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 |
|---|---|---|---|---|
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $10.62 – $75.04 | 2 |
| Albumin ischemia modified CPT 82045 | not published | not published | $33.94 – $88.92 | 18 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | not published | not published | $5.78 – $15.14 | 18 |
| Albumin serum plasma or whole blood CPT 82040 | $129.56 | $129.56 | $4.95 – $12.97 | 18 |
| Albuterol comp con HCPCS J7610 | not published | not published | $6.94 – $6.94 | 1 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $2.36 – $2.36 | 1 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | not published | $0.19 – $0.93 | 2 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.18 – $1.07 | 2 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.08 – $0.29 | 2 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $17.27 – $45.25 | 17 |
| Alcohols biomarkers 3/more CPT 80322 | $522.97 | $522.97 | $97.27 – $97.27 | 1 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | not published | not published | $14.52 – $14.52 | 1 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $14.45 – $14.45 | 1 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $24,436.47 – $24,436.47 | 1 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $125.50 – $328.81 | 18 |
| Alefacept HCPCS J0215 | not published | not published | $297.88 – $297.88 | 1 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,441.49 – $13,178.05 | 2 |
| Alginate dressing <=16 sq in HCPCS A6196 | not published | not published | $10.49 – $27.48 | 18 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | not published | not published | $23.44 – $61.41 | 18 |
| Alginate drsg wound filler HCPCS A6199 | not published | not published | $7.52 – $19.70 | 18 |
| Alglucerase injection HCPCS J0205 | not published | not published | $300.67 – $300.67 | 1 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $1,478.67 – $1,478.67 | 1 |
| Alkaline phosphatase CPT 84075 | $163.43 | $163.43 | $5.18 – $13.57 | 18 |
| Allergen alpha lactalbumin ige CPT 86008 | not published | not published | $17.93 – $46.98 | 18 |
| Allergen egg white ige CPT 86003 | not published | not published | $5.22 – $13.68 | 18 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $7.97 – $20.88 | 18 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $69.68 – $69.68 | 1 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $60.02 – $60.02 | 1 |
| Allergy Skin Testing CPT 95004 | not published | not published | $36.05 – $36.05 | 1 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $38.27 – $38.27 | 1 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $82.76 – $82.76 | 1 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $102.18 – $102.18 | 1 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $24.47 – $24.47 | 1 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | not published | not published | $158.33 – $158.33 | 1 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | not published | not published | $625.88 – $625.88 | 1 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $128.43 – $128.43 | 1 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $247.02 – $247.02 | 1 |
| Alloskin HCPCS Q4115 | not published | not published | $12.38 – $80.19 | 2 |
| Alloskin ac, 1 cm HCPCS Q4141 | not published | not published | $37.87 – $37.87 | 1 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $146.79 – $146.79 | 1 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $53.87 – $53.87 | 1 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $5.16 – $31.91 | 2 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $64.41 – $168.75 | 18 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $17.00 – $44.54 | 18 |
| Alpha-fetoprotein tumor marker CPT 82105 | $839.42 | $839.42 | $16.77 – $43.94 | 18 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $60.31 – $60.31 | 1 |
| Alprostadil urethral suppos HCPCS J0275 | not published | not published | $485.45 – $485.45 | 1 |
| Als 1 HCPCS A0426 | not published | not published | $1,882.42 – $1,882.42 | 1 |
| Als1-emergency HCPCS A0427 | not published | not published | $2,980.52 – $2,980.52 | 1 |
| Als 2 HCPCS A0433 | not published | not published | $4,313.97 – $4,313.97 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | not published | not published | $91.46 – $627.95 | 2 |
| Alt/sgpt CPT 84460 | $34.94 | $34.94 | $5.30 – $13.89 | 18 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.60 – $4.60 | 1 |
| Aluminum - quest CPT 82108 | not published | not published | $25.48 – $66.76 | 18 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $864.81 – $864.81 | 1 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | not published | not published | $413.27 – $413.27 | 1 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | not published | $182.31 – $182.31 | 1 |
| Ambl bp mntr w/software CPT 93784 | not published | not published | $38.14 – $372.14 | 2 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $35.84 – $35.84 | 1 |
| Ambl bp mntr w/sw i&r CPT 93790 | not published | not published | $14.68 – $133.70 | 2 |
| Amifostine HCPCS J0207 | not published | not published | $6,963.48 – $6,963.48 | 1 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | not published | not published | $0.60 – $8.01 | 2 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $5.99 – $15.69 | 18 |
| Amino acid screen, urine CPT 82128 | not published | not published | $13.87 – $36.34 | 18 |
| Amino acid single qual CPT 82127 | not published | not published | $14.18 – $37.15 | 18 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $19.61 – $51.38 | 18 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | not published | not published | $1.30 – $1.30 | 1 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.78 – $11.59 | 2 |
| Aminolevulinic acid delta CPT 82135 | not published | not published | $16.45 – $43.10 | 18 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $394.41 – $2,894.32 | 2 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | not published | not published | $11.05 – $26.54 | 2 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | not published | not published | $2.59 – $2.59 | 1 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | not published | not published | $0.33 – $2.50 | 2 |
| Amitriptyline (elavil) -sendout CPT 80335 | not published | not published | $42.56 – $42.56 | 1 |
| Amitriptyline injection HCPCS J1320 | not published | not published | $3.65 – $3.65 | 1 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | not published | not published | $21.51 – $21.51 | 1 |
| Ammonia CPT 82140 | $223.17 | $223.17 | $14.57 – $38.17 | 18 |
| Amnioarmor 1 sq cm HCPCS Q4188 | not published | not published | $493.30 – $493.30 | 1 |
| Amniocentesisdiagnostic 59000 CPT 59000 | not published | not published | $311.62 – $311.62 | 1 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $1,271.07 – $1,271.07 | 1 |
| Amniocore per sq cm HCPCS Q4227 | not published | not published | $1,192.50 – $1,192.50 | 1 |
| Amnio-maxx or lite per sq cm HCPCS Q4239 | not published | not published | $2,349.92 – $2,349.92 | 1 |
| Amniotic fluid scan CPT 82143 | not published | not published | $9.35 – $24.50 | 18 |
| Amniowrap2 per sq cm HCPCS Q4221 | not published | not published | $2,014.00 – $2,014.00 | 1 |
| Amobarbital 125 mg inj HCPCS J0300 | not published | not published | $1,147.10 – $1,147.10 | 1 |
| Amphetamine confirm urine -sendout CPT 80324 | not published | not published | $127.60 – $127.60 | 1 |
| Amphetamines 5 or more CPT 80326 | not published | not published | $79.01 – $79.01 | 1 |
| Ampho b cholesteryl sulfate HCPCS J0288 | not published | not published | $75.11 – $75.11 | 1 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | not published | not published | $50.07 – $231.64 | 2 |
| Amphotericin b lipid complex HCPCS J0287 | not published | not published | $10.30 – $126.76 | 2 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | not published | not published | $23.31 – $343.88 | 2 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | not published | not published | $0.60 – $7.08 | 2 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | not published | not published | $1.57 – $20.03 | 2 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $262.99 – $689.03 | 17 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $5,111.32 – $5,111.32 | 1 |
| Amputate hand at wrist CPT 25920 | not published | not published | $4,916.17 – $4,916.17 | 1 |
| Amputate leg at thigh CPT 27591 | not published | not published | $6,856.32 – $6,856.32 | 1 |
| Amputate leg at thigh CPT 27592 | not published | not published | $4,833.54 – $4,833.54 | 1 |
| Amputate lower leg at knee CPT 27598 | not published | not published | $5,078.91 – $5,078.91 | 1 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $5,675.10 – $5,675.10 | 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.