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Medical City Lewisville Hospital prices. From its own published file.

Medical City Lewisville Hospital in Lewisville, TX publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

16,908prices published
Sep 2026file last updated
$4.31cash price for ct head without contrast (list $7,017)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$2,430$2,430$50.59–$2,931
Emergency visit, high (level 4)
99284
$3,315$3,315$77.04–$5,296
Emergency visit, highest (level 5)
99285
$4,195$4,195$77.04–$8,280
Comprehensive metabolic panel
80053
$2,268$2,268$6.34–$2,268
Basic metabolic panel
80048
$1,973$1,973$5.08–$1,973
Complete blood count (CBC)
85025
——$4.66–$41.96
Blood draw (venipuncture)
36415
$160$160$3.00–$1,995
Urinalysis
81001
$782$782$1.90–$782
Troponin (heart test)
84484
$1,466$1,466$7.48–$1,466
EKG tracing
93005
$1,605$1,605$112–$1,605
Chest X-ray, 2 views
71046
$1,113$1,113$33.24–$1,113
CT head without contrast
70450
$4.31$7,017$0.30–$7,017
CT abdomen and pelvis with contrast
74177
$17,973$17,973$307–$17,973
MRI lower back without contrast
72148
$4.69$4,946$0.33–$9,887
Ultrasound, abdomen
76700
$3,511$3,511$103–$3,511
IV push, single drug
96374
$378$414$26.49–$414
IV fluids, first hour
96360
$1,085$1,208$75.93–$1,208
Ketorolac injection, 15 mg
J1885
$12.83$75.58$0.33–$157
Ondansetron injection
J2405
$497$497$0.09–$497
Colonoscopy, diagnostic
45378
——$324–$5,773
Upper GI endoscopy with biopsy
43239
——$330–$5,773
Knee arthroscopy
29881
——$1,072–$30,876
Vaginal delivery, routine care
59400
——$1,995–$45,539
Cesarean delivery, routine care
59510
——$1,995–$50,490

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Medical City Lewisville Hospital price transparency page.

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