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 |
|---|---|---|---|---|
| Insert sq defib electrode CPT 33271 | not published | not published | $3,260.94 – $3,260.94 | 1 |
| Insert swan-ganz cath CPT 93503 | not published | not published | $747.99 – $747.99 | 1 |
| Insert tray without bag/cath HCPCS A4310 | not published | not published | $9.36 – $24.52 | 18 |
| Insert ureteral support CPT 50605 | not published | not published | $7,063.13 – $7,063.13 | 1 |
| Insitu hybridization auto CPT 88367 | not published | not published | $616.38 – $616.38 | 1 |
| Insitu hybridization (fish) CPT 88366 | not published | not published | $1,710.22 – $1,710.22 | 1 |
| Insitu hybridization manual CPT 88368 | not published | not published | $674.06 – $674.06 | 1 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | not published | not published | $829.10 – $829.10 | 1 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | not published | not published | $1,157.27 – $1,157.27 | 1 |
| Insj biomechanical device CPT 22859 | not published | not published | $2,317.87 – $2,317.87 | 1 |
| Insj biomechanical device 22853 CPT 22853 | not published | not published | $1,791.93 – $1,791.93 | 1 |
| Insj stablj dev w/dcmprn CPT 22867 | not published | not published | $6,628.62 – $6,628.62 | 1 |
| Insj stablj dev w/dcmprn CPT 22868 | not published | not published | $1,689.63 – $1,689.63 | 1 |
| Insj stablj dev without dcmprn CPT 22869 | not published | not published | $3,751.40 – $3,751.40 | 1 |
| Insj stablj dev without dcmprn CPT 22870 | not published | not published | $974.55 – $974.55 | 1 |
| Ins left heart vent thor inscn ecmo CPT 33988 | not published | not published | $5,597.77 – $5,597.77 | 1 |
| Insole orthotic freedom sz6 6816 HCPCS L3060 | not published | not published | $91.13 – $238.76 | 18 |
| Install spinal shunt CPT 63740 | not published | not published | $6,889.16 – $6,889.16 | 1 |
| Insti hexaminolevulinate hcl HCPCS A9589 | not published | not published | $1,378.41 – $1,378.41 | 1 |
| Instillation anticarcinogenic agent bladder CPT 51720 | not published | not published | $217.40 – $217.40 | 1 |
| Insulin for insulin pump use HCPCS J1817 | not published | not published | $2.49 – $80.98 | 2 |
| Insulin suppression panel CPT 80432 | not published | not published | $165.61 – $433.90 | 18 |
| Insulin tolerance panel CPT 80434 | not published | not published | $285.03 – $746.78 | 18 |
| Insulin tolerance panel CPT 80435 | not published | not published | $103.00 – $269.86 | 18 |
| Insulin total CPT 83525 | $433.65 | $433.65 | $11.43 – $29.95 | 18 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | not published | not published | $1,494.35 – $11,286.39 | 2 |
| Intens behave ther cardio dx HCPCS G0446 | not published | not published | $14.45 – $14.45 | 1 |
| Intens cardiac rehab no exer HCPCS G0423 | not published | not published | $806.94 – $806.94 | 1 |
| Intens cardiac rehab w/exerc HCPCS G0422 | not published | not published | $806.94 – $806.94 | 1 |
| Interdental fixation CPT 21110 | not published | not published | $893.78 – $893.78 | 1 |
| Interferon alfa-2a inj HCPCS J9213 | not published | not published | $289.94 – $289.94 | 1 |
| Interferon alfa-2b inj HCPCS J9214 | not published | not published | $244.30 – $244.30 | 1 |
| Interferon alfacon-1 inj HCPCS J9212 | not published | not published | $60.45 – $60.45 | 1 |
| Interferon alfa-n3 inj HCPCS J9215 | not published | not published | $187.78 – $187.78 | 1 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | not published | not published | $387.09 – $387.09 | 1 |
| Interferon beta-1a inj HCPCS J1826 | not published | not published | $10,625.39 – $10,625.39 | 1 |
| Interferon beta-1b / .25 mg HCPCS J1830 | not published | not published | $2,630.70 – $2,630.70 | 1 |
| Interferon gamma 1-b inj HCPCS J9216 | not published | not published | $40,938.48 – $40,938.48 | 1 |
| Interfyl, 1 mg HCPCS Q4171 | not published | not published | $12.13 – $12.13 | 1 |
| Intermediate visual field xm CPT 92082 | not published | not published | $180.77 – $180.77 | 1 |
| Interphalangeal joint spacer HCPCS L8658 | not published | not published | $373.64 – $978.94 | 18 |
| Interrogate subq defib CPT 93261 | not published | not published | $147.01 – $147.01 | 1 |
| Interrogation vad in person CPT 93750 | not published | not published | $393.10 – $393.10 | 1 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $101.08 – $101.08 | 1 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $98.72 – $98.72 | 1 |
| Interrog device eval heart CPT 93289 | not published | not published | $115.60 – $115.60 | 1 |
| Interrog evl pm/ldls pm ip CPT 93288 | not published | not published | $115.53 – $115.53 | 1 |
| Interscap-thor myoelectronic HCPCS L6975 | not published | not published | $23,640.70 – $61,938.63 | 18 |
| Interscapular-thor switch CT HCPCS L6970 | not published | not published | $23,514.50 – $61,607.99 | 18 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $9,862.81 – $9,862.81 | 1 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $7,667.62 – $7,667.62 | 1 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $577.38 – $577.38 | 1 |
| Intl custm cong/latyp insert HCPCS L5681 | not published | not published | $1,628.34 – $4,266.25 | 18 |
| Intracranial complete study CPT 93886 | not published | not published | $1,554.93 – $1,554.93 | 1 |
| Intracranial limited study CPT 93888 | not published | not published | $888.56 – $888.56 | 1 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $15,877.99 – $15,877.99 | 1 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $15,524.53 – $15,524.53 | 1 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $483.09 – $483.09 | 1 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $901.15 – $901.15 | 1 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $340.66 – $340.66 | 1 |
| Intraoral periapical first HCPCS D0220 | not published | not published | $70.82 – $70.82 | 1 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $399.32 – $399.32 | 1 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $2,465.95 – $2,465.95 | 1 |
| Intrinsic factor antibody CPT 86340 | $561.58 | $561.58 | $15.08 – $39.51 | 18 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $236.72 – $236.72 | 1 |
| Intro cath dialysis circuit CPT 36901 | not published | not published | $2,918.07 – $2,918.07 | 1 |
| Intro cath dialysis circuit w/pta CPT 36902 | not published | not published | $6,850.74 – $6,850.74 | 1 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $36,186.20 – $36,186.20 | 1 |
| Intro catheter aorta CPT 36200 | not published | not published | $2,860.12 – $2,860.12 | 1 |
| Intro cath svc/ivc CPT 36010 | not published | not published | $2,533.98 – $2,533.98 | 1 |
| Intro long gi tube CPT 44500 | not published | not published | $140.43 – $140.43 | 1 |
| Intro long gi tube w/mult fluo CPT 74340 | not published | not published | $484.73 – $484.73 | 1 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | not published | not published | $8,737.31 – $8,737.31 | 1 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | not published | not published | $898.65 – $898.65 | 1 |
| Intubation endotracheal emergency procedure CPT 31500 | not published | not published | $1,015.83 – $1,015.83 | 1 |
| Io anal gast n-stim init CPT 95980 | not published | not published | $325.42 – $325.42 | 1 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $232.78 – $232.78 | 1 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | not published | $15,524.96 – $15,524.96 | 1 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $146.01 – $146.01 | 1 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $376.71 – $376.71 | 1 |
| Ionm in operatng room 15 min CPT 95940 | not published | not published | $232.42 – $232.42 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | not published | not published | $0.41 – $2.43 | 2 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | not published | not published | $0.14 – $0.86 | 2 |
| Io radiation tx management CPT 77469 | not published | not published | $1,343.05 – $1,343.05 | 1 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $2.07 – $2.07 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $180.22 – $1,079.28 | 2 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | not published | not published | $55.00 – $816.24 | 2 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | not published | not published | $55.00 – $1,185.37 | 2 |
| Ip/obs consltj new/est hi 80 CPT 99255 | not published | not published | $55.00 – $1,427.16 | 2 |
| Ip/obs consltj new/est sf 35 CPT 99252 | not published | not published | $55.00 – $530.38 | 2 |
| Ipratropium bromide comp HCPCS J7645 | not published | not published | $7.15 – $7.15 | 1 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.36 – $1.57 | 2 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $1.64 – $23.03 | 2 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $65.28 – $325.71 | 2 |
| Iron CPT 83540 | $70.53 | $70.53 | $6.47 – $16.95 | 18 |
| Iron binding capacity CPT 83550 | $78.43 | $78.43 | $8.74 – $22.90 | 18 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $17.23 – $100.58 | 2 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $6.88 – $18.03 | 18 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | not published | not published | $0.24 – $1.65 | 2 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $261.31 – $261.31 | 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.