,914.84 $25,914.84 3.3×
Ep Electrophysiologic F/U Study (93624) $17,277.42 $17,277.42 2.2×
Ep Right Ventricular Recording (93603) $4,299.47 $4,299.47 3.5×
Er level 1 (99281) $734.21 $734.21 8.7×
Er level ii (99282) $1,548.64 $1,548.64 10.0×
Er level iii (99283) $2,429.69 $2,429.69 8.9×
Er level IV (99284) $3,315.29 $3,315.29 7.9×
Er level v (99285) $4,194.81 $4,194.81 7.0×
Evaluation of speech fluency (92521) $689.34 $689.34 5.2×
Evaluation of speech sound production (92522) $689.34 $689.34 6.2×
Evaluation of swallowing function (92610) $689.34 $689.34 8.1×
External Ecg Scanning Analysis Report (93226) $1,421.32 $1,421.32 24.0×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $720.77 $720.77 3.6×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $4,417.96 $4,417.96 11.8×
Group Therapeutic Procedures (97150) $408.91 $408.91 22.7×
Health Behavior Assessment/Re-Assessment (96156) $202.81 $202.81 2.0×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $236.82 $236.82 6.3×
Health behavior ivntj group f2f 1st 30 min (96164) $204.08 $204.08 5.4×
Health behavior ivntj indiv f2f 1st 30 min (96158) $239.35 $239.35 1.3×
Hemodialysis (90935) $4,241.23 $4,241.23 6.2×
Holter Monitor Recording (93225) $4,171.44 $4,171.44 31.2×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $88.32 $88.32 2.2×
Immunization Admin (90471) $113.57 $113.57 1.6×
Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) $3,902.79 $3,902.79 10.4×
Ins swan ganz bedside (93503) $5,787.78 $5,787.78 3.7×
Intra Atrial Recording (93602) $25,914.84 $25,914.84 3.3×
Intra-atrial pacing (93610) $25,914.84 $25,914.84 3.3×
Intraventricular pacing (93612) $25,914.84 $25,914.84 3.3×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $1,879.58 $1,879.58 31.7×
IV infusion hydration each additional hour (96361) $1,146.48 $1,146.48 24.4×
IV infusion hydration initial 31 min-1 hour (96360) $1,146.48 $1,146.48 5.4×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $479.15 $479.15 6.6×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $1,208.29 $1,208.29 5.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $479.15 $479.15 10.2×
IV push initial (96374) $413.88 $413.88 1.9×
Manual therapy 15 min (97140) $329.73 $329.73 11.9×
Massage 15 min (97124) $329.73 $329.73 11.1×
Maximum voluntary ventilation (94200) $795.72 $795.72 13.4×
Mechanical chest wall oscillation (94669) $794.83 $794.83 3.6×
Mechanical traction (97012) $315.18 $315.18 21.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $201.58 $201.58 6.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $201.58 $201.58 5.5×
Methacholine challenge (94070) $4,415.73 $4,415.73 11.8×
Mnt Group Ea 30 Min (97804) $290.34 $290.34 17.0×
Motility study esophagus (91010) $4,466.11 $4,466.11 11.9×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $1,228.36 $1,228.36 13.4×
Multiple sleep latency test (95805) $12,166.85 $12,166.85 14.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $637.62 $637.62 3.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $741.06 $741.06 1.8×
Newborn resuscitation (99465) $1,158.01 $1,158.01 1.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $1,982.40 $1,982.40 14.8×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $4,955.27 $4,955.27 22.8×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $2,044.86 $2,044.86 15.8×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $223.04 $223.04 4.8×
Ot Contrast Bath Ea 15 Min (97034) $273.14 $273.14 19.5×
Ot eval high complex 60 min (97167) $867.94 $867.94 8.6×
Ot eval low complex 30 min (97165) $326.47 $326.47 3.2×
Ot eval mod complex 45 min (97166) $402.44 $402.44 4.0×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $223.04 $223.04 4.5×
Ot Prosthetic Training, Each 15 Min (97761) $288.51 $288.51 7.1×
Ot Range Motion Measure,Each Extrem (95851) $638.42 $638.42 24.5×
Ot re-eval est plan care (97168) $373.36 $373.36 5.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $1,052.61 $1,052.61 8.1×
Paraffin bath (97018) $282.84 $282.84 47.1×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $1,075.56 $1,075.56 4.9×
Plethysmography (94726) $11,947.66 $11,947.66 31.9×
Pm device eval in person (93288) $637.10 $637.10 17.0×
Pm device progr eval sngl (93279) $637.10 $637.10 17.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $17,383.05 $17,383.05 20.2×
Polysom <6 yrs 4/> paramtrs (95782) $16,470.44 $16,470.44 19.1×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $17,383.05 $17,383.05 20.2×
Prq card revasc chronic 1vsl (92943) $43,729.77 $43,729.77 3.8×
Prq Card Stent W/Angio 1 Vsl (92928) $64,524.78 $64,524.78 5.6×
Prq Card Stent/Ath/Angio (92933) $64,524.78 $64,524.78 3.5×
Prq revasc byp graft 1 vsl (92937) $67,521.02 $67,521.02 5.8×
Prq trluml coronary angioplasty one art/branch (92920) $67,328.54 $67,328.54 11.8×
Pt Aquatic Therapy/Exercises (97113) $282.84 $282.84 7.6×
Pt Electric Current Therapy (97033) $299.01 $299.01 15.7×
Pt Electrical Stimulation (97032) $299.01 $299.01 20.3×
Pt eval high complex 45 min (97163) $837.23 $837.23 8.6×
Pt eval low complex 20 min (97161) $326.47 $326.47 3.3×
Pt Gait Training Therapy (97116) $305.48 $305.48 10.5×
Pt group caregiver training (97552) $286.08 $286.08 13.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $273.14 $273.14 8.3×
Pt Physical Performance Test (97750) $279.62 $279.62 8.3×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $459.02 $459.02 4.7×
Pt re-evaluation (97164) $407.30 $407.30 6.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $286.08 $286.08 8.8×
Pt Ultrasound Therapy (97035) $299.01 $299.01 20.8×
Pt Whirlpool Therapy (97022) $282.84 $282.84 18.0×
Pulm function test by gas (94727) $2,188.59 $2,188.59 10.1×
R & l hrt cath w/njx l ventriculog img s&i (93453) $43,312.13 $43,312.13 13.3×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $58,652.46 $58,652.46 18.0×
R hrt art/grft angio (93457) $46,387.33 $46,387.33 14.2×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $67,036.68 $67,036.68 20.6×
Refill/maint, portable pump (96521) $1,879.58 $1,879.58 8.8×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $1,144.24 $1,144.24 3.7×
Right heart cath (93451) $13,111.15 $13,111.15 4.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $371.74 $371.74 1.8×
Rom meas&reprt hand w/wo comparison normal sid (95852) $638.42 $638.42 29.9×
Rt Chest Wall Manipulation,Subsequent (94668) $798.34 $798.34 6.0×
Sensory Integration Ea 15 Min (97533) $240.82 $240.82 4.0×
Sleep study attended (95807) $3,101.19 $3,101.19 8.3×
Sleep study unattended (95806) $1,734.42 $1,734.42 8.0×
Smoking cessation > 10 min (99407) $90.81 $90.81 2.4×
Speech group therapy (92508) $408.92 $408.92 17.0×
Speech sound lang comprehen (92523) $689.34 $689.34 3.0×
Spirometry (94010) $1,917.44 $1,917.44 8.8×
Standardized Cognitive Performance Testing (96125) $950.35 $950.35 9.2×
Stress echo (93350) $12,627.68 $12,627.68 23.0×
Stress Tte Complete (93351) $12,627.68 $12,627.68 23.0×
Surfactant Admin Thru Tube (94610) $601.83 $601.83 2.7×
Temp transcutaneous pacing (92953) $2,967.46 $2,967.46 4.5×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $308.70 $308.70 13.8×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $308.70 $308.70 14.7×
Ther/Proph/Diag Inj Sc/Im (96372) $233.22 $233.22 3.2×
Therapeutic Activities (97530) $263.44 $263.44 7.5×
Therapeutic phlebotomy (99195) $1,191.59 $1,191.59 8.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $66.05 $66.05 1.8×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $13,365.37 $13,365.37 24.3×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $12,776.90 $12,776.90 53.3×
Tx atrial fib pulm vein isol (93656) $92,602.13 $92,602.13 3.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $724.09 $724.09 9.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $724.09 $724.09 8.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $414.02 $414.02 8.8×
Unlisted Cardiovascular Service/Procedure (93799) $6,714.14 $6,714.14 51.9×
Unlisted noninvasive vascular diagnostic study (93998) $7,094.80 $7,094.80 244.1×
Vasc Duplex Extrem Venous,Bilat (93970) $6,807.90 $6,807.90 28.4×
Vasc Duplex Scan Extracranial,Limited (93882) $3,848.01 $3,848.01 36.6×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $5,351.73 $5,351.73 24.7×
Vasopneumatic device (97016) $299.01 $299.01 24.9×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $9,391.34 $9,391.34 25.1×
Veeg by tech 2-12 hr intermittent monitoring (95712) $4,485.41 $4,485.41 12.0×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $18,827.52 $18,827.52 21.8×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $14,227.17 $14,227.17 38.0×
Ventilation assist & mgmt inpatient 1st day (94002) $9,450.19 $9,450.19 15.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $9,060.66 $9,060.66 14.6×
Visual Evoked Potential Test (95930) $2,739.31 $2,739.31 12.6×
Vital capacity total (94150) $1,367.69 $1,367.69 10.6×
Wheelchair Mgmt Ea 15 Min (97542) $282.84 $282.84 9.1×