MEDICAL CITY WEATHERFORD HOSPITAL
713 East Anderson Street, Weatherford, TX · Medicalcityhealthcare · · NPI 1417471467
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 |
|---|---|---|---|---|
| X-ray exam of femur 1 CPT 73551 | not published | not published | $29.40 – $94.97 | 10 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $34.75 – $100.48 | 10 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $82.86 – $277.32 | 10 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $38.43 – $133.38 | 10 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $62.15 – $573.08 | 10 |
| X-ray exam of penis CPT 74445 | not published | not published | $104.75 – $180.63 | 10 |
| X-ray exam of perineum CPT 74775 | not published | not published | $154.52 – $382.39 | 10 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $37.76 – $114.67 | 10 |
| X-ray exam of sinuses CPT 70210 | $708.66 | $708.66 | $32.41 – $94.97 | 10 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $57.58 – $382.39 | 10 |
| X-ray exam of teeth CPT 70300 | not published | not published | $12.70 – $94.97 | 10 |
| X-ray exam of teeth CPT 70310 | not published | not published | $40.76 – $277.32 | 10 |
| X-ray exam si joints CPT 72200 | not published | not published | $33.41 – $133.38 | 10 |
| X-ray exam thorac spine4/>vw CPT 72074 | $1,590.21 | $1,590.21 | $44.78 – $133.38 | 10 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $1,158.02 | $1,158.02 | $32.75 – $94.97 | 10 |
| X-ray facial bones complete > 3 views CPT 70150 | $1,778.82 | $1,778.82 | $47.45 – $134.05 | 10 |
| X-ray fallopian tube CPT 74742 | not published | not published | $37.73 – $190.95 | 3 |
| X-ray femur >=2 views (both sides) CPT 73552 | not published | not published | $35.75 – $104.33 | 10 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | not published | not published | $38.43 – $121.13 | 10 |
| X-ray foot 2 views (both sides) CPT 73620 | not published | not published | $28.74 – $94.97 | 10 |
| X-ray forearm 2 views (both sides) CPT 73090 | not published | not published | $29.40 – $94.97 | 10 |
| X-ray hand 2 views (both sides) CPT 73120 | not published | not published | $31.74 – $133.38 | 10 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $12.70 – $94.97 | 10 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | not published | not published | $28.74 – $94.97 | 10 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | not published | not published | $60.14 – $179.21 | 10 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $2,086.00 | $2,086.00 | $41.44 – $133.38 | 10 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $2,583.21 | $2,583.21 | $54.13 – $153.38 | 10 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | not published | not published | $51.04 – $181.82 | 10 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | not published | not published | $33.08 – $94.97 | 10 |
| X-ray humerus >= 2 views left CPT 73060 | not published | not published | $32.08 – $94.97 | 10 |
| X-ray joint survey 1 view CPT 77077 | $906.55 | $906.55 | $47.11 – $133.38 | 10 |
| X-ray knee 1-2 views (both sides) CPT 73560 | not published | not published | $34.41 – $101.76 | 10 |
| X-ray knee 3 views (both sides) CPT 73562 | not published | not published | $41.10 – $122.42 | 10 |
| X-ray knee ap standing bilateral CPT 73565 | $874.40 | $874.40 | $40.10 – $122.42 | 10 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | not published | not published | $40.32 – $94.97 | 10 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | not published | not published | $40.76 – $133.38 | 10 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $2,114.57 | $2,114.57 | $52.13 – $150.81 | 10 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $2,843.24 | $2,843.24 | $61.48 – $183.10 | 10 |
| X-ray male genital tract CPT 74440 | not published | not published | $97.56 – $309.65 | 10 |
| X-ray mandible complete > 4 views CPT 70110 | $1,513.05 | $1,513.05 | $43.78 – $133.38 | 10 |
| X-ray mandible ltd <4 views CPT 70100 | not published | not published | $39.09 – $115.96 | 10 |
| X-ray nasal bones complete > 3 views CPT 70160 | $1,443.05 | $1,443.05 | $37.76 – $115.96 | 10 |
| X-ray neck soft tissue CPT 70360 | $1,059.78 | $1,059.78 | $31.41 – $94.97 | 10 |
| X-ray nose to rectum for foreign body child CPT 76010 | $886.55 | $886.55 | $35.25 – $94.97 | 10 |
| X-ray of mammary ducts CPT 77054 | $2,870.40 | $2,870.40 | $69.50 – $277.32 | 10 |
| X-ray optic foramina CPT 70190 | not published | not published | $37.76 – $104.33 | 10 |
| X-ray pelvis 1-2 views CPT 72170 | not published | not published | $28.06 – $133.38 | 10 |
| X-ray pelvis complete > 3 views CPT 72190 | not published | not published | $42.44 – $133.38 | 10 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $209.29 – $209.29 | 1 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $240.17 – $240.17 | 1 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $2,148.85 | $2,148.85 | $55.32 – $205.04 | 10 |
| X-ray ribs 2 views left CPT 71100 | not published | not published | $36.75 – $101.76 | 10 |
| X-ray ribs 3 views bilateral CPT 71110 | $2,284.59 | $2,284.59 | $44.10 – $133.38 | 10 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | not published | not published | $42.44 – $133.38 | 10 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $2,940.40 | $2,940.40 | $52.79 – $144.36 | 10 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $1,023.00 | $1,023.00 | $39.43 – $133.38 | 10 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $1,233.38 | $1,233.38 | $32.75 – $94.97 | 10 |
| X-ray scapula complete (both sides) CPT 73010 | not published | not published | $24.06 – $133.38 | 10 |
| X-ray sella turcica CPT 70240 | $898.69 | $898.69 | $33.08 – $94.97 | 10 |
| X-ray shoulder 1 view (both sides) CPT 73020 | not published | not published | $21.71 – $94.97 | 10 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $1,913.12 | $1,913.12 | $37.76 – $105.61 | 10 |
| X-ray sinus tract/fistula/abscess CPT 76080 | not published | not published | $59.81 – $573.08 | 10 |
| X-ray skull < 4 views CPT 70250 | $1,450.19 | $1,450.19 | $36.09 – $133.38 | 10 |
| X-ray skull > 4 views complete CPT 70260 | $1,998.83 | $1,998.83 | $44.78 – $133.38 | 10 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $1,933.12 | $1,933.12 | $89.55 – $239.90 | 10 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $2,546.06 | $2,546.06 | $121.96 – $332.87 | 10 |
| X-ray small intestine follow-through study CPT 74248 | $807.85 | $807.85 | $57.04 – $103.16 | 9 |
| X-ray spine single view CPT 72020 | $1,059.78 | $1,059.78 | $24.39 – $94.97 | 10 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $1,199.45 | $1,199.45 | $41.44 – $119.81 | 10 |
| X-ray sternum > 2 views CPT 71120 | $1,513.05 | $1,513.05 | $33.75 – $94.97 | 10 |
| X-ray surgical specimen CPT 76098 | not published | not published | $35.39 – $573.08 | 10 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $2,086.00 | $2,086.00 | $124.96 – $394.88 | 10 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $1,594.51 | $1,594.51 | $53.13 – $161.16 | 10 |
| X-ray thoracic spine 2 views CPT 72070 | $1,280.89 | $1,280.89 | $33.08 – $133.38 | 10 |
| X-ray thoracic spine 3 views CPT 72072 | $1,513.05 | $1,513.05 | $39.76 – $133.38 | 10 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $1,059.78 | $1,059.78 | $34.75 – $95.30 | 10 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $3,357.59 | $3,357.59 | $42.78 – $117.24 | 10 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $4,912.09 | $4,912.09 | $70.50 – $214.11 | 10 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | not published | not published | $31.74 – $94.97 | 10 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | not published | not published | $29.40 – $94.97 | 10 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $2,183.15 | $2,183.15 | $139.34 – $384.53 | 10 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $1,998.83 | $1,998.83 | $122.96 – $335.48 | 10 |
| X-ray wrist 2 views (both sides) CPT 73100 | not published | not published | $34.09 – $100.48 | 10 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $94.89 – $268.34 | 10 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $184.78 – $184.78 | 1 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $55.40 – $630.10 | 3 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $7.52 – $22,841.13 | 4 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $7.75 – $49.05 | 29 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.49 – $9.32 | 5 |
| Yersinia antibody CPT 86793 | not published | not published | $7.91 – $50.38 | 29 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $93,760.51 – $412,319.62 | 4 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $7.52 – $503.32 | 4 |
| Ziconotide injection HCPCS J2278 | not published | not published | $9.70 – $61.30 | 5 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.51 – $10.80 | 5 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.00 – $9.66 | 3 |
| Zika virus dna/rna amp probe CPT 87662 | $1,186.43 | $1,186.43 | $30.79 – $194.97 | 29 |
| Zika virus igm antibody CPT 86794 | not published | not published | $10.11 – $64.58 | 29 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | $91.00 | $91.00 | $1.54 – $10.23 | 2 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $602.12 | $602.12 | $5.18 – $134.92 | 5 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $8.30 – $59.52 | 5 |
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.