MEDICAL CITY NORTH HILLS HOSPITAL
4401 Booth Calloway Road, North Richland Hills, TX · Medicalcityhealthcare · · NPI 1518911833
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 |
|---|---|---|---|---|
| Russell viper venom diluted CPT 85613 | $854.45 | $854.45 | $5.75 – $36.14 | 34 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $550.25 – $2,402.75 | 31 |
| Sach foot, replacement HCPCS L5971 | not published | not published | $270.28 – $730.04 | 29 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $35.70 – $219.41 | 5 |
| Safety plan interven HCPCS G0560 | not published | not published | $32.69 – $118.36 | 3 |
| Salivary gland function exam CPT 78232 | not published | not published | $101.91 – $193.04 | 10 |
| Salivary gland imaging CPT 78230 | not published | not published | $166.40 – $337.18 | 10 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $103.58 – $192.26 | 10 |
| Salmonella antibody CPT 86768 | $832.14 | $832.14 | $7.91 – $50.38 | 34 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $3,273.52 – $5,146.09 | 2 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $318.81 – $318.81 | 1 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $7.50 – $7.50 | 1 |
| Sargramostim injection HCPCS J2820 | not published | not published | $60.03 – $339.40 | 5 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $42.22 – $134.75 | 33 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $186.16 – $960.29 | 4 |
| Sarscov coronavirus ag ia CPT 87426 | $30.49 | $30.49 | $21.20 – $92.56 | 33 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $210.87 | $210.87 | $54.15 – $184.16 | 33 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $1,686.17 – $9,848.51 | 10 |
| Sbrt management CPT 77435 | not published | not published | $1,509.45 – $2,291.91 | 2 |
| Sbrt w/positron emission del HCPCS G0563 | not published | not published | $13,126.75 – $13,126.75 | 1 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | not published | not published | $383.54 – $383.54 | 1 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | not published | not published | $961.67 – $961.67 | 1 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | not published | not published | $489.03 – $489.03 | 1 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | not published | not published | $646.41 – $646.41 | 1 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | not published | not published | $314.69 – $314.69 | 1 |
| Sbsq psyc collab care mgmt CPT 99493 | not published | not published | $316.41 – $316.41 | 1 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | not published | not published | $233.52 – $817.60 | 11 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | not published | not published | $106.88 – $735.00 | 11 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $5,007.98 | $5,007.98 | $180.76 – $735.00 | 11 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | not published | not published | $106.88 – $735.00 | 11 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $4,361.58 | $4,361.58 | $106.88 – $735.00 | 11 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $4,345.74 | $4,345.74 | $106.88 – $735.00 | 11 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $4,345.74 | $4,345.74 | $233.52 – $786.64 | 11 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | not published | not published | $106.88 – $735.00 | 11 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $3,781.73 | $3,781.73 | $106.88 – $735.00 | 11 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $5,197.62 – $14,038.93 | 29 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | not published | not published | $1,256.62 – $1,670.17 | 2 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $1,088.27 – $5,639.15 | 10 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $14,198.00 | $14,198.00 | $21.25 – $21.25 | 1 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $10.66 – $65.86 | 32 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $21.98 – $56.77 | 3 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $19.16 – $121.37 | 32 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $26.38 – $167.86 | 32 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $15.89 – $100.72 | 32 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $16.23 – $103.28 | 32 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $12.16 – $77.49 | 32 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $21.98 – $56.77 | 3 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $328.50 – $1,573.59 | 9 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $328.50 – $1,573.59 | 9 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $10.83 – $68.43 | 34 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $16.96 – $107.17 | 34 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $27.81 – $176.89 | 32 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $14.45 – $91.69 | 32 |
| Screening Mammogram CPT 77067 | $653.09 | $653.09 | $87.18 – $235.46 | 29 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $21.98 – $56.77 | 3 |
| Screening prostate cancer PSA HCPCS G0103 | $1,049.49 | $1,049.49 | $11.59 – $73.60 | 32 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $10.66 – $65.86 | 32 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | not published | $2.69 – $7.92 | 3 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $166.29 – $166.29 | 1 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $16,212.80 – $16,212.80 | 1 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | not published | not published | $15.87 – $15.87 | 1 |
| Sedimentation rate erythrocyte automated CPT 85652 | $529.95 | $529.95 | $1.62 – $10.35 | 34 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $4,792.69 – $14,939.68 | 3 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $28,358.89 – $28,358.89 | 1 |
| Select picture audiometry CPT 92583 | not published | not published | $91.93 – $91.93 | 1 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | not published | not published | $0.96 – $2.93 | 29 |
| Self-meas bp 2 readg bid 30d CPT 99474 | not published | not published | $24.78 – $24.78 | 1 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $63.22 – $63.22 | 1 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | not published | not published | $37.65 – $37.65 | 1 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | not published | $27.75 – $27.75 | 1 |
| Semen analysis HCPCS G0027 | not published | not published | $3.90 – $24.55 | 32 |
| Semen analysis presence/motility CPT 89321 | not published | not published | $7.23 – $46.49 | 32 |
| Semen analysis w/count CPT 89310 | not published | not published | $5.17 – $32.29 | 32 |
| Sensorimotor examination CPT 92060 | not published | not published | $151.28 – $151.28 | 1 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $91.93 – $91.93 | 1 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $698.30 – $3,986.51 | 10 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $115.20 – $732.13 | 33 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $2,398.52 – $12,322.82 | 10 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $1,088.27 – $5,639.15 | 10 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $2,398.52 – $12,322.82 | 10 |
| Serial casting application 97139app CPT 97139 | not published | not published | $41.64 – $41.64 | 1 |
| Serial tonometry CPT 92100 | not published | not published | $95.15 – $95.15 | 1 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $2.21 – $10.89 | 2 |
| Serpina1 gene CPT 81332 | not published | not published | $26.19 – $166.58 | 33 |
| Sertraline (zoloft) - sendout CPT 80332 | not published | not published | $0.02 – $91.69 | 10 |
| Set radiation therapy field CPT 77280 | not published | not published | $564.64 – $855.23 | 2 |
| Set radiation therapy field CPT 77285 | not published | not published | $947.83 – $1,432.90 | 2 |
| Set radiation therapy field CPT 77290 | not published | not published | $918.97 – $1,526.24 | 2 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $745.00 – $745.00 | 1 |
| Set up port xray equipment HCPCS Q0092 | not published | not published | $33.58 – $33.58 | 1 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | $23.77 | $23.77 | $0.03 – $0.17 | 3 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | $21.96 | $21.96 | $0.17 – $0.51 | 3 |
| Sever cranial nerve CPT 64771 | not published | not published | $659.94 – $3,541.86 | 10 |
| Sewhfo airplane without jnts cf HCPCS L3976 | not published | not published | $1,832.47 – $4,949.55 | 29 |
| Sewhfo airplane w/jnt(s) cf HCPCS L3978 | not published | not published | $2,163.59 – $5,843.94 | 29 |
| Sewhfo cap desgn w/jnt(s) cf HCPCS L3977 | not published | not published | $2,053.69 – $5,547.09 | 29 |
| Sewhfo cap design without jnt cf HCPCS L3975 | not published | not published | $1,832.47 – $4,949.55 | 29 |
| Sewho airplane without jnts cf HCPCS L3967 | not published | not published | $2,163.59 – $5,843.94 | 29 |
| Sewho airplane w/jnt(s) cf HCPCS L3973 | not published | not published | $2,163.59 – $5,843.94 | 29 |
| Sewho cap design without jnts cf HCPCS L3961 | not published | not published | $1,832.47 – $4,949.55 | 29 |
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.