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 |
|---|---|---|---|---|
| Abrasion lesions add-on CPT 15787 | not published | not published | $219.83 – $219.83 | 1 |
| Abrasion lesion single CPT 15786 | not published | not published | $202.56 – $760.94 | 3 |
| Abscess drain retroperitoneal surg code CPT 49406 | not published | not published | $479.15 – $1,784.38 | 11 |
| Absorpt drg >16<=48 in w/bdr HCPCS A6255 | not published | not published | $3.71 – $11.37 | 28 |
| Absorpt drg >16 <=48 without bdr HCPCS A6252 | $7.00 | $7.00 | $3.97 – $12.16 | 28 |
| Absorpt drg <=16 sq in w/bdr HCPCS A6254 | not published | not published | $1.46 – $4.45 | 28 |
| Absorpt drg <=16 sq in without b HCPCS A6251 | not published | not published | $2.43 – $7.44 | 28 |
| Absorpt drg > 48 sq in without b HCPCS A6253 | not published | not published | $7.73 – $23.66 | 28 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | not published | $924.69 – $924.69 | 1 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $2,141.75 – $2,141.75 | 1 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $257.06 | $257.06 | $0.05 – $0.84 | 5 |
| Acetaminophen level CPT 80143 | $638.30 | $638.30 | $11.18 – $71.03 | 34 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $1,484.48 | $1,484.48 | $18.49 – $104.26 | 5 |
| Acetone qualitative CPT 82009 | $56.47 | $56.47 | $2.71 – $16.81 | 34 |
| Acetylcholine receptor modulating antibody CPT 86043 | $409.84 | $409.84 | $7.23 – $31.57 | 33 |
| Acetylcholinesterase assay CPT 82013 | $1,536.05 | $1,536.05 | $7.37 – $46.49 | 34 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $211.79 | $211.79 | $0.44 – $6.05 | 5 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $4.27 – $53.79 | 5 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $217.73 – $613.22 | 2 |
| Acne surgery 10040 CPT 10040 | not published | not published | $202.56 – $260.90 | 3 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $132.93 – $455.88 | 28 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | not published | not published | $104.76 – $359.73 | 28 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | not published | not published | $67.60 – $76.56 | 2 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | not published | not published | $68.89 – $68.89 | 1 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | not published | not published | $73.34 – $137.71 | 2 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $145.69 – $277.78 | 2 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $273.59 – $1,049.30 | 2 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | not published | not published | $57.94 – $57.94 | 1 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $193.19 | $193.19 | $4.79 – $37.94 | 28 |
| Acoustic immitance testing CPT 92570 | not published | not published | $227.49 – $326.51 | 2 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $78.89 – $112.60 | 2 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $1,071.95 – $3,558.68 | 11 |
| Acth stimulation panel CPT 80402 | not published | not published | $52.18 – $331.87 | 34 |
| Acth stimulation panel CPT 80406 | not published | not published | $46.96 – $298.30 | 34 |
| Actigraphy testing CPT 95803 | not published | not published | $129.82 – $678.46 | 2 |
| Actinotherapy uv light CPT 96900 | not published | not published | $78.89 – $142.14 | 2 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $38.63 – $79.96 | 2 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | not published | not published | $21.75 – $67.19 | 2 |
| Acup 1/> without estim ea add 15 CPT 97811 | not published | not published | $14.45 – $61.24 | 2 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $38.70 – $73.99 | 2 |
| Acute hepatitis panel CPT 80074 | $2,671.98 | $2,671.98 | $7.96 – $182.06 | 34 |
| Acute venous thrombus image CPT 78456 | not published | not published | $286.34 – $421.35 | 11 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $85.75 | $85.75 | $0.04 – $0.33 | 5 |
| #acylcarnitineprfl CPT 82017 | $940.68 | $940.68 | $10.12 – $64.58 | 34 |
| Acylcarnitines qual CPT 82016 | $1,413.44 | $1,413.44 | $9.89 – $63.25 | 34 |
| Adalimumab injection HCPCS J0135 | not published | not published | $3,161.43 – $6,504.29 | 2 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $64.48 – $64.48 | 1 |
| Adaptive behavior tx by tech CPT 97153 | not published | not published | $64.48 – $64.48 | 1 |
| Adding walker to prev cast CPT 29440 | not published | not published | $16.91 – $164.06 | 11 |
| Additional switch, ext power HCPCS L6611 | not published | not published | $494.39 – $1,335.36 | 28 |
| Add le poly knee custom kafo HCPCS L2387 | not published | not published | $184.47 – $498.27 | 28 |
| Add ue prost a/e acrylic HCPCS L7404 | not published | not published | $667.39 – $1,802.64 | 28 |
| Add ue prost a/e ultlite mat HCPCS L7401 | not published | not published | $412.01 – $1,112.85 | 28 |
| Add ue prost b/e acrylic HCPCS L7403 | not published | not published | $442.20 – $1,194.41 | 28 |
| Add ue prost be/wd, ultlite HCPCS L7400 | not published | not published | $368.03 – $994.05 | 28 |
| Add ue prost s/d acrylic HCPCS L7405 | not published | not published | $872.88 – $2,357.69 | 28 |
| Add ue prost s/d ultlite mat HCPCS L7402 | not published | not published | $444.92 – $1,201.74 | 28 |
| Add up-ex prosthes lock mech HCPCS L6698 | not published | not published | $682.76 – $1,844.17 | 28 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | not published | not published | $0.38 – $3.52 | 5 |
| Adenovirus ag ia CPT 87301 | $940.68 | $940.68 | $7.19 – $45.20 | 34 |
| Adenovirus antibody,serum - quest CPT 86603 | $619.58 | $619.58 | $7.72 – $49.05 | 34 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $13.06 – $82.63 | 34 |
| Adenovirus vaccine type 4 CPT 90476 | not published | not published | $431.01 – $431.01 | 1 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $1,196.57 – $6,248.69 | 2 |
| Adhesive, liquid or equal HCPCS A4364 | not published | not published | $3.30 – $10.11 | 28 |
| Adh-sendout CPT 84588 | $2,865.60 | $2,865.60 | $20.36 – $129.11 | 34 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $915.67 – $1,021.70 | 2 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $2,362.54 – $7,776.53 | 11 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $698.37 – $2,109.56 | 11 |
| Adjustment gastric band HCPCS S2083 | not published | not published | $1,405.35 – $1,405.35 | 1 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | not published | not published | $0.39 – $6.72 | 4 |
| Admin ecg contrast agent CPT 93352 | not published | not published | $28.15 – $80.81 | 3 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $421.12 | $421.12 | $73.14 – $214.90 | 2 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | not published | not published | $163.31 – $468.14 | 2 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $1,676.48 | $1,676.48 | $337.67 – $972.62 | 2 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $606.97 | $606.97 | $259.41 – $750.14 | 2 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | not published | not published | $142.71 – $212.82 | 2 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $606.97 | $606.97 | $142.71 – $549.90 | 2 |
| Administration immunization 1 vaccine CPT 90471 | not published | not published | $142.43 – $142.71 | 2 |
| Administration immunization each additional component CPT 90461 | not published | not published | $30.61 – $88.99 | 2 |
| Administration immunization each additional vaccine CPT 90472 | not published | not published | $30.61 – $88.99 | 2 |
| Administration immunization first component each vaccine CPT 90460 | not published | not published | $34.03 – $142.43 | 2 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $142.43 – $142.71 | 2 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | not published | not published | $30.61 – $88.99 | 2 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $18.53 – $94.40 | 3 |
| Administration vaccine hepatitis b HCPCS G0010 | $313.06 | $313.06 | $122.48 – $142.43 | 2 |
| Administration vaccine influenza virus HCPCS G0008 | $297.69 | $297.69 | $56.14 – $142.43 | 2 |
| Administration vaccine pneumococcal HCPCS G0009 | $313.06 | $313.06 | $113.11 – $142.43 | 2 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $15.82 – $94.40 | 3 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $39.88 – $253.23 | 5 |
| Adrenal cortex & medulla img CPT 78075 | $6,986.57 | $6,986.57 | $409.10 – $649.06 | 11 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,656.17 – $8,675.01 | 2 |
| Adrenalin epinephrine inject HCPCS J0171 | not published | not published | $0.25 – $0.73 | 3 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $2.36 – $204.46 | 27 |
| Adv prim care mgmt lvl 1 HCPCS G0556 | not published | not published | $81.92 – $81.92 | 1 |
| Adv prim care mgmt lvl 2 HCPCS G0557 | not published | not published | $81.92 – $81.92 | 1 |
| Adv prim care mgmt lvl 3 HCPCS G0558 | not published | not published | $254.38 – $254.38 | 1 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $144.61 – $144.61 | 1 |
| Aep neurodiagnostic i&r CPT 92653 | $6,144.13 | $6,144.13 | $140.78 – $140.78 | 1 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $191.19 – $191.19 | 1 |
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.