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 |
|---|---|---|---|---|
| Socket insert below knee HCPCS L5655 | not published | not published | $375.45 – $983.68 | 18 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $465.36 – $1,219.24 | 18 |
| Socket insert symes HCPCS L5654 | not published | not published | $482.61 – $1,264.44 | 18 |
| Socket insert without lock mech HCPCS L5679 | not published | not published | $747.37 – $1,958.11 | 18 |
| Socket insert w lock mech HCPCS L5673 | not published | not published | $896.90 – $2,349.88 | 18 |
| Sock fracture or equal each HCPCS L3995 | not published | not published | $47.94 – $125.60 | 18 |
| Sock wool above knee HCPCS L8430 | not published | not published | $27.95 – $73.23 | 18 |
| Sodium 24 hour urine CPT 84300 | $125.93 | $125.93 | $5.06 – $13.26 | 18 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | not published | not published | $2.47 – $18.81 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | not published | not published | $1.24 – $9.44 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | not published | $0.62 – $4.86 | 2 |
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | not published | $0.21 – $0.21 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | not published | not published | $1.94 – $16.31 | 2 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $73.96 – $610.21 | 2 |
| Sodium serum/plasma/whole blood CPT 84295 | $156.63 | $156.63 | $4.81 – $12.60 | 18 |
| Soft interface below knee se HCPCS L2820 | not published | not published | $99.79 – $261.45 | 18 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,345.31 – $3,524.71 | 17 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,195.83 – $3,133.07 | 17 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $3,288.51 – $8,615.90 | 17 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,046.35 – $2,741.44 | 17 |
| Solid skin barrier HCPCS A4362 | not published | not published | $4.56 – $11.95 | 18 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $10.17 – $26.65 | 18 |
| Somatosensory testing CPT 95927 | not published | not published | $745.34 – $745.34 | 1 |
| Somatropin injection HCPCS J2941 | not published | not published | $828.18 – $828.18 | 1 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,989.55 – $7,832.62 | 17 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $896.87 – $2,349.80 | 17 |
| So vest canvas/web pre ots HCPCS L3675 | not published | not published | $197.33 – $517.00 | 18 |
| Spacer bag/reservoir HCPCS A4627 | not published | not published | $82.12 – $82.12 | 1 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $1,201.18 – $1,201.18 | 1 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $1,318.64 – $1,318.64 | 1 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $847.78 – $847.78 | 1 |
| Special casting material HCPCS A4590 | not published | not published | $188.43 – $188.43 | 1 |
| Special physics consult CPT 77370 | not published | not published | $501.60 – $501.60 | 1 |
| Special pump services CPT 99190 | not published | not published | $3,005.70 – $3,005.70 | 1 |
| Special pump services CPT 99191 | not published | not published | $2,104.12 – $2,104.12 | 1 |
| Special pump services CPT 99192 | not published | not published | $1,505.14 – $1,505.14 | 1 |
| Special radiation dosimetry CPT 77331 | not published | not published | $78.12 – $78.12 | 1 |
| Special radiation treatment CPT 77470 | not published | not published | $126.58 – $126.58 | 1 |
| Special teletx port plan CPT 77321 | not published | not published | $180.66 – $180.66 | 1 |
| Specific gravity body fluid CPT 84315 | not published | not published | $3.28 – $8.59 | 18 |
| Specimen fat stain CPT 89125 | not published | not published | $5.88 – $15.41 | 18 |
| Speech audiometry complete CPT 92556 | not published | not published | $260.54 – $260.54 | 1 |
| Speech evaluation complex CPT 70371 | not published | not published | $189.22 – $189.22 | 1 |
| Speech recep thresh CPT 92555 | not published | not published | $163.89 – $163.89 | 1 |
| Sperm antibody test CPT 89325 | not published | not published | $10.67 – $27.96 | 18 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.59 – $51.33 | 18 |
| Sperm washing 58323 CPT 58323 | not published | not published | $21.75 – $21.75 | 1 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $796.85 – $796.85 | 1 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $896.57 – $896.57 | 1 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $1,010.03 – $1,010.03 | 1 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | not published | not published | $325.71 – $325.71 | 1 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $620.58 – $620.58 | 1 |
| Spleen imaging CPT 78185 | not published | not published | $645.99 – $645.99 | 1 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $8,216.17 – $8,216.17 | 1 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $16,518.97 – $16,518.97 | 1 |
| Splicing of ureters CPT 50770 | not published | not published | $8,333.92 – $8,333.92 | 1 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | not published | not published | $444.32 – $1,164.12 | 18 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | not published | not published | $60.42 – $158.30 | 18 |
| Splint finger 4 prong foam sm HCPCS A4570 | not published | not published | $84.56 – $84.56 | 1 |
| Splint finger fold over sm HCPCS L3924 | not published | not published | $97.81 – $256.26 | 18 |
| Splint finger frog med HCPCS L3927 | not published | not published | $39.34 – $103.07 | 18 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $2.68 – $7.02 | 18 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | not published | not published | $97.81 – $256.26 | 18 |
| Split blood or products CPT 86985 | not published | not published | $227.93 – $227.93 | 1 |
| Split flat caliper stirr & p HCPCS L2230 | not published | not published | $92.77 – $243.06 | 18 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $109.88 – $109.88 | 1 |
| Spring-ass rot wrst with latch HCPCS L6623 | not published | not published | $824.65 – $2,160.58 | 18 |
| Sputum specimen collection CPT 89220 | not published | not published | $139.29 – $139.29 | 1 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $41,417.99 – $41,417.99 | 1 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $1,144.68 – $1,144.68 | 1 |
| Srs cran les complex addl CPT 61799 | not published | not published | $246.03 – $246.03 | 1 |
| Srs cran les simple addl CPT 61797 | not published | not published | $178.28 – $178.28 | 1 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $175.40 – $459.55 | 17 |
| Srs linear based CPT 77372 | not published | not published | $4,421.90 – $4,421.90 | 1 |
| Srs multisource CPT 77371 | not published | not published | $2,280.42 – $2,280.42 | 1 |
| Staggered spondaic word test CPT 92572 | not published | not published | $361.98 – $361.98 | 1 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $6,908.33 – $6,908.33 | 1 |
| Stainless steel any wrist HCPCS L6630 | not published | not published | $351.80 – $921.72 | 18 |
| St analysis behavior qualitative voice/resonance CPT 92524 | not published | not published | $107.53 – $287.70 | 18 |
| Stance phase only HCPCS L5858 | not published | not published | $23,006.90 – $60,278.08 | 18 |
| Standard control cable extra HCPCS L6655 | not published | not published | $113.34 – $296.95 | 18 |
| Staph a dna amp probe CPT 87640 | not published | not published | $35.09 – $91.94 | 18 |
| Static or dynami afo pre ots HCPCS L4397 | not published | not published | $207.40 – $543.39 | 18 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $67.83 – $177.71 | 18 |
| Stationary o2 contents, liq HCPCS E0442 | not published | not published | $67.83 – $177.71 | 18 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | not published | not published | $100.34 – $269.91 | 18 |
| Stem cells total count CPT 86367 | not published | not published | $77.78 – $203.78 | 18 |
| Stenger test pure tone CPT 92565 | not published | not published | $105.95 – $105.95 | 1 |
| Stenger test speech CPT 92577 | not published | not published | $98.65 – $98.65 | 1 |
| Stereoscopic x-ray guidance HCPCS G6002 | not published | not published | $386.16 – $386.16 | 1 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $10,006.67 – $10,006.67 | 1 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $355.23 – $1,764.35 | 2 |
| Sterile gauze <= 16 sq in HCPCS A6402 | not published | not published | $0.15 – $0.39 | 18 |
| Sterile water/saline, 10 ml HCPCS A4216 | not published | not published | $0.54 – $1.41 | 18 |
| Sterile water/saline, 500 ml HCPCS A4217 | not published | not published | $4.47 – $11.71 | 18 |
| Sternal debridement CPT 21627 | not published | not published | $3,805.05 – $3,805.05 | 1 |
| Sternal pad HCPCS L1050 | not published | not published | $123.34 – $323.15 | 18 |
| St evaluate speech sound production CPT 92522 | not published | not published | $109.44 – $293.68 | 18 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | not published | not published | $225.15 – $595.19 | 18 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | not published | not published | $89.54 – $239.70 | 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.