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 |
|---|---|---|---|---|
| Extraction erupted tooth/exr HCPCS D7140 | not published | not published | $390.95 – $390.95 | 1 |
| Extraction of lens CPT 66930 | not published | not published | $1,510.49 – $4,963.83 | 11 |
| Extraction of lens CPT 66940 | not published | not published | $837.19 – $2,628.42 | 11 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $837.19 – $2,628.42 | 11 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $257.31 – $958.67 | 2 |
| Eye allergy tests CPT 95060 | not published | not published | $241.22 – $257.31 | 2 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $12.09 – $12.09 | 1 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $105.24 – $668.87 | 33 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $169.73 – $1,078.20 | 30 |
| F-18 fdg pet diag HCPCS A9552 | $6,479.41 | $6,479.41 | $70.00 – $1,394.97 | 5 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | not published | not published | $70.00 – $24,529.18 | 6 |
| F-18 fluciclovine per mci HCPCS A9588 | not published | not published | $531.75 – $3,188.76 | 5 |
| F-18 sodium fluoride HCPCS A9580 | not published | not published | $70.00 – $1,347.74 | 4 |
| F9 full gene sequence CPT 81238 | not published | not published | $360.00 – $2,286.83 | 33 |
| Fabrication & fitting HCPCS V2628 | not published | not published | $447.37 – $1,208.37 | 28 |
| Face bone graft CPT 21210 | not published | not published | $1,924.91 – $6,305.69 | 11 |
| Facial bones <3 CPT 70140 | $1,059.90 | $1,059.90 | $31.60 – $103.75 | 12 |
| Facial nerve function test CPT 92516 | not published | not published | $55.29 – $311.62 | 2 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $1,357.27 – $4,064.93 | 10 |
| Factor ix CPT 85250 | $663.16 | $663.16 | $11.42 – $72.32 | 34 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.44 – $21.97 | 5 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.61 – $10.29 | 5 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $5.02 – $32.31 | 5 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.34 – $8.11 | 5 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.19 – $27.71 | 5 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.58 – $9.50 | 5 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.79 – $11.38 | 5 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $2.32 – $14.52 | 5 |
| Factor viii CPT 85240 | $1,021.35 | $1,021.35 | $10.74 – $68.43 | 34 |
| Factor viii HCPCS J7190 | not published | not published | $1.09 – $6.84 | 5 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.25 – $14.64 | 5 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.15 – $7.14 | 5 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.04 – $13.01 | 5 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $1.51 – $9.32 | 5 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.36 – $9.20 | 5 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.13 – $19.54 | 5 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $10.17 – $65.23 | 5 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $16.82 – $110.67 | 5 |
| Fallopian tube recnl CPT 58345 | not published | not published | $1,605.90 – $3,268.14 | 3 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $64.48 – $64.48 | 1 |
| Family therapy without pt 50min 90846 CPT 90846 | not published | not published | $26.61 – $26.61 | 1 |
| Family therapy with patient 50 min 90847 CPT 90847 | not published | not published | $26.54 – $26.54 | 1 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $4.92 | $4.92 | $0.01 – $0.06 | 5 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $28.03 – $181.53 | 5 |
| Fancc gene CPT 81242 | $3,206.06 | $3,206.06 | $21.97 – $139.46 | 33 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $1,235.46 – $6,512.44 | 2 |
| Fat/lipids feces qualitative CPT 82705 | $598.61 | $598.61 | $3.06 – $19.37 | 34 |
| Fatty acids nonesterified CPT 82725 | $784.17 | $784.17 | $11.26 – $71.03 | 34 |
| Fda ide #g240020 carry bag HCPCS Q0499 | not published | not published | $200.41 – $541.32 | 28 |
| Fecal bilirubin test CPT 82252 | not published | not published | $2.74 – $16.81 | 34 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $62.01 – $387.45 | 5 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $371.99 – $1,021.70 | 2 |
| #fecal-sodium CPT 84302 | not published | not published | $2.92 – $18.09 | 34 |
| Feeding tube reposition CPT 74355 | $1,800.55 | $1,800.55 | $50.60 – $484.73 | 3 |
| Fees w/laryngeal sense i&r CPT 92617 | not published | not published | $32.17 – $100.37 | 3 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $219.09 – $598.28 | 28 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $1,331.14 | $1,331.14 | $11.18 – $71.03 | 34 |
| Fem focal defic constant fri HCPCS L5230 | not published | not published | $4,948.91 – $13,367.16 | 28 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $320.93 – $1,698.57 | 2 |
| Femoral lgth sock fx or equa HCPCS L2850 | not published | not published | $74.26 – $200.59 | 28 |
| Fem/popl revasc w/stent CPT 37226 | not published | not published | $5,258.02 – $12,881.02 | 10 |
| Fem urinary collect pouch HCPCS A4328 | not published | not published | $10.83 – $33.12 | 28 |
| Feno poc CPT 95012 | not published | not published | $78.89 – $137.35 | 2 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | not published | not published | $0.81 – $5.81 | 5 |
| Fern test HCPCS Q0114 | not published | not published | $5.84 – $37.46 | 31 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | not published | not published | $1.10 – $6.90 | 5 |
| Ferritin CPT 82728 | $1,356.97 | $1,356.97 | $8.18 – $51.66 | 34 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $1,678.62 | $1,678.62 | $0.32 – $5.50 | 5 |
| Ferumoxytol, esrd use HCPCS Q0139 | $1,678.62 | $1,678.62 | $0.32 – $5.50 | 5 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $477.00 – $3,029.27 | 33 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $1,558.53 | $1,558.53 | $89.01 – $257.75 | 12 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $455.43 – $2,892.41 | 30 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $4,066.05 | $4,066.05 | $455.43 – $2,892.41 | 33 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $24.30 – $204.11 | 12 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $307.65 – $1,433.82 | 3 |
| Fetal fibronectin CPT 82731 | $2,126.61 | $2,126.61 | $38.65 – $245.35 | 34 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $114.99 – $351.94 | 11 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $882.59 | $882.59 | $4.64 – $29.68 | 34 |
| Fetal hemoglobin rosette CPT 85461 | $246.88 | $246.88 | $5.62 – $36.14 | 34 |
| Fetal lung maturity assess lam body dnst CPT 83664 | not published | not published | $11.59 – $73.60 | 34 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $45.10 – $56.69 | 3 |
| Fetal monitor w/report CPT 59050 | not published | not published | $68.41 – $71.73 | 3 |
| Fetal non stress test CPT 59025 | not published | not published | $10.52 – $204.11 | 12 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $307.65 – $800.64 | 3 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $307.65 – $351.94 | 2 |
| #_fet/norfentcnfrmur CPT 80354 | not published | not published | $0.02 – $91.69 | 11 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $6.47 – $46.96 | 5 |
| Fibrin degradation d dimer quantitative CPT 85379 | $658.31 | $658.31 | $6.11 – $38.75 | 34 |
| Fibrin degradation products CPT 85362 | $1,529.62 | $1,529.62 | $4.13 – $25.83 | 34 |
| Fibrin degrade semiquant CPT 85378 | $658.31 | $658.31 | $5.83 – $37.46 | 34 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $6.11 – $38.75 | 34 |
| Fibrinogen activity CPT 85384 | $271.07 | $271.07 | $5.83 – $37.46 | 34 |
| Fibrinogen test CPT 85370 | not published | not published | $7.46 – $47.77 | 34 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $179.10 | $179.10 | $9.29 – $59.40 | 34 |
| Fibrinolytic antiplasmin CPT 85410 | $1,952.35 | $1,952.35 | $4.63 – $29.68 | 34 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $4.63 – $29.68 | 34 |
| Fibrinolytic plasminogen CPT 85415 | not published | not published | $10.31 – $65.86 | 34 |
| Fibrinolytic plasminogen CPT 85421 | $2,805.90 | $2,805.90 | $6.11 – $38.75 | 34 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $1,169.79 | $1,169.79 | $3.92 – $24.55 | 34 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $3,358.73 – $17,656.05 | 2 |
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.