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 |
|---|---|---|---|---|
| Pelvic MRI (with and without contrast) CPT 72197 | $15,699.94 | $15,699.94 | $341.95 – $761.00 | 12 |
| Pelvic MRI (with contrast) CPT 72196 | $11,709.41 | $11,709.41 | $272.51 – $761.00 | 12 |
| Pelvic MRI (without contrast) CPT 72195 | $11,709.41 | $11,709.41 | $229.97 – $761.00 | 12 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $7,557.88 – $7,776.53 | 2 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $1,354.46 – $7,096.40 | 2 |
| Pelvic Ultrasound (complete) CPT 76856 | not published | not published | $94.84 – $283.82 | 12 |
| Pelvic Ultrasound (limited) CPT 76857 | not published | not published | $40.88 – $133.38 | 12 |
| Pelv & thor control gluteal HCPCS L2650 | not published | not published | $161.15 – $435.26 | 28 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $57.57 – $354.35 | 5 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $47,180.85 | $47,180.85 | $3.66 – $243.16 | 5 |
| Pemivibart infusion HCPCS M0224 | not published | not published | $1,062.00 – $1,062.00 | 1 |
| Peng benzathine/procaine inj HCPCS J0558 | $1,166.36 | $1,166.36 | $15.87 – $105.11 | 5 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | not published | not published | $26.17 – $177.29 | 5 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | not published | not published | $0.76 – $5.32 | 5 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $16.53 – $283.61 | 4 |
| Penile injection CPT 54235 | not published | not published | $34.63 – $252.66 | 11 |
| Penile vascular study CPT 93980 | not published | not published | $105.28 – $221.85 | 11 |
| Penile vascular study CPT 93981 | not published | not published | $69.11 – $189.56 | 11 |
| Penile venous occlusion CPT 37790 | not published | not published | $3,564.61 – $3,924.10 | 2 |
| Penis plastic surgery CPT 54360 | not published | not published | $1,125.76 – $3,924.10 | 11 |
| Penis study CPT 54240 | not published | not published | $49.26 – $250.88 | 3 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | not published | not published | $0.40 – $0.40 | 1 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $77.11 – $518.19 | 5 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $76.97 – $109.24 | 2 |
| Pentazocine injection HCPCS J3070 | $667.23 | $667.23 | $45.19 – $775.39 | 4 |
| Pentobarbital sodium inj HCPCS J2515 | $5,241.54 | $5,241.54 | $59.83 – $336.80 | 4 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $48,518.63 | $48,518.63 | $2,593.23 – $15,393.08 | 5 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $4,575.71 – $10,937.04 | 11 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $66,636.17 | $66,636.17 | $50,689.10 – $50,689.10 | 1 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $66,636.17 | $66,636.17 | $31,508.97 – $31,508.97 | 1 |
| Perc d-e cor stent ather s HCPCS C9602 | $66,636.17 | $66,636.17 | $50,689.10 – $50,689.10 | 1 |
| Perc drug-el cor stent sing HCPCS C9600 | $66,636.17 | $66,636.17 | $31,508.97 – $31,508.97 | 1 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $1,860.52 – $6,283.82 | 11 |
| Percut ablate liver rf CPT 47382 | not published | not published | $1,860.52 – $6,283.82 | 11 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $505.05 – $11,739.94 | 2 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | not published | not published | $40.62 – $328.92 | 5 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $307.81 – $307.81 | 1 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $3,353.12 – $17,616.63 | 2 |
| Pericardiocentesis wwo imaging CPT 33016 | not published | not published | $439.58 – $2,120.47 | 11 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $1,189.07 – $6,258.41 | 2 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $949.21 – $3,959.45 | 11 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $1,047.57 – $3,273.52 | 11 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $42.53 – $132.49 | 2 |
| Peri-proc device eval icd CPT 93287 | $242.18 | $242.18 | $47.62 – $101.08 | 2 |
| Peri-proc device eval pm CPT 93286 | $242.18 | $242.18 | $47.62 – $101.08 | 2 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $1,910.06 – $5,975.05 | 11 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $79.82 – $803.35 | 12 |
| Perit-vens shunt pat tst CPT 78291 | $2,542.89 | $2,542.89 | $242.24 – $347.78 | 11 |
| Permanent tear duct plug HCPCS A4263 | not published | not published | $193.22 – $193.22 | 1 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $25.95 – $70.09 | 28 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $2,276.95 – $6,150.11 | 28 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $0.97 – $7.80 | 4 |
| Perphenazine injeciton HCPCS J3310 | not published | not published | $38.61 – $53.72 | 2 |
| Perq art m-thrombect &/nfs CPT 61645 | $120,774.31 | $120,774.31 | $1,139.88 – $5,919.76 | 2 |
| Perq clsr tcat l atr apndge CPT 33340 | $111,774.91 | $111,774.91 | $1,078.04 – $5,687.91 | 2 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $716.09 – $793.01 | 2 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $716.09 – $793.01 | 2 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $3,272.44 – $10,488.31 | 11 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $3,272.44 – $10,488.31 | 11 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $5,258.02 – $13,799.90 | 11 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $5,258.02 – $22,330.88 | 11 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $5,258.02 – $13,799.90 | 11 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $5,258.02 – $13,799.90 | 11 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $2,815.63 – $6,283.82 | 11 |
| Perq plmt bile duct stent CPT 47539 | $31,032.43 | $31,032.43 | $2,520.69 – $6,283.82 | 11 |
| Perq plmt bile duct stent CPT 47540 | $31,032.43 | $31,032.43 | $2,746.06 – $6,283.82 | 11 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $108.50 – $305.37 | 11 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $1,071.95 – $3,558.68 | 11 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $1,071.95 – $3,558.68 | 11 |
| Perq transcath closure each CPT 93592 | not published | not published | $2,849.03 – $2,849.03 | 1 |
| Perq transcath closure pda CPT 93582 | not published | not published | $4,768.66 – $50,689.10 | 2 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $651.94 – $50,689.10 | 10 |
| Perq transcath cls mitral CPT 93590 | $815.25 | $815.25 | $789.07 – $50,689.10 | 10 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $2,480.05 – $5,326.72 | 2 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $790.37 – $790.37 | 1 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $1,071.95 – $3,558.68 | 11 |
| Perq tx malar fracture CPT 21355 | not published | not published | $873.32 – $3,405.08 | 11 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $2,534.46 – $6,305.69 | 11 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $873.32 – $3,405.08 | 11 |
| Pertussis ag if CPT 87265 | not published | not published | $7.19 – $45.20 | 34 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $53,734.03 | $53,734.03 | $15.74 – $102.20 | 5 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $48,610.95 | $48,610.95 | $61.10 – $383.57 | 5 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | not published | not published | $70.77 – $191.16 | 28 |
| Pessary reusable rub anytype HCPCS A4561 | not published | not published | $28.45 – $76.84 | 28 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $1,467.01 – $2,291.20 | 11 |
| Pet CT whole body initial CPT 78816 | not published | not published | $1,467.01 – $2,291.20 | 11 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $1,442.53 – $2,291.20 | 12 |
| Pet image full body CPT 78813 | not published | not published | $1,467.01 – $2,291.20 | 11 |
| Pet image ltd area CPT 78811 | not published | not published | $1,307.36 – $2,291.20 | 11 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,467.01 – $2,291.20 | 11 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $1,467.01 – $2,291.20 | 11 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $509.11 – $509.11 | 1 |
| Pet scan brain perf study CPT 78609 | not published | not published | $90.92 – $2,291.20 | 5 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $9.66 – $65.53 | 28 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $9.66 – $91.05 | 28 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $9.37 – $35.79 | 28 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $1,071.95 – $3,558.68 | 11 |
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $9.66 – $9.66 | 1 |
| Ph body fluid CPT 83986 | not published | not published | $2.15 – $14.20 | 34 |
| Phencyclidine (pcp) CPT 83992 | $94.25 | $94.25 | $0.02 – $140.75 | 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.