MEDICAL CITY ALLIANCE HOSPITAL
727 W BAILEY BOSWELL RD, SAGINAW, TX · Medicalcityhealthcare · · NPI 1871911016
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 |
|---|---|---|---|---|
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | not published | not published | $190.24 – $1,141.52 | 5 |
| Tiss ex molecul study add-on CPT 88388 | not published | not published | $25.47 – $84.58 | 2 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $31.96 – $117.87 | 3 |
| Tissue culture placenta CPT 88235 | $3,112.23 | $3,112.23 | $90.18 – $573.33 | 29 |
| Tissue culture skin/biopsy CPT 88233 | $2,685.27 | $2,685.27 | $84.44 – $535.87 | 29 |
| Tissue culture tumor CPT 88239 | $2,405.77 | $2,405.77 | $88.51 – $561.70 | 29 |
| Tissue dermagraft 2x3in 37.5sqcm-cost per sq cm HCPCS Q4431 | not published | not published | $10.74 – $209.78 | 2 |
| Tissue exam koh skin/hair/nails CPT 87220 | not published | not published | $2.56 – $16.81 | 29 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | not published | not published | $209.78 – $622.35 | 2 |
| Tissue matrix xcm thk 20x30cm -cost per sq cm HCPCS Q4142 | not published | not published | $209.78 – $209.78 | 1 |
| Tissue transglutaminase iga CPT 86364 | not published | not published | $6.92 – $43.92 | 29 |
| Tixagev and cilgav inj HCPCS M0220 | not published | not published | $355.18 – $355.18 | 1 |
| Tl-201 thallium diag per mci HCPCS A9505 | $1,695.68 | $1,695.68 | $91.49 – $523.71 | 3 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $3,110.01 – $20,023.20 | 10 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $10,749.35 – $20,023.20 | 2 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $3,110.01 – $20,023.20 | 10 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $3,110.01 – $20,023.20 | 10 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | not published | not published | $1,068.82 – $2,886.93 | 24 |
| Tlso 2 piece rigid shell HCPCS L0491 | not published | not published | $920.40 – $2,486.04 | 24 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | $1,955.36 | $1,955.36 | $1,203.06 – $3,249.51 | 24 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | $6,949.00 | $6,949.00 | $1,496.36 – $4,041.72 | 24 |
| Tlso 3 piece rigid shell HCPCS L0492 | not published | not published | $596.51 – $1,611.20 | 24 |
| Tlso corset front HCPCS L0970 | not published | not published | $162.06 – $437.72 | 24 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | not published | not published | $246.40 – $665.53 | 24 |
| Tlso full corset HCPCS L0974 | not published | not published | $224.01 – $605.06 | 24 |
| Tlso r fram soft ant pre cst HCPCS L0466 | not published | not published | $477.17 – $1,288.86 | 24 |
| Tlso r fram soft pre ots HCPCS L0467 | not published | not published | $276.33 – $746.39 | 24 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | not published | not published | $552.42 – $1,492.12 | 24 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | not published | not published | $352.10 – $951.03 | 24 |
| Tlso rigid frame pre subclav HCPCS L0470 | not published | not published | $710.64 – $1,919.46 | 24 |
| Tlso rigid lined custom fab HCPCS L0482 | $8,026.00 | $8,026.00 | $1,728.51 – $4,668.76 | 24 |
| Tlso rigid lined pre one pie HCPCS L0488 | not published | not published | $1,203.06 – $3,249.51 | 24 |
| Tlso rigid plastic cust fab HCPCS L0484 | not published | not published | $1,980.88 – $5,350.41 | 24 |
| Tlso rigid plastic custom fa HCPCS L0480 | not published | not published | $1,709.20 – $4,616.60 | 24 |
| Tlso rigid plastic pre one HCPCS L0490 | not published | not published | $339.00 – $915.64 | 24 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | not published | not published | $415.64 – $1,122.67 | 24 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $47,301.35 – $47,301.35 | 1 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $48,556.38 – $48,556.38 | 1 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $1,088.27 – $6,515.13 | 10 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $98.65 – $297.83 | 2 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | not published | not published | $1.55 – $14.89 | 5 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $7.54 – $191.92 | 5 |
| Tobramycin peak therapeutic drug level CPT 80200 | not published | not published | $9.68 – $61.97 | 29 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | not published | not published | $5.36 – $35.04 | 5 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $7.34 – $40.97 | 5 |
| Toe joint transfer CPT 26556 | not published | not published | $66,998.16 – $66,998.16 | 1 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $251.97 | $251.97 | $12.14 – $51.25 | 27 |
| Tomosynthesis breast screen bilateral CPT 77063 | $251.97 | $251.97 | $22.36 – $92.97 | 28 |
| Tone decay hearing test CPT 92563 | not published | not published | $91.93 – $91.93 | 1 |
| Tongue and neck surgery CPT 41135 | not published | not published | $43,152.05 – $43,152.05 | 1 |
| Tongue base vol reduction CPT 41530 | not published | not published | $3,352.73 – $5,110.87 | 2 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $109.63 – $3,352.73 | 10 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $59,824.42 – $59,824.42 | 1 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $43,563.48 – $43,563.48 | 1 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $47,218.95 – $47,218.95 | 1 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $54,742.46 – $54,742.46 | 1 |
| Tongue suspension CPT 41512 | not published | not published | $5,986.39 – $11,544.26 | 2 |
| Tongue to lip surgery CPT 41510 | not published | not published | $886.62 – $6,233.91 | 10 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $886.62 – $6,233.91 | 10 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $1,954.22 – $11,544.26 | 10 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | not published | not published | $2.05 – $8.14 | 5 |
| Topotecan oral HCPCS J8705 | not published | not published | $121.46 – $755.77 | 5 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $38.79 – $239.01 | 5 |
| Torsion ank & half solid sti HCPCS L2375 | not published | not published | $167.93 – $453.57 | 24 |
| Torsion straight knee joint HCPCS L2380 | not published | not published | $182.97 – $494.21 | 24 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $27,234.02 – $27,234.02 | 1 |
| Total hip arthroplasty CPT 27132 | not published | not published | $76,737.46 – $76,737.46 | 1 |
| Total Hip Replacement CPT 27130 | not published | not published | $12,983.02 – $53,315.18 | 3 |
| Total hysterectomy CPT 58150 | not published | not published | $19,957.52 – $19,957.52 | 1 |
| Total Knee Replacement CPT 27447 | not published | not published | $12,983.02 – $53,315.18 | 3 |
| Total lung lavage CPT 32997 | not published | not published | $6,748.42 – $6,748.42 | 1 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $46,553.66 – $46,553.66 | 1 |
| Total tau CPT 84394 | not published | not published | $30.22 – $337.77 | 27 |
| Tot contact ak/knee disart s HCPCS L5650 | not published | not published | $680.30 – $1,837.51 | 24 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $9,913.52 – $71,438.44 | 10 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $80,738.67 – $80,738.67 | 1 |
| Tot disc arthrp 2ntrspc lmbr CPT 22860 | not published | not published | $20,572.19 – $20,572.19 | 1 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $3,652.39 – $3,652.39 | 1 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $59,323.74 – $59,323.74 | 1 |
| Tot estradiol response panel CPT 80415 | not published | not published | $33.53 – $213.06 | 29 |
| Toxoplasma antibody igg CPT 86777 | $953.39 | $953.39 | $8.63 – $54.23 | 29 |
| Toxoplasma antibody igm CPT 86778 | $953.39 | $953.39 | $8.65 – $55.51 | 29 |
| Tp53 gene full gene sequence CPT 81351 | not published | not published | $385.11 – $2,445.63 | 28 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $184.80 – $1,173.74 | 28 |
| Tp53 gene trgt sequence alys CPT 81352 | not published | not published | $197.71 – $1,255.08 | 28 |
| Tpmt gene com vrnts CPT 81335 | not published | not published | $104.89 – $666.31 | 26 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $252.66 – $843.46 | 2 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $13,341.79 – $27,917.30 | 2 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $3,564.61 – $7,473.30 | 2 |
| Tprnl balo cntnc dev uni CPT 53452 | not published | not published | $9,572.89 – $10,724.02 | 2 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | not published | not published | $2,405.54 – $10,071.26 | 10 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | not published | not published | $379.34 – $2,317.96 | 5 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $109.35 – $830.48 | 10 |
| Trach care kit for new trach HCPCS A4625 | not published | not published | $8.44 – $25.86 | 24 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $1,526.99 – $10,166.27 | 10 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | not published | not published | $187.22 – $1,051.29 | 10 |
| Tracheo-esophagoplasty cong CPT 43314 | not published | not published | $56,552.97 – $56,552.97 | 1 |
| Tracheoplasty intrathoracic CPT 31760 | not published | not published | $27,144.96 – $27,144.96 | 1 |
| Tracheostoma hmes filter HCPCS A7504 | not published | not published | $0.84 – $2.54 | 24 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | not published | not published | $886.62 – $6,233.91 | 10 |
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.