Medical City Lewisville
Medical City Lewisville, a nonprofit hospital in Lewisville, TX, charges 11.4x the Medicare reimbursement rate across 27 analyzed procedures, with 63% showing significant pricing variations.
Lewisville, TX 75057 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
F
Very high
Avg markup vs Medicare
11.45x
Charge / Medicare rate
Max markup
15.28x
Worst procedure
Procedures analyzed
27
With pricing data
Outlier procedures
63%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $107,966 | $53,983 | — | 15.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $151,840 | $75,920 | — | 14.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $259,938 | $129,969 | — | 13.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $198,061 | $99,030 | — | 13.6x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $87,221 | $43,610 | — | 13.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $103,618 | $51,809 | — | 13.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $146,049 | $73,024 | — | 13.2x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $143,507 | $71,754 | — | 13.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $78,167 | $39,083 | — | 12.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $104,959 | $52,480 | — | 12x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $105,689 | $52,844 | — | 11.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $64,792 | $32,396 | — | 11.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $70,261 | $35,131 | — | 11.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $176,801 | $88,400 | — | 11.4x |
| CELLULITIS WITHOUT MCC | 603 | $74,748 | $37,374 | — | 11.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $150,596 | $75,298 | — | 11.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $100,471 | $50,235 | — | 11x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $54,693 | $27,347 | — | 11x |
| DIABETES WITH CC | 638 | $78,164 | $39,082 | — | 10.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $86,832 | $43,416 | — | 10.1x |
| RENAL FAILURE WITH MCC | 682 | $101,319 | $50,659 | — | 10x |
| RENAL FAILURE WITH CC | 683 | $68,319 | $34,160 | — | 9.7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $120,843 | $60,421 | — | 9.5x |
| DIABETES WITH MCC | 637 | $96,409 | $48,204 | — | 9.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $87,633 | $43,817 | — | 9.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $104,865 | $52,432 | — | 9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $93,056 | $46,528 | — | 7x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use