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 |
|---|---|---|---|---|
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | not published | not published | $131.99 – $523.13 | 12 |
| X-ray assay calculus CPT 82370 | not published | not published | $7.51 – $49.66 | 36 |
| X-ray bone age studies CPT 77072 | not published | not published | $26.06 – $153.55 | 12 |
| X-ray bone length studies CPT 77073 | not published | not published | $45.44 – $153.55 | 12 |
| X-ray bone survey complete CPT 77075 | not published | not published | $99.90 – $296.15 | 12 |
| X-ray bone survey infant CPT 77076 | not published | not published | $104.75 – $298.82 | 12 |
| X-ray cervical spine 2-3 views CPT 72040 | not published | not published | $39.76 – $116.51 | 12 |
| X-ray cervical spine 4-5 views CPT 72050 | not published | not published | $53.80 – $162.17 | 12 |
| X-ray cervical spine >= 6 views CPT 72052 | not published | not published | $62.81 – $193.03 | 12 |
| X-ray clavicle complete (both sides) CPT 73000 | not published | not published | $32.75 – $109.34 | 12 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $2,129.76 | $2,129.76 | $153.70 – $430.64 | 12 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $2,525.80 | $2,525.80 | $175.06 – $663.99 | 12 |
| X-ray consultation CPT 76140 | not published | not published | $22.71 – $283.33 | 4 |
| X-ray elbow 2 views (both sides) CPT 73070 | not published | not published | $29.40 – $109.34 | 12 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | not published | not published | $33.08 – $109.34 | 12 |
| Xray endovasc thor ao repr CPT 75956 | $5,095.92 | $5,095.92 | $421.14 – $421.14 | 1 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $361.53 – $361.53 | 1 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $2,088.22 | $2,088.22 | $97.56 – $285.69 | 12 |
| X-ray exam entire spi 4/5 vw CPT 72083 | not published | not published | $79.53 – $249.41 | 12 |
| X-ray exam entire spi 6/> vw CPT 72084 | not published | not published | $94.80 – $318.96 | 12 |
| X-ray exam of arm infant CPT 73092 | not published | not published | $55.44 – $153.55 | 12 |
| X-ray exam of eye sockets CPT 70200 | not published | not published | $48.11 – $153.55 | 12 |
| X-ray exam of femur 1 CPT 73551 | not published | not published | $29.40 – $109.34 | 12 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $34.75 – $109.34 | 12 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $82.86 – $319.26 | 12 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $38.43 – $153.55 | 12 |
| X-ray exam of middle ear CPT 70134 | $940.25 | $940.25 | $62.15 – $659.76 | 12 |
| X-ray exam of penis CPT 74445 | not published | not published | $104.75 – $248.37 | 12 |
| X-ray exam of perineum CPT 74775 | not published | not published | $154.52 – $525.78 | 12 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $37.76 – $119.22 | 12 |
| X-ray exam of sinuses CPT 70210 | not published | not published | $32.41 – $109.34 | 12 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $57.58 – $525.78 | 12 |
| X-ray exam of teeth CPT 70300 | not published | not published | $13.03 – $109.34 | 12 |
| X-ray exam of teeth CPT 70310 | $1,739.27 | $1,739.27 | $40.76 – $319.26 | 12 |
| X-ray exam si joints CPT 72200 | $750.55 | $750.55 | $33.41 – $153.55 | 12 |
| X-ray exam thorac spine4/>vw CPT 72074 | not published | not published | $44.78 – $153.55 | 12 |
| X-ray eye detection foreign body (both sides) CPT 70030 | not published | not published | $32.75 – $109.34 | 12 |
| X-ray facial bones complete > 3 views CPT 70150 | not published | not published | $47.45 – $153.55 | 12 |
| X-ray fallopian tube CPT 74742 | not published | not published | $43.44 – $122.64 | 2 |
| X-ray femur >=2 views (both sides) CPT 73552 | not published | not published | $35.75 – $109.34 | 12 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | not published | not published | $38.43 – $125.93 | 12 |
| X-ray foot 2 views (both sides) CPT 73620 | not published | not published | $28.74 – $109.34 | 12 |
| X-ray forearm 2 views (both sides) CPT 73090 | not published | not published | $29.40 – $109.34 | 12 |
| X-ray hand 2 views (both sides) CPT 73120 | not published | not published | $31.74 – $153.55 | 12 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $16.71 – $109.34 | 12 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | not published | not published | $28.74 – $109.34 | 12 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | not published | not published | $60.14 – $186.32 | 12 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $835.01 | $835.01 | $41.44 – $153.55 | 12 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $1,250.46 | $1,250.46 | $54.13 – $159.46 | 12 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $1,665.87 | $1,665.87 | $58.76 – $189.03 | 12 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | not published | not published | $33.08 – $109.34 | 12 |
| X-ray humerus >= 2 views left CPT 73060 | not published | not published | $32.08 – $109.34 | 12 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $47.11 – $153.55 | 12 |
| X-ray knee 1-2 views (both sides) CPT 73560 | not published | not published | $34.41 – $109.34 | 12 |
| X-ray knee 3 views (both sides) CPT 73562 | not published | not published | $41.10 – $127.27 | 12 |
| X-ray knee ap standing bilateral CPT 73565 | $967.96 | $967.96 | $40.10 – $127.27 | 12 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | not published | not published | $55.44 – $109.34 | 12 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | not published | not published | $40.76 – $153.55 | 12 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | not published | not published | $52.13 – $156.79 | 12 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | not published | not published | $61.48 – $190.36 | 12 |
| X-ray male genital tract CPT 74440 | not published | not published | $97.56 – $321.92 | 12 |
| X-ray mandible complete > 4 views CPT 70110 | not published | not published | $43.78 – $153.55 | 12 |
| X-ray mandible ltd <4 views CPT 70100 | not published | not published | $39.09 – $120.55 | 12 |
| X-ray nasal bones complete > 3 views CPT 70160 | not published | not published | $37.76 – $120.55 | 12 |
| X-ray neck soft tissue CPT 70360 | not published | not published | $31.41 – $109.34 | 12 |
| X-ray nose to rectum for foreign body child CPT 76010 | not published | not published | $48.47 – $109.34 | 12 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $69.50 – $319.26 | 12 |
| X-ray optic foramina CPT 70190 | not published | not published | $37.76 – $109.34 | 12 |
| X-ray pelvis 1-2 views CPT 72170 | not published | not published | $28.06 – $153.55 | 12 |
| X-ray pelvis complete > 3 views CPT 72190 | not published | not published | $42.44 – $153.55 | 12 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $209.29 – $209.29 | 1 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $240.17 – $240.17 | 1 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,924.82 | $1,924.82 | $63.69 – $213.17 | 12 |
| X-ray ribs 2 views left CPT 71100 | not published | not published | $36.75 – $109.34 | 12 |
| X-ray ribs 3 views bilateral CPT 71110 | not published | not published | $44.10 – $153.55 | 12 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | not published | not published | $42.44 – $153.55 | 12 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $1,172.89 | $1,172.89 | $52.79 – $153.55 | 12 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | not published | not published | $39.43 – $153.55 | 12 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | not published | not published | $32.75 – $109.34 | 12 |
| X-ray scapula complete (both sides) CPT 73010 | not published | not published | $24.06 – $153.55 | 12 |
| X-ray sella turcica CPT 70240 | $589.91 | $589.91 | $33.08 – $109.34 | 12 |
| X-ray shoulder 1 view (both sides) CPT 73020 | not published | not published | $21.71 – $109.34 | 12 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | not published | not published | $37.76 – $109.80 | 12 |
| X-ray sinus tract/fistula/abscess CPT 76080 | not published | not published | $59.81 – $659.76 | 12 |
| X-ray skull < 4 views CPT 70250 | not published | not published | $36.09 – $153.55 | 12 |
| X-ray skull > 4 views complete CPT 70260 | not published | not published | $44.78 – $153.55 | 12 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $2,077.14 | $2,077.14 | $89.55 – $249.41 | 12 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $3,326.19 | $3,326.19 | $121.96 – $346.07 | 12 |
| X-ray small intestine follow-through study CPT 74248 | $757.47 | $757.47 | $65.66 – $119.75 | 11 |
| X-ray spine single view CPT 72020 | not published | not published | $24.39 – $109.34 | 12 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | not published | not published | $41.44 – $124.56 | 12 |
| X-ray sternum > 2 views CPT 71120 | not published | not published | $33.75 – $109.34 | 12 |
| X-ray surgical specimen CPT 76098 | $789.32 | $789.32 | $42.78 – $659.76 | 12 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $2,088.22 | $2,088.22 | $124.96 – $410.54 | 12 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | not published | not published | $53.13 – $167.55 | 12 |
| X-ray thoracic spine 2 views CPT 72070 | not published | not published | $33.08 – $153.55 | 12 |
| X-ray thoracic spine 3 views CPT 72072 | not published | not published | $39.76 – $153.55 | 12 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | not published | not published | $34.75 – $109.34 | 12 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | not published | not published | $42.78 – $121.89 | 12 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | not published | not published | $70.50 – $222.59 | 12 |
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.