Medical City Lewisville — procedure prices

Published prices for 320 procedures at Medical City Lewisville (Lewisville, TX), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $261 $261 $74 $51
Abdominal fluid drain (paracentesis) $2,011 $284
Abdominal ultrasound $3,351 $3,351 $860 $100
Abscess incision and drainage $132 $132 $1,454 $174
Achilles tendon repair $7,799 $624
ACL knee reconstruction $9,417 $889
Acupuncture $106 $38
Adenoid removal (adenoidectomy) $5,762 $204
Allergy patch testing $3,463 $5
Allergy shots $145 $11
Allergy testing $3,463 $4
Ammonia blood test $800 $800 $16 $15
Amniocentesis $384 $120
Anal fistula repair $5,381 $541
Ankle fracture repair $8,778 $608
Ankle replacement $16,960 $885
Annual physical (established patient) $358
Annual physical (new patient) $409
Anoscopy $1,672 $129
Aortic aneurysm repair (AAA) $17,220 $1,345
Aortic valve replacement $17,238 $1,603
Appendix removal (appendectomy) $21,811 $592
Barium swallow study $2,363 $2,363 $402 $107
Bartholin cyst removal $1,672 $182
Benign skin lesion removal $1,346 $171
Bladder function test (urodynamics) $1,537 $345
Bladder scope (cystoscopy) $1,603 $216
Bladder tumor removal (TURBT) $4,807 $236
Blood transfusion $2,227 $2,227 $1,002 $47
Blood type test $577 $577 $3 $3
Bone density scan (DEXA) $636 $636 $155 $39
Bone marrow biopsy $2,095 $172
Bone scan (nuclear) $8,697 $8,697 $849 $259
Botox for migraine $1,573 $157
Brain shunt (VP shunt) $14,738 $1,023
Breast biopsy $3,150 $478
Breast MRI $7,009 $7,009 $1,117 $216
Breast reconstruction $16,500 $1,227
Breast reduction $8,865 $980
Breast ultrasound $723 $723 $369 $92
Breathing tube insertion (intubation) $1,672 $133
Bronchoscopy $2,613 $303
Bunion surgery (bunionectomy) $6,708 $883
Burn treatment $1,672 $129
CA 19-9 tumor marker test $782 $782 $23 $21
Capsule endoscopy $5,995 $5,995 $2,329 $802
Cardiac ablation $92,602 $92,602 $43,890 $759
Cardiac catheterization $63,260 $63,260 $16,817 $1,049
Cardiac event monitor $1,000 $170
Cardiac MRI $6,901 $6,901 $616 $322
Cardiac rehabilitation $1,053 $1,053 $311 $26
Cardiac stress test $4,694 $4,694 $1,369 $39
Cardioversion $5,036 $5,036 $1,726 $155
Carotid artery surgery $15,161 $1,026
Carotid artery ultrasound $3,480 $3,480 $901 $156
Carpal tunnel release $3,666 $483
Cataract surgery $4,751 $547
CEA tumor marker test $557 $557 $21 $19
Central line placement $11,654 $11,654 $2,960 $238
Cervical cerclage $3,682 $137
Cervical LEEP procedure $2,756 $325
Cesarean section (C-section) $11,250 $7,552
Chalazion (eyelid cyst) removal $1,672 $131
Chemotherapy infusion $268 $268 $106 $81
Chest fluid drain (thoracentesis) $1,615 $311
Chest tube insertion $2,340 $143
Chest X-ray $1,257 $1,257 $252 $37
Chickenpox (varicella) vaccine $380
Chiropractic adjustment $93 $38
Circumcision $3,790 $167
Colon resection (colectomy) $17,220 $1,238
Colonoscopy $2,360 $480
Colostomy $16,144 $1,122
Colposcopy $1,672 $161
Complex wound repair $1,743 $390
Comprehensive eye exam $457 $138
Contact lens fitting $297
Continuous glucose monitor setup $177 $35
Contraceptive implant (Nexplanon) $1,572 $115
Corneal transplant $8,865 $1,066
Coronary artery bypass (CABG) $47,696 $36,593
Coronary CT angiography $341 $326
COVID-19 PCR test $58 $58 $51 $51
Craniotomy (brain surgery) $17,238 $2,161
CT angiography of the chest $9,979 $9,979 $699 $281
CT angiography of the head $10,860 $10,860 $789 $274
CT colonography (virtual colonoscopy) $962 $835
CT scan of the abdomen $9,036 $9,036 $584 $230
CT scan of the abdomen and pelvis $17,973 $17,973 $1,558 $300
CT scan of the arm $8,283 $8,283 $856 $199
CT scan of the chest $8,200 $8,200 $626 $167
CT scan of the head $7,017 $7,017 $432 $148
CT scan of the leg $6,778 $6,778 $2,881 $166
CT scan of the lower back (lumbar spine) $8,002 $8,002 $600 $169
CT scan of the neck $7,785 $7,785 $538 $183
CT scan of the neck (cervical spine) $9,411 $9,411 $659 $168
CT scan of the pelvis $7,307 $7,307 $512 $226
CT scan of the sinuses $8,660 $8,660 $447 $152
Defibrillator (ICD) implant $43,560 $43,560 $24,339 $798
Developmental screening (child) $639 $639 $246
Diagnostic mammogram $1,216 $1,216 $146 $140
Dialysis fistula creation $6,097 $601
Dilation and curettage (D&C) $3,972 $298
Droopy eyelid repair (ptosis) $4,699 $745
Ear pressure test (tympanometry) $132 $16
Ear tubes (myringotomy) $2,174 $174
Eardrum repair (tympanoplasty) $9,551 $799
Elbow replacement $17,864 $1,301
Electrocardiogram (EKG) $1,605 $1,605 $473 $8
Electroencephalogram (EEG) $3,641 $3,641 $1,449 $448
Electromyography (EMG) $531 $141
Emergency department visit $2,430 $2,430 $1,008 $69
Endometrial biopsy $1,572 $98
Epidural steroid injection $1,769 $275
ERCP (bile duct endoscopy) $3,972 $311
Esophageal dilation $2,329 $522
Esophageal variceal banding $2,340 $126
Eye refraction (glasses prescription) $97
Eyelid surgery (blepharoplasty) $3,570 $552
Facet joint injection (spine) $2,012 $99
Fallopian tube X-ray (HSG) $2,139 $2,139 $1,127 $164
Family therapy session $27 $110
Feeding tube (PEG) placement $2,613 $178
Femoral hernia repair $7,168 $584
Fibroid removal (myomectomy) $12,709 $914
Flexible sigmoidoscopy $1,795 $323
Flu test $400 $400 $31 $17
Flu vaccine $266 $266 $133
Folate (folic acid) test $510 $510 $16 $15
Foreign body removal (skin) $1,572 $157
Free T4 thyroid test $572 $572 $10 $9
Gallbladder removal (laparoscopic) $9,417 $658
Gallbladder scan (HIDA) $8,944 $8,944 $1,234 $334
Ganglion cyst removal $4,036 $321
Glaucoma surgery $4,751 $984
Group therapy session $10 $30
H. pylori test $71 $67
Hammertoe repair $6,004 $548
Hearing test (audiometry) $527 $36
Hematocrit test $260 $260 $3 $2
Hemodialysis $6,004 $6,004 $1,725 $75
Hemoglobin A1c (diabetes test) $314 $314 $11 $10
Hemorrhoid removal $2,320 $338
Hepatitis B vaccine $124
Hip arthroscopy $9,417 $931
Hip fracture repair $16,419 $1,120
Hip replacement $43,890 $1,162
Holter heart monitor $2,796 $2,796 $584 $26
Home sleep apnea test $1,927 $123
HPV vaccine $651
Hydrocele repair $6,708 $315
Hysterectomy $13,929 $933
Hysteroscopy $5,496 $1,270
Ileostomy $14,680 $968
Incisional hernia repair $6,054
Inguinal hernia repair $7,168 $538
IUD insertion $1,672
IUD removal $1,672 $112
IV infusion therapy $479 $479 $264 $44
IVC filter placement $10,801 $1,885
Joint aspiration (small/intermediate) $1,672 $57
Kidney biopsy $2,340 $492
Kidney removal (nephrectomy) $17,220 $1,164
Kidney scan (nuclear) $8,346 $8,346 $584 $172
Kidney stone shock-wave (lithotripsy) $2,905 $760
Kidney ultrasound $2,704 $2,704 $729 $84
Knee arthroscopy $6,054 $524
Knee joint injection $1,672 $69
Knee replacement $19,187 $18,054
Laminectomy (spine) $9,417 $1,157
Laryngoscopy $2,011 $189
LDL cholesterol test $11 $11
Leg artery angiogram $5,284 $5,284 $2,642 $149
Leg artery angioplasty $8,024
Leg vein ultrasound (Doppler) $5,381 $5,381 $1,450 $150
LH hormone test $847 $847 $20 $19
Liver biopsy $2,340 $288
Lower back (lumbar) spinal fusion $41,742 $1,511
Lumbar discectomy $8,778 $898
Lumpectomy (breast) $6,708 $750
Lung function test (PFT) $2,803 $2,803 $863 $37
Lung scan (V/Q) $9,840 $9,840 $1,101 $291
Mastectomy $8,852 $1,021
Mastoidectomy $6,600 $840
Meniscus repair (knee) $6,054 $714
MMR vaccine $1,267 $1,267 $336
Mohs skin cancer surgery $1,995 $535
MRA of the brain $4,461 $4,461 $374 $226
MRA of the neck $4,461 $4,461 $392 $245
MRI of the abdomen $5,086 $5,086 $518 $300
MRI of the ankle $12,194 $12,194 $2,427 $261
MRI of the brain $4,733 $4,733 $364 $269
MRI of the chest $5,231 $5,231 $518 $371
MRI of the knee $12,194 $12,194 $3,127 $315
MRI of the lower back (lumbar spine) $4,946 $4,946 $518 $270
MRI of the mid-back (thoracic spine) $4,930 $4,930 $518 $271
MRI of the neck (cervical spine) $4,765 $4,765 $518 $274
MRI of the pelvis $5,564 $5,564 $518 $268
MRI of the shoulder $12,194 $12,194 $3,127 $313
MRI of the wrist $12,194 $12,194 $3,127 $330
Nebulizer breathing treatment $445 $445 $230 $9
Neck (cervical) spinal fusion $14,757 $1,410
Nerve conduction study $224 $118
Newborn hospital care $285 $58
Nuchal translucency ultrasound $625 $625 $180 $116
Nuclear cardiac stress test $20,552 $20,552 $1,624 $428
Occupational therapy evaluation $402 $402 $104 $101
Office visit (established patient) $543 $543 $252 $115
Office visit (new patient) $609 $609 $274 $177
Orthopedic hardware removal $5,381 $632
Ovarian cyst removal $9,397 $698
Ovary removal (oophorectomy) $7,631 $822
Pacemaker insertion $20,839 $15,506
Pap smear (cervical screening) $24 $20
Parathyroid removal $10,671 $891
Pelvic ultrasound $2,222 $2,222 $556 $78
Physical therapy evaluation $459 $459 $101 $98
Pilonidal cyst removal $5,428 $541
Pneumonia vaccine $1,148 $1,148 $441
Pregnancy ultrasound $2,856 $2,856 $723 $126
Procalcitonin test $1,059 $1,059 $30 $27
Prostate biopsy $3,897
Prostate removal (prostatectomy) $16,902 $1,063
Prostate surgery (TURP) $8,865 $526
Psychiatric evaluation $56 $188
Psychotherapy session $29 $140
Pterygium removal (eye) $3,972 $540
Pulmonary rehabilitation $97 $87
Radiofrequency nerve ablation $4,038 $462
Retina scan (OCT) $210 $33
Retinal (fundus) photography $415 $37
Retinal detachment repair $8,865 $966
Rotator cuff repair $9,551 $792
Routine eye exam $442 $88
RSV vaccine $632
Sacroiliac joint injection $1,672 $176
Scoliosis spine X-ray $2,292 $2,292 $226 $58
Screening colonoscopy $1,795 $378
Screening mammogram $1,250 $1,250 $112 $126
Scrotal ultrasound $2,277 $2,277 $588 $99
Septoplasty (deviated septum) $5,762 $613
Shingles vaccine $936
Shoulder arthroscopy $8,345 $962
Shoulder replacement $43,890 $1,300
Simple wound stitches $1,672 $127
Sinus surgery (endoscopic) $6,383 $224
Skin biopsy $1,574 $121
Skin cancer lesion removal $1,346 $240
Skin graft $3,486 $898
Skin lesion freezing (cryotherapy) $1,743 $36
Skin tag removal $1,672 $92
Sleep study (polysomnography) $16,927 $16,927 $4,211 $691
Small bowel resection $16,405 $1,136
Soft tissue ultrasound $2,202 $2,202 $381 $64
Speech therapy $724 $724 $164 $76
Spinal cord stimulator $9,417 $2,388
Spinal tap (lumbar puncture) $1,613 $165
Spine fracture repair (kyphoplasty) $14,058 $5,803
Spleen removal (splenectomy) $12,851 $1,036
Stomach removal (gastrectomy) $17,238 $1,595
Strabismus (eye muscle) surgery $5,475 $475
Strep throat test $17 $17
Stress echocardiogram $12,628 $12,628 $3,094 $209
Swallow study $689 $689 $147 $85
Testicle removal (orchiectomy) $6,641 $306
Thyroid removal (thyroidectomy) $10,912 $1,004
Thyroid ultrasound $2,428 $2,428 $626 $109
Thyroid uptake scan $4,642 $4,642 $472 $145
Tilt table test $2,636 $168
Tonsillectomy $6,004 $252
Tracheostomy $4,699 $273
Transvaginal ultrasound $2,477 $2,477 $639 $118
Trigger finger release $2,756 $630
Trigger point injection $1,672 $56
Tubal ligation $8,024 $333
Turbinate reduction $3,972 $294
Turning a breech baby (version) $4,699 $94
Ulnar nerve surgery (elbow) $3,783 $575
Umbilical hernia repair $7,168
Upper GI endoscopy (EGD) $2,097 $371
Upper GI series (barium) $2,383 $2,383 $341 $128
Ureteral stent placement $4,036 $373
Ureteroscopy (stone removal) $8,865 $365
UV light therapy (skin) $268 $106
Vaccine administration $90 $90 $37 $19
Vaginal delivery $9,574 $5,487
Varicocele repair $6,600 $327
Varicose vein ablation $6,513 $1,018
Vasectomy $3,897 $347
Visual field test $415 $64
Vitamin B12 test $529 $529 $16 $15
Vitrectomy (eye) $8,843 $814
Vocal cord injection $3,972 $211
Wart removal $1,672 $121
Weight-loss (bariatric) surgery $19,500 $11,645
Well-child visit $281
Whipple procedure (pancreas) $17,238 $2,871
Wound debridement $1,743 $186
Wrist fracture repair $10,660 $735
X-ray of the abdomen $1,418 $1,418 $245 $36
X-ray of the ankle $1,026 $1,026 $513 $37
X-ray of the collarbone $951 $951 $380 $33
X-ray of the elbow $980 $980 $490 $33
X-ray of the facial bones $1,472 $1,472 $293 $39
X-ray of the foot $1,041 $1,041 $491 $34
X-ray of the forearm $1,006 $1,006 $503 $29
X-ray of the hand $1,167 $1,167 $583 $38
X-ray of the hip $1,628 $1,628 $669 $49
X-ray of the knee $1,329 $1,329 $556 $42
X-ray of the lower back (lumbar spine) $1,726 $1,726 $313 $47
X-ray of the lower leg $1,006 $1,006 $503 $31
X-ray of the mid-back (thoracic spine) $1,543 $1,543 $307 $36
X-ray of the neck (cervical spine) $1,628 $1,628 $293 $47
X-ray of the pelvis $1,651 $1,651 $292 $36
X-ray of the ribs $1,173 $1,173 $182 $42
X-ray of the shoulder $1,214 $1,214 $539 $36
X-ray of the skull $1,464 $1,464 $246 $40
X-ray of the upper arm $1,010 $1,010 $455 $32
X-ray of the wrist $1,642 $1,642 $821 $43
YAG laser capsulotomy (eye) $1,603 $335

Source: this hospital’s machine-readable price file (45 CFR §180). Medicare from CMS fee schedules. Estimates — confirm with the hospital. Report an incorrect price.