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 |
|---|---|---|---|---|
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $39,254.73 | $39,254.73 | $3,192.98 – $3,898.40 | 2 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $39,254.73 | $39,254.73 | $3,192.98 – $3,898.40 | 2 |
| Trnscath tx thromblytc vein ini day CPT 37212 | not published | not published | $1,496.15 – $6,623.36 | 11 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $1,435.76 – $7,115.72 | 11 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $698.37 – $3,878.35 | 11 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $698.37 – $3,878.35 | 11 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $698.37 – $3,878.35 | 11 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $698.37 – $3,878.35 | 11 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $698.37 – $3,878.35 | 11 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $384.44 – $2,441.78 | 31 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $3,223.80 – $8,488.80 | 28 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $20,862.78 – $20,862.78 | 1 |
| Troponin quantitative CPT 84484 | not published | not published | $7.48 – $47.77 | 34 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $205.21 – $1,567.58 | 11 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $1,125.76 – $4,234.00 | 11 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $209.78 – $622.04 | 2 |
| Truss addition to std pad wa HCPCS L8320 | not published | not published | $73.03 – $197.26 | 28 |
| Truss add to std pad scrotal HCPCS L8330 | not published | not published | $78.16 – $211.12 | 28 |
| Truss double with standard pad HCPCS L8310 | not published | not published | $158.16 – $427.19 | 28 |
| Truss single with standard pad HCPCS L8300 | not published | not published | $100.18 – $270.59 | 28 |
| Tte w or without contr, cont ecg HCPCS C8930 | $7,050.28 | $7,050.28 | $1,872.26 – $1,872.26 | 1 |
| Tte w or without fol w/con,stres HCPCS C8928 | not published | not published | $1,872.26 – $1,872.26 | 1 |
| Tte w or without fol w/cont, com HCPCS C8921 | not published | not published | $1,872.26 – $1,872.26 | 1 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | not published | not published | $1,872.26 – $1,872.26 | 1 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $1,860.52 – $11,552.57 | 11 |
| Tube drain vert dev st 5-40f HCPCS A5200 | not published | not published | $13.78 – $42.18 | 28 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | not published | not published | $57.38 – $175.64 | 28 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | not published | not published | $6.81 – $20.83 | 28 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | not published | not published | $57.92 – $177.27 | 28 |
| Tubing (oxygen) per foot HCPCS A4616 | not published | not published | $0.07 – $0.21 | 28 |
| Tubular dressing HCPCS A6457 | not published | not published | $1.39 – $4.24 | 28 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $446.13 – $927.42 | 2 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $7,498.81 – $16,021.60 | 2 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $20,471.90 – $20,471.90 | 1 |
| Twelve volt battery utah/equ HCPCS L7364 | not published | not published | $626.47 – $1,692.13 | 28 |
| Tx atrial fib pulm vein isol CPT 93656 | $134,003.47 | $134,003.47 | $48,840.30 – $48,840.30 | 1 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $249.44 – $515.38 | 2 |
| Tx closed hip disl traumatic without anes CPT 27250 | not published | not published | $84.04 – $515.38 | 11 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $1,071.95 – $6,542.51 | 11 |
| Tx closed tib shaft fx without manip CPT 27750 | not published | not published | $84.04 – $515.38 | 11 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $67.91 – $747.38 | 11 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $48.27 – $747.38 | 11 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $18,441.78 – $18,441.78 | 1 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $17,468.02 – $17,468.02 | 1 |
| Tx l/r atrial fib addl CPT 93657 | $40,909.47 | $40,909.47 | $1,226.94 – $1,226.94 | 1 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $1,071.95 – $6,542.51 | 11 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | $1,071.95 – $6,542.51 | 11 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $1,071.95 – $6,542.51 | 11 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $873.32 – $6,260.10 | 11 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $1,071.95 – $6,542.51 | 11 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $1,071.95 – $6,542.51 | 11 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $347.63 – $8,751.14 | 3 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | not published | not published | $84.04 – $666.84 | 11 |
| Tympanic membrane repair CPT 69610 | not published | not published | $172.35 – $1,569.03 | 11 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $873.32 – $6,260.10 | 11 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $380.46 – $380.46 | 1 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $115.90 – $845.91 | 11 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $1,924.91 – $11,592.77 | 11 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $1,924.91 – $11,592.77 | 11 |
| Tyms gene com variants CPT 81346 | not published | not published | $104.89 – $666.31 | 30 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $143.90 – $794.80 | 3 |
| U2af1 gene common variants CPT 81357 | not published | not published | $115.95 – $736.02 | 30 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $2.41 – $15.48 | 34 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $66.69 – $435.07 | 5 |
| Ue triple control harness HCPCS L6677 | not published | not published | $356.23 – $962.20 | 28 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $140.40 – $892.25 | 33 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | not published | not published | $103.18 – $313.50 | 12 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $6.43 – $16.53 | 12 |
| Ultrasound breast complete CPT 76641 | not published | not published | $101.37 – $267.01 | 12 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | not published | not published | $83.86 – $205.04 | 12 |
| Ultrasound chest CPT 76604 | not published | not published | $56.28 – $153.55 | 12 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | not published | not published | $44.11 – $153.55 | 12 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $39.92 – $153.55 | 12 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $46.91 – $85.64 | 11 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $103.02 – $294.13 | 12 |
| Ultrasound encephalogram CPT 76506 | not published | not published | $103.18 – $323.85 | 12 |
| Ultrasound exam k transpl w/doppler CPT 76776 | not published | not published | $103.18 – $437.20 | 12 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | not published | not published | $69.12 – $185.67 | 12 |
| Ultrasound guidance for vascular access CPT 76937 | not published | not published | $27.15 – $59.66 | 2 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | not published | not published | $34.57 – $63.18 | 2 |
| Ultrasound guide intraoperative CPT 76998 | not published | not published | $89.37 – $132.35 | 2 |
| Ultrasound guide tissue ablation CPT 76940 | not published | not published | $136.22 – $144.66 | 2 |
| Ultrasound hips infant dynamic CPT 76885 | not published | not published | $83.86 – $395.89 | 12 |
| Ultrasound infant hips ltd without stress CPT 76886 | not published | not published | $83.86 – $277.36 | 12 |
| Ultrasound joint complete left CPT 76881 | not published | not published | $42.36 – $120.35 | 12 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | not published | not published | $29.89 – $153.55 | 12 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $56.56 – $146.43 | 11 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | not published | not published | $59.25 – $109.43 | 11 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $2,946.43 | $2,946.43 | $30.11 – $75.17 | 11 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | not published | not published | $116.03 – $333.39 | 12 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $1,420.71 | $1,420.71 | $103.18 – $269.62 | 12 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | not published | not published | $79.98 – $196.02 | 12 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | not published | not published | $91.50 – $221.85 | 12 |
| Ultrasound prostate/transrectal CPT 76872 | not published | not published | $103.18 – $655.44 | 12 |
| Ultrasound retroperitoneal limited CPT 76775 | not published | not published | $58.91 – $153.55 | 12 |
| Ultrasound scrotum and contents CPT 76870 | not published | not published | $98.74 – $274.79 | 12 |
| Ultrasound spinal canal and contents CPT 76800 | not published | not published | $103.18 – $374.19 | 12 |
| Ultrasound transabd ea addl gest CPT 76812 | not published | not published | $153.06 – $251.12 | 11 |
| Ultrasound transvaginal non obstetric CPT 76830 | not published | not published | $103.18 – $338.05 | 12 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $172.43 – $695.47 | 12 |
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.