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 |
|---|---|---|---|---|
| Shoe heel new leather standa HCPCS L3455 | not published | not published | $50.31 – $131.81 | 18 |
| Shoe heel new rubber standar HCPCS L3460 | not published | not published | $42.41 – $111.11 | 18 |
| Shoe heel pad & depress for HCPCS L3480 | not published | not published | $76.99 – $201.71 | 18 |
| Shoe heel sach cushion type HCPCS L3450 | not published | not published | $130.40 – $341.65 | 18 |
| Shoe heel thomas extend to b HCPCS L3470 | not published | not published | $76.99 – $201.71 | 18 |
| Shoe heel thomas with wedge HCPCS L3465 | not published | not published | $72.28 – $189.37 | 18 |
| Shoe lift elev heel/sole neo HCPCS L3310 | not published | not published | $100.56 – $263.47 | 18 |
| Shoe metatarsal bar between HCPCS L3410 | not published | not published | $114.74 – $300.62 | 18 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | not published | not published | $50.31 – $131.81 | 18 |
| Shoe outflare wedge HCPCS L3390 | not published | not published | $61.28 – $160.55 | 18 |
| Shoe post-op mens m HCPCS L3260 | not published | not published | $89.35 – $89.35 | 1 |
| Shoe sole wedge between sole HCPCS L3370 | not published | not published | $61.28 – $160.55 | 18 |
| Shoe sole wedge outside sole HCPCS L3360 | not published | not published | $44.00 – $115.28 | 18 |
| Shoe wedge sach HCPCS L3340 | not published | not published | $105.25 – $275.75 | 18 |
| Sho heel count plast reinfor HCPCS L3430 | not published | not published | $197.99 – $518.73 | 18 |
| Sho insert w arch toe filler HCPCS L5000 | not published | not published | $824.75 – $2,160.85 | 18 |
| Sho lift taper to metatarsal HCPCS L3300 | not published | not published | $64.41 – $168.75 | 18 |
| Shortening of thigh bone CPT 27465 | not published | not published | $8,574.42 – $8,574.42 | 1 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $9,540.60 – $9,540.60 | 1 |
| Shoulder abduction joint pai HCPCS L6640 | not published | not published | $441.57 – $1,156.91 | 18 |
| Shoulder flexion-abduction j HCPCS L6645 | not published | not published | $493.10 – $1,291.92 | 18 |
| Shoulder harness HCPCS L5699 | not published | not published | $228.26 – $598.04 | 18 |
| Shoulder lock actuator HCPCS L6647 | not published | not published | $642.79 – $1,684.11 | 18 |
| Shoulder MRI (with and without contrast) CPT 73223 | not published | not published | $1,462.38 – $1,462.38 | 1 |
| Shoulder MRI (with contrast) CPT 73222 | not published | not published | $1,200.27 – $1,200.27 | 1 |
| Shoulder MRI (without contrast) CPT 73221 | not published | not published | $681.84 – $681.84 | 1 |
| Shoulder universal joint HCPCS L6650 | not published | not published | $517.73 – $1,356.45 | 18 |
| Shoulder X-ray CPT 73030 | not published | not published | $79.55 – $79.55 | 1 |
| Shrinker prosth above knee HCPCS L8460 | not published | not published | $94.08 – $246.49 | 18 |
| Shrinker prosth below knee HCPCS L8440 | not published | not published | $54.07 – $141.66 | 18 |
| Shrinker upper limb HCPCS L8465 | not published | not published | $67.04 – $175.64 | 18 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $9,398.46 – $9,398.46 | 1 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $9,398.46 – $9,398.46 | 1 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $9,156.95 – $9,156.95 | 1 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $301.71 – $301.71 | 1 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $9,012.02 – $9,012.02 | 1 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $9,512.92 – $9,512.92 | 1 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $10,164.98 – $10,164.98 | 1 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $12.22 – $32.02 | 18 |
| Sialography s&i CPT 70390 | not published | not published | $301.76 – $301.76 | 1 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $458.98 – $458.98 | 1 |
| Sickling rbc CPT 85660 | $220.13 | $220.13 | $5.51 – $14.44 | 18 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $19,989.37 – $19,989.37 | 1 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $1,124.56 – $1,124.56 | 1 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $1,452.13 – $1,452.13 | 1 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $125.26 – $125.26 | 1 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $91.78 – $91.78 | 1 |
| Silicon gel insert w/wo lock HCPCS L6692 | not published | not published | $871.10 – $2,282.28 | 18 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $765.45 – $765.45 | 1 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | not published | not published | $143.26 – $750.14 | 2 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $161.46 – $161.46 | 1 |
| Single pivot hinge pair HCPCS L6605 | not published | not published | $302.33 – $792.10 | 18 |
| Single transfer toe-hand CPT 26553 | not published | not published | $23,140.57 – $23,140.57 | 1 |
| Sinus CT scan (with and without contrast) CPT 70488 | not published | not published | $565.21 – $565.21 | 1 |
| Sinus CT scan (with contrast) CPT 70487 | not published | not published | $447.02 – $447.02 | 1 |
| Sinus CT scan (without contrast) CPT 70486 | not published | not published | $387.17 – $387.17 | 1 |
| Sinus/juglr venogram s&i CPT 75860 | not published | not published | $354.44 – $354.44 | 1 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $296.87 – $777.80 | 18 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $129.31 – $338.79 | 18 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $57,017.10 – $310,609.58 | 2 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $1.14 – $55.73 | 2 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $117.63 – $117.63 | 1 |
| Six volt bat otto bock/eq ea HCPCS L7360 | not published | not published | $294.78 – $772.32 | 18 |
| Skeletal muscle relaxant 1/2 CPT 80369 | not published | not published | $112.39 – $112.39 | 1 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $100.24 – $100.24 | 1 |
| Skin barrier with flange HCPCS A4373 | not published | not published | $8.94 – $23.42 | 18 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $42.11 – $42.11 | 1 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $17,788.75 – $17,788.75 | 1 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $5,576.88 – $5,576.88 | 1 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $174.81 – $458.00 | 17 |
| Sleep study attended CPT 95807 | not published | not published | $2,722.27 – $2,722.27 | 1 |
| Sleep Study (Polysomnography) CPT 95810 | not published | not published | $3,448.30 – $3,448.30 | 1 |
| Sleep study unattended CPT 95806 | not published | not published | $743.63 – $743.63 | 1 |
| Sleeve fing rolyan med HCPCS L3933 | not published | not published | $239.91 – $628.56 | 18 |
| Sleeve irr assura 1pc disp HCPCS A4397 | not published | not published | $38.56 – $38.56 | 1 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $21,836.67 – $21,836.67 | 1 |
| Sling arm deluxe w/pad xs HCPCS A4565 | not published | not published | $10.98 – $28.77 | 18 |
| Sling pelv split sam med HCPCS L0621 | not published | not published | $72.14 – $189.01 | 18 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $4.79 – $30.86 | 2 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $26.54 – $88.32 | 2 |
| Slp pure tone screening CPT 92551 | not published | not published | $12.33 – $84.20 | 2 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $282.29 – $282.29 | 1 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $76.06 – $77.33 | 2 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $107,964.43 – $107,964.43 | 1 |
| Small animal inoculation CPT 87003 | not published | not published | $16.84 – $44.12 | 18 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,118.05 – $1,118.05 | 1 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $5,763.66 – $5,763.66 | 1 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $286.20 – $286.20 | 1 |
| Smear fluorescent and/or acid fast stain CPT 87206 | not published | not published | $5.39 – $14.12 | 18 |
| Smear gram stain CPT 87205 | not published | not published | $4.27 – $11.19 | 18 |
| Smear nasal eosinophil CPT 89190 | not published | not published | $5.79 – $15.17 | 18 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $365.32 | $365.32 | $5.99 – $15.69 | 18 |
| Smear wet mount CPT 87210 | not published | not published | $5.82 – $15.25 | 18 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $301.35 – $789.54 | 17 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $185.20 – $485.22 | 17 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $47.00 – $123.14 | 17 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $51.07 – $133.80 | 17 |
| So airplane w/wo joint cf HCPCS L3674 | not published | not published | $1,329.12 – $3,482.29 | 18 |
| So cap design without jnts cf HCPCS L3671 | not published | not published | $1,013.18 – $2,654.53 | 18 |
| Socket insert above knee HCPCS L5658 | not published | not published | $445.13 – $1,166.24 | 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.