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 |
|---|---|---|---|---|
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $9.66 – $9.66 | 1 |
| Sargramostim injection HCPCS J2820 | not published | not published | $59.88 – $269.05 | 2 |
| Sars-cov-2 antb quantitative CPT 86413 | $54.05 | $54.05 | $51.43 – $134.75 | 18 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $161.54 – $161.54 | 1 |
| Sarscov coronavirus ag ia CPT 87426 | $65.44 | $65.44 | $35.33 – $92.56 | 18 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $70.29 – $184.16 | 18 |
| Sbrt management CPT 77435 | not published | not published | $2,660.04 – $2,660.04 | 1 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | not published | not published | $974.62 – $974.62 | 1 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | not published | not published | $87.53 – $961.67 | 2 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | not published | not published | $44.82 – $489.03 | 2 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | not published | not published | $58.96 – $646.41 | 2 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | not published | not published | $28.90 – $314.69 | 2 |
| Sbsq psyc collab care mgmt CPT 99493 | not published | not published | $316.41 – $316.41 | 1 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | not published | not published | $1,552.21 – $1,552.21 | 1 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | not published | not published | $862.02 – $862.02 | 1 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | not published | not published | $1,050.09 – $1,050.09 | 1 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | not published | not published | $663.93 – $663.93 | 1 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | not published | not published | $724.31 – $724.31 | 1 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,048.59 | $1,048.59 | $676.02 – $676.02 | 1 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | not published | not published | $1,525.53 – $1,525.53 | 1 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | not published | not published | $885.77 – $885.77 | 1 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | not published | not published | $726.74 – $726.74 | 1 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $5,358.37 – $14,038.93 | 18 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | not published | not published | $5,662.30 – $5,662.30 | 1 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $18.54 – $48.57 | 18 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $228.20 – $228.20 | 1 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $31.94 – $83.68 | 18 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $43.97 – $115.20 | 18 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $26.49 – $69.40 | 18 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $27.05 – $70.87 | 18 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $20.26 – $53.08 | 18 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $228.20 – $228.20 | 1 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $864.81 – $864.81 | 1 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $864.81 – $864.81 | 1 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $18.05 – $47.29 | 18 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $28.27 – $74.07 | 18 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $46.35 – $121.44 | 18 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $24.08 – $63.09 | 18 |
| Screening Mammogram CPT 77067 | not published | not published | $90.19 – $237.82 | 18 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $228.20 – $228.20 | 1 |
| Screening prostate cancer PSA HCPCS G0103 | not published | not published | $19.31 – $50.59 | 18 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $18.54 – $48.57 | 18 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | not published | $2.73 – $21.39 | 2 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $434.80 – $434.80 | 1 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $5,790.85 – $5,790.85 | 1 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | not published | not published | $362.41 – $362.41 | 1 |
| Sedimentation rate erythrocyte automated CPT 85652 | $206.95 | $206.95 | $2.70 – $7.07 | 18 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $10,200.03 – $10,200.03 | 1 |
| Select picture audiometry CPT 92583 | not published | not published | $337.80 – $337.80 | 1 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | not published | not published | $1.12 – $2.93 | 18 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | not published | not published | $93.86 – $93.86 | 1 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | not published | $67.24 – $67.24 | 1 |
| Semen analysis HCPCS G0027 | not published | not published | $6.50 – $17.03 | 18 |
| Semen analysis presence/motility CPT 89321 | not published | not published | $12.05 – $31.57 | 18 |
| Semen analysis w/count CPT 89310 | not published | not published | $8.61 – $22.56 | 18 |
| Sensorimotor examination CPT 92060 | not published | not published | $180.77 – $180.77 | 1 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $322.99 – $322.99 | 1 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $192.00 – $503.04 | 17 |
| Serial tonometry CPT 92100 | not published | not published | $321.27 – $321.27 | 1 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $12.88 – $12.88 | 1 |
| Serpina1 gene CPT 81332 | not published | not published | $43.65 – $114.36 | 17 |
| Sertraline (zoloft) - sendout CPT 80332 | not published | not published | $167.10 – $167.10 | 1 |
| Set radiation therapy field CPT 77280 | not published | not published | $988.24 – $988.24 | 1 |
| Set radiation therapy field CPT 77285 | not published | not published | $1,629.20 – $1,629.20 | 1 |
| Set radiation therapy field CPT 77290 | not published | not published | $1,799.95 – $1,799.95 | 1 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $291.23 – $291.23 | 1 |
| Set up port xray equipment HCPCS Q0092 | not published | not published | $173.55 – $173.55 | 1 |
| Sewhfo airplane without jnts cf HCPCS L3976 | not published | not published | $1,889.14 – $4,949.55 | 18 |
| Sewhfo airplane w/jnt(s) cf HCPCS L3978 | not published | not published | $2,230.51 – $5,843.94 | 18 |
| Sewhfo cap desgn w/jnt(s) cf HCPCS L3977 | not published | not published | $2,117.21 – $5,547.09 | 18 |
| Sewhfo cap design without jnt cf HCPCS L3975 | not published | not published | $1,889.14 – $4,949.55 | 18 |
| Sewho airplane without jnts cf HCPCS L3967 | not published | not published | $2,230.51 – $5,843.94 | 18 |
| Sewho airplane w/jnt(s) cf HCPCS L3973 | not published | not published | $2,230.51 – $5,843.94 | 18 |
| Sewho cap design without jnts cf HCPCS L3961 | not published | not published | $1,889.14 – $4,949.55 | 18 |
| Sewho cap design w/jnt(s) cf HCPCS L3971 | not published | not published | $2,117.21 – $5,547.09 | 18 |
| Sewho erbs palsey design abd HCPCS L3962 | not published | not published | $806.80 – $2,113.82 | 18 |
| Sex chromatin identification CPT 88130 | not published | not published | $17.98 – $47.11 | 18 |
| Sex chromatin identification CPT 88140 | not published | not published | $7.99 – $20.93 | 18 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $193.25 – $506.31 | 17 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $2,922.86 – $2,922.86 | 1 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | not published | not published | $454.19 – $454.19 | 1 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $311.62 – $311.62 | 1 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $562.85 – $562.85 | 1 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $582.17 – $582.17 | 1 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | not published | not published | $410.62 – $410.62 | 1 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | not published | not published | $478.30 – $478.30 | 1 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $531.45 – $531.45 | 1 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $526.58 – $526.58 | 1 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | not published | not published | $427.58 – $427.58 | 1 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $454.12 – $454.12 | 1 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | $533.88 – $533.88 | 1 |
| Sheath above knee HCPCS L8410 | not published | not published | $28.16 – $73.78 | 18 |
| Sheath below knee HCPCS L8400 | not published | not published | $19.27 – $50.49 | 18 |
| Sheath upper limb HCPCS L8415 | not published | not published | $28.64 – $75.04 | 18 |
| Shigella antibody CPT 86771 | not published | not published | $24.48 – $64.14 | 18 |
| Shlder disart int lock elbow HCPCS L6300 | not published | not published | $4,870.31 – $12,760.21 | 18 |
| Shldr disar prosth tiss shap HCPCS L6550 | not published | not published | $4,668.36 – $12,231.10 | 18 |
| Shldr disartic myoelectronic HCPCS L6965 | not published | not published | $23,134.40 – $60,612.13 | 18 |
| Shoe clubfoot wedge HCPCS L3380 | not published | not published | $61.28 – $160.55 | 18 |
| Shoe dennis browne splint bo HCPCS L3640 | not published | not published | $53.41 – $139.93 | 18 |
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.