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 |
|---|---|---|---|---|
| T3 (triiodothyronine) free CPT 84481 | $236.01 | $236.01 | $16.94 – $44.38 | 18 |
| T3 (triiodothyronine) total CPT 84480 | $378.79 | $378.79 | $14.18 – $37.15 | 18 |
| T4 (thyroxine) free CPT 84439 | $429.38 | $429.38 | $9.02 – $23.63 | 18 |
| T4 (thyroxine) total CPT 84436 | $206.73 | $206.73 | $6.87 – $18.00 | 18 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.57 – $3.36 | 2 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.81 – $9.01 | 2 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.19 – $4.51 | 2 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $255.06 – $1,470.94 | 2 |
| Tacrolimus therapeutic drug level CPT 80197 | $635.55 | $635.55 | $13.73 – $35.97 | 18 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $13.93 – $13.93 | 1 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $15,731.27 – $15,731.27 | 1 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $14,469.93 – $14,469.93 | 1 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $8,796.90 – $8,796.90 | 1 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $70.38 – $357.61 | 2 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $70.00 – $70.00 | 1 |
| Talymed HCPCS Q4127 | not published | not published | $68.49 – $68.49 | 1 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $12.09 – $12.09 | 1 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $702.99 – $702.99 | 1 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $456.55 – $456.55 | 1 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.50 – $1.31 | 18 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $759.53 – $1,989.97 | 17 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $2,919.60 – $7,649.35 | 17 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $597.91 – $1,566.52 | 17 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,570.77 – $1,570.77 | 1 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $432.44 – $432.44 | 1 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.37 – $4.15 | 2 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $137.00 – $358.94 | 17 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $566.87 | $566.87 | $100.00 – $262.00 | 18 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | not published | not published | $61.98 – $162.39 | 18 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $3,290.70 – $3,290.70 | 1 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $8,834.82 – $8,834.82 | 1 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $3,194.20 – $3,194.20 | 1 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $5,265.12 – $5,265.12 | 1 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $600.91 – $600.91 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $12,498.66 – $12,498.66 | 1 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $12,498.66 – $12,498.66 | 1 |
| Tc-99m fanolesomab diag HCPCS A9566 | not published | not published | $7,481.34 – $7,481.34 | 1 |
| Tc-99m labeled rbc HCPCS A9560 | not published | not published | $801.79 – $801.79 | 1 |
| Tc-99m maa HCPCS A9540 | not published | not published | $171.26 – $171.26 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | not published | not published | $474.86 – $474.86 | 1 |
| Tc-99m medronate HCPCS A9503 | not published | not published | $111.60 – $111.60 | 1 |
| Tc-99m mertiatide HCPCS A9562 | not published | not published | $6,651.01 – $6,651.01 | 1 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $377.72 – $377.72 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | not published | not published | $268.98 – $268.98 | 1 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | not published | not published | $173.33 – $173.33 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | not published | not published | $28.11 – $28.11 | 1 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | not published | not published | $343.38 – $343.38 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | not published | not published | $916.39 – $916.39 | 1 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $5,145.66 – $5,145.66 | 1 |
| Tc-99m sulfur colloid HCPCS A9541 | not published | not published | $459.05 – $459.05 | 1 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | not published | not published | $836.63 – $836.63 | 1 |
| Tc-99m tilmanocept diag HCPCS A9520 | not published | not published | $4,024.96 – $4,024.96 | 1 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $951.73 – $951.73 | 1 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $1,980.14 – $1,980.14 | 1 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $1,791.64 – $1,791.64 | 1 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $1,569.38 – $1,569.38 | 1 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $457.59 | $457.59 | $46.98 – $123.09 | 18 |
| T cells absolute cd 4 count CPT 86361 | not published | not published | $26.78 – $70.16 | 18 |
| T cells total count CPT 86359 | $723.14 | $723.14 | $37.73 – $98.85 | 18 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $285.00 – $1,053.95 | 2 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $478.00 – $521.15 | 2 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $521.22 – $565.00 | 2 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $3,278.25 – $3,278.25 | 1 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $7,413.95 – $7,413.95 | 1 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $261.25 – $261.25 | 1 |
| Team conf without pat by phys CPT 99367 | not published | not published | $401.54 – $401.54 | 1 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $4.79 – $4.79 | 1 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $214.76 – $214.76 | 1 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $75.17 – $196.95 | 18 |
| Telavancin injection HCPCS J3095 | not published | not published | $7.09 – $39.13 | 2 |
| Telehealth original site facility fee HCPCS Q3014 | not published | not published | $31.01 – $184.28 | 2 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $573.35 – $573.35 | 1 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $317.19 – $317.19 | 1 |
| Temozolomide HCPCS J8700 | not published | not published | $0.38 – $5.29 | 2 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.41 – $75.47 | 2 |
| Temperature gradient studies CPT 93740 | not published | not published | $57.73 – $57.73 | 1 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $30.32 – $527.59 | 2 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $162.46 – $871.03 | 2 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $15,623.39 – $15,623.39 | 1 |
| Tenolysis triceps CPT 24332 | not published | not published | $4,326.20 – $4,326.20 | 1 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $5,117.26 – $5,117.26 | 1 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $1,016.97 – $1,016.97 | 1 |
| Tension based scoliosis orth HCPCS L1005 | not published | not published | $3,954.38 – $10,360.48 | 18 |
| Tens suppl 2 lead per month HCPCS A4595 | not published | not published | $12.84 – $33.64 | 18 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | not published | not published | $1.41 – $14.16 | 2 |
| Teriparatide injection HCPCS J3110 | not published | not published | $343.74 – $343.74 | 1 |
| Term dev auto grasp feature HCPCS L6881 | not published | not published | $5,060.90 – $13,259.56 | 18 |
| Term device, multi art digit HCPCS L6715 | not published | not published | $3,908.27 – $10,239.67 | 18 |
| Term dev mech hand vol close HCPCS L6709 | not published | not published | $1,728.38 – $4,528.36 | 18 |
| Term dev mech hand vol open HCPCS L6708 | not published | not published | $1,178.02 – $3,086.41 | 18 |
| Term dev mech hook vol close HCPCS L6707 | not published | not published | $1,752.80 – $4,592.34 | 18 |
| Term dev mech hook vol open HCPCS L6706 | not published | not published | $492.59 – $1,290.59 | 18 |
| Term dev modifier wrist unit HCPCS L6805 | not published | not published | $520.97 – $1,364.94 | 18 |
| Term dev, passive hand mitt HCPCS L6703 | not published | not published | $404.88 – $1,060.79 | 18 |
| Term dev precision pinch dev HCPCS L6810 | not published | not published | $304.48 – $797.74 | 18 |
| Term dev, sport/rec/work att HCPCS L6704 | not published | not published | $949.50 – $2,487.69 | 18 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $185.20 – $485.22 | 17 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $6.01 – $15.75 | 18 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.82 – $15.25 | 18 |
| Test for urine cystines CPT 82615 | not published | not published | $9.55 – $25.02 | 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.