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 |
|---|---|---|---|---|
| Impres&prep nasal prosth CPT 21087 | not published | not published | $529.34 – $5,986.39 | 11 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $87.58 – $239.51 | 11 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $1,466.18 – $5,986.39 | 2 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $519.92 – $3,352.73 | 11 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $1,042.08 – $3,352.73 | 3 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $1,168.67 – $3,352.73 | 3 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $294.29 – $1,569.03 | 11 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $41.85 – $261.95 | 5 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $70.00 – $30,700.10 | 6 |
| In-111 autol wbc diag per dose HCPCS A9570 | not published | not published | $70.00 – $30,700.10 | 6 |
| In-111 capromab pendet HCPCS A9507 | $23,449.59 | $23,449.59 | $70.00 – $27,132.26 | 6 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $70.00 – $30,045.54 | 6 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $3,782.47 | $3,782.47 | $70.00 – $15,350.05 | 6 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $4,500.07 | $4,500.07 | $70.00 – $5,465.32 | 6 |
| In-111 pentetreotide HCPCS A9572 | $8,234.58 | $8,234.58 | $70.00 – $48,725.28 | 6 |
| In-111 satumomab pend HCPCS A4642 | not published | not published | $2,766.04 – $8,350.99 | 3 |
| Inactivated je vacc im CPT 90738 | not published | not published | $504.42 – $2,133.66 | 4 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $679.53 – $3,115.51 | 2 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $2,398.52 – $8,853.29 | 11 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $1,088.27 – $4,051.43 | 11 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $2,776.78 – $12,686.16 | 2 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $2,314.87 – $10,567.66 | 2 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $2,305.26 – $10,542.84 | 2 |
| Incis addl spine segment CPT 22216 | not published | not published | $565.91 – $2,599.65 | 2 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $1,958.04 – $9,024.82 | 2 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $659.94 – $2,544.64 | 11 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $55.92 – $1,008.09 | 11 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $1,088.27 – $4,051.43 | 11 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $593.04 – $2,005.98 | 11 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $659.94 – $2,544.64 | 11 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $1,974.68 – $4,442.52 | 3 |
| Incise inner ear CPT 69801 | not published | not published | $124.30 – $1,569.03 | 11 |
| Incise inner ear nerve CPT 69915 | not published | not published | $886.62 – $3,876.55 | 11 |
| Incise inner ear nerve CPT 69950 | not published | not published | $2,699.43 – $12,484.35 | 2 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $141.47 – $556.18 | 11 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $849.94 – $2,992.35 | 11 |
| Incise inner eye adhesions CPT 65870 | not published | not published | $849.94 – $2,992.35 | 11 |
| Incise inner eye adhesions CPT 65875 | not published | not published | $849.94 – $2,992.35 | 11 |
| Incise inner eye adhesions CPT 65880 | not published | not published | $1,533.49 – $5,651.13 | 11 |
| Incise inner eye strands CPT 67030 | not published | not published | $849.94 – $2,992.35 | 11 |
| Incise nerve back of head CPT 64744 | not published | not published | $659.94 – $2,544.64 | 11 |
| Incise perq finger tendon 26060 CPT 26060 | not published | not published | $593.04 – $2,005.98 | 11 |
| Incise skull/brain surgery CPT 61720 | not published | not published | $3,454.56 – $9,017.60 | 3 |
| Incise skull/brain surgery CPT 61735 | not published | not published | $2,496.21 – $11,284.32 | 2 |
| Incise skull for treatment CPT 61770 | not published | not published | $3,454.56 – $11,535.77 | 3 |
| Incise skull repair CPT 62121 | not published | not published | $2,439.14 – $11,968.57 | 2 |
| Incise skull/sutures CPT 61556 | not published | not published | $2,675.96 – $12,099.84 | 2 |
| Incise skull/sutures CPT 61557 | not published | not published | $2,635.95 – $11,927.58 | 2 |
| Incise sperm duct pouch CPT 55600 | not published | not published | $652.80 – $2,113.89 | 11 |
| Incise spinal cord tract(s) CPT 63170 | not published | not published | $2,476.48 – $11,303.56 | 2 |
| Incise spine accessory nerve CPT 63191 | not published | not published | $2,161.24 – $9,779.89 | 2 |
| Incise spine nrv >2 segmnts CPT 63190 | not published | not published | $1,919.63 – $8,890.90 | 2 |
| Incise spine nrv half segmnt CPT 63185 | not published | not published | $1,772.95 – $8,053.21 | 2 |
| Incise tear duct opening 68440 CPT 68440 | not published | not published | $19.39 – $320.97 | 11 |
| Incise tendon(s) & muscle(s) CPT 23406 | not published | not published | $3,102.46 – $8,853.29 | 11 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | $1,088.27 – $4,051.43 | 11 |
| Incise & treat bladder CPT 51030 | not published | not published | $4,467.44 – $4,467.44 | 1 |
| Incise wrist/forearm tendon CPT 25290 | not published | not published | $1,088.27 – $4,051.43 | 11 |
| Incision anal septum infant CPT 46070 | not published | not published | $939.93 – $3,469.39 | 11 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $18,694.56 | $18,694.56 | $90.81 – $1,670.17 | 11 |
| Incision & drainage open of deep abscess (subfascial) pos CPT 22010 | not published | not published | $1,479.05 – $1,479.05 | 1 |
| Incision/fixation of femur CPT 27165 | not published | not published | $2,104.18 – $9,730.75 | 2 |
| Incision of achilles tendon CPT 27605 | not published | not published | $593.04 – $2,005.98 | 11 |
| Incision of achilles tendon CPT 27606 | not published | not published | $1,088.27 – $4,051.43 | 11 |
| Incision of anal sphincter CPT 46080 | not published | not published | $939.93 – $3,469.39 | 11 |
| Incision of ankle bone CPT 28302 | not published | not published | $3,122.54 – $8,853.29 | 11 |
| Incision of bile duct CPT 47425 | not published | not published | $2,118.04 – $9,732.61 | 2 |
| Incision of bile duct 47420 CPT 47420 | not published | not published | $2,074.84 – $9,530.66 | 2 |
| Incision of brain tissue CPT 61541 | not published | not published | $3,344.81 – $15,260.70 | 2 |
| Incision of brain tissue CPT 61567 | not published | not published | $3,890.46 – $3,890.46 | 1 |
| Incision of breast lesion CPT 19020 | not published | not published | $486.45 – $2,031.45 | 11 |
| Incision of brow nerve CPT 64732 | not published | not published | $659.94 – $2,544.64 | 11 |
| Incision of burn scab initi CPT 16035 | not published | not published | $143.08 – $472.87 | 11 |
| Incision of cheek nerve CPT 64734 | not published | not published | $659.94 – $2,544.64 | 11 |
| Incision of chin nerve CPT 64736 | not published | not published | $659.94 – $2,544.64 | 11 |
| Incision of eardrum CPT 69420 | not published | not published | $87.58 – $239.51 | 11 |
| Incision of eardrum CPT 69421 | not published | not published | $886.62 – $3,876.55 | 11 |
| Incision of esophagus CPT 43020 | not published | not published | $1,569.03 – $3,950.56 | 3 |
| Incision of eye CPT 65850 | not published | not published | $849.94 – $2,992.35 | 11 |
| Incision of eye CPT 66172 | not published | not published | $849.94 – $2,992.35 | 11 |
| Incision of eyelid CPT 67710 | not published | not published | $170.54 – $1,008.09 | 11 |
| Incision of facial nerve CPT 64742 | not published | not published | $659.94 – $2,544.64 | 11 |
| Incision of fibula CPT 27707 | not published | not published | $1,088.27 – $4,051.43 | 11 |
| Incision of finger tendon CPT 26455 | not published | not published | $593.04 – $2,005.98 | 11 |
| Incision of foot fascia CPT 28008 | not published | not published | $1,088.27 – $4,051.43 | 11 |
| Incision of foot tendon 28234 CPT 28234 | not published | not published | $593.04 – $2,005.98 | 11 |
| Incision of gallbladder 47480 CPT 47480 | not published | not published | $1,355.84 – $6,226.08 | 2 |
| Incision of heel bone CPT 28300 | not published | not published | $3,382.73 – $8,853.29 | 11 |
| Incision of hip bone CPT 27146 | not published | not published | $1,964.97 – $9,096.72 | 2 |
| Incision of hip bones CPT 27151 | not published | not published | $2,451.95 – $11,324.38 | 2 |
| Incision of hip tendon CPT 27000 | not published | not published | $593.04 – $2,005.98 | 11 |
| Incision of hip tendon CPT 27001 | not published | not published | $1,088.27 – $4,051.43 | 11 |
| Incision of hip tendon CPT 27003 | not published | not published | $2,398.52 – $8,853.29 | 11 |
| Incision of hip tendons CPT 27006 | not published | not published | $3,308.79 – $5,168.41 | 3 |
| Incision of iris CPT 66500 | not published | not published | $849.94 – $2,992.35 | 11 |
| Incision of iris CPT 66505 | not published | not published | $849.94 – $2,992.35 | 11 |
| Incision of jaw joint CPT 21010 | not published | not published | $886.62 – $3,876.55 | 11 |
| Incision of jaw nerve CPT 64738 | not published | not published | $659.94 – $2,544.64 | 11 |
| Incision of knee joint CPT 27435 | not published | not published | $1,088.27 – $4,051.43 | 11 |
| Incision of liver duct CPT 47400 | not published | not published | $3,340.02 – $15,351.77 | 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.