MEDICAL CITY ARLINGTON HOSPITAL
317 E OVILLA RD, RED OAK, TX · Medicalcityhealthcare · · NPI 1134172406
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 |
|---|---|---|---|---|
| Team conf without pat by phys CPT 99367 | not published | not published | $159.56 – $159.56 | 1 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $117.95 – $117.95 | 1 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $215.82 – $1,313.61 | 5 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $1,872.26 – $1,872.26 | 1 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $1,872.26 – $1,872.26 | 1 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $72.91 – $196.95 | 28 |
| Telavancin injection HCPCS J3095 | not published | not published | $6.82 – $45.20 | 5 |
| Telehealth original site facility fee HCPCS Q3014 | not published | not published | $30.89 – $31.85 | 2 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $318.52 – $491.93 | 2 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $175.75 – $272.44 | 2 |
| Temozolomide HCPCS J8700 | not published | not published | $0.39 – $14.18 | 5 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.09 – $62.87 | 5 |
| Temperature gradient studies CPT 93740 | not published | not published | $380.46 – $380.46 | 1 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $25,823.32 | $25,823.32 | $29.18 – $195.39 | 5 |
| Tendon lengthening CPT 26476 | not published | not published | $1,071.95 – $6,542.51 | 11 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $1,071.95 – $6,542.51 | 11 |
| Tendon shortening CPT 26477 | not published | not published | $1,071.95 – $6,542.51 | 11 |
| Tendon transfer with graft CPT 26492 | not published | not published | $1,071.95 – $6,542.51 | 11 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $191.52 – $1,040.41 | 5 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $15,405.06 – $15,405.06 | 1 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $2,362.54 – $14,296.86 | 11 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $1,071.95 – $6,542.51 | 11 |
| Tenolysis triceps CPT 24332 | not published | not published | $1,071.95 – $6,542.51 | 11 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $2,362.54 – $14,296.86 | 11 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $584.14 – $3,239.38 | 11 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $14,265.08 – $14,265.08 | 1 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $1,071.95 – $6,542.51 | 11 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $200.70 – $1,626.07 | 11 |
| Tension based scoliosis orth HCPCS L1005 | not published | not published | $3,835.75 – $10,360.48 | 28 |
| Tens suppl 2 lead per month HCPCS A4595 | not published | not published | $12.45 – $33.64 | 28 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $257.66 | $257.66 | $2.87 – $16.58 | 5 |
| Teriparatide injection HCPCS J3110 | not published | not published | $130.53 – $286.45 | 3 |
| Term dev auto grasp feature HCPCS L6881 | not published | not published | $4,909.07 – $13,259.56 | 28 |
| Term device, multi art digit HCPCS L6715 | not published | not published | $3,791.02 – $10,239.67 | 28 |
| Term dev mech hand vol close HCPCS L6709 | not published | not published | $1,676.53 – $4,528.36 | 28 |
| Term dev mech hand vol open HCPCS L6708 | not published | not published | $1,142.68 – $3,086.41 | 28 |
| Term dev mech hook vol close HCPCS L6707 | not published | not published | $1,700.22 – $4,592.34 | 28 |
| Term dev mech hook vol open HCPCS L6706 | not published | not published | $477.81 – $1,290.59 | 28 |
| Term dev modifier wrist unit HCPCS L6805 | not published | not published | $505.34 – $1,364.94 | 28 |
| Term dev, passive hand mitt HCPCS L6703 | not published | not published | $392.73 – $1,060.79 | 28 |
| Term dev precision pinch dev HCPCS L6810 | not published | not published | $295.35 – $797.74 | 28 |
| Term dev, sport/rec/work att HCPCS L6704 | not published | not published | $921.01 – $2,487.69 | 28 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $111.12 – $706.30 | 30 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $3.61 – $23.22 | 34 |
| Test for porphobilinogen CPT 84106 | $649.25 | $649.25 | $3.49 – $21.94 | 34 |
| Test for urine cystines CPT 82615 | not published | not published | $5.73 – $36.14 | 34 |
| Testicular imaging w/vasc flow CPT 78761 | $4,765.15 | $4,765.15 | $197.15 – $387.55 | 11 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $648.91 – $648.91 | 1 |
| Testosterone response panel CPT 80414 | not published | not published | $30.98 – $196.26 | 34 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $2.07 – $12.04 | 5 |
| Test pathogen(s) for platelets reference HCPCS P9100 | not published | not published | $33.84 – $149.85 | 4 |
| Test sock elbw disart/above HCPCS L6682 | not published | not published | $359.71 – $971.60 | 28 |
| Test socket above knee HCPCS L5624 | not published | not published | $575.64 – $1,554.81 | 28 |
| Test socket below knee HCPCS L5620 | not published | not published | $440.20 – $1,188.98 | 28 |
| Test socket hemipelvectomy HCPCS L5628 | not published | not published | $682.22 – $1,842.70 | 28 |
| Test socket hip disarticulat HCPCS L5626 | not published | not published | $632.14 – $1,707.43 | 28 |
| Test socket knee disarticula HCPCS L5622 | not published | not published | $574.01 – $1,550.41 | 28 |
| Test socket shldr disart/tho HCPCS L6684 | not published | not published | $413.94 – $1,118.06 | 28 |
| Test socket symes HCPCS L5618 | not published | not published | $358.75 – $969.01 | 28 |
| Test sock wrist disart/bel e HCPCS L6680 | not published | not published | $367.35 – $992.22 | 28 |
| Test stress cardiovascular tracing only CPT 93017 | $7,431.29 | $7,431.29 | $696.02 – $1,198.00 | 2 |
| Test urine for lactose CPT 83633 | not published | not published | $6.75 – $42.60 | 34 |
| Test urine for porphyrins CPT 84119 | $1,051.62 | $1,051.62 | $8.02 – $50.38 | 34 |
| Test urine urobilinogen CPT 84578 | not published | not published | $2.68 – $16.81 | 34 |
| Tetanus ig im CPT 90389 | not published | not published | $1,298.20 – $4,399.50 | 3 |
| Tetanus immune globulin inj HCPCS J1670 | $7,002.48 | $7,002.48 | $541.38 – $3,491.73 | 5 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $17.05 – $110.73 | 5 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $82.20 – $521.67 | 30 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $455.72 – $2,893.70 | 33 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $1,751.76 – $11,125.47 | 33 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $358.75 – $2,277.77 | 33 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $15.90 – $409.96 | 4 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $15.90 – $409.96 | 4 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $11.34 – $409.96 | 4 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $15.90 – $130.72 | 4 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $446.13 – $927.42 | 2 |
| Theophylline therapeutic drug level CPT 80198 | $900.93 | $900.93 | $8.48 – $54.23 | 34 |
| Therapeutic procd strg endur HCPCS G0237 | not published | not published | $26.76 – $26.76 | 1 |
| Therapeutic pulpotomy HCPCS D3220 | not published | not published | $442.31 – $442.31 | 1 |
| Therapy activation ipnss CPT 93150 | not published | not published | $253.63 – $1,198.00 | 2 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | not published | not published | $30.95 – $81.51 | 28 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | not published | not published | $26.72 – $70.35 | 28 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $480.51 – $480.51 | 1 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $873.32 – $6,260.10 | 11 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $172.43 – $611.80 | 12 |
| Ther/proph/diag inj ia CPT 96373 | not published | not published | $52.53 – $52.53 | 1 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $138.03 – $602.95 | 4 |
| Ther radiology tx plng intrm CPT 77262 | not published | not published | $88.02 – $385.98 | 4 |
| Ther radiology tx plng smpl CPT 77261 | not published | not published | $57.34 – $256.06 | 4 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | not published | not published | $1.50 – $10.83 | 5 |
| Thiethylperazine maleate inj HCPCS J3280 | not published | not published | $28.80 – $28.80 | 1 |
| Thigh/wght bear high roll cu HCPCS L2550 | not published | not published | $320.14 – $864.70 | 28 |
| Thigh/wght bear lacer molded HCPCS L2540 | not published | not published | $501.29 – $1,353.99 | 28 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | not published | not published | $264.03 – $713.16 | 28 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | not published | not published | $410.05 – $1,107.55 | 28 |
| Thiotepa 15 mg solution for injection HCPCS J9341 | not published | not published | $37.39 – $229.21 | 5 |
| Thiotepa injection HCPCS J9340 | not published | not published | $237.70 – $1,788.48 | 3 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $30,052.75 – $30,052.75 | 1 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $30,580.83 – $30,580.83 | 1 |
| Thorac cont lat support upri HCPCS L2680 | not published | not published | $232.57 – $628.17 | 28 |
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.