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 |
|---|---|---|---|---|
| Drain finger abscess;simple 26010 CPT 26010 | not published | not published | $879.26 – $879.26 | 1 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $8,087.19 – $8,087.19 | 1 |
| Drain ostomy pouch w/flange HCPCS A5063 | not published | not published | $3.86 – $10.11 | 18 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $2,824.07 – $2,824.07 | 1 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $7,805.19 – $7,805.19 | 1 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $5,324.71 – $5,324.71 | 1 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | not published | not published | $188.43 – $188.43 | 1 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | not published | not published | $352.68 – $352.68 | 1 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $332.65 – $332.65 | 1 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $50.48 – $256.03 | 2 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $6,346.05 – $6,346.05 | 1 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $2,233.89 – $2,233.89 | 1 |
| Driver pneumatic vad, rep HCPCS Q0480 | not published | not published | $111,492.00 – $292,109.04 | 18 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $5,513.36 – $5,513.36 | 1 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $1,050.81 – $1,050.81 | 1 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $229.49 – $229.49 | 1 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $7,835.02 – $7,835.02 | 1 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $7,116.50 – $7,116.50 | 1 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $4,892.42 – $4,892.42 | 1 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $11,327.81 – $11,327.81 | 1 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $1.48 – $13.74 | 2 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | not published | not published | $8.57 – $18.24 | 2 |
| Drop lock knee HCPCS L2182 | not published | not published | $131.81 – $345.34 | 18 |
| Drop lock retainer each HCPCS L2785 | not published | not published | $36.42 – $95.42 | 18 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $12.53 – $69.32 | 2 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $12.01 – $82.41 | 2 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $9.09 – $9.09 | 1 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | not published | not published | $118.39 – $118.39 | 1 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $15.59 – $40.85 | 18 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $49.79 – $256.03 | 2 |
| Drug admin & hemodynmic meas CPT 93463 | not published | not published | $706.00 – $706.00 | 1 |
| Drug assay caffeine CPT 80155 | $629.73 | $629.73 | $38.57 – $101.05 | 18 |
| Drug assay posaconazole CPT 80187 | not published | not published | $27.11 – $71.03 | 18 |
| Drug assay rufinamide CPT 80210 | not published | not published | $27.11 – $71.03 | 18 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $38.57 – $101.05 | 18 |
| Drug assay voriconazole CPT 80285 | not published | not published | $27.11 – $71.03 | 18 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.64 – $48.84 | 18 |
| Drug of abuse screen urine CPT 80305 | $71.83 | $71.83 | $12.60 – $33.01 | 18 |
| Drug screening tapentadol CPT 80372 | not published | not published | $106.36 – $106.36 | 1 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $27.11 – $71.03 | 18 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $188.42 – $188.42 | 1 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $198.74 – $520.70 | 18 |
| Drug test def 1-7 classes HCPCS G0480 | $522.97 | $522.97 | $114.43 – $299.81 | 18 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $246.92 – $646.93 | 18 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $156.59 – $410.27 | 18 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $62.14 – $162.81 | 17 |
| Drug test prsmv instrmnt CPT 80306 | $71.83 | $71.83 | $17.14 – $44.91 | 18 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $71.83 | $71.83 | $62.14 – $162.81 | 18 |
| Drvvt confirm - quest CPT 85597 | not published | not published | $17.98 – $47.11 | 18 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $485.52 – $485.52 | 1 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $434.80 – $434.80 | 1 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $468.64 – $468.64 | 1 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $509.70 – $509.70 | 1 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $225.13 – $225.13 | 1 |
| Ductogram sgl duct CPT 77053 | not published | not published | $162.18 – $162.18 | 1 |
| Duodenal exclusion CPT 48547 | not published | not published | $12,781.80 – $12,781.80 | 1 |
| Duodenal motility study CPT 91022 | not published | not published | $646.69 – $646.69 | 1 |
| Dup scan/hemodialysis access 93990 CPT 93990 | not published | not published | $929.34 – $929.34 | 1 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | not published | not published | $999.30 – $999.30 | 1 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | not published | not published | $1,166.05 – $1,166.05 | 1 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $83.87 – $83.87 | 1 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $167.83 – $167.83 | 1 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $342.66 – $342.66 | 1 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $1,102.67 – $1,102.67 | 1 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $169.11 – $169.11 | 1 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $123.90 – $123.90 | 1 |
| Dynamic surface emg CPT 96002 | not published | not published | $157.67 – $157.67 | 1 |
| Ear and throat examination CPT 92502 | not published | not published | $681.96 – $681.96 | 1 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $514.49 – $514.49 | 1 |
| Ear irrigation 69209 CPT 69209 | not published | not published | $96.29 – $96.29 | 1 |
| Ear protector evaluation CPT 92596 | not published | not published | $468.28 – $468.28 | 1 |
| Ecallantide injection HCPCS J1290 | not published | not published | $564.64 – $3,419.18 | 2 |
| Ecg 12 lead tracing only CPT 93005 | $594.86 | $594.86 | $57.59 – $57.59 | 1 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $50.36 – $50.36 | 1 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | not published | not published | $38.27 – $38.27 | 1 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $1,171.20 – $1,171.20 | 1 |
| Ecg external < 48 hours recording CPT 93225 | not published | not published | $180.77 – $180.77 | 1 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | not published | not published | $258.11 – $258.11 | 1 |
| Ecg record/review CPT 93268 | not published | not published | $139.73 – $1,415.14 | 2 |
| Ecg/review interpret only CPT 93272 | not published | not published | $19.65 – $181.49 | 2 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $4,795.20 | $4,795.20 | $931.70 – $931.70 | 1 |
| Echocardiography doppler color flow mapping CPT 93325 | $786.24 | $786.24 | $154.59 – $154.59 | 1 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | not published | not published | $547.97 – $547.97 | 1 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | not published | not published | $137.71 – $137.71 | 1 |
| Echo exam of eye CPT 76516 | not published | not published | $155.01 – $155.01 | 1 |
| Echo exam of eye CPT 76519 | not published | not published | $173.53 – $173.53 | 1 |
| Echo exam of eye CPT 76529 | not published | not published | $190.65 – $190.65 | 1 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $22.57 – $22.57 | 1 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $788.64 – $788.64 | 1 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $498.31 – $498.31 | 1 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $189.22 – $189.22 | 1 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $100.89 – $100.89 | 1 |
| Echo exam uterus 76831- CPT 76831 | not published | not published | $335.92 – $335.92 | 1 |
| Echograp trans r pros study CPT 76873 | not published | not published | $385.78 – $385.78 | 1 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $98.07 – $98.07 | 1 |
| Echo guidance radiotherapy HCPCS G6001 | not published | not published | $159.10 – $159.10 | 1 |
| Echo guide for amniocentesis CPT 76946 | not published | not published | $52.51 – $52.51 | 1 |
| Echo guide for artery repair CPT 76936 | not published | not published | $706.01 – $706.01 | 1 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $284.42 – $284.42 | 1 |
| Echo guide for transfusion CPT 76941 | not published | not published | $281.68 – $281.68 | 1 |
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.