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 |
|---|---|---|---|---|
| Sildenafil citrate, 25 mg HCPCS S0090 | $33.56 | $33.56 | $1.63 – $8.25 | 2 |
| Silicon gel insert w/wo lock HCPCS L6692 | not published | not published | $844.97 – $2,282.28 | 29 |
| Sim ang w/prs cath rad emb HCPCS C8004 | not published | not published | $37,990.91 – $37,990.91 | 1 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $110.15 – $726.38 | 10 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $1,242.11 | $1,242.11 | $104.95 – $822.75 | 5 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $33.09 – $46.92 | 9 |
| Single pivot hinge pair HCPCS L6605 | not published | not published | $293.26 – $792.10 | 29 |
| Single transfer toe-hand CPT 26553 | not published | not published | $64,467.55 – $64,467.55 | 1 |
| Sinus CT scan (with and without contrast) CPT 70488 | $8,270.73 | $8,270.73 | $175.06 – $801.00 | 11 |
| Sinus CT scan (with contrast) CPT 70487 | $6,280.20 | $6,280.20 | $156.38 – $801.00 | 11 |
| Sinus CT scan (without contrast) CPT 70486 | $2,959.89 | $2,959.89 | $104.75 – $801.00 | 11 |
| Sinus/juglr venogram s&i CPT 75860 | $8,622.19 | $8,622.19 | $125.64 – $3,796.65 | 11 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $886.62 – $5,395.74 | 10 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $1,954.22 – $9,992.09 | 10 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $1,954.22 – $9,992.09 | 10 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $287.96 – $777.80 | 29 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $125.43 – $338.79 | 29 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $54,581.12 – $338,529.06 | 5 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $1.23 – $31.29 | 5 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $84.50 – $511.49 | 5 |
| Six volt bat otto bock/eq ea HCPCS L7360 | not published | not published | $285.94 – $772.32 | 29 |
| Skeletal muscle relaxant 1/2 CPT 80369 | not published | not published | $0.02 – $91.69 | 10 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $0.02 – $12.38 | 9 |
| Skin and muscle repair face CPT 15845 | not published | not published | $1,457.62 – $6,133.22 | 10 |
| Skin barrier with flange HCPCS A4373 | not published | not published | $7.64 – $23.42 | 29 |
| Skin Biopsy CPT 11102 | not published | not published | $64.23 – $463.83 | 10 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $709.01 – $3,342.84 | 10 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $1,457.62 – $6,133.22 | 10 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $709.01 – $3,342.84 | 10 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $7.01 – $40.23 | 4 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $50,490.40 – $50,490.40 | 1 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $83,087.64 – $83,087.64 | 1 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $2,097.84 – $6,242.27 | 3 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $104.89 – $666.31 | 31 |
| Sleep study attended CPT 95807 | not published | not published | $1,029.74 – $1,029.74 | 1 |
| Sleep Study (Polysomnography) CPT 95810 | not published | not published | $1,377.59 – $1,377.59 | 1 |
| Sleep study unattended CPT 95806 | not published | not published | $246.78 – $246.78 | 1 |
| Sleeve fing rolyan med HCPCS L3933 | not published | not published | $232.71 – $628.56 | 29 |
| Sleeve irr assura 1pc disp HCPCS A4397 | not published | not published | $38.56 – $38.56 | 1 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $60,969.84 – $60,969.84 | 1 |
| Sling arm deluxe w/pad xs HCPCS A4565 | not published | not published | $9.39 – $28.77 | 29 |
| Sling pelv split sam med HCPCS L0621 | not published | not published | $69.98 – $189.01 | 29 |
| Slitting of prepuce CPT 54000 | not published | not published | $1,142.90 – $6,218.19 | 10 |
| Slitting of prepuce CPT 54001 | not published | not published | $652.80 – $3,649.39 | 10 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $31.96 – $93.17 | 3 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $90.03 – $250.75 | 3 |
| Slp pure tone screening CPT 92551 | not published | not published | $12.74 – $32.70 | 3 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $299.83 – $299.83 | 1 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $76.75 – $200.20 | 3 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $5,213.67 – $100,498.28 | 3 |
| Small animal inoculation CPT 87003 | not published | not published | $10.10 – $64.58 | 34 |
| Small bowel endoscopy CPT 44360 | not published | not published | $564.97 – $3,208.24 | 10 |
| Small bowel endoscopy CPT 44364 | not published | not published | $564.97 – $3,208.24 | 10 |
| Small bowel endoscopy CPT 44366 | not published | not published | $564.97 – $3,208.24 | 10 |
| Small bowel endoscopy CPT 44369 | not published | not published | $564.97 – $3,208.24 | 10 |
| Small bowel endoscopy CPT 44376 | not published | not published | $564.97 – $3,208.24 | 10 |
| Small bowel endoscopy CPT 44378 | not published | not published | $564.97 – $3,208.24 | 10 |
| Small bowel endoscopy CPT 44382 | not published | not published | $334.95 – $1,619.00 | 10 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,940.48 – $6,178.10 | 2 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $564.97 – $3,208.24 | 10 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $564.97 – $3,208.24 | 10 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $564.97 – $3,208.24 | 10 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $564.97 – $3,208.24 | 10 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $334.95 – $1,619.00 | 10 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $564.97 – $3,208.24 | 10 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $2,916.94 – $9,848.51 | 10 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.02 – $1,829.82 | 4 |
| Smear fluorescent and/or acid fast stain CPT 87206 | not published | not published | $3.23 – $20.66 | 34 |
| Smear gram stain CPT 87205 | not published | not published | $2.56 – $16.81 | 34 |
| Smear nasal eosinophil CPT 89190 | $409.38 | $409.38 | $3.47 – $21.94 | 34 |
| Smear special stain inclusion bodies/parasites CPT 87207 | not published | not published | $3.59 – $23.22 | 34 |
| Smear wet mount CPT 87210 | not published | not published | $3.49 – $21.94 | 34 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $180.81 – $1,147.91 | 33 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $111.12 – $706.30 | 33 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $28.20 – $179.49 | 33 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $30.64 – $194.97 | 33 |
| So airplane w/wo joint cf HCPCS L3674 | not published | not published | $1,289.25 – $3,482.29 | 29 |
| So cap design without jnts cf HCPCS L3671 | not published | not published | $982.78 – $2,654.53 | 29 |
| Socket insert above knee HCPCS L5658 | not published | not published | $431.78 – $1,166.24 | 29 |
| Socket insert below knee HCPCS L5655 | not published | not published | $364.19 – $983.68 | 29 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $451.40 – $1,219.24 | 29 |
| Socket insert symes HCPCS L5654 | not published | not published | $468.13 – $1,264.44 | 29 |
| Socket insert without lock mech HCPCS L5679 | $5,291.00 | $5,291.00 | $724.95 – $1,958.11 | 29 |
| Socket insert w lock mech HCPCS L5673 | not published | not published | $869.99 – $2,349.88 | 29 |
| Sock fracture or equal each HCPCS L3995 | not published | not published | $46.50 – $125.60 | 29 |
| Sock wool above knee HCPCS L8430 | not published | not published | $27.11 – $73.23 | 29 |
| Sodium 24 hour urine CPT 84300 | $282.86 | $282.86 | $3.04 – $19.37 | 34 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $238.58 | $238.58 | $2.12 – $51.41 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $272.89 | $272.89 | $1.32 – $25.70 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | not published | $0.68 – $12.83 | 5 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $311.54 | $311.54 | $0.17 – $1.03 | 3 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $349.11 | $349.11 | $2.32 – $13.19 | 5 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $72.20 – $444.08 | 5 |
| Sodium serum/plasma/whole blood CPT 84295 | $291.79 | $291.79 | $2.89 – $18.09 | 34 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $796.52 | $796.52 | $1.45 – $4.96 | 3 |
| Soft interface below knee se HCPCS L2820 | not published | not published | $96.80 – $261.45 | 29 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $120.63 – $120.63 | 1 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $502.24 – $3,524.71 | 32 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $502.24 – $3,133.07 | 32 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $502.24 – $8,615.90 | 32 |
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.