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 |
|---|---|---|---|---|
| Laser surgery of prostate CPT 52647 | not published | not published | $1,689.43 – $6,262.80 | 10 |
| Laser surgery of prostate CPT 52648 | not published | not published | $1,689.43 – $6,262.80 | 11 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $709.01 – $2,401.66 | 11 |
| Laser treatment of retina CPT 67039 | not published | not published | $1,533.49 – $5,651.13 | 11 |
| Laser treatment of retina CPT 67040 | not published | not published | $1,533.49 – $5,651.13 | 11 |
| Lateral canthopexy CPT 21282 | not published | not published | $886.62 – $3,876.55 | 11 |
| Lateral thoracic extension HCPCS L1210 | not published | not published | $291.66 – $787.78 | 28 |
| Lateral trochanteric pad HCPCS L1290 | not published | not published | $87.61 – $236.64 | 28 |
| Latex suspension sleeve each HCPCS L6632 | not published | not published | $77.15 – $208.39 | 28 |
| Lat retinacular release open CPT 27425 | not published | not published | $1,088.27 – $4,051.43 | 11 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $87.58 – $239.51 | 11 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $3,110.01 – $12,451.40 | 11 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $2,937.37 – $3,431.96 | 2 |
| Lead capillary CPT 83655 | not published | not published | $7.27 – $48.33 | 34 |
| Leads any type vad, rep only HCPCS Q0487 | not published | not published | $409.88 – $1,107.11 | 28 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $2,104.71 – $9,663.50 | 3 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $2,163.39 – $9,936.13 | 3 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $2,711.70 – $12,477.84 | 2 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $2,257.25 – $10,424.80 | 3 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $5,986.39 – $11,767.98 | 3 |
| Left compres band >=3" <5"/yd HCPCS A6449 | not published | not published | $2.14 – $6.55 | 28 |
| Left compres band <3"/yd HCPCS A6448 | not published | not published | $1.41 – $4.30 | 28 |
| Left compres band >=5"/yd HCPCS A6450 | not published | not published | $2.14 – $6.55 | 28 |
| Legg perthes orth newington HCPCS L1710 | not published | not published | $2,458.64 – $6,640.86 | 28 |
| Legg perthes orthosis trilat HCPCS L1720 | not published | not published | $1,823.96 – $4,926.57 | 28 |
| Legg perthes orth scottish r HCPCS L1730 | not published | not published | $1,443.79 – $3,899.71 | 28 |
| Legg perthes patten bottom t HCPCS L1755 | not published | not published | $1,764.77 – $4,766.70 | 28 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $12.03 – $79.19 | 34 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $25.06 – $165.13 | 34 |
| Leg perthes orth toronto typ HCPCS L1700 | not published | not published | $1,912.00 – $5,164.36 | 28 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $3,192.98 – $4,101.49 | 2 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | not published | not published | $188.79 – $625.83 | 11 |
| Leishmania antibody CPT 86717 | not published | not published | $7.35 – $48.33 | 34 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $1,088.27 – $4,051.43 | 11 |
| Lengthening of palate CPT 42227 | not published | not published | $1,954.22 – $7,178.78 | 11 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $1,954.22 – $7,178.78 | 11 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $1,815.62 – $8,404.52 | 2 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $2,398.52 – $8,853.29 | 11 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $2,398.52 – $8,853.29 | 11 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $1,088.27 – $4,051.43 | 11 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $1,647.08 – $7,598.66 | 2 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $3,122.54 – $8,853.29 | 11 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $6,863.41 – $17,613.05 | 11 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $3,155.47 – $8,853.29 | 11 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | not published | not published | $141.36 – $381.81 | 28 |
| Lens iol ant chamb 10.5 HCPCS V2630 | not published | not published | $141.36 – $381.81 | 28 |
| Lepirudin HCPCS J1945 | not published | not published | $1,849.51 – $4,081.47 | 3 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $96.22 | $96.22 | $3.40 – $23.90 | 5 |
| Leukacyte transfusion CPT 86950 | not published | not published | $100.25 – $677.57 | 5 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $6.23 – $41.62 | 34 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | not published | not published | $167.12 – $1,514.55 | 5 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $9,189.63 | $9,189.63 | $1,620.19 – $10,511.19 | 5 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $29,164.73 – $34,479.55 | 2 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $126.41 – $311.14 | 4 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $214.12 – $1,552.09 | 5 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $50.81 – $311.08 | 5 |
| Lev 1 hosp type b ed visit HCPCS G0380 | not published | not published | $51.36 – $64.20 | 8 |
| Lev 2 hosp type b ed visit HCPCS G0381 | not published | not published | $51.36 – $64.20 | 8 |
| Lev 3 hosp type b ed visit HCPCS G0382 | not published | not published | $51.36 – $64.20 | 8 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $3.30 – $8.71 | 3 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.27 – $5.31 | 5 |
| Levalbuterol non-comp unit HCPCS J7614 | $105.78 | $105.78 | $0.09 – $4.00 | 5 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | not published | not published | $0.05 – $0.38 | 5 |
| Levetiracetam therapeutic drug level CPT 80177 | $607.53 | $607.53 | $7.95 – $52.38 | 34 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | not published | not published | $1.00 – $11.86 | 5 |
| Levonorgestrel implant sys HCPCS J7306 | not published | not published | $640.40 – $1,933.42 | 2 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $1,155.62 | $1,155.62 | $7.04 – $46.59 | 5 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $9,210.33 – $9,210.33 | 1 |
| Lidocaine injection HCPCS J2001 | $385.81 | $385.81 | $0.12 – $0.21 | 2 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | not published | not published | $0.03 – $0.08 | 3 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $360.56 | $360.56 | $0.01 – $0.06 | 5 |
| Lidocaine therapeutic drug level CPT 80176 | $811.56 | $811.56 | $8.81 – $57.71 | 34 |
| Lift assist for elbow HCPCS L6635 | not published | not published | $262.72 – $709.63 | 28 |
| Lift heel adj small gl60404sm HCPCS L3332 | not published | not published | $88.40 – $238.76 | 28 |
| Lift heel adjustable med HCPCS L3334 | not published | not published | $45.72 – $123.48 | 28 |
| Lifts elevation metal extens HCPCS L3330 | not published | not published | $678.25 – $1,831.98 | 28 |
| Ligate esophagus veins CPT 43400 | not published | not published | $2,359.67 – $10,844.08 | 2 |
| Ligate leg veins open CPT 37761 | not published | not published | $858.27 – $3,192.98 | 11 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $1,118.22 – $4,101.49 | 11 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $115.74 – $543.54 | 2 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $2,239.65 – $10,361.85 | 2 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $1,118.22 – $4,101.49 | 11 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $1,118.22 – $4,101.49 | 11 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $1,063.52 – $3,697.19 | 11 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $486.45 – $2,031.45 | 11 |
| Ligation common iliac vein CPT 37660 | not published | not published | $2,030.57 – $9,372.56 | 2 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $1,118.22 – $4,101.49 | 11 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $3,192.98 – $5,148.52 | 3 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $3,192.98 – $5,287.16 | 3 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $2,414.07 – $5,195.09 | 3 |
| Ligation major artery chest CPT 37616 | not published | not published | $1,709.47 – $7,929.30 | 2 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $592.58 – $2,728.64 | 2 |
| Ligation major artery neck CPT 37615 | not published | not published | $2,414.07 – $3,711.41 | 3 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $1,118.22 – $4,101.49 | 11 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $2,071.64 – $9,567.79 | 2 |
| Ligation of femoral vein CPT 37650 | not published | not published | $1,118.22 – $4,101.49 | 11 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $5,627.05 – $6,802.36 | 2 |
| Ligation of neck artery CPT 37606 | not published | not published | $3,192.98 – $5,050.08 | 3 |
| Ligation of salivary duct CPT 42665 | not published | not published | $886.62 – $3,876.55 | 11 |
| Ligation of shunt CPT 49428 | not published | not published | $667.26 – $3,071.30 | 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.