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 |
|---|---|---|---|---|
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | not published | not published | $39.98 – $124.40 | 2 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | not published | not published | $56.14 – $83.27 | 2 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | not published | not published | $93.55 – $318.63 | 2 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | not published | not published | $142.43 – $142.71 | 2 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $45.82 – $82.29 | 3 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $7.11 – $17.88 | 3 |
| Injection treatment of eye CPT 66020 | not published | not published | $849.94 – $2,992.35 | 11 |
| Injection treatment of eye CPT 66030 | not published | not published | $849.94 – $2,992.35 | 11 |
| Injection treatment of nerve CPT 64605 | not published | not published | $659.94 – $2,544.64 | 11 |
| Injection treatment of nerve CPT 64610 | not published | not published | $659.94 – $2,544.64 | 11 |
| Injection treatment of nerve CPT 64681 | not published | not published | $340.77 – $1,201.83 | 11 |
| Injection treatment of nose CPT 30200 | not published | not published | $67.27 – $545.39 | 11 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $126.94 – $514.57 | 2 |
| Inject/treat eye socket CPT 67500 | not published | not published | $26.30 – $400.33 | 11 |
| Inject/treat eye socket CPT 67505 | not published | not published | $34.88 – $320.97 | 11 |
| Inject/treat eye socket CPT 67515 | not published | not published | $19.38 – $320.97 | 11 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $52.26 – $187.88 | 3 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $69.88 – $241.56 | 3 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $32.37 – $204.16 | 5 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $21.93 – $127.80 | 5 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $370.06 – $2,309.30 | 5 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $35.77 – $347.51 | 5 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $262.86 – $925.07 | 11 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $262.86 – $925.07 | 11 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $0.72 – $2.25 | 3 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.17 – $7.93 | 5 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $25.25 – $102.75 | 3 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $3.80 – $28.04 | 4 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $276.14 – $1,373.51 | 4 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $180.72 – $1,148.18 | 5 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $17.95 – $137.45 | 5 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $3,847,800.00 – $3,847,800.00 | 1 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.24 – $59.97 | 5 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $33.68 – $208.64 | 5 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | not published | not published | $35.89 – $443.89 | 3 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $4.80 – $114.67 | 5 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $130.23 – $849.74 | 5 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.10 – $0.18 | 3 |
| Inj., fibryga, 1 mg HCPCS J7177 | $4.32 | $4.32 | $1.07 – $7.32 | 5 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $6.94 – $44.96 | 5 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.93 – $17.37 | 5 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $432.37 – $1,490.60 | 3 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $410.62 – $1,342.41 | 3 |
| Inj for ext venography CPT 36005 | not published | not published | $1,889.01 – $1,889.01 | 1 |
| Inj for mammo ductogram CPT 19030 | not published | not published | $589.39 – $589.39 | 1 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $1.06 – $6.90 | 5 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $613.89 – $3,669.02 | 5 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | not published | not published | $7.01 – $20.75 | 3 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $3.22 – $44.73 | 5 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $59.31 – $123.44 | 3 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | not published | not published | $3.37 – $37.95 | 5 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $99.00 – $308.60 | 3 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $457.13 – $1,159.43 | 3 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | not published | not published | $8.39 – $32.01 | 5 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $112.98 – $709.12 | 5 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,689.62 – $16,764.72 | 5 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $1.61 – $11.19 | 5 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | not published | not published | $2.11 – $9.86 | 3 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $316.80 – $987.52 | 3 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $5.13 – $30.01 | 5 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $68.32 – $452.98 | 5 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $24.80 – $74.67 | 3 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $6,080,690.01 – $6,080,690.01 | 1 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $1.14 – $18.21 | 5 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $61.03 – $381.03 | 5 |
| Inj, hercessi, 10 mg HCPCS Q5146 | not published | not published | $61.30 – $460.97 | 3 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $71.69 – $468.89 | 5 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | not published | not published | $664.29 – $664.29 | 1 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | not published | not published | $418.63 – $418.63 | 1 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | not published | $438.52 – $438.52 | 1 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | not published | not published | $324.71 – $324.71 | 1 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | not published | not published | $789.91 – $789.91 | 1 |
| Inj human fibrinogen con nos HCPCS J7178 | $9.96 | $9.96 | $1.44 – $9.20 | 5 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $6,589.42 | $6,589.42 | $8.98 – $30.80 | 3 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | not published | not published | $84.17 – $132.27 | 2 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $74.64 – $480.39 | 5 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $78.14 – $138.69 | 2 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | $1,456.72 | $1,456.72 | $2.42 – $15.79 | 5 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $74.98 – $467.56 | 5 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.14 – $0.83 | 5 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $469.87 – $2,991.80 | 5 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $340.77 – $1,201.83 | 11 |
| Inj. infugem, 100 mg HCPCS J9198 | not published | not published | $130.58 – $234.54 | 2 |
| Inj. insulin (fiasp) HCPCS J1812 | not published | not published | $1.12 – $8.96 | 3 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $169.11 – $258.60 | 3 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $147.37 – $258.60 | 3 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $12.29 – $78.42 | 5 |
| Inj ivig privigen 500 mg HCPCS J1459 | not published | not published | $47.70 – $305.15 | 5 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.86 – $11.56 | 5 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.38 – $16.04 | 5 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.45 – $9.56 | 5 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | not published | not published | $1.34 – $8.35 | 5 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $82.26 – $526.07 | 5 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $24.66 – $233.84 | 5 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.29 – $8.05 | 5 |
| Inj lefamulin 1 mg HCPCS J0691 | not published | not published | $1.35 – $4.24 | 3 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $21.37 – $133.24 | 5 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $751.89 | $751.89 | $23.65 – $146.98 | 5 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | not published | not published | $0.02 – $0.83 | 5 |
| Inj, levothyroxine, freskabi HCPCS J0651 | not published | not published | $6.21 – $42.96 | 5 |
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.