{"hospital":{"ccn":"450669","name":"MEDICAL CITY LEWISVILLE","city":"LEWISVILLE","state":"TX","zip":"75057","phone":"972-420-1000","ownership":"Voluntary non-profit - Private","website_domain":"medicalcityhealthcare.com","system":null},"version":3,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"In most cases, this will apply to patients who fall between 0 - 200% of the [Federal Poverty Level](https://aspe.hhs.gov/topics/poverty-economic-mobility/poverty-guidelines). Federal Poverty Levels based on total household income, with sufficient supporting documentation provided by the patient, will have a 100% Charity discount processed.","source_id":"fap-cb6189cb2e6f0e3f","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":null,"residency":null,"insured_patients_covered":null,"min_balance":null,"services_excluded":null},"programs":{"presumptive":null,"state_programs":null},"apply":{"form_url":null,"form_version":null,"documents_required":{"value":["proof_of_income","tax_return","pay_stubs","bank_statements"],"layer":"documented","quote":"Any patient/responsible party unable to provide his/her most recent Federal Tax Return may provide two pieces of supporting documentation from the following list to meet this income verification requirement:\n\n* State Income Tax Return for the most current year\n* Most Recent Employer Pay Stubs\n* Written documentation from income sources\n* Copy of all bank statements for the last three months\n* Current credit report","source_id":"fap-cb6189cb2e6f0e3f","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":null,"window_days_from_first_bill":null,"decision_days":null,"decision_days_reported":null},"collections":{"eca_wait_days":null,"collection_agencies":null},"contacts":{"phone":null,"hours":null,"languages":null},"coverage":{"facilities":null,"provider_list_url":null},"sources":[{"id":"fap-cb6189cb2e6f0e3f","kind":"hospital_web","url":"https://www.medicalcityhealthcare.com/patient-resources/patient-financial-resources/financial-assistance","title":"Financial Assistance | Medical City Healthcare","fetched_on":"2026-10-14","sha256":"cb6189cb2e6f0e3f4067a74d353c350aad66577418357d2edc24812cae52ba33","effective_date":null}],"accuracy":null}