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 |
|---|---|---|---|---|
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $556.50 – $2,024.62 | 11 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $556.50 – $2,024.62 | 11 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $556.50 – $2,024.62 | 11 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $556.50 – $2,024.62 | 11 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $329.93 – $1,021.70 | 11 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $110.17 – $917.18 | 11 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $556.50 – $2,024.62 | 11 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $1,441.71 – $3,898.82 | 11 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $556.50 – $2,024.62 | 11 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $556.50 – $2,024.62 | 11 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $1,102.47 – $3,898.82 | 11 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $556.50 – $2,024.62 | 11 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $1,924.91 – $6,305.69 | 11 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $556.50 – $2,024.62 | 11 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $556.50 – $2,024.62 | 11 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $1,102.47 – $3,898.80 | 11 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $556.50 – $2,024.62 | 11 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $556.50 – $2,024.62 | 11 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $556.50 – $2,024.62 | 11 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $1,764.87 – $9,253.45 | 2 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $556.50 – $2,024.62 | 11 |
| Esophagus motility study CPT 91010 | not published | not published | $295.14 – $753.36 | 2 |
| Esoph balloon distension tst CPT 91040 | $1,303.99 | $1,303.99 | $1,029.13 – $2,741.37 | 2 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $556.50 – $2,024.62 | 11 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $556.50 – $2,024.62 | 11 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $1,113.18 – $1,113.18 | 1 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $1,527.33 – $1,527.33 | 1 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $39.13 – $108.66 | 2 |
| Esoph imped function test CPT 91037 | $2,389.27 | $2,389.27 | $273.03 – $760.58 | 2 |
| Esoph imped funct test > 1hr CPT 91038 | $4,311.12 | $4,311.12 | $929.63 – $2,685.79 | 2 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $556.50 – $2,024.62 | 11 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $556.50 – $2,024.62 | 11 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $556.50 – $2,024.62 | 11 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $4,879.04 – $25,658.61 | 2 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $5,080.97 – $26,807.06 | 2 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $4,262.96 – $22,482.22 | 2 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $4,762.38 – $24,908.11 | 2 |
| Esrd home pt serv p mo 12-19 CPT 90965 | not published | not published | $397.56 – $409.86 | 2 |
| Esrd home pt serv p mo 20+ CPT 90966 | not published | not published | $235.26 – $242.54 | 2 |
| Esrd home pt serv p mo 2-11 CPT 90964 | not published | not published | $412.84 – $425.61 | 2 |
| Esrd home pt serv p mo <2yrs CPT 90963 | not published | not published | $481.58 – $496.47 | 2 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | not published | not published | $162.53 – $167.56 | 2 |
| Esrd serv 1 visit p mo <2yrs CPT 90953 | not published | not published | $2,283.46 – $2,283.46 | 1 |
| Esrd serv 1 vst p mo 12-19 CPT 90959 | not published | not published | $260.12 – $268.17 | 2 |
| Esrd serv 2-3 vsts p mo <2yr CPT 90952 | not published | not published | $3,212.66 – $3,212.66 | 1 |
| Esrd serv 4 visits p mo <2yr CPT 90951 | not published | not published | $925.02 – $953.63 | 2 |
| Esrd serv 4 vsts p mo 2-11 CPT 90954 | not published | not published | $797.21 – $821.87 | 2 |
| Esrd srv 1 visit p mo 2-11 CPT 90956 | not published | not published | $278.64 – $287.26 | 2 |
| Esrd srv 2-3 vsts p mo 12-19 CPT 90958 | not published | not published | $398.39 – $410.71 | 2 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | not published | not published | $235.26 – $242.54 | 2 |
| Esrd srv 2-3 vsts p mo 2-11 CPT 90955 | not published | not published | $416.65 – $429.54 | 2 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | not published | not published | $283.40 – $292.17 | 2 |
| Esrd srv 4 vsts p mo 12-19 CPT 90957 | not published | not published | $611.57 – $630.48 | 2 |
| Esrd svc pr day pt 12-19 CPT 90969 | not published | not published | $13.37 – $13.78 | 2 |
| Esrd svc pr day pt <2 CPT 90967 | not published | not published | $13.91 – $14.34 | 2 |
| Esrd svc pr day pt 20+ CPT 90970 | not published | not published | $7.75 – $7.99 | 2 |
| Esrd svc pr day pt 2-11 CPT 90968 | not published | not published | $13.65 – $14.07 | 2 |
| Essure 58565 CPT 58565 | not published | not published | $1,958.12 – $5,553.00 | 11 |
| Establish access to aorta CPT 36160 | not published | not published | $2,507.44 – $2,507.44 | 1 |
| Establish access to artery CPT 36100 | not published | not published | $2,239.32 – $2,239.32 | 1 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $1,422.40 – $7,373.82 | 2 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $2,205.27 – $11,366.08 | 2 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $1,271.06 – $6,548.21 | 2 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $1,339.47 – $6,921.28 | 2 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $1,887.63 – $9,775.10 | 2 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $1,371.79 – $7,159.14 | 2 |
| Established Patient Office Visit (level 1) CPT 99211 | $45.95 | $45.95 | $25.77 – $84.56 | 2 |
| Established Patient Office Visit (level 2) CPT 99212 | $183.01 | $183.01 | $71.36 – $125.62 | 2 |
| Established Patient Office Visit (level 3) CPT 99213 | $342.64 | $342.64 | $142.72 – $147.37 | 2 |
| Established Patient Office Visit (level 4) CPT 99214 | $506.70 | $506.70 | $198.09 – $220.03 | 2 |
| Established Patient Office Visit (level 5) CPT 99215 | $745.64 | $745.64 | $231.92 – $310.20 | 2 |
| Estradiol total CPT 82670 | $646.05 | $646.05 | $16.76 – $105.89 | 34 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $317.78 | $317.78 | $7.08 – $46.65 | 5 |
| Estrogens total-sendout CPT 82672 | $1,655.97 | $1,655.97 | $13.02 – $82.63 | 34 |
| Etanercept injection HCPCS J1438 | not published | not published | $1,878.73 – $6,293.58 | 4 |
| Ethanolamine oleate 100 mg HCPCS J1430 | $3,093.99 | $3,093.99 | $482.77 – $3,143.62 | 5 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $308.72 – $757.40 | 3 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $873.32 – $3,405.08 | 11 |
| Ethylene glycol -sendout CPT 82693 | $577.11 | $577.11 | $8.94 – $56.80 | 34 |
| Etonogestrel implant system HCPCS J7307 | not published | not published | $2,525.21 – $7,496.77 | 4 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | not published | not published | $1.04 – $7.87 | 5 |
| Etoposide 50 mg cap HCPCS J8560 | $950.84 | $950.84 | $74.17 – $458.42 | 5 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $124.85 – $692.72 | 5 |
| Euglobulin lysis CPT 85360 | $900.93 | $900.93 | $5.05 – $32.29 | 34 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $1,047.57 – $3,273.52 | 11 |
| Eval aud funcj ea addl 15 CPT 92627 | not published | not published | $31.40 – $43.38 | 2 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $94.21 – $326.51 | 2 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $117.75 – $319.43 | 28 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $6.23 – $40.03 | 31 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | not published | not published | $58.87 – $374.47 | 34 |
| Evaluation heart device CPT 93640 | $1,735.54 | $1,735.54 | $442.26 – $442.26 | 1 |
| Evaluation of speech fluency 92521 CPT 92521 | not published | not published | $127.27 – $348.70 | 28 |
| Evaluation psychiatric diagnostic CPT 90791 | not published | not published | $55.51 – $55.51 | 1 |
| Evasc prlng admn rx agnt 1st CPT 61650 | not published | not published | $754.30 – $3,856.99 | 2 |
| Evasc prlng admn rx agnt add CPT 61651 | not published | not published | $328.42 – $1,636.98 | 2 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $1,690.38 – $1,690.38 | 1 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $15,557.54 | $15,557.54 | $1,679.60 – $8,827.67 | 2 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $15,557.54 | $15,557.54 | $2,508.39 – $13,199.51 | 2 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $15,557.54 | $15,557.54 | $3,133.39 – $16,496.72 | 2 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $23,336.30 | $23,336.30 | $606.25 – $606.25 | 1 |
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.