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 |
|---|---|---|---|---|
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $529.27 – $1,882.65 | 3 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $427.88 – $1,533.08 | 3 |
| Lvad shower bag heartmate HCPCS Q0501 | $15,156.00 | $15,156.00 | $613.25 – $1,656.42 | 28 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $29.25 – $130.41 | 3 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $339.05 – $915.79 | 28 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $12.03 – $79.19 | 34 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $1,092.89 – $5,023.11 | 2 |
| Lymphatics/lymph node imaging CPT 78195 | $3,675.95 | $3,675.95 | $329.79 – $470.94 | 11 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $21.94 – $144.99 | 34 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $29.42 – $194.66 | 34 |
| Lymphocytotoxicity assay CPT 86805 | $500.14 | $500.14 | $113.71 – $750.43 | 34 |
| Lymphocytotoxicity assay CPT 86806 | $556.91 | $556.91 | $28.55 – $187.94 | 34 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $284.65 – $898.61 | 12 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $299.60 – $2,338.48 | 12 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $313.39 – $4,760.60 | 12 |
| Lymph vessel x-ray trunk CPT 75807 | $10,443.63 | $10,443.63 | $146.54 – $4,760.60 | 12 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $187.22 – $653.75 | 11 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $1,063.52 – $3,697.19 | 11 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $652.80 – $2,621.89 | 11 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $14.87 – $92.40 | 5 |
| Macro exam dissect molec study ea CPT 88387 | $12.62 | $12.62 | $8.03 – $51.20 | 5 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $2.56 – $17.47 | 34 |
| Macroscopic exam parasite CPT 87169 | $109.16 | $109.16 | $2.59 – $17.47 | 34 |
| Magnesium CPT 83735 | not published | not published | $4.02 – $26.85 | 34 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | not published | not published | $0.24 – $3.03 | 5 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $233.47 – $761.00 | 11 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $262.47 – $262.47 | 1 |
| Malaria antibody CPT 86750 | not published | not published | $7.91 – $52.38 | 34 |
| Male sling procedure CPT 53440 | not published | not published | $7,582.22 – $13,341.79 | 11 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $4,693.73 – $21,553.45 | 2 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $593.04 – $2,005.98 | 11 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $593.04 – $2,005.98 | 11 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | not published | not published | $219.12 – $257.31 | 2 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | not published | not published | $182.85 – $257.31 | 2 |
| Manipulation of hip joint CPT 27275 | not published | not published | $593.04 – $2,005.98 | 11 |
| Manipulation of spine CPT 22505 | not published | not published | $593.04 – $2,005.98 | 11 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $66.72 – $249.44 | 11 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $88.30 | $88.30 | $2.19 – $13.55 | 4 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $1.95 – $40.60 | 4 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $76.84 – $207.56 | 28 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $3.04 – $20.14 | 34 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $213.49 – $608.35 | 2 |
| Map tachycard site(s) CPT 93609 | $8,799.06 | $8,799.06 | $688.93 – $688.93 | 1 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $47.07 – $305.27 | 5 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $1.24 – $2,069.10 | 2 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $1,749.48 – $8,039.40 | 2 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $106.36 – $287.28 | 28 |
| Mastectomy form HCPCS L8020 | not published | not published | $269.80 – $728.73 | 28 |
| Mastectomy partial CPT 19301 | not published | not published | $963.66 – $4,483.73 | 11 |
| Mast mod rad CPT 19307 | not published | not published | $6,714.82 – $7,751.19 | 2 |
| Mastoidectomy CPT 69501 | not published | not published | $1,954.22 – $7,178.78 | 11 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $1,954.22 – $7,178.78 | 11 |
| Mastoids complete CPT 70130 | not published | not published | $62.15 – $186.32 | 12 |
| Mastoid surgery revision CPT 69603 | not published | not published | $1,954.22 – $7,178.78 | 11 |
| Mastopexy CPT 19316 | not published | not published | $1,845.21 – $7,751.19 | 11 |
| Mast radical CPT 19305 | not published | not published | $1,745.75 – $1,745.75 | 1 |
| Mast rad urban type CPT 19306 | not published | not published | $1,849.76 – $1,849.76 | 1 |
| Mast simple complete CPT 19303 | not published | not published | $1,845.21 – $7,751.19 | 11 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $7.52 – $479.42 | 5 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $4,235.01 – $11,315.37 | 2 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $20.86 – $209.78 | 4 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $21.05 – $139.61 | 34 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $16.37 – $108.75 | 34 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $25.70 – $169.14 | 34 |
| Maxillofacial fixation CPT 21100 | not published | not published | $1,954.22 – $7,178.78 | 11 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $38.36 | $38.36 | $8.68 – $57.71 | 34 |
| Mayo aathr protein s free CPT 85306 | not published | not published | $9.19 – $60.42 | 34 |
| Mayo activated protein c resistance assay CPT 85307 | $932.77 | $932.77 | $9.19 – $60.42 | 34 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $23.14 – $153.04 | 34 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $0.02 – $14.14 | 10 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | not published | not published | $0.02 – $95.33 | 11 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $1,629.29 | $1,629.29 | $8.87 – $59.05 | 34 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | not published | not published | $0.02 – $95.33 | 11 |
| Mayo alpha 1 antitrypsin CPT 82103 | not published | not published | $8.06 – $53.71 | 34 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $911.29 | $911.29 | $9.05 – $60.42 | 34 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $0.02 – $13.65 | 10 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | not published | $0.02 – $95.33 | 11 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | not published | not published | $72.98 – $481.93 | 33 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | not published | not published | $55.00 – $362.46 | 33 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $82.20 – $542.35 | 33 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | not published | not published | $696.00 – $4,595.17 | 33 |
| Mayo androstenedione CPT 82157 | $1,840.99 | $1,840.99 | $17.57 – $115.47 | 34 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $859.13 | $859.13 | $8.76 – $57.71 | 34 |
| Mayo antithrombin iii antigen CPT 85301 | $1,888.56 | $1,888.56 | $6.49 – $42.95 | 34 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $633.62 | $633.62 | $9.03 – $59.05 | 34 |
| Mayo avwpr vw factor activity CPT 85397 | $561.50 | $561.50 | $18.52 – $122.18 | 34 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $21.05 – $139.61 | 34 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $240.88 | $240.88 | $0.02 – $95.33 | 11 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | not published | not published | $6.11 – $40.28 | 34 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | not published | not published | $86.90 – $573.21 | 33 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $128.77 – $849.76 | 33 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $828.45 | $828.45 | $7.74 – $51.00 | 34 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $0.02 – $95.33 | 11 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $641.28 | $641.28 | $7.91 – $52.38 | 34 |
| Mayo brcmg brucella antibody igm CPT 86622 | not published | not published | $5.36 – $34.90 | 34 |
| Mayo c1 esterase inhibitor CPT 83883 | not published | not published | $8.16 – $53.71 | 34 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $240.88 | $240.88 | $0.02 – $95.33 | 11 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $754.81 | $754.81 | $10.12 – $67.14 | 34 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | not published | not published | $16.07 – $106.04 | 34 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $73.33 – $484.64 | 34 |
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.