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 |
|---|---|---|---|---|
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $529.27 – $1,882.65 | 3 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $427.88 – $1,533.08 | 3 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $613.25 – $1,656.42 | 28 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $29.20 – $130.41 | 3 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $339.05 – $915.79 | 28 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $12.03 – $76.17 | 34 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $959.97 – $5,023.11 | 2 |
| Lymphatics/lymph node imaging CPT 78195 | $4,190.16 | $4,190.16 | $324.84 – $470.94 | 11 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $21.94 – $139.46 | 34 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $29.42 – $187.23 | 34 |
| Lymphocytotoxicity assay CPT 86805 | $2,439.64 | $2,439.64 | $113.71 – $721.82 | 34 |
| Lymphocytotoxicity assay CPT 86806 | $2,439.64 | $2,439.64 | $28.55 – $180.78 | 34 |
| Lymph vessel x-ray arm/leg CPT 75801 | $1,985.72 | $1,985.72 | $280.38 – $898.61 | 12 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $295.11 – $2,338.48 | 12 |
| Lymph vessel x-ray trunk CPT 75805 | $4,598.75 | $4,598.75 | $308.69 – $4,760.60 | 12 |
| Lymph vessel x-ray trunk CPT 75807 | $6,780.81 | $6,780.81 | $144.34 – $4,760.60 | 12 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $184.41 – $574.24 | 11 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $1,047.57 – $3,268.14 | 11 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $643.01 – $2,303.01 | 11 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $14.87 – $92.40 | 5 |
| Macro exam dissect molec study ea CPT 88387 | $4,738.89 | $4,738.89 | $8.03 – $51.20 | 5 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $2.56 – $16.81 | 34 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $2.59 – $16.81 | 34 |
| Magnesium CPT 83735 | not published | not published | $4.02 – $25.83 | 34 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | not published | not published | $0.20 – $3.03 | 5 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $229.97 – $761.00 | 11 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $262.47 – $262.47 | 1 |
| Malaria antibody CPT 86750 | not published | not published | $7.91 – $50.38 | 34 |
| Male sling procedure CPT 53440 | not published | not published | $7,468.49 – $13,319.85 | 11 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $4,122.87 – $21,553.45 | 2 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $584.14 – $1,762.01 | 11 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $584.14 – $1,762.01 | 11 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | not published | not published | $219.12 – $257.31 | 2 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | not published | not published | $182.85 – $257.31 | 2 |
| Manipulation of hip joint CPT 27275 | not published | not published | $584.14 – $1,762.01 | 11 |
| Manipulation of spine CPT 22505 | not published | not published | $584.14 – $1,762.01 | 11 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $65.72 – $249.03 | 11 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $272.32 | $272.32 | $2.19 – $13.55 | 4 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $1.95 – $40.60 | 4 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $76.84 – $207.56 | 28 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $3.04 – $19.37 | 34 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $2,477.01 | $2,477.01 | $213.49 – $608.35 | 2 |
| Map tachycard site(s) CPT 93609 | $11,632.32 | $11,632.32 | $688.93 – $688.93 | 1 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $47.07 – $305.27 | 5 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $1.00 – $2,069.10 | 2 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $1,536.70 – $8,039.40 | 2 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $106.36 – $287.28 | 28 |
| Mastectomy form HCPCS L8020 | not published | not published | $269.80 – $728.73 | 28 |
| Mastectomy partial CPT 19301 | not published | not published | $949.21 – $3,952.94 | 11 |
| Mast mod rad CPT 19307 | not published | not published | $6,703.78 – $6,808.48 | 2 |
| Mastoidectomy CPT 69501 | not published | not published | $1,924.91 – $6,305.69 | 11 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $1,924.91 – $6,305.69 | 11 |
| Mastoids complete CPT 70130 | $683.19 | $683.19 | $61.22 – $179.21 | 12 |
| Mastoid surgery revision CPT 69603 | not published | not published | $1,924.91 – $6,305.69 | 11 |
| Mastopexy CPT 19316 | not published | not published | $1,817.53 – $6,808.48 | 11 |
| Mast radical CPT 19305 | not published | not published | $1,533.43 – $1,533.43 | 1 |
| Mast rad urban type CPT 19306 | not published | not published | $1,624.79 – $1,624.79 | 1 |
| Mast simple complete CPT 19303 | not published | not published | $1,817.53 – $6,808.48 | 11 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $7.52 – $479.42 | 5 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $4,235.01 – $11,315.37 | 2 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $20.86 – $209.78 | 4 |
| M.avium-intra dna amp prob CPT 87561 | $748.67 | $748.67 | $21.05 – $134.29 | 34 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $16.37 – $104.61 | 34 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $25.70 – $162.69 | 34 |
| Maxillofacial fixation CPT 21100 | not published | not published | $1,924.91 – $6,305.69 | 11 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $630.87 | $630.87 | $8.68 – $55.51 | 34 |
| Mayo aathr protein s free CPT 85306 | not published | not published | $9.19 – $58.12 | 34 |
| Mayo activated protein c resistance assay CPT 85307 | not published | not published | $9.19 – $58.12 | 34 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $23.14 – $147.20 | 34 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $1,131.08 | $1,131.08 | $0.02 – $14.14 | 10 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | not published | not published | $0.02 – $91.69 | 11 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $1,440.87 | $1,440.87 | $8.87 – $56.80 | 34 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $1,029.41 | $1,029.41 | $0.02 – $91.69 | 11 |
| Mayo alpha 1 antitrypsin CPT 82103 | $585.69 | $585.69 | $8.06 – $51.66 | 34 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $721.23 | $721.23 | $9.05 – $58.12 | 34 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $913.25 | $913.25 | $0.02 – $13.65 | 10 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $158.11 | $158.11 | $0.02 – $91.69 | 11 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | not published | not published | $72.98 – $463.55 | 33 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | not published | not published | $55.00 – $348.64 | 33 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $82.20 – $521.67 | 33 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $18,295.61 | $18,295.61 | $696.00 – $4,419.96 | 33 |
| Mayo androstenedione CPT 82157 | $1,991.08 | $1,991.08 | $17.57 – $111.06 | 34 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $1,368.27 | $1,368.27 | $8.76 – $55.51 | 34 |
| Mayo antithrombin iii antigen CPT 85301 | not published | not published | $6.49 – $41.31 | 34 |
| Mayo aspergillus fumigatus antibody CPT 86606 | not published | not published | $9.03 – $56.80 | 34 |
| Mayo avwpr vw factor activity CPT 85397 | not published | not published | $18.52 – $117.52 | 34 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $21.05 – $134.29 | 34 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $672.83 | $672.83 | $0.02 – $91.69 | 11 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | not published | not published | $6.11 – $38.75 | 34 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $2,234.72 | $2,234.72 | $86.90 – $551.35 | 33 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $128.77 – $817.36 | 33 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $250.09 | $250.09 | $7.74 – $49.05 | 34 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $638.94 | $638.94 | $0.02 – $91.69 | 11 |
| Mayo bordetella pertussis antibody igg CPT 86615 | not published | not published | $7.91 – $50.38 | 34 |
| Mayo brcmg brucella antibody igm CPT 86622 | not published | not published | $5.36 – $33.57 | 34 |
| Mayo c1 esterase inhibitor CPT 83883 | $1,303.73 | $1,303.73 | $8.16 – $51.66 | 34 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $1,440.87 | $1,440.87 | $0.02 – $91.69 | 11 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $3,262.52 | $3,262.52 | $10.12 – $64.58 | 34 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | not published | not published | $16.07 – $102.00 | 34 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $3,049.55 | $3,049.55 | $73.33 – $466.16 | 34 |
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.