How many shoppable procedure prices are published for Medical City Lewisville?

Medical City Lewisville in Lewisville, TX currently has 123 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Medical City Lewisville's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Medical City Lewisville's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Medical City Lewisville's CMS Care Compare overall star rating?

CMS Care Compare assigns Medical City Lewisville an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 160 Beds · urban Updated: 2026-03-01

Medical City Lewisville

500 West Main Street, Lewisville, TX 75057 · 123 Priced Procedures · 70% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Good Deal · Below Fair Market

0.93×vs. Fair Market Price

Typical commercial prices here are 7% below the fair benchmark (0.93×) after accounting for local nurse/doctor wages and patient complexity.

65/100 · Caution

65/100Self-Pay Cash Beats Insurance 4% of the Time

File Completeness56

Price Logic91

Peer Alignment63

Clean Billing94

Real Cash Discount8

Regional Value Leader

3-Star CMS clinical quality rating paired with 0.93× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Medical City Lewisville prices shoppable and inpatient services (1.2× to 1.1× Medicare, divergence 0.92×) in alignment with regional hospital peers (0.93× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#40 of 307 in TX · 12th State Percentile#885 of 3,385 in U.S. · 26th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 7% below peer Fair BaseRate (0.93×)
Self-pay cash beats commercial insurance on 4% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (69/100 safety score) with 70% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
Commercial insurance median sits at 0.98× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.4× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 18.2× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.2× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.92× Divergence

1.1× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+12% Upper Tail

Q25 0.77× · Q50 0.98× · Q75 1.10×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.2× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

3.5× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

4.3× MedicareElevated

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.4× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

4% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Medical City Lewisville

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 123 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$29,835	$30,775	1.0×
Trauma team activation HCPCS Code: `G0390`	$26,204	$26,204	$1,453	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$21,349	$19,432	1.1×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$19,298	$19,087	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$17,829	$17,936	1.0×
Total hip replacement CPT Code: `27130`	—	$16,121	$13,413	1.2×
Total knee replacement CPT Code: `27447`	—	$16,121	$13,523	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$9,784	$8,223	1.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,419	$6,109	0.9×
Rabies immune globulin HCPCS Code: `90375`	$4,373	$4,373	$322	unverified
Vaginal delivery (full package) CPT Code: `59400`	—	$4,332	$2,680	1.6×
C-section delivery (full package) CPT Code: `59510`	—	$4,332	$2,975	1.5×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$4,250	$3,372	1.3×
Inguinal hernia repair CPT Code: `49505`	—	$3,648	$3,629	1.0×
Breast lump removal CPT Code: `19120`	—	$3,548	$3,875	0.9×
Bunion correction surgery CPT Code: `28296`	—	$3,420	$3,446	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$2,744	$2,744	$151	unverified
Cataract surgery with lens implant CPT Code: `66984`	—	$2,510	$2,540	1.0×
Colonoscopy with biopsy CPT Code: `45380`	—	$2,003	$1,256	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$16,470	$1,954	$1,021	unverified
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,769	$855	unverified
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,729	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,681	$981	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$13,365	$660	$583	1.1×
Review of medical records for care CPT Code: `90889`	—	$471	$114	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$445	$445	$201	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$609	$390	$123	3.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$17,973	$343	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$6,387	$367	$511	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	$476	$377	$110	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$476	$253	$87	2.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$1,605	$210	$64	3.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$234	$234	$86	2.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$6,808	$211	$272	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$4,733	$226	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$11,293	$234	$369	0.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$5,462	$196	$258	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$16,341	$211	$303	0.7×
MRI, lower back (no contrast) CPT Code: `72148`	$4,946	$221	$338	0.7×
CT scan, head (with contrast) CPT Code: `70460`	$4,476	$171	$242	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$2,428	$131	$132	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$3,511	$131	$134	1.0×
Blood transfusion CPT Code: `36430`	$2,227	$152	$498	0.3×
Ultrasound, pelvis CPT Code: `76856`	$3,054	$120	$130	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$1,216	$131	$148	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$1,250	$108	$123	0.9×
Psychological testing evaluation CPT Code: `96136`	—	$112	$128	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$3,190	$101	$126	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$7,017	$117	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$3,656	$117	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$4,332	$117	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$3,837	$117	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$4,003	$117	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$4,708	$117	$169	0.7×
Psychological testing by technician CPT Code: `96138`	—	$112	$395	0.3×
Speech therapy (language evaluation) CPT Code: `92507`	$724	$81	$86	0.9×
Care planning with family CPT Code: `90887`	—	$85	$107	0.8×
Typhoid vaccine HCPCS Code: `90675`	$4,085	$4,085	$347	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$1,148	$1,148	$140	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$822	$203	4.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$1,267	$364	$111	3.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$1,187	$205	$56	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$167	$143	$39	3.7×
Hepatitis B vaccine HCPCS Code: `90744`	$413	$118	$37	3.2×
Drug screening test HCPCS Code: `G0480`	$1,458	$119	$116	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$103	$88	$25	3.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$88	$88	$49	1.8×
Flu vaccine injection HCPCS Code: `G0008`	$88	$88	$48	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$43	$25	1.7×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$32	$27	1.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$23	$20	1.1×
Behavioral health living support HCPCS Code: `H2019`	—	$38	$34	1.1×
Prosthetic fitting and training CPT Code: `97761`	$289	$43	$45	1.0×
Orthotic fitting and training CPT Code: `97760`	$223	$46	$51	0.9×
X-ray, hip CPT Code: `73502`	$1,628	$60	$93	0.6×
X-ray, lower back CPT Code: `72110`	$2,033	$65	$112	0.6×
Blood test, vitamin D CPT Code: `82306`	$2,215	$31	$31	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$1,386	$48	$93	0.5×
X-ray, hand CPT Code: `73130`	$1,747	$47	$93	0.5×
X-ray, ankle CPT Code: `73610`	$1,533	$46	$93	0.5×
X-ray, shoulder CPT Code: `73030`	$1,821	$43	$92	0.5×
X-ray, foot CPT Code: `73630`	$1,472	$43	$92	0.5×
X-ray, chest (two views) CPT Code: `71046`	$1,113	$39	$93	0.4×
Blood test, basic metabolic panel CPT Code: `80048`	—	$10	$9	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$1,107	$14	$14	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$782	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$1,056	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	—	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	—	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$529	$16	$16	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$977	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	—	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$314	$10	$10	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$295	$34	$38	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$273	$33	$38	0.9×
Neurobehavioral status check CPT Code: `96116`	—	$56	$231	0.2×
Blood test, lipase CPT Code: `83690`	$1,041	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$522	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$474	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$1,281	$19	$19	1.0×
Blood test, sodium CPT Code: `84295`	$437	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$879	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	—	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$1,464	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$1,509	$9	$9	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$1,744	$17	$18	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$299	$13	$14	0.9×
Speech therapy (group session) CPT Code: `92508`	$409	$25	$27	0.9×
Physical therapy (gait training) CPT Code: `97116`	$305	$29	$33	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$263	$35	$40	0.9×
Blood test, liver function panel CPT Code: `80076`	—	$8	$9	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$286	$32	$38	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$241	$29	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$330	$28	$34	0.8×
X-ray, chest (single view) CPT Code: `71045`	$1,083	$29	$92	0.3×
X-ray, pelvis CPT Code: `72170`	$1,213	$32	$110	0.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	$4	$5	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$261	$25	$35	0.7×
Blood test, hemoglobin CPT Code: `85018`	$273	$2	$3	0.7×
Blood antibody screen CPT Code: `86850`	$1,265	$12	$46	0.3×

Showing top 25 high-impact procedures of 123 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Medical City Lewisville (Zero PHI Required)

CMS CCN: 450669

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $29,835

1. Amount on Your Bill or Quote ($) Pre-filled with Medical City Lewisville’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Medical City Lewisville's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$40,829 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($71,604) is $40,829 above the denoised Fair BaseRate ($30,775) and 3.0× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Medical City Lewisville as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite69/100

Would Recommend70%

Rated 9 or 10 (HCAHPS)69%

Median ER Wait122 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Medical City Lewisville. Prior administrative notices do not necessarily reflect current compliance status.

2025-05-06·administrative_or_closure
Met Requirements
Recorded
2023-10-11·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (525 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Medical City Lewisville.

Price Index: 0.77× regional baseline

Quality: 62/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Mutual of Omaha

-47.6%

Molina

-40.9%

UniCare

+109.1%

Fidelis Care

+140.7%

Median Household Income$108,185U.S. Census ACS

Local Uninsured Share10.8%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 65/100 · Caution CMS CCN 450669

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 450669) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-01

Validated Rate Rows10,901 (CMS v3.0.0)

File Integrity DigestVerified · CCN 450669

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy