Medical City Lewisville: charges and Medicare payments

Medical City Lewisville reported 647 Medicare inpatient stays across 26 DRGs in 2024. Across them it charged 10.51 times what it was paid — among the higher ratios in Texas, number 31 of 190 hospitals with at least 100 stays (state median 5.35×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 117 stays at an average charge of $133,665, 48% above the national average. It also billed 254 outpatient services, charging 25.5 times what Medicare paid.

1Medicare inpatient stays 647
2Charge ÷ paid, inpatient 10.51×
3Rank in TX (highest ratio = 1) 31 of 190
4CMS price-transparency actions 0

Average charge per stay at Medical City Lewisville, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 26 DRGs that can be compared with the national average, Medical City Lewisville charged more than the national average in 26 (100%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	117	$133,665	+48%	$15,538
291 Heart Failure and Shock with MCC	70	$117,059	+108%	$11,129
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	38	$83,576	+39%	$11,407
177 Respiratory Infections and Inflammations with MCC	37	$101,743	+44%	$14,041
193 Simple Pneumonia and Pleurisy with MCC	36	$119,711	+100%	$11,099
189 Pulmonary Edema and Respiratory Failure	27	$113,694	+97%	$10,748
682 Renal Failure with MCC	25	$101,003	+53%	$11,824
689 Kidney and Urinary Tract Infections with MCC	23	$95,130	+85%	$10,023
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	22	$61,138	+52%	$7,913
280 Acute Myocardial Infarction, Discharged Alive with MCC	19	$162,544	+114%	$13,168
698 Other Kidney and Urinary Tract Diagnoses with MCC	19	$133,844	+82%	$18,628
454 Combined Anterior and Posterior Spinal Fusion with CC	18	$1,092,795	+291%	$69,075
552 Medical Back Problems without MCC	17	$83,640	+71%	$8,524
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	16	$156,429	+57%	$15,095
312 Syncope and Collapse	16	$85,552	+88%	$8,368
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	15	$78,797	+61%	$9,082
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	14	$109,960	+97%	$9,360
305 Hypertension without MCC	14	$102,487	+156%	$7,391
481 Hip and Femur Procedures except Major Joint with CC	14	$211,971	+110%	$16,269
208 Respiratory System Diagnosis with Ventilator Support <=96...	13	$190,409	+40%	$20,404
321 Percutaneous Cardiovascular Procedures with Intraluminal...	13	$343,553	+110%	$22,170
377 Gastrointestinal Hemorrhage with MCC	13	$174,132	+104%	$14,997
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	13	$84,355	+98%	$8,249
683 Renal Failure with CC	13	$85,522	+110%	$8,195
690 Kidney and Urinary Tract Infections without MCC	13	$77,062	+104%	$7,627
637 Diabetes with MCC	12	$115,832	+74%	$11,999

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	73	$45,628	$2,471
Level 2 Excision/ Biopsy/ Incision and Drainage	49	$9,643	$1,464
Level 1 Endovascular Procedures	31	$60,714	$2,946
Level 1 Laparoscopy and Related Services	25	$77,660	$4,738
Level 1 Breast/Lymphatic Surgery and Related Procedures	18	$68,280	$3,441
Level 3 Vascular Procedures	16	$42,898	$2,878
Level 3 Endovascular Procedures	15	$188,369	$9,924
Level 2 Breast/Lymphatic Surgery and Related Procedures	14	$122,525	$5,887
Level 6 Musculoskeletal Procedures	13	$546,110	$16,789

Against the Texas average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Medical City Lewisville charged $133,665 on average, 20% more than the Texas average of $111,133, and was paid $15,538 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Medical City Lewisville charged $117,059 on average, 72% more than the Texas average of $67,944, and was paid $11,129 against a state average of $11,820. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), Medical City Lewisville charged $83,576 on average, 23% more than the Texas average of $68,203, and was paid $11,407 against a state average of $12,119. For Respiratory Infections and Inflammations with MCC (DRG 177), Medical City Lewisville charged $101,743 on average, 25% more than the Texas average of $81,715, and was paid $14,041 against a state average of $13,815. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $45,628 was 63% above the state average of $27,955. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,643 was 32% below the state average of $14,089. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $60,714 was 68% above the state average of $36,220. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $77,660 was 52% above the state average of $50,995.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.