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 |
|---|---|---|---|---|
| Rib gusset (elastic) each HCPCS L1280 | not published | not published | $99.14 – $259.75 | 18 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | not published | not published | $0.14 – $0.14 | 1 |
| Right heart cath congenital CPT 93530 | not published | not published | $5,353.76 – $5,353.76 | 1 |
| Rilonacept injection HCPCS J2793 | not published | not published | $142.29 – $142.29 | 1 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $7.26 – $19.02 | 18 |
| Ring flange plas/leather mol HCPCS L1110 | not published | not published | $296.08 – $775.73 | 18 |
| Ring flange plastic/leather HCPCS L1100 | not published | not published | $203.03 – $531.94 | 18 |
| Ring fx reform 11-13x17mm HCPCS L8610 | not published | not published | $812.14 – $2,127.81 | 18 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | not published | not published | $7.26 – $19.02 | 18 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | not published | not published | $14.86 – $14.86 | 1 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | not published | not published | $10.50 – $67.32 | 2 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | not published | not published | $76.43 – $76.43 | 1 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $37.53 – $37.53 | 1 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | not published | not published | $34.76 – $34.76 | 1 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $33.09 – $33.09 | 1 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | not published | not published | $24.94 – $24.94 | 1 |
| R & l heart cath congenital CPT 93531 | not published | not published | $15,645.43 – $15,645.43 | 1 |
| R & l heart cath congenital CPT 93532 | not published | not published | $10,697.50 – $10,697.50 | 1 |
| R & l heart cath congenital CPT 93533 | not published | not published | $9,610.50 – $9,610.50 | 1 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $7,847.47 – $7,847.47 | 1 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $340.66 – $340.66 | 1 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $4,472.71 – $4,472.71 | 1 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $468.64 – $468.64 | 1 |
| Rmvl icd by tv extr CPT 33244 | not published | not published | $6,139.73 – $6,139.73 | 1 |
| Rmvl icd pulse gen only CPT 33241 | not published | not published | $1,532.32 – $1,532.32 | 1 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $3,556.25 – $3,556.25 | 1 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $16,752.82 – $16,752.82 | 1 |
| Rmvl pq iabp CPT 33968 | not published | not published | $242.22 – $242.22 | 1 |
| Rmvl sq defib electrode CPT 33272 | not published | not published | $2,493.42 – $2,493.42 | 1 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $108.66 – $108.66 | 1 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $8,571.78 – $8,571.78 | 1 |
| Rmvl tv pm lead dual CPT 33235 | not published | not published | $4,548.47 – $4,548.47 | 1 |
| Rmvl tv pm lead sgl CPT 33234 | not published | not published | $3,459.17 – $3,459.17 | 1 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | not published | not published | $326.14 – $326.14 | 1 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | not published | not published | $17,212.23 – $17,212.23 | 1 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | not published | not published | $20,341.76 – $20,341.76 | 1 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | not published | not published | $14,202.88 – $14,202.88 | 1 |
| Robot lin-radsurg com, first HCPCS G0339 | not published | not published | $17,774.80 – $17,774.80 | 1 |
| Robt lin-radsurg fractx 2-5 HCPCS G0340 | not published | not published | $13,367.98 – $13,367.98 | 1 |
| Rocker bottom, contact afo HCPCS L2232 | not published | not published | $119.38 – $312.78 | 18 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $1.79 – $15.81 | 2 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | not published | not published | $31.54 – $31.54 | 1 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | not published | not published | $10.52 – $10.52 | 1 |
| Romiplostim injection HCPCS J2796 | not published | not published | $510.77 – $510.77 | 1 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | not published | not published | $11.49 – $11.49 | 1 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | not published | not published | $0.06 – $0.72 | 2 |
| Rotation wrst with cable lock HCPCS L6625 | not published | not published | $868.15 – $2,274.55 | 18 |
| Rotavirus antibody CPT 86759 | not published | not published | $18.23 – $47.76 | 18 |
| Round caliper and plate atta HCPCS L2240 | not published | not published | $96.11 – $251.81 | 18 |
| Routine footcare pt w lops HCPCS G0247 | not published | not published | $335.79 – $335.79 | 1 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $22.84 – $22.84 | 1 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | not published | not published | $923.70 – $923.70 | 1 |
| Rpr acq av fistula thrx&abd CPT 35189 | not published | not published | $10,806.24 – $10,806.24 | 1 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $7,140.61 – $7,140.61 | 1 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $6,677.48 – $6,677.48 | 1 |
| Rpr blvs gr ot/th vn ntrth w CPT 35271 | not published | not published | $9,864.81 – $9,864.81 | 1 |
| Rpr blvs gr ot/t vn ntrth wo CPT 35276 | not published | not published | $10,434.17 – $10,434.17 | 1 |
| Rpr blvsl gr ot/th vn ntr-ab CPT 35281 | not published | not published | $11,554.44 – $11,554.44 | 1 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | not published | not published | $12,469.40 – $12,469.40 | 1 |
| Rpr blvsl vn grf ntrthrc w/b CPT 35241 | not published | not published | $10,355.12 – $10,355.12 | 1 |
| Rpr cgen av fistula thrx&abd CPT 35182 | not published | not published | $12,756.91 – $12,756.91 | 1 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | not published | $7,795.39 – $7,795.39 | 1 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $6,668.75 – $6,668.75 | 1 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $6,041.16 – $6,041.16 | 1 |
| Rpr hypopl a-arch w/byp CPT 33853 | not published | not published | $13,093.27 – $13,093.27 | 1 |
| Rpr hypopl a-arch wo byp CPT 33852 | not published | not published | $9,985.28 – $9,985.28 | 1 |
| Rpr&refitg spect xcp aphakia CPT 92370 | not published | not published | $216.97 – $216.97 | 1 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $79.33 – $79.33 | 1 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $16,793.17 – $16,793.17 | 1 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $13,998.65 – $13,998.65 | 1 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $13,241.86 – $13,241.86 | 1 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $12,848.62 – $12,848.62 | 1 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $13,518.99 – $13,518.99 | 1 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $16,949.05 – $16,949.05 | 1 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $16,640.22 – $16,640.22 | 1 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $16,548.44 – $16,548.44 | 1 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $15,145.38 – $15,145.38 | 1 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $15,591.56 – $15,591.56 | 1 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $14,754.08 – $14,754.08 | 1 |
| Rsv assay w/optic CPT 87807 | not published | not published | $13.10 – $34.32 | 18 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $21.53 – $56.41 | 17 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $51.19 – $134.12 | 17 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $51.85 – $135.85 | 17 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $54.02 – $141.53 | 17 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $41.38 – $108.42 | 17 |
| Rubella antibody igg CPT 86762 | not published | not published | $14.39 – $37.70 | 18 |
| Rubeola ag if CPT 87283 | not published | not published | $60.80 – $159.30 | 18 |
| Rubeola antibody igg CPT 86765 | not published | not published | $12.88 – $33.75 | 18 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $329.51 – $863.32 | 17 |
| Russell viper venom diluted CPT 85613 | not published | not published | $9.58 – $25.10 | 18 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $917.08 – $2,402.75 | 18 |
| Sach foot, replacement HCPCS L5971 | not published | not published | $278.64 – $730.04 | 18 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $35.80 – $35.80 | 1 |
| Safety plan interven HCPCS G0560 | not published | not published | $35.18 – $35.18 | 1 |
| Salivary gland function exam CPT 78232 | not published | not published | $336.89 – $336.89 | 1 |
| Salivary gland imaging CPT 78230 | not published | not published | $633.16 – $633.16 | 1 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $348.28 – $348.28 | 1 |
| Salmonella antibody CPT 86768 | not published | not published | $13.19 – $34.56 | 18 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $5,961.18 – $5,961.18 | 1 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $787.41 – $787.41 | 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.