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 |
|---|---|---|---|---|
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $73.15 | $73.15 | $0.64 – $5.45 | 5 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $297.53 | $297.53 | $30.31 – $447.90 | 4 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $3.72 – $23.36 | 5 |
| Direct advanced life support CPT 99288 | not published | not published | $369.98 – $369.98 | 1 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $78.89 – $171.12 | 2 |
| Disability dlco CPT 94727 | not published | not published | $217.04 – $326.51 | 2 |
| Disaccharidases CPT 82657 | not published | not published | $13.30 – $87.28 | 34 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $709.01 – $2,401.66 | 11 |
| Disarticulation shoulder CPT 23920 | not published | not published | $1,731.88 – $8,000.98 | 2 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $2,359.67 – $10,581.90 | 2 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $323.23 – $1,486.18 | 2 |
| Discography cerv/thor spine CPT 72285 | $2,809.71 | $2,809.71 | $120.35 – $2,046.03 | 12 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $98.00 – $264.70 | 28 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $230.56 – $622.75 | 28 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $68.14 – $1,799.91 | 11 |
| Dissect brain w/scope CPT 62161 | not published | not published | $2,354.34 – $2,354.34 | 1 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | not published | not published | $77.96 – $80.37 | 2 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $585.65 – $2,702.10 | 2 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $5,627.05 – $6,802.36 | 2 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $1,781.49 – $8,219.74 | 2 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $1,954.22 – $7,178.78 | 11 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $498.72 – $2,301.27 | 2 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $0.02 – $95.33 | 11 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $461.91 – $2,140.60 | 2 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $167.40 – $1,104.84 | 33 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $164.90 – $1,088.70 | 30 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $82.20 – $542.35 | 30 |
| Dna antibody native/double stranded CPT 86225 | $806.98 | $806.98 | $8.24 – $55.04 | 34 |
| Dna gardnerella CPT 87510 | not published | not published | $12.03 – $79.19 | 34 |
| Dna probe chlamydia CPT 87490 | $389.68 | $389.68 | $13.65 – $89.95 | 34 |
| Dna probe gc CPT 87590 | $389.68 | $389.68 | $16.13 – $106.04 | 34 |
| Dna trichomonas CPT 87660 | not published | not published | $12.03 – $79.19 | 34 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | not published | not published | $7.91 – $48.29 | 5 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $0.59 – $8.35 | 5 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $3.83 – $296.98 | 5 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $6.06 – $44.14 | 4 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $94.25 – $724.24 | 4 |
| Domicil/r-home visit est pat CPT 99334 | not published | not published | $425.22 – $425.22 | 1 |
| Domicil/r-home visit est pat CPT 99335 | not published | not published | $670.80 – $670.80 | 1 |
| Domicil/r-home visit est pat CPT 99336 | not published | not published | $958.24 – $958.24 | 1 |
| Domicil/r-home visit est pat CPT 99337 | not published | not published | $1,369.72 – $1,369.72 | 1 |
| Domicil/r-home visit new pat CPT 99324 | not published | not published | $390.38 – $390.38 | 1 |
| Domicil/r-home visit new pat CPT 99325 | not published | not published | $568.93 – $568.93 | 1 |
| Domicil/r-home visit new pat CPT 99326 | not published | not published | $987.57 – $987.57 | 1 |
| Domicil/r-home visit new pat CPT 99327 | not published | not published | $1,319.86 – $1,319.86 | 1 |
| Domicil/r-home visit new pat CPT 99328 | not published | not published | $1,546.27 – $1,546.27 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | not published | not published | $0.69 – $3.99 | 5 |
| Doppler echo complete CPT 93320 | $2,563.69 | $2,563.69 | $84.20 – $246.37 | 2 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | not published | not published | $1,427.31 – $1,427.31 | 1 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | not published | not published | $128.31 – $429.05 | 11 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | not published | not published | $257.31 – $519.00 | 3 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $2.48 – $6.30 | 3 |
| Dornase alfa non-comp unit HCPCS J7639 | $1,072.42 | $1,072.42 | $51.98 – $333.77 | 5 |
| Dornhoffer fixed part w/window HCPCS L8614 | not published | not published | $22,984.63 – $62,082.21 | 28 |
| Dorsi & plantar flex ass/res HCPCS L2220 | $579.00 | $579.00 | $97.39 – $263.05 | 28 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $232.94 – $1,475.35 | 5 |
| Double transfer toe-hand CPT 26554 | not published | not published | $5,852.23 – $27,007.08 | 2 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $95.01 | $95.01 | $3.06 – $16.46 | 5 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $145.90 – $1,155.37 | 5 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | not published | not published | $0.12 – $0.73 | 5 |
| Dpyd gene common variants CPT 81232 | not published | not published | $104.89 – $692.72 | 30 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $20.95 – $64.11 | 28 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $131.78 – $716.09 | 11 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $147.56 – $716.09 | 11 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $113.23 – $1,670.17 | 11 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $107.14 – $716.09 | 11 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $815.20 – $3,431.96 | 11 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $815.20 – $3,431.96 | 11 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $87.58 – $301.39 | 11 |
| Drainage of abdomen CPT 48000 | not published | not published | $2,917.05 – $13,448.03 | 2 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $486.45 – $2,031.45 | 11 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $815.20 – $3,431.96 | 11 |
| Drainage of bone lesion CPT 26992 | not published | not published | $1,488.13 – $6,785.00 | 2 |
| Drainage of bone lesion CPT 27303 | not published | not published | $983.02 – $4,512.77 | 2 |
| Drainage of eye CPT 65800 | not published | not published | $849.94 – $2,992.35 | 11 |
| Drainage of eye CPT 65810 | not published | not published | $849.94 – $2,992.35 | 11 |
| Drainage of eye CPT 65815 | not published | not published | $849.94 – $2,992.35 | 11 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $593.04 – $2,005.98 | 11 |
| Drainage of kidney lesion CPT 50390 | not published | not published | $257.60 – $902.81 | 11 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $87.58 – $301.39 | 11 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $420.64 – $1,997.02 | 11 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $420.64 – $1,997.02 | 11 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $886.62 – $3,876.55 | 11 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $187.22 – $653.75 | 11 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $187.22 – $653.75 | 11 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $1,954.22 – $7,178.78 | 11 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $886.62 – $3,876.55 | 11 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $420.64 – $1,997.02 | 11 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $87.58 – $239.51 | 11 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $180.23 – $545.39 | 11 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $593.04 – $2,005.98 | 11 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $1,088.27 – $4,051.43 | 11 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $1,142.90 – $4,467.44 | 11 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $1,142.90 – $3,564.61 | 11 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $1,142.90 – $4,467.44 | 11 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $429.26 – $1,486.25 | 11 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $939.93 – $3,469.39 | 11 |
| Drainage of salivary gland CPT 42305 | not published | not published | $886.62 – $3,876.55 | 11 |
| Drainage of salivary gland CPT 42320 | not published | not published | $187.22 – $653.75 | 11 |
| Drainage of spinal cyst CPT 63172 | not published | not published | $2,158.05 – $10,019.69 | 2 |
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.