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 |
|---|---|---|---|---|
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $11.03 – $33.75 | 28 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $10.38 – $31.81 | 28 |
| Ot evaluation high complexity patient/family CPT 97167 | $1,079.49 | $1,079.49 | $88.23 – $232.31 | 28 |
| Ot evaluation low complexity patient/family CPT 97165 | not published | not published | $88.23 – $232.31 | 28 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $737.79 | $737.79 | $88.23 – $232.31 | 28 |
| Other bone graft microvasc CPT 20962 | not published | not published | $3,609.38 – $18,959.16 | 2 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $13.88 – $87.80 | 34 |
| Oth resp proc, group HCPCS G0239 | not published | not published | $29.76 – $88.99 | 2 |
| Oth resp proc, indiv HCPCS G0238 | $407.12 | $407.12 | $23.81 – $69.68 | 2 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | not published | not published | $43.83 – $115.42 | 28 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | not published | not published | $40.35 – $106.24 | 28 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | not published | not published | $24.09 – $63.98 | 28 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $22.96 – $135.28 | 2 |
| Otoplasty 69300 CPT 69300 | not published | not published | $873.32 – $3,405.08 | 11 |
| Ot re-evaluation patient/family CPT 97168 | $273.11 | $273.11 | $60.04 – $158.10 | 28 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | not published | not published | $30.69 – $80.88 | 28 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | not published | not published | $20.23 – $55.47 | 28 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | not published | not published | $19.23 – $51.78 | 28 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | not published | not published | $25.47 – $67.07 | 28 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | not published | not published | $28.40 – $75.56 | 28 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | not published | not published | $28.39 – $74.75 | 28 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $2,125.15 – $11,227.73 | 2 |
| Out of office emerg med serv CPT 99060 | not published | not published | $168.54 – $168.54 | 1 |
| Outrigger HCPCS L1080 | not published | not published | $63.89 – $172.58 | 28 |
| Outrigger bil with vert extens HCPCS L1085 | not published | not published | $192.94 – $521.14 | 28 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $5,050.37 – $5,553.00 | 2 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $181.32 – $985.78 | 3 |
| Ovulation tests CPT 84830 | not published | not published | $7.62 – $47.77 | 31 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $0.62 – $5.55 | 5 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $19,416.82 | $19,416.82 | $0.05 – $0.81 | 5 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $3.86 – $20.39 | 4 |
| Oxytetracycline injection HCPCS J2460 | not published | not published | $1.29 – $5.69 | 2 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $19.75 | $19.75 | $1.51 – $9.01 | 4 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $257.93 – $2,493.49 | 4 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $459.10 – $2,617.18 | 4 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $82.20 – $521.67 | 30 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | not published | not published | $290.14 – $290.14 | 1 |
| Packing strips, non-impreg HCPCS A6407 | not published | not published | $2.29 – $6.97 | 28 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $1.14 | $1.14 | $0.13 – $0.67 | 5 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | not published | not published | $12.67 – $73.34 | 5 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $405.90 – $2,577.35 | 30 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $180.81 – $1,147.91 | 30 |
| Palifermin injection HCPCS J2425 | not published | not published | $32.97 – $217.29 | 5 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $209.78 – $2,157.48 | 4 |
| Palingen or promatrx HCPCS Q4174 | not published | not published | $2,218.05 – $7,684.16 | 3 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | not published | not published | $14.30 – $91.25 | 5 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $14,158.89 | $14,158.89 | $720.64 – $12,338.84 | 4 |
| Palonosetron hcl HCPCS J2469 | $51.52 | $51.52 | $0.48 – $19.28 | 5 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $187.54 | $187.54 | $13.46 – $67.53 | 5 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $1,405.35 – $22,094.42 | 2 |
| Pancreatectomy CPT 48146 | not published | not published | $2,553.84 – $13,377.78 | 2 |
| Pancreatectomy CPT 48152 | not published | not published | $3,929.85 – $20,560.31 | 2 |
| Pancreatectomy CPT 48154 | not published | not published | $3,953.74 – $20,647.08 | 2 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $4,225.01 – $4,225.01 | 1 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $2,129.37 – $11,132.59 | 2 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $1,822.96 – $9,584.74 | 2 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $56,432.56 | $56,432.56 | $159.97 – $1,044.10 | 5 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $16.98 | $16.98 | $11.68 – $14.34 | 3 |
| Papaverin hcl injection HCPCS J2440 | $287.63 | $287.63 | $69.00 – $231.45 | 4 |
| Parathormone (pth) intact CPT 83970 | not published | not published | $24.77 – $157.55 | 34 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $1,881.53 – $9,810.73 | 2 |
| Parathyrd planar w/spect&ct CPT 78072 | $3,276.75 | $3,276.75 | $422.59 – $1,416.36 | 4 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $1,731.34 – $1,731.34 | 1 |
| Parathyroid planar imaging CPT 78070 | $3,993.41 | $3,993.41 | $269.55 – $404.15 | 11 |
| Parathyroid planar img w/tomo spect CPT 78071 | not published | not published | $321.88 – $464.18 | 11 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $5,050.37 – $5,757.51 | 3 |
| Parenteral 50% dextrose solu HCPCS B4164 | not published | not published | $23.92 – $24.66 | 2 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $1,817.53 – $6,808.48 | 11 |
| Paricalcitol HCPCS J2501 | $580.55 | $580.55 | $0.79 – $4.05 | 5 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | not published | not published | $202.56 – $227.15 | 3 |
| Parotid duct diversion CPT 42507 | not published | not published | $1,924.91 – $6,305.69 | 11 |
| Parotid duct diversion CPT 42509 | not published | not published | $1,924.91 – $6,305.69 | 11 |
| Parotid duct diversion CPT 42510 | not published | not published | $873.32 – $3,405.08 | 11 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $6,306.06 – $7,776.53 | 3 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $1,047.57 – $3,268.14 | 11 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $1,718.95 – $9,129.34 | 2 |
| Partial exc bone humerus CPT 24140 | not published | not published | $1,071.95 – $3,558.68 | 11 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $1,071.95 – $3,558.68 | 11 |
| Partial excision of lip CPT 40500 | not published | not published | $873.32 – $3,405.08 | 11 |
| Partial hip replacement CPT 27125 | not published | not published | $1,532.49 – $8,046.91 | 2 |
| Partial hysterectomy CPT 58180 | not published | not published | $1,283.24 – $6,780.21 | 2 |
| Partial proctectomy CPT 45113 | not published | not published | $2,562.27 – $13,656.84 | 2 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $1,522.18 – $8,037.04 | 2 |
| Partial removal donor liver CPT 47140 | not published | not published | $4,856.55 – $4,856.55 | 1 |
| Partial removal donor liver CPT 47141 | not published | not published | $5,813.72 – $5,813.72 | 1 |
| Partial removal donor liver CPT 47142 | not published | not published | $6,397.01 – $6,397.01 | 1 |
| Partial removal finger bone CPT 26235 | not published | not published | $584.14 – $1,762.01 | 11 |
| Partial removal finger bone CPT 26236 | not published | not published | $584.14 – $1,762.01 | 11 |
| Partial removal foot fascia CPT 28060 | not published | not published | $1,071.95 – $3,558.68 | 11 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $1,071.95 – $3,558.68 | 11 |
| Partial removal of bladder CPT 51550 | not published | not published | $1,307.14 – $6,944.88 | 2 |
| Partial removal of esophagus CPT 43116 | not published | not published | $6,822.88 – $35,463.39 | 2 |
| Partial removal of esophagus CPT 43118 | not published | not published | $4,952.13 – $25,897.82 | 2 |
| Partial removal of esophagus CPT 43121 | not published | not published | $3,855.83 – $20,387.19 | 2 |
| Partial removal of esophagus CPT 43123 | not published | not published | $6,091.07 – $32,136.92 | 2 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $4,422.25 – $23,148.73 | 2 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $3,472.12 – $18,219.26 | 2 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $837.19 – $2,628.42 | 11 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $837.19 – $2,628.42 | 11 |
| Partial removal of fibula CPT 27641 | not published | not published | $1,071.95 – $3,558.68 | 11 |
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.