MEDICAL CITY FORT WORTH HOSPITAL
900 EIGHTH AVENUE, FT WORTH, TX · Medicalcityhealthcare · · NPI 1659323772
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 |
|---|---|---|---|---|
| Synthetic sentence id test CPT 92576 | not published | not published | $78.89 – $258.11 | 2 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $8.97 – $55.00 | 5 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | not published | not published | $2.64 – $17.47 | 34 |
| System recell skin grafting/harvesting HCPCS C1832 | not published | not published | $3.35 – $3.35 | 1 |
| T3 (triiodothyronine) free CPT 84481 | $717.98 | $717.98 | $10.16 – $67.14 | 34 |
| T3 (triiodothyronine) total CPT 84480 | $779.35 | $779.35 | $8.51 – $56.38 | 34 |
| T4 (thyroxine) free CPT 84439 | $644.34 | $644.34 | $5.41 – $36.24 | 34 |
| T4 (thyroxine) total CPT 84436 | $731.79 | $731.79 | $4.12 – $26.85 | 34 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.55 – $3.57 | 5 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.76 – $11.07 | 5 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.18 – $12.52 | 5 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $2,016.45 | $2,016.45 | $247.41 – $1,586.75 | 5 |
| Tacrolimus therapeutic drug level CPT 80197 | $770.16 | $770.16 | $8.24 – $55.04 | 34 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $13.51 – $85.20 | 5 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $3,412.55 – $15,731.27 | 2 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $3,142.66 – $14,469.93 | 2 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,898.29 – $8,796.90 | 2 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $68.27 – $445.05 | 5 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $67.90 – $438.09 | 5 |
| Talymed HCPCS Q4127 | not published | not published | $66.44 – $414.43 | 4 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | $57.26 | $57.26 | $1.21 – $12.09 | 3 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $57.57 – $71.96 | 9 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $47.45 – $59.31 | 9 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.47 – $1.31 | 28 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,567.44 | $2,567.44 | $455.72 – $3,008.40 | 33 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $1,751.76 – $11,566.50 | 33 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $358.75 – $2,368.06 | 30 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,523.65 – $9,484.88 | 5 |
| Tas congenital car anomal CPT 33741 | not published | not published | $1,195.84 – $1,195.84 | 1 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $119.87 – $747.38 | 11 |
| Tavr perq femoral CPT 33361 | not published | not published | $2,105.77 – $2,105.77 | 1 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.36 – $2.83 | 5 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $82.20 – $542.35 | 30 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $51.47 – $56.07 | 2 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $12.86 – $14.01 | 2 |
| Tbs techl calculation only CPT 77091 | not published | not published | $102.49 – $328.72 | 3 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $102.07 – $328.72 | 3 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $644.34 | $644.34 | $60.00 – $396.02 | 34 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $882.16 | $882.16 | $37.19 – $245.65 | 34 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $867.45 – $3,290.70 | 4 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $70.00 – $8,834.82 | 6 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $70.00 – $22,628.62 | 6 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $1,321.02 – $5,265.12 | 4 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $70.00 – $600.91 | 6 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $70.00 – $12,498.66 | 6 |
| Tc-99m exametazime diag HCPCS A9521 | $5,894.03 | $5,894.03 | $70.00 – $12,498.66 | 6 |
| Tc-99m fanolesomab diag HCPCS A9566 | $9,050.72 | $9,050.72 | $529.20 – $7,481.34 | 2 |
| Tc-99m gluceptate HCPCS A9550 | not published | not published | $52.04 – $70.00 | 2 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $542.19 – $1,078.06 | 2 |
| Tc-99m labeled rbc HCPCS A9560 | $1,734.80 | $1,734.80 | $70.00 – $801.79 | 6 |
| Tc-99m maa HCPCS A9540 | $2,855.81 | $2,855.81 | $50.14 – $185.16 | 6 |
| Tc-99m mebrofenin HCPCS A9537 | $1,818.66 | $1,818.66 | $70.00 – $474.86 | 6 |
| Tc-99m medronate HCPCS A9503 | $348.14 | $348.14 | $31.95 – $111.60 | 6 |
| Tc-99m mertiatide HCPCS A9562 | $2,027.70 | $2,027.70 | $70.00 – $6,651.01 | 5 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $7.53 – $7.53 | 1 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $70.00 – $377.72 | 6 |
| Tc-99m pentetate dtpa HCPCS A9539 | $1,516.44 | $1,516.44 | $47.39 – $268.98 | 6 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | not published | not published | $34.72 – $173.33 | 5 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $23.97 | $23.97 | $4.15 – $70.00 | 6 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $522.00 | $522.00 | $65.59 – $395.31 | 6 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $2,895.76 | $2,895.76 | $70.00 – $916.39 | 6 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $70.00 – $5,145.66 | 6 |
| Tc-99m sulfur colloid HCPCS A9541 | $4,323.00 | $4,323.00 | $70.00 – $1,650.17 | 6 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $324.56 | $324.56 | $70.00 – $836.63 | 6 |
| Tc-99m tilmanocept diag HCPCS A9520 | $4,736.26 | $4,736.26 | $1,614.32 – $4,083.28 | 4 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $371.69 – $951.73 | 3 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $106.88 – $264.51 | 10 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $106.88 – $264.51 | 10 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $549.97 – $1,569.38 | 2 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $446.13 – $574.30 | 2 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $4,240.42 | $4,240.42 | $28.19 – $186.61 | 34 |
| T cells absolute cd 4 count CPT 86361 | $432.63 | $432.63 | $16.07 – $106.04 | 34 |
| T cells total count CPT 86359 | $282.28 | $282.28 | $22.64 – $148.99 | 34 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $59.54 – $1,053.95 | 2 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $433.77 – $521.15 | 2 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $521.22 – $521.22 | 1 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $720.60 – $3,278.25 | 2 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $1,593.74 – $7,413.95 | 2 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $90.15 – $261.25 | 2 |
| Team conf without pat by phys CPT 99367 | not published | not published | $136.93 – $401.54 | 2 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $4.79 – $101.22 | 2 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $208.32 – $1,313.61 | 5 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $1,606.74 – $1,606.74 | 1 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $1,606.74 – $1,606.74 | 1 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $72.91 – $196.95 | 28 |
| Telavancin injection HCPCS J3095 | $3,081.51 | $3,081.51 | $6.88 – $45.20 | 5 |
| Telehealth original site facility fee HCPCS Q3014 | not published | not published | $30.08 – $31.01 | 2 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $231.65 – $573.35 | 3 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $127.82 – $317.19 | 3 |
| Temozolomide HCPCS J8700 | $190.44 | $190.44 | $0.37 – $14.18 | 5 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.10 – $62.87 | 5 |
| Temperature gradient studies CPT 93740 | not published | not published | $57.73 – $326.51 | 2 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $29.41 – $195.39 | 5 |
| Tendon lengthening CPT 26476 | not published | not published | $1,088.27 – $4,051.43 | 11 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $1,088.27 – $4,051.43 | 11 |
| Tendon shortening CPT 26477 | not published | not published | $1,088.27 – $4,051.43 | 11 |
| Tendon transfer with graft CPT 26492 | not published | not published | $1,088.27 – $4,051.43 | 11 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $157.59 – $1,040.41 | 5 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $5,951.94 – $15,623.39 | 3 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $2,398.52 – $8,853.29 | 11 |
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.