MEDICAL CITY DALLAS HOSPITAL
7777 Forest Lane, Dallas, TX · Medicalcityhealthcare · · NPI 1689628984
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | not published | not published | $130.01 – $523.13 | 12 |
| X-ray assay calculus CPT 82370 | not published | not published | $7.51 – $47.77 | 35 |
| X-ray bone age studies CPT 77072 | $922.64 | $922.64 | $25.67 – $153.55 | 12 |
| X-ray bone length studies CPT 77073 | $1,356.80 | $1,356.80 | $44.76 – $153.55 | 12 |
| X-ray bone survey complete CPT 77075 | $3,288.23 | $3,288.23 | $98.40 – $284.86 | 12 |
| X-ray bone survey infant CPT 77076 | $1,441.40 | $1,441.40 | $103.18 – $287.43 | 12 |
| X-ray cervical spine 2-3 views CPT 72040 | $983.29 | $983.29 | $39.16 – $112.07 | 12 |
| X-ray cervical spine 4-5 views CPT 72050 | $1,629.76 | $1,629.76 | $52.99 – $155.99 | 12 |
| X-ray cervical spine >= 6 views CPT 72052 | $1,703.18 | $1,703.18 | $61.87 – $185.67 | 12 |
| X-ray clavicle complete (both sides) CPT 73000 | not published | not published | $32.26 – $109.34 | 12 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $2,282.61 | $2,282.61 | $151.39 – $414.22 | 12 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $1,297.74 | $1,297.74 | $172.43 – $638.67 | 12 |
| X-ray consultation CPT 76140 | not published | not published | $22.71 – $285.43 | 4 |
| X-ray elbow 2 views (both sides) CPT 73070 | not published | not published | $28.96 – $109.34 | 12 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | not published | not published | $32.58 – $109.34 | 12 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $460.07 – $460.07 | 1 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $394.95 – $394.95 | 1 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $1,573.89 | $1,573.89 | $96.10 – $274.79 | 12 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $2,783.84 | $2,783.84 | $78.34 – $239.90 | 12 |
| X-ray exam entire spi 6/> vw CPT 72084 | $2,809.37 | $2,809.37 | $94.80 – $306.80 | 12 |
| X-ray exam of arm infant CPT 73092 | not published | not published | $55.44 – $153.55 | 12 |
| X-ray exam of eye sockets CPT 70200 | $1,395.11 | $1,395.11 | $47.39 – $153.55 | 12 |
| X-ray exam of femur 1 CPT 73551 | not published | not published | $28.96 – $109.34 | 12 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $34.23 – $109.34 | 12 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $81.62 – $319.26 | 12 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $37.85 – $153.55 | 12 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $61.22 – $659.76 | 12 |
| X-ray exam of penis CPT 74445 | not published | not published | $103.18 – $248.37 | 12 |
| X-ray exam of perineum CPT 74775 | $1,556.33 | $1,556.33 | $154.52 – $525.78 | 12 |
| X-ray exam of salivary gland CPT 70380 | $2,020.82 | $2,020.82 | $37.19 – $114.67 | 12 |
| X-ray exam of sinuses CPT 70210 | $855.58 | $855.58 | $31.92 – $109.34 | 12 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $56.72 – $525.78 | 12 |
| X-ray exam of teeth CPT 70300 | $477.27 | $477.27 | $12.83 – $109.34 | 12 |
| X-ray exam of teeth CPT 70310 | not published | not published | $40.15 – $319.26 | 12 |
| X-ray exam si joints CPT 72200 | not published | not published | $32.91 – $153.55 | 12 |
| X-ray exam thorac spine4/>vw CPT 72074 | $1,597.83 | $1,597.83 | $44.11 – $153.55 | 12 |
| X-ray eye detection foreign body (both sides) CPT 70030 | not published | not published | $32.26 – $109.34 | 12 |
| X-ray facial bones complete > 3 views CPT 70150 | $1,075.86 | $1,075.86 | $46.74 – $153.55 | 12 |
| X-ray fallopian tube CPT 74742 | $1,902.71 | $1,902.71 | $43.44 – $122.64 | 2 |
| X-ray femur >=2 views (both sides) CPT 73552 | not published | not published | $35.21 – $109.34 | 12 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | not published | not published | $37.85 – $121.13 | 12 |
| X-ray foot 2 views (both sides) CPT 73620 | not published | not published | $28.31 – $109.34 | 12 |
| X-ray forearm 2 views (both sides) CPT 73090 | not published | not published | $28.96 – $109.34 | 12 |
| X-ray hand 2 views (both sides) CPT 73120 | not published | not published | $31.26 – $153.55 | 12 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $16.46 – $109.34 | 12 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | not published | not published | $28.31 – $109.34 | 12 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | not published | not published | $59.24 – $179.21 | 12 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $727.88 | $727.88 | $40.82 – $153.55 | 12 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $1,053.51 | $1,053.51 | $53.32 – $153.55 | 12 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $1,170.04 | $1,170.04 | $58.76 – $181.82 | 12 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | not published | not published | $32.58 – $109.34 | 12 |
| X-ray humerus >= 2 views left CPT 73060 | not published | not published | $31.60 – $109.34 | 12 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $46.40 – $153.55 | 12 |
| X-ray knee 1-2 views (both sides) CPT 73560 | not published | not published | $33.89 – $109.34 | 12 |
| X-ray knee 3 views (both sides) CPT 73562 | not published | not published | $40.48 – $122.42 | 12 |
| X-ray knee ap standing bilateral CPT 73565 | $1,123.75 | $1,123.75 | $39.50 – $122.42 | 12 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | not published | not published | $55.44 – $109.34 | 12 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $3,869.27 | $3,869.27 | $40.15 – $153.55 | 12 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $1,623.36 | $1,623.36 | $51.35 – $153.55 | 12 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $5,583.64 | $5,583.64 | $60.56 – $183.10 | 12 |
| X-ray male genital tract CPT 74440 | $1,452.56 | $1,452.56 | $96.10 – $319.26 | 12 |
| X-ray mandible complete > 4 views CPT 70110 | $1,037.56 | $1,037.56 | $43.12 – $153.55 | 12 |
| X-ray mandible ltd <4 views CPT 70100 | $1,045.55 | $1,045.55 | $38.50 – $115.96 | 12 |
| X-ray nasal bones complete > 3 views CPT 70160 | $871.54 | $871.54 | $37.19 – $115.96 | 12 |
| X-ray neck soft tissue CPT 70360 | $775.76 | $775.76 | $30.94 – $109.34 | 12 |
| X-ray nose to rectum for foreign body child CPT 76010 | $1,015.20 | $1,015.20 | $48.47 – $109.34 | 12 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $68.46 – $319.26 | 12 |
| X-ray optic foramina CPT 70190 | $2,164.49 | $2,164.49 | $37.19 – $109.34 | 12 |
| X-ray pelvis 1-2 views CPT 72170 | $747.04 | $747.04 | $27.64 – $153.55 | 12 |
| X-ray pelvis complete > 3 views CPT 72190 | $2,451.81 | $2,451.81 | $41.80 – $153.55 | 12 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $228.63 – $228.63 | 1 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $262.37 – $262.37 | 1 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $2,946.66 | $2,946.66 | $63.69 – $205.04 | 12 |
| X-ray ribs 2 views left CPT 71100 | not published | not published | $36.20 – $109.34 | 12 |
| X-ray ribs 3 views bilateral CPT 71110 | $1,189.20 | $1,189.20 | $43.44 – $153.55 | 12 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | not published | not published | $41.80 – $153.55 | 12 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $1,773.43 | $1,773.43 | $52.00 – $153.55 | 12 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $1,256.23 | $1,256.23 | $38.84 – $153.55 | 12 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $877.92 | $877.92 | $32.26 – $109.34 | 12 |
| X-ray scapula complete (both sides) CPT 73010 | not published | not published | $23.70 – $153.55 | 12 |
| X-ray sella turcica CPT 70240 | $1,814.93 | $1,814.93 | $32.58 – $109.34 | 12 |
| X-ray shoulder 1 view (both sides) CPT 73020 | not published | not published | $21.38 – $109.34 | 12 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $1,556.33 | $1,556.33 | $37.19 – $109.34 | 12 |
| X-ray sinus tract/fistula/abscess CPT 76080 | not published | not published | $58.91 – $659.76 | 12 |
| X-ray skull < 4 views CPT 70250 | $973.71 | $973.71 | $35.55 – $153.55 | 12 |
| X-ray skull > 4 views complete CPT 70260 | $1,818.10 | $1,818.10 | $44.11 – $153.55 | 12 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $2,440.64 | $2,440.64 | $88.21 – $239.90 | 12 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $2,068.71 | $2,068.71 | $120.13 – $332.87 | 12 |
| X-ray small intestine follow-through study CPT 74248 | $3,288.23 | $3,288.23 | $65.66 – $119.75 | 11 |
| X-ray spine single view CPT 72020 | $381.50 | $381.50 | $24.02 – $109.34 | 12 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $983.29 | $983.29 | $40.82 – $119.81 | 12 |
| X-ray sternum > 2 views CPT 71120 | $1,010.42 | $1,010.42 | $33.24 – $109.34 | 12 |
| X-ray surgical specimen CPT 76098 | $935.40 | $935.40 | $42.14 – $659.76 | 12 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $2,261.87 | $2,261.87 | $123.09 – $394.88 | 12 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $1,181.22 | $1,181.22 | $52.33 – $161.16 | 12 |
| X-ray thoracic spine 2 views CPT 72070 | $1,248.25 | $1,248.25 | $32.58 – $153.55 | 12 |
| X-ray thoracic spine 3 views CPT 72072 | $1,422.26 | $1,422.26 | $39.16 – $153.55 | 12 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $1,971.35 | $1,971.35 | $34.23 – $109.34 | 12 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $437.38 | $437.38 | $42.14 – $117.24 | 12 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $724.69 | $724.69 | $69.44 – $214.11 | 12 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.