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 |
|---|---|---|---|---|
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $709.01 – $2,401.66 | 11 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $97.18 – $411.09 | 11 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $939.93 – $3,469.39 | 11 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $1,063.52 – $3,697.19 | 11 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $98.83 – $3,273.52 | 11 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $73.09 – $2,086.48 | 11 |
| Detect agent nos dna dir CPT 87797 | $679.64 | $679.64 | $18.02 – $119.47 | 34 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $26.20 – $173.18 | 34 |
| Determination venous press CPT 93770 | not published | not published | $19.56 – $57.73 | 2 |
| Determine refractive state CPT 92015 | not published | not published | $46.78 – $140.64 | 2 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $23.81 – $69.68 | 2 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $326.51 – $326.51 | 1 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $63,023.00 | $63,023.00 | $12.59 – $12.59 | 1 |
| Device intraute mirena HCPCS J7298 | not published | not published | $2,519.43 – $7,802.97 | 4 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $28.63 – $107.17 | 3 |
| Devise bowel pouch CPT 44316 | not published | not published | $2,191.13 – $10,073.77 | 2 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $69.68 – $185.35 | 2 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $140.33 – $140.33 | 1 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | not published | not published | $27.88 – $86.99 | 12 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $107.36 – $614.12 | 5 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $4.11 – $7.08 | 3 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.02 – $0.12 | 5 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | not published | not published | $0.07 – $0.73 | 5 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $199.08 – $1,242.15 | 12 |
| Dexamethasone panel CPT 80420 | not published | not published | $97.13 – $641.68 | 34 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $1.45 – $2.04 | 2 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $78.53 – $653.98 | 5 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $91.53 – $628.63 | 4 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $87.86 – $103.87 | 2 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $2.43 – $4.31 | 3 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $174.50 | $174.50 | $1.21 – $8.23 | 5 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | not published | not published | $9.98 – $49.26 | 4 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $164.78 | $164.78 | $1.77 – $26.15 | 5 |
| Dextrose 5 % IV bolus HCPCS J7070 | $178.45 | $178.45 | $3.53 – $52.30 | 5 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $1,149.11 | $1,149.11 | $13.34 – $88.61 | 34 |
| Diabetes (HbA1c) Test CPT 83036 | $602.93 | $602.93 | $5.83 – $38.95 | 34 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $64.52 – $64.52 | 1 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $232.65 – $712.12 | 28 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $37.31 – $119.97 | 28 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $37.31 – $119.97 | 28 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $37.31 – $119.97 | 28 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $14.78 – $41.82 | 28 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $77.56 – $237.45 | 28 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $37.31 – $119.97 | 28 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $525.71 – $2,117.30 | 11 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $1,888.85 – $7,153.89 | 11 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $161.36 – $451.75 | 3 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $437.23 – $1,486.25 | 3 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $134.54 – $328.50 | 3 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $111.93 – $448.11 | 6 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $97.01 – $351.45 | 6 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $56.20 – $201.85 | 11 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $68.14 – $201.85 | 11 |
| Diagnostic Mammogram (both breasts) CPT 77066 | not published | not published | $104.84 – $285.40 | 28 |
| Diagnostic Mammogram (one breast) CPT 77065 | not published | not published | $82.29 – $222.52 | 28 |
| Diagnostic radio unlisted proc CPT 76499 | $436.21 | $436.21 | $83.86 – $328.72 | 11 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $12,015.43 – $12,015.43 | 1 |
| Dialysis one evaluation CPT 90945 | not published | not published | $606.20 – $606.20 | 1 |
| Dialysis repeated eval CPT 90947 | not published | not published | $880.19 – $880.19 | 1 |
| Dialysis training complete CPT 90989 | not published | not published | $2,521.89 – $2,521.89 | 1 |
| Dialysis training incompl CPT 90993 | not published | not published | $547.33 – $547.33 | 1 |
| Diathermy eg microwave CPT 97024 | not published | not published | $6.89 – $19.00 | 28 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.08 – $0.42 | 6 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | not published | not published | $5.62 – $37.33 | 5 |
| Dicyclomine injection HCPCS J0500 | $425.40 | $425.40 | $12.47 – $96.88 | 5 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.46 – $1.45 | 3 |
| Diffusing capacity CPT 94729 | $2,089.09 | $2,089.09 | $110.57 – $311.26 | 2 |
| Digital analysis of eeg CPT 95957 | not published | not published | $397.19 – $1,255.05 | 2 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $218.05 | $218.05 | $4.73 – $24.20 | 5 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $24,632.92 | $24,632.92 | $4,819.52 – $30,064.88 | 5 |
| Digoxin total therapeutic drug level CPT 80162 | not published | not published | $7.97 – $52.38 | 34 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $1,651.29 | $1,651.29 | $83.18 – $669.71 | 5 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $2,217.50 – $2,217.50 | 1 |
| Dilate esophagus CPT 43453 | not published | not published | $564.97 – $2,304.95 | 11 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $334.95 – $1,163.16 | 11 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $524.84 – $524.84 | 1 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $262.42 – $262.42 | 1 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $747.27 – $747.27 | 1 |
| Dilate tear duct opening CPT 68801 | not published | not published | $67.67 – $538.11 | 3 |
| Dilate urethra stricture CPT 53600 | not published | not published | $34.88 – $252.66 | 11 |
| Dilate urethra stricture CPT 53601 | not published | not published | $39.07 – $161.36 | 11 |
| Dilate urethra stricture CPT 53605 | not published | not published | $1,142.90 – $3,564.61 | 11 |
| Dilate urethra stricture CPT 53621 | not published | not published | $94.13 – $252.66 | 11 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $39.59 – $130.12 | 11 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $429.26 – $1,486.25 | 11 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $39.86 – $3,273.52 | 11 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $429.26 – $1,486.25 | 11 |
| Dilation of salivary duct CPT 42660 | not published | not published | $57.03 – $545.39 | 11 |
| Dilation of urethra CPT 53661 | not published | not published | $29.60 – $161.36 | 11 |
| Dilation of urethra CPT 53665 | not published | not published | $652.80 – $2,621.89 | 11 |
| Dilation of vagina CPT 57400 | not published | not published | $1,063.52 – $3,697.19 | 11 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $37.38 – $1,569.03 | 11 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $92.46 – $705.14 | 11 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $1,142.90 – $3,564.61 | 11 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $1,142.90 – $4,467.44 | 11 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | not published | not published | $0.05 – $0.24 | 3 |
| Dimecaprol injection HCPCS J0470 | $1,470.49 | $1,470.49 | $194.65 – $389.30 | 3 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $1.52 – $46.83 | 5 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $5,189.44 | $5,189.44 | $693.28 – $4,495.29 | 5 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.07 – $2.34 | 4 |
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.