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 |
|---|---|---|---|---|
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $5.13 – $13.44 | 18 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $11,887.30 – $11,887.30 | 1 |
| Ureteral reflux study CPT 78740 | not published | not published | $798.38 – $798.38 | 1 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $7,980.81 – $7,980.81 | 1 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $8,086.76 – $8,086.76 | 1 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | not published | not published | $269.57 – $269.57 | 1 |
| Urethrocystography void s&i CPT 74455 | not published | not published | $264.68 – $264.68 | 1 |
| Uric acid blood CPT 84550 | $75.06 | $75.06 | $4.52 – $11.84 | 18 |
| Uric acid urine CPT 84560 | $266.10 | $266.10 | $5.08 – $13.31 | 18 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.70 – $12.31 | 18 |
| Urinalysis microscopic only CPT 81015 | not published | not published | $3.05 – $7.99 | 18 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.17 – $5.69 | 18 |
| Urinalysis (with microscopy) CPT 81001 | $221.92 | $221.92 | $3.17 – $8.31 | 18 |
| Urinalysis (without microscopy) CPT 81003 | not published | not published | $2.25 – $5.90 | 18 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $293.19 – $293.19 | 1 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $4.53 – $11.87 | 18 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $8.57 – $22.45 | 18 |
| Urinary reflex study CPT 51792 | not published | not published | $1,086.29 – $1,086.29 | 1 |
| Urinary suspensory HCPCS A5105 | not published | not published | $58.11 – $152.25 | 18 |
| Urine Culture Test CPT 87086 | $392.74 | $392.74 | $8.07 – $21.14 | 18 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $47.93 – $47.93 | 1 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $9.29 – $24.34 | 18 |
| Urine pregnancy test CPT 81025 | $164.72 | $164.72 | $8.61 – $22.56 | 18 |
| Urine screen for bacteria CPT 81007 | not published | not published | $29.98 – $78.55 | 18 |
| Urine shunt to intestine CPT 50815 | not published | not published | $8,827.24 – $8,827.24 | 1 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $9.34 – $24.47 | 17 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $1,074.34 – $1,074.34 | 1 |
| Urography, antegrade CPT 74425 | not published | not published | $241.44 – $241.44 | 1 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $347.31 – $347.31 | 1 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $2,702.95 – $2,702.95 | 1 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $54.08 – $54.08 | 1 |
| User adjustable heel height HCPCS L5990 | not published | not published | $2,245.81 – $5,884.02 | 18 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $12.81 – $87.85 | 2 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $1,366.57 – $1,366.57 | 1 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $161.65 – $161.65 | 1 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $147.06 – $147.06 | 1 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $155.90 – $155.90 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $87.78 – $87.78 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $65.55 – $65.55 | 1 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $31.79 – $193.08 | 2 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $109.84 – $701.13 | 2 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $67.83 – $430.94 | 2 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $166.10 – $166.10 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $127.27 – $828.61 | 2 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $32.41 – $212.89 | 2 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $14.08 – $84.99 | 2 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $72.16 – $419.49 | 2 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $140.38 – $821.67 | 2 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $41.33 – $259.54 | 2 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $245.66 – $245.66 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $75.15 – $187.00 | 2 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $70.38 – $465.85 | 2 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $177.56 – $937.85 | 2 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $31.67 – $187.00 | 2 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $326.07 – $1,669.75 | 2 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $1,305.19 – $1,305.19 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $83.49 – $381.79 | 2 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $83.49 – $391.09 | 2 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $21.86 – $126.55 | 2 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $63.42 | $63.42 | $22.35 – $141.43 | 2 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $127.62 – $127.62 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $156.02 – $156.02 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $136.13 – $136.13 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $67.24 – $67.24 | 1 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $192.29 – $192.29 | 1 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $381.79 – $381.79 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $36.85 – $159.46 | 2 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $10.93 – $43.07 | 2 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $251.35 – $1,215.34 | 2 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $201.68 – $899.36 | 2 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $179.52 – $947.44 | 2 |
| Vaccine mmr live subcutaneous CPT 90707 | $315.37 | $315.37 | $100.91 – $575.30 | 2 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $294.85 – $1,725.26 | 2 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $695.70 | $695.70 | $133.47 – $770.81 | 2 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $257.99 – $1,467.30 | 2 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $1,220.45 | $1,220.45 | $261.15 – $261.15 | 1 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $312.90 – $312.90 | 1 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $45.20 – $259.68 | 2 |
| Vaccine rabies im CPT 90675 | $1,630.83 | $1,630.83 | $317.67 – $2,084.87 | 2 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $312.70 – $312.70 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $550.94 – $550.94 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $550.94 – $550.94 | 1 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $311.64 – $311.64 | 1 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $155.84 – $956.81 | 2 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $104.75 – $674.95 | 2 |
| Vaccine tdap >=7 years im CPT 90715 | not published | not published | $39.07 – $221.05 | 2 |
| Vaccine td preservative free >= 7 years im CPT 90714 | not published | not published | $33.96 – $165.61 | 2 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $726.96 – $726.96 | 1 |
| Vaccine varicella live subcutaneous CPT 90716 | $86.16 | $86.16 | $193.98 – $994.08 | 2 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $1,031.42 – $1,031.42 | 1 |
| Vacuum drain bottle/tube kit HCPCS A7048 | not published | not published | $60.62 – $158.82 | 18 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | not published | not published | $579.49 – $1,518.26 | 18 |
| Vad cable power module dc input HCPCS Q0478 | not published | not published | $227.49 – $596.02 | 18 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | not published | not published | $5,170.85 – $13,547.63 | 18 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $6,940.16 – $6,940.16 | 1 |
| Vag hyst including t/o CPT 58262 | not published | not published | $6,458.79 – $6,458.79 | 1 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $6,189.52 – $6,189.52 | 1 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $6,486.69 – $6,486.69 | 1 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $14,709.29 – $14,709.29 | 1 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $5,795.36 – $5,795.36 | 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.