MEDICAL CITY GREEN OAKS HOSPITAL
7808 CLODUS FIELDS DRIVE, DALLAS, TX · Medicalcityhealthcare · · NPI 1831140698
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 |
|---|---|---|---|---|
| Actigraphy testing CPT 95803 | not published | not published | $678.46 – $678.46 | 1 |
| Actinotherapy uv light CPT 96900 | not published | not published | $142.14 – $142.14 | 1 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $38.63 – $38.63 | 1 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | not published | not published | $21.75 – $21.75 | 1 |
| Acup 1/> without estim ea add 15 CPT 97811 | not published | not published | $14.45 – $14.45 | 1 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $38.70 – $38.70 | 1 |
| Acute hepatitis panel CPT 80074 | $584.22 | $584.22 | $47.63 – $124.79 | 18 |
| Acute venous thrombus image CPT 78456 | not published | not published | $1,095.84 – $1,095.84 | 1 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | not published | not published | $0.04 – $0.21 | 2 |
| #acylcarnitineprfl CPT 82017 | not published | not published | $16.87 – $44.20 | 18 |
| Acylcarnitines qual CPT 82016 | not published | not published | $16.49 – $43.20 | 18 |
| Adalimumab injection HCPCS J0135 | not published | not published | $6,504.29 – $6,504.29 | 1 |
| Adding walker to prev cast CPT 29440 | not published | not published | $101.51 – $101.51 | 1 |
| Additional switch, ext power HCPCS L6611 | not published | not published | $509.68 – $1,335.36 | 18 |
| Add le poly knee custom kafo HCPCS L2387 | not published | not published | $190.18 – $498.27 | 18 |
| Add ue prost a/e acrylic HCPCS L7404 | not published | not published | $688.03 – $1,802.64 | 18 |
| Add ue prost a/e ultlite mat HCPCS L7401 | not published | not published | $424.75 – $1,112.85 | 18 |
| Add ue prost b/e acrylic HCPCS L7403 | not published | not published | $455.88 – $1,194.41 | 18 |
| Add ue prost be/wd, ultlite HCPCS L7400 | not published | not published | $379.41 – $994.05 | 18 |
| Add ue prost s/d acrylic HCPCS L7405 | not published | not published | $899.88 – $2,357.69 | 18 |
| Add ue prost s/d ultlite mat HCPCS L7402 | not published | not published | $458.68 – $1,201.74 | 18 |
| Add up-ex prosthes lock mech HCPCS L6698 | not published | not published | $703.88 – $1,844.17 | 18 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | not published | not published | $0.39 – $5.94 | 2 |
| Adenovirus ag ia CPT 87301 | not published | not published | $11.98 – $31.39 | 18 |
| Adenovirus antibody,serum - quest CPT 86603 | not published | not published | $12.87 – $33.72 | 18 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $21.76 – $57.01 | 18 |
| 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 | $6,248.69 – $6,248.69 | 1 |
| Adhesive, liquid or equal HCPCS A4364 | not published | not published | $3.86 – $10.11 | 18 |
| Adh-sendout CPT 84588 | not published | not published | $33.94 – $88.92 | 18 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | not published | not published | $6.72 – $6.72 | 1 |
| Admin ecg contrast agent CPT 93352 | not published | not published | $29.02 – $234.21 | 2 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | not published | not published | $214.90 – $214.90 | 1 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | not published | not published | $468.14 – $468.14 | 1 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | not published | not published | $972.62 – $972.62 | 1 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | not published | not published | $750.14 – $750.14 | 1 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | not published | not published | $212.82 – $212.82 | 1 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | not published | not published | $549.90 – $549.90 | 1 |
| Administration immunization 1 vaccine CPT 90471 | not published | not published | $142.43 – $142.43 | 1 |
| Administration immunization each additional component CPT 90461 | not published | not published | $88.99 – $88.99 | 1 |
| Administration immunization each additional vaccine CPT 90472 | not published | not published | $88.99 – $88.99 | 1 |
| Administration immunization first component each vaccine CPT 90460 | not published | not published | $142.43 – $142.43 | 1 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $142.43 – $142.43 | 1 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | not published | not published | $88.99 – $88.99 | 1 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $19.10 – $19.10 | 1 |
| Administration vaccine hepatitis b HCPCS G0010 | $262.92 | $262.92 | $142.43 – $142.43 | 1 |
| Administration vaccine influenza virus HCPCS G0008 | not published | not published | $142.43 – $142.43 | 1 |
| Administration vaccine pneumococcal HCPCS G0009 | $262.92 | $262.92 | $142.43 – $142.43 | 1 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $16.31 – $16.31 | 1 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $41.11 – $220.19 | 2 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $1,738.03 – $1,738.03 | 1 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $8,675.01 – $8,675.01 | 1 |
| Adrenalin epinephrine inject HCPCS J0171 | not published | not published | $0.73 – $5.29 | 2 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $2.36 – $204.46 | 17 |
| _afb id by dna probe rflx ast CPT 87149 | not published | not published | $20.05 – $52.53 | 18 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $7.31 – $19.15 | 18 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | not published | not published | $115.36 – $302.24 | 18 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $137.00 – $358.94 | 17 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $274.83 – $720.05 | 17 |
| Aflibercept injection HCPCS J0178 | not published | not published | $795.86 – $6,919.99 | 2 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $130.48 – $130.48 | 1 |
| Afo molded ankle gauntlet HCPCS L1904 | not published | not published | $540.36 – $1,415.74 | 18 |
| Afo molded plas rig ant tib HCPCS L1945 | not published | not published | $1,063.73 – $2,786.97 | 18 |
| Afo molded to patient plasti HCPCS L1940 | not published | not published | $581.88 – $1,524.53 | 18 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | not published | not published | $1,102.55 – $2,888.68 | 18 |
| Afo sing bar clasp attach sh HCPCS L1910 | not published | not published | $346.21 – $907.07 | 18 |
| Afo sing solid stirrup calf HCPCS L1980 | not published | not published | $440.87 – $1,155.08 | 18 |
| Afo sing upright with adjust s HCPCS L1920 | not published | not published | $415.96 – $1,089.82 | 18 |
| Afo spiral molded to pt plas HCPCS L1950 | not published | not published | $858.83 – $2,250.13 | 18 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | not published | not published | $398.09 – $1,043.00 | 18 |
| Afo supramalleolar custom HCPCS L1907 | not published | not published | $695.21 – $1,821.45 | 18 |
| Afo tib fx cast molded to pt HCPCS L2108 | not published | not published | $1,335.93 – $3,500.14 | 18 |
| Afo tib fx cast plaster mold HCPCS L2106 | not published | not published | $961.61 – $2,519.42 | 18 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $753.46 – $1,974.07 | 18 |
| Afo tibial fracture rigid HCPCS L2116 | not published | not published | $902.69 – $2,365.05 | 18 |
| Afo tibial fracture soft HCPCS L2112 | not published | not published | $650.87 – $1,705.28 | 18 |
| Afo, walk boot type, cus fab HCPCS L4631 | not published | not published | $1,827.50 – $4,788.05 | 18 |
| Afo w/ankle joint, prefab HCPCS L1971 | not published | not published | $579.11 – $1,517.27 | 18 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $222.84 – $1,256.33 | 2 |
| Ag detect nos ia single CPT 87450 | not published | not published | $106.54 – $106.54 | 1 |
| Air conduction bilat CPT 92552 | not published | not published | $217.04 – $217.04 | 1 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $280.21 – $280.21 | 1 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $195.30 – $195.30 | 1 |
| Ak 4 bar ling w/hydraul swig HCPCS L5613 | not published | not published | $3,038.19 – $7,960.06 | 18 |
| Ak 4 bar link w/fric swing HCPCS L5611 | not published | not published | $1,972.47 – $5,167.87 | 18 |
| Ak/bk self-aligning unit ea HCPCS L5617 | not published | not published | $692.60 – $1,814.61 | 18 |
| Ak flex inner socket ext fra HCPCS L5651 | not published | not published | $1,960.29 – $5,135.96 | 18 |
| Ak/knee disartic acrylic soc HCPCS L5631 | not published | not published | $717.21 – $1,879.09 | 18 |
| Ak/knee disartic pelvic band HCPCS L5697 | not published | not published | $98.28 – $257.49 | 18 |
| Ak/knee disartic pelvic join HCPCS L5696 | not published | not published | $271.74 – $711.96 | 18 |
| Ak/knee disartic silesian ba HCPCS L5698 | not published | not published | $146.51 – $383.86 | 18 |
| Ak open end sach HCPCS L5321 | not published | not published | $4,710.53 – $12,341.59 | 18 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $216.90 – $568.28 | 18 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $296.13 – $775.86 | 18 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | not published | not published | $266.20 – $697.44 | 18 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $2,216.96 – $5,808.44 | 18 |
| Albumin body fluid quantitative each specimen CPT 82042 | not published | not published | $7.78 – $20.38 | 18 |
| Albumin (human), 25%, 50ml HCPCS P9047 | not published | not published | $53.08 – $375.21 | 2 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $21.23 – $150.08 | 2 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | not published | not published | $53.08 – $375.21 | 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.