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 |
|---|---|---|---|---|
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $37.43 – $108.81 | 2 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $398.89 – $1,188.30 | 2 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $213.55 – $746.15 | 11 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $140.93 – $415.36 | 11 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $414.33 – $1,754.14 | 11 |
| Ghs trypsin (fecal) CPT 84488 | $1,581.24 | $1,581.24 | $4.38 – $28.40 | 34 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $84.04 – $280.33 | 11 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $84.04 – $280.33 | 11 |
| Ghs urine, hydroxproline total CPT 83505 | $2,107.25 | $2,107.25 | $14.58 – $92.97 | 34 |
| Ghs urine, porphyrins quant CPT 84120 | $1,208.52 | $1,208.52 | $8.83 – $55.51 | 34 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $3,247.53 – $5,768.10 | 3 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $8,891.66 | $8,891.66 | $1,146.04 – $1,146.04 | 1 |
| Ghs windowing of cast CPT 29730 | not published | not published | $27.27 – $164.06 | 11 |
| Giardia ag if CPT 87269 | $304.96 | $304.96 | $8.17 – $51.66 | 34 |
| Giardia lamblia antibody CPT 86674 | $1,029.41 | $1,029.41 | $8.83 – $55.51 | 34 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $108.69 – $382.39 | 12 |
| Gi inhouse confirmation CPT 87045 | $1,413.44 | $1,413.44 | $5.66 – $36.14 | 34 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $285.51 – $3,347.22 | 11 |
| Gi protein loss CPT 78282 | not published | not published | $45.00 – $626.41 | 11 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $4,635.47 | $4,635.47 | $771.68 – $1,797.16 | 10 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $857.75 – $1,097.25 | 10 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $813.13 – $1,797.16 | 10 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $813.13 – $2,782.06 | 10 |
| Gjb2 gene full sequence CPT 81252 | $6,099.07 | $6,099.07 | $60.67 – $384.78 | 33 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $36.91 – $235.00 | 33 |
| Gjb6 gene com variants CPT 81254 | $4,269.35 | $4,269.35 | $21.00 – $133.00 | 33 |
| Glassia injection HCPCS J0257 | not published | not published | $5.29 – $34.55 | 5 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $134.38 – $376.07 | 2 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $100.37 – $297.02 | 2 |
| Glaucoma surgery CPT 66150 | not published | not published | $1,510.49 – $4,963.83 | 11 |
| Glaucoma surgery CPT 66155 | not published | not published | $2,173.68 – $4,963.83 | 11 |
| Glaucoma surgery CPT 66160 | not published | not published | $837.19 – $2,628.42 | 11 |
| Glaucoma surgery CPT 66170 | not published | not published | $837.19 – $2,628.42 | 11 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $135.98 – $367.30 | 28 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $1,268.72 | $1,268.72 | $185.04 – $1,184.73 | 5 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $145.93 – $876.67 | 5 |
| Glucagon plasma - sendout CPT 82943 | $997.16 | $997.16 | $8.57 – $54.23 | 34 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $27.64 – $175.60 | 34 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $30.30 – $192.41 | 34 |
| Glucagon tolerance test CPT 82946 | not published | not published | $10.66 – $67.14 | 34 |
| Glucose 1 hr post dose CPT 82950 | $1,363.42 | $1,363.42 | $2.85 – $18.09 | 34 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $3.63 – $23.22 | 34 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $1.97 – $12.92 | 31 |
| Glucose blood quantitative CPT 82947 | not published | not published | $2.36 – $15.48 | 34 |
| Glucose body fluid CPT 82945 | $753.52 | $753.52 | $2.36 – $15.48 | 34 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $132.68 – $375.71 | 2 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $1,523.16 | $1,523.16 | $7.72 – $49.05 | 34 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | not published | not published | $2.35 – $15.48 | 34 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $0.49 – $2.60 | 5 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $22.59 – $215.68 | 4 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $10.45 – $98.63 | 5 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $2,131.44 | $2,131.44 | $11.15 – $71.03 | 34 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $89.05 – $565.55 | 34 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | not published | not published | $11.11 – $71.03 | 34 |
| Gonioscopy CPT 92020 | not published | not published | $38.63 – $257.31 | 2 |
| Goniotomy CPT 65820 | not published | not published | $1,510.49 – $4,963.83 | 11 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $683.99 – $4,442.34 | 5 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | not published | $29.45 – $209.78 | 5 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $10.74 – $7,203.35 | 5 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | not published | $61.71 – $401.30 | 4 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $3,303.34 – $3,558.68 | 2 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $51.33 – $222.55 | 4 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $2,855.98 – $5,399.04 | 4 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $63.45 – $395.80 | 5 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | not published | $102.30 – $596.27 | 5 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,480.49 – $7,672.56 | 2 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $132.28 – $824.03 | 4 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $50.24 – $295.59 | 5 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | $1,714.00 | $1,714.00 | $209.78 – $980.75 | 2 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | not published | not published | $209.78 – $209.78 | 1 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | not published | not published | $10.74 – $209.78 | 2 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $36.38 – $539.63 | 4 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $18.52 – $97.43 | 4 |
| Granisetron hcl injection HCPCS J1626 | $20.98 | $20.98 | $0.25 – $1.48 | 5 |
| Granulocyte pheresis ea unit HCPCS P9050 | not published | not published | $1,651.73 – $10,862.75 | 2 |
| Great toe-hand transfer CPT 26551 | not published | not published | $4,433.49 – $23,297.88 | 2 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $84.04 – $249.03 | 11 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $698.37 – $2,109.56 | 11 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $1,435.76 – $3,870.48 | 11 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $1,435.76 – $3,870.48 | 11 |
| Ground mileage HCPCS A0425 | not published | not published | $52.72 – $52.72 | 1 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $7.23 – $7.23 | 1 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $4.79 – $37.94 | 27 |
| Group train without patient HCPCS G0543 | not published | not published | $8.58 – $29.81 | 3 |
| Growth hormone antibody CPT 86277 | not published | not published | $9.44 – $59.40 | 34 |
| Growth hormone panel CPT 80428 | $5,091.53 | $5,091.53 | $40.02 – $254.38 | 34 |
| Growth hormone panel CPT 80430 | not published | not published | $77.60 – $493.27 | 34 |
| Growth stimulation gene 2 CPT 83006 | $1,703.87 | $1,703.87 | $45.36 – $287.95 | 33 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $64.48 – $64.48 | 1 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $64.48 – $64.48 | 1 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $2,614.74 – $13,692.25 | 2 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $1,714.74 – $9,118.96 | 2 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $2,202.46 – $11,530.48 | 2 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $2,440.93 – $12,844.11 | 2 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,620.57 – $8,580.72 | 2 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,937.29 – $4,971.82 | 3 |
| G-tube reposition CPT 43761 | not published | not published | $108.50 – $305.37 | 11 |
| Gu dilat ureter/urethra s&i CPT 74485 | $8,637.23 | $8,637.23 | $117.84 – $2,303.01 | 12 |
| Guided cath fluid drainage 10030 CPT 10030 | not published | not published | $253.74 – $793.01 | 11 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | not published | not published | $661.05 – $1,785.50 | 28 |
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.