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 |
|---|---|---|---|---|
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $4,856.64 – $19,445.43 | 3 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $1,271,523.00 – $2,528,215.20 | 2 |
| _afb id by dna probe rflx ast CPT 87149 | $517.78 | $517.78 | $12.03 – $76.17 | 34 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $4.39 – $28.40 | 34 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $498.82 | $498.82 | $69.22 – $439.04 | 34 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $82.20 – $521.67 | 30 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $164.90 – $1,047.19 | 30 |
| Aflibercept injection HCPCS J0178 | not published | not published | $771.98 – $4,780.53 | 5 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $42.47 – $130.48 | 4 |
| Afo molded ankle gauntlet HCPCS L1904 | not published | not published | $524.15 – $1,415.74 | 28 |
| Afo molded plas rig ant tib HCPCS L1945 | not published | not published | $1,031.82 – $2,786.97 | 28 |
| Afo molded to patient plasti HCPCS L1940 | $4,199.00 | $4,199.00 | $564.42 – $1,524.53 | 28 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $7,956.00 | $7,956.00 | $1,069.47 – $2,888.68 | 28 |
| Afo sing bar clasp attach sh HCPCS L1910 | not published | not published | $335.82 – $907.07 | 28 |
| Afo sing solid stirrup calf HCPCS L1980 | not published | not published | $427.64 – $1,155.08 | 28 |
| Afo sing upright with adjust s HCPCS L1920 | not published | not published | $403.48 – $1,089.82 | 28 |
| Afo spiral molded to pt plas HCPCS L1950 | not published | not published | $833.07 – $2,250.13 | 28 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | not published | not published | $386.15 – $1,043.00 | 28 |
| Afo supramalleolar custom HCPCS L1907 | not published | not published | $674.35 – $1,821.45 | 28 |
| Afo tib fx cast molded to pt HCPCS L2108 | not published | not published | $1,295.85 – $3,500.14 | 28 |
| Afo tib fx cast plaster mold HCPCS L2106 | not published | not published | $932.76 – $2,519.42 | 28 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $730.86 – $1,974.07 | 28 |
| Afo tibial fracture rigid HCPCS L2116 | not published | not published | $875.61 – $2,365.05 | 28 |
| Afo tibial fracture soft HCPCS L2112 | not published | not published | $631.34 – $1,705.28 | 28 |
| Afo, walk boot type, cus fab HCPCS L4631 | not published | not published | $1,772.67 – $4,788.05 | 28 |
| Afo w/ankle joint, prefab HCPCS L1971 | not published | not published | $561.74 – $1,517.27 | 28 |
| After cataract laser surgery CPT 66821 | not published | not published | $205.21 – $659.01 | 11 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $216.15 – $1,393.30 | 5 |
| Ag detect nos ia single CPT 87450 | not published | not published | $106.54 – $106.54 | 1 |
| Air conduction bilat CPT 92552 | not published | not published | $217.04 – $257.31 | 2 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $280.21 – $280.21 | 1 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $195.30 – $597.32 | 2 |
| Ak 4 bar ling w/hydraul swig HCPCS L5613 | not published | not published | $2,947.04 – $7,960.06 | 28 |
| Ak 4 bar link w/fric swing HCPCS L5611 | not published | not published | $1,913.30 – $5,167.87 | 28 |
| Ak/bk self-aligning unit ea HCPCS L5617 | not published | not published | $671.82 – $1,814.61 | 28 |
| Ak flex inner socket ext fra HCPCS L5651 | not published | not published | $1,901.48 – $5,135.96 | 28 |
| Ak/knee disartic acrylic soc HCPCS L5631 | not published | not published | $695.69 – $1,879.09 | 28 |
| Ak/knee disartic pelvic band HCPCS L5697 | not published | not published | $95.33 – $257.49 | 28 |
| Ak/knee disartic pelvic join HCPCS L5696 | not published | not published | $263.59 – $711.96 | 28 |
| Ak/knee disartic silesian ba HCPCS L5698 | not published | not published | $142.11 – $383.86 | 28 |
| Ak open end sach HCPCS L5321 | not published | not published | $4,569.21 – $12,341.59 | 28 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $210.39 – $568.28 | 28 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $287.25 – $775.86 | 28 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | not published | not published | $258.21 – $697.44 | 28 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $2,150.45 – $5,808.44 | 28 |
| Albumin body fluid quantitative each specimen CPT 82042 | not published | not published | $4.67 – $29.68 | 34 |
| Albumin (human), 25%, 50ml HCPCS P9047 | not published | not published | $51.49 – $277.74 | 6 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $20.59 – $170.70 | 6 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | not published | not published | $51.49 – $287.36 | 6 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | $1,321.94 | $1,321.94 | $10.30 – $202.41 | 6 |
| Albumin ischemia modified CPT 82045 | not published | not published | $20.36 – $129.11 | 34 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $1,498.88 | $1,498.88 | $3.47 – $21.94 | 34 |
| Albumin serum plasma or whole blood CPT 82040 | not published | not published | $2.97 – $19.37 | 34 |
| Albuterol comp con HCPCS J7610 | not published | not published | $6.94 – $7.44 | 2 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $0.35 – $3.09 | 3 |
| Albuterol ipratrop non-comp HCPCS J7620 | $77.62 | $77.62 | $0.18 – $1.21 | 5 |
| Albuterol non-comp con HCPCS J7611 | $29.56 | $29.56 | $0.17 – $0.97 | 5 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.08 – $0.48 | 5 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $10.36 – $65.86 | 33 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $0.02 – $11.97 | 10 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $39.98 – $39.98 | 1 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | not published | not published | $14.52 – $79.96 | 2 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $14.45 – $155.64 | 2 |
| Aldesleukin injection HCPCS J9015 | $30,233.70 | $30,233.70 | $5,509.14 – $37,402.44 | 4 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $75.30 – $477.75 | 34 |
| Alefacept HCPCS J0215 | not published | not published | $135.00 – $297.88 | 3 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,368.25 – $14,768.68 | 5 |
| Alginate dressing <=16 sq in HCPCS A6196 | not published | not published | $8.98 – $27.48 | 28 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | not published | not published | $20.06 – $61.41 | 28 |
| Alginate drsg wound filler HCPCS A6199 | not published | not published | $6.45 – $19.70 | 28 |
| Alglucerase injection HCPCS J0205 | not published | not published | $136.24 – $300.67 | 3 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $254.64 – $1,478.67 | 3 |
| Alkaline phosphatase CPT 84075 | not published | not published | $3.11 – $19.37 | 34 |
| Allergen alpha lactalbumin ige CPT 86008 | not published | not published | $10.76 – $68.43 | 34 |
| Allergen egg white ige CPT 86003 | $355.88 | $355.88 | $3.13 – $19.37 | 34 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $1,282.46 | $1,282.46 | $4.78 – $31.01 | 34 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $69.68 – $89.94 | 2 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $60.02 – $89.94 | 2 |
| Allergy Skin Testing CPT 95004 | not published | not published | $36.05 – $2,145.12 | 2 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $38.27 – $2,145.12 | 2 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $12,983.02 – $15,470.92 | 2 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | not published | not published | $103.17 – $103.17 | 1 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $80.28 – $513.49 | 4 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $99.11 – $609.46 | 4 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | not published | not published | $209.78 – $209.78 | 1 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $23.74 – $209.78 | 4 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $5,526.00 | $5,526.00 | $153.58 – $909.65 | 5 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | not published | not published | $209.78 – $625.88 | 4 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $124.58 – $762.79 | 4 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $209.78 – $1,463.56 | 5 |
| Alloskin HCPCS Q4115 | not published | not published | $12.01 – $209.78 | 5 |
| Alloskin ac, 1 cm HCPCS Q4141 | not published | not published | $36.73 – $391.80 | 4 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $78.89 – $146.79 | 2 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $53.87 – $54.26 | 2 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $5.01 – $31.40 | 5 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $38.65 – $245.35 | 34 |
| Alpha-fetoprotein amniotic CPT 82106 | $1,149.39 | $1,149.39 | $10.20 – $64.58 | 34 |
| Alpha-fetoprotein tumor marker CPT 82105 | not published | not published | $10.06 – $63.25 | 34 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $0.66 – $63.41 | 4 |
| Alprostadil urethral suppos HCPCS J0275 | not published | not published | $155.63 – $485.45 | 3 |
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.