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 |
|---|---|---|---|---|
| Peri-proc device eval pm CPT 93286 | not published | not published | $101.08 – $101.08 | 1 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $241.44 – $241.44 | 1 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $896.66 – $896.66 | 1 |
| Permanent tear duct plug HCPCS A4263 | not published | not published | $193.22 – $193.22 | 1 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $26.75 – $70.09 | 18 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $2,347.37 – $6,150.11 | 18 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $7.80 – $7.80 | 1 |
| Perphenazine injeciton HCPCS J3310 | not published | not published | $53.72 – $53.72 | 1 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $5,919.76 – $5,919.76 | 1 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $5,687.91 – $5,687.91 | 1 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $28,009.24 – $28,009.24 | 1 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $29,862.05 – $29,862.05 | 1 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $30,482.85 – $30,482.85 | 1 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $3,417.47 – $3,417.47 | 1 |
| Perq transcath closure each CPT 93592 | not published | not published | $2,849.03 – $2,849.03 | 1 |
| Perq transcath closure pda CPT 93582 | not published | not published | $4,768.66 – $4,768.66 | 1 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $6,473.88 – $6,473.88 | 1 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $7,797.75 – $7,797.75 | 1 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $5,326.72 – $5,326.72 | 1 |
| Pertussis ag if CPT 87265 | not published | not published | $11.98 – $31.39 | 18 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $16.23 – $84.91 | 2 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $62.99 – $62.99 | 1 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | not published | not published | $72.96 – $191.16 | 18 |
| Pessary reusable rub anytype HCPCS A4561 | not published | not published | $29.33 – $76.84 | 18 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $5,449.23 – $5,449.23 | 1 |
| Pet CT whole body initial CPT 78816 | not published | not published | $5,449.23 – $5,449.23 | 1 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $5,449.19 – $5,449.19 | 1 |
| Pet image full body CPT 78813 | not published | not published | $5,449.23 – $5,449.23 | 1 |
| Pet image ltd area CPT 78811 | not published | not published | $4,758.45 – $4,758.45 | 1 |
| Pet image skull-thigh CPT 78812 | not published | not published | $5,449.23 – $5,449.23 | 1 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $5,449.23 – $5,449.23 | 1 |
| Pet scan brain perf study CPT 78609 | not published | not published | $1,537.79 – $5,437.17 | 2 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $9.66 – $65.71 | 18 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $9.66 – $91.25 | 18 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $9.66 – $35.89 | 18 |
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $9.66 – $9.66 | 1 |
| Ph body fluid CPT 83986 | not published | not published | $3.58 – $9.38 | 18 |
| Phencyclidine (pcp) CPT 83992 | not published | not published | $151.89 – $151.89 | 1 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | not published | not published | $29.44 – $274.92 | 2 |
| Phenobarbital therapeutic drug level CPT 80184 | $268.02 | $268.02 | $15.30 – $40.09 | 18 |
| Phentolaine mesylate inj HCPCS J2760 | not published | not published | $449.30 – $1,137.44 | 2 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | not published | not published | $0.01 – $0.01 | 1 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.52 – $5.44 | 2 |
| Phenytoin total therapeutic drug level CPT 80185 | $260.92 | $260.92 | $13.25 – $34.72 | 18 |
| Phlebotomy therapeutic CPT 99195 | not published | not published | $695.91 – $695.91 | 1 |
| Phone e/m phys/qhp 11-20 min CPT 99442 | not published | not published | $9.66 – $9.66 | 1 |
| Phone e/m phys/qhp 21-30 min CPT 99443 | not published | not published | $9.66 – $9.66 | 1 |
| Phone e/m phys/qhp 5-10 min CPT 99441 | not published | not published | $9.66 – $9.66 | 1 |
| Phosphorus CPT 84100 | $34.94 | $34.94 | $4.74 – $12.42 | 18 |
| Phosphorus 24 hour urine CPT 84105 | not published | not published | $5.78 – $15.14 | 18 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $774.67 – $774.67 | 1 |
| Photochemotherapy puva CPT 96912 | not published | not published | $653.92 – $653.92 | 1 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $912.03 – $912.03 | 1 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $210.25 – $210.25 | 1 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $372.14 – $372.14 | 1 |
| Photo patch test CPT 95052 | not published | not published | $45.50 – $45.50 | 1 |
| Photopheresis CPT 36522 | not published | not published | $16,368.31 – $16,368.31 | 1 |
| Photosensitivity tests CPT 95056 | not published | not published | $313.33 – $313.33 | 1 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $499.68 – $499.68 | 1 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $502.74 – $502.74 | 1 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $502.74 – $502.74 | 1 |
| Physician standby services CPT 99360 | not published | not published | $436.95 – $436.95 | 1 |
| Phys review of motion tests CPT 96004 | not published | not published | $102.86 – $819.89 | 2 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | not published | not published | $2.45 – $30.69 | 2 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $212.46 – $212.46 | 1 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $274.83 – $720.05 | 17 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $2,826.50 – $2,826.50 | 1 |
| Pillow shldr abduc inflat univ HCPCS L3960 | not published | not published | $1,007.62 – $2,639.96 | 18 |
| Pinworm exam CPT 87172 | not published | not published | $4.27 – $11.19 | 18 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $4.27 – $11.19 | 18 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $43.84 | $43.84 | $1.12 – $14.95 | 2 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $579.48 – $1,518.24 | 18 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $7,377.61 – $7,377.61 | 1 |
| Placement bile duct support CPT 47801 | not published | not published | $7,607.17 – $7,607.17 | 1 |
| Placement nephrostomy catheter (both sides) CPT 50432 | not published | not published | $3,857.78 – $3,857.78 | 1 |
| Placement of drain pancreas CPT 48001 | not published | not published | $16,460.66 – $16,460.66 | 1 |
| Place needles h&n for right CPT 41019 | not published | not published | $3,417.89 – $3,417.89 | 1 |
| Placental lactogen CPT 83632 | not published | not published | $20.22 – $52.98 | 18 |
| Plaelet rich plasma unit HCPCS P9020 | not published | not published | $883.55 – $883.55 | 1 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | not published | not published | $755.00 – $755.00 | 1 |
| Plasmaprotein fract,5%,250ml HCPCS P9048 | not published | not published | $205.31 – $205.31 | 1 |
| Plasma protein fract,5%,50ml HCPCS P9043 | not published | not published | $101.44 – $101.44 | 1 |
| Plasma volume multiple CPT 78111 | not published | not published | $284.21 – $284.21 | 1 |
| Plasma volume single CPT 78110 | not published | not published | $304.16 – $304.16 | 1 |
| Plas shoe insert w ank joint HCPCS L2180 | not published | not published | $179.43 – $470.11 | 18 |
| Plastic mod low ext pad/line HCPCS L2275 | not published | not published | $150.13 – $393.34 | 18 |
| Plastic mold recipro hip & c HCPCS L2627 | not published | not published | $1,969.94 – $5,161.24 | 18 |
| Plastic surgery neck CPT 15819 | not published | not published | $5,594.98 – $5,594.98 | 1 |
| Plast socket jts/thgh lacer HCPCS L5105 | not published | not published | $4,252.97 – $11,142.78 | 18 |
| Platelet aggregation each agent teg CPT 85576 | not published | not published | $24.91 – $65.26 | 18 |
| Platelet automated CPT 85049 | $104.11 | $104.11 | $4.48 – $11.74 | 18 |
| Platelet pheresis each unit HCPCS P9034 | not published | not published | $3,013.14 – $3,013.14 | 1 |
| Platelet pheresis irr ea HCPCS P9036 | not published | not published | $3,966.37 – $3,966.37 | 1 |
| Platelets each unit HCPCS P9019 | not published | not published | $822.32 – $822.32 | 1 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | not published | not published | $5,503.48 – $5,503.48 | 1 |
| Platelets irradiated ea unit HCPCS P9032 | not published | not published | $1,281.51 – $1,281.51 | 1 |
| Platelets leukocytes reduced each unit HCPCS P9031 | not published | not published | $834.84 – $834.84 | 1 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | not published | not published | $1,199.32 – $1,199.32 | 1 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | not published | not published | $2,431.90 – $2,431.90 | 1 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | not published | not published | $3,861.78 – $3,861.78 | 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.