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 |
|---|---|---|---|---|
| Ortho shoe add full sole HCPCS L3540 | not published | not published | $62.84 – $164.64 | 18 |
| Ortho shoe add half sole HCPCS L3530 | not published | not published | $39.27 – $102.89 | 18 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $36.18 – $94.79 | 18 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $51.84 – $135.82 | 18 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $160.94 – $421.66 | 18 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | not published | not published | $511.39 – $1,339.84 | 18 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $125.30 – $1,057.25 | 2 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | not published | not published | $375.75 – $984.47 | 18 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | not published | not published | $1,115.05 – $2,921.43 | 18 |
| Oscillation chest wall mechanical per session CPT 94669 | not published | not published | $223.55 – $223.55 | 1 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $39.27 – $102.89 | 18 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $28.26 – $74.04 | 18 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $105.25 – $275.75 | 18 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $80.14 – $209.97 | 18 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $11.02 – $28.87 | 18 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $66.01 – $172.95 | 18 |
| Osmolality blood CPT 83930 | $152.90 | $152.90 | $6.61 – $17.32 | 18 |
| Osmolality urine CPT 83935 | $166.26 | $166.26 | $6.82 – $17.87 | 18 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $84.56 – $84.56 | 1 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $89.42 – $89.42 | 1 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $99.08 – $99.08 | 1 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $11,363.51 – $11,363.51 | 1 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $2,593.72 – $2,593.72 | 1 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $11,256.85 – $11,256.85 | 1 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $12,318.67 – $12,318.67 | 1 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $7,845.96 – $7,845.96 | 1 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $3.38 – $8.86 | 18 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $69.65 – $182.48 | 18 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $3.89 – $10.19 | 18 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $5.10 – $13.36 | 18 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $6.78 – $17.76 | 18 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $2.46 – $6.45 | 18 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $12.88 – $33.75 | 18 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $12.14 – $31.81 | 18 |
| Ot evaluation high complexity patient/family CPT 97167 | not published | not published | $88.67 – $232.31 | 18 |
| Ot evaluation low complexity patient/family CPT 97165 | not published | not published | $88.67 – $232.31 | 18 |
| Ot evaluation moderate complexity patient/family CPT 97166 | not published | not published | $88.67 – $232.31 | 18 |
| Other bone graft microvasc CPT 20962 | not published | not published | $18,959.16 – $18,959.16 | 1 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $23.13 – $60.60 | 18 |
| Oth resp proc, group HCPCS G0239 | not published | not published | $88.99 – $88.99 | 1 |
| Oth resp proc, indiv HCPCS G0238 | not published | not published | $69.68 – $69.68 | 1 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | not published | not published | $44.05 – $115.42 | 18 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | not published | not published | $40.55 – $106.24 | 18 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | not published | not published | $24.42 – $63.98 | 18 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $135.28 – $135.28 | 1 |
| Ot re-evaluation patient/family CPT 97168 | not published | not published | $60.34 – $158.10 | 18 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $192.47 | $192.47 | $30.87 – $80.88 | 18 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | not published | not published | $20.86 – $55.47 | 18 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | not published | not published | $19.77 – $51.78 | 18 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $192.47 | $192.47 | $25.60 – $67.07 | 18 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | not published | not published | $28.84 – $75.56 | 18 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $190.18 | $190.18 | $28.53 – $74.75 | 18 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $11,227.73 – $11,227.73 | 1 |
| Out of office emerg med serv CPT 99060 | not published | not published | $168.54 – $168.54 | 1 |
| Outrigger HCPCS L1080 | not published | not published | $65.87 – $172.58 | 18 |
| Outrigger bil with vert extens HCPCS L1085 | not published | not published | $198.91 – $521.14 | 18 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $985.78 – $985.78 | 1 |
| Ovulation tests CPT 84830 | not published | not published | $12.70 – $33.27 | 18 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $0.64 – $13.02 | 2 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | not published | not published | $0.05 – $1.22 | 2 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $20.39 – $20.39 | 1 |
| Oxytetracycline injection HCPCS J2460 | not published | not published | $1.29 – $1.29 | 1 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | not published | not published | $9.01 – $9.01 | 1 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $2,493.49 – $2,493.49 | 1 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $2,617.18 – $2,617.18 | 1 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $137.00 – $358.94 | 17 |
| Packing strips, non-impreg HCPCS A6407 | not published | not published | $2.66 – $6.97 | 18 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | not published | not published | $0.13 – $1.00 | 2 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | not published | not published | $13.06 – $82.98 | 2 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $676.50 – $1,772.43 | 17 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $301.35 – $789.54 | 17 |
| Palifermin injection HCPCS J2425 | not published | not published | $33.99 – $145.15 | 2 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $360.51 – $360.51 | 1 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | not published | not published | $14.74 – $78.26 | 2 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $10,718.39 – $10,718.39 | 1 |
| Palonosetron hcl HCPCS J2469 | not published | not published | $0.50 – $122.61 | 2 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | not published | not published | $13.88 – $68.25 | 2 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $22,094.42 – $22,094.42 | 1 |
| Pancreatectomy CPT 48146 | not published | not published | $13,377.78 – $13,377.78 | 1 |
| Pancreatectomy CPT 48152 | not published | not published | $20,560.31 – $20,560.31 | 1 |
| Pancreatectomy CPT 48154 | not published | not published | $20,647.08 – $20,647.08 | 1 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $11,132.59 – $11,132.59 | 1 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $9,584.74 – $9,584.74 | 1 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | not published | not published | $164.92 – $818.24 | 2 |
| Papaverin hcl injection HCPCS J2440 | not published | not published | $214.97 – $214.97 | 1 |
| Parathormone (pth) intact CPT 83970 | $808.30 | $808.30 | $41.28 – $108.15 | 18 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $9,810.73 – $9,810.73 | 1 |
| Parathyrd planar w/spect&ct CPT 78072 | not published | not published | $1,416.36 – $1,416.36 | 1 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $1,731.34 – $1,731.34 | 1 |
| Parathyroid planar imaging CPT 78070 | not published | not published | $1,094.66 – $1,094.66 | 1 |
| Parathyroid planar img w/tomo spect CPT 78071 | not published | not published | $1,253.97 – $1,253.97 | 1 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $5,757.51 – $5,757.51 | 1 |
| Parenteral 50% dextrose solu HCPCS B4164 | not published | not published | $24.66 – $142.07 | 2 |
| Paricalcitol HCPCS J2501 | not published | not published | $0.81 – $3.93 | 2 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | not published | not published | $219.83 – $219.83 | 1 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $6,306.06 – $6,306.06 | 1 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $9,129.34 – $9,129.34 | 1 |
| Partial hip replacement CPT 27125 | not published | not published | $8,046.91 – $8,046.91 | 1 |
| Partial hysterectomy CPT 58180 | not published | not published | $6,780.21 – $6,780.21 | 1 |
| Partial proctectomy CPT 45113 | not published | not published | $13,656.84 – $13,656.84 | 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.