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 |
|---|---|---|---|---|
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $97.18 – $410.41 | 9 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $939.93 – $3,445.94 | 9 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $1,063.52 – $3,672.21 | 9 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $98.83 – $3,268.14 | 9 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $73.09 – $2,083.05 | 9 |
| Detect agent nos dna dir CPT 87797 | $935.39 | $935.39 | $18.02 – $114.92 | 29 |
| Detect agnt mult dna direc CPT 87800 | $1,186.43 | $1,186.43 | $26.20 – $166.58 | 29 |
| Determination venous press CPT 93770 | not published | not published | $19.56 – $57.73 | 2 |
| Determine refractive state CPT 92015 | not published | not published | $46.78 – $140.64 | 2 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $23.81 – $69.68 | 2 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $326.51 – $326.51 | 1 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | not published | not published | $12.59 – $12.59 | 1 |
| Device intraute mirena HCPCS J7298 | not published | not published | $2,519.43 – $7,802.97 | 4 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $28.91 – $386.80 | 3 |
| Devise bowel pouch CPT 44316 | not published | not published | $2,176.32 – $10,073.77 | 2 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $69.68 – $185.35 | 2 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $140.33 – $140.33 | 1 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $4.61 | $4.61 | $27.88 – $83.67 | 10 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $110.68 – $614.12 | 4 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $4.11 – $7.08 | 3 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.02 – $0.50 | 5 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | not published | not published | $0.07 – $0.79 | 5 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $205.24 – $1,242.15 | 10 |
| Dexamethasone panel CPT 80420 | not published | not published | $97.13 – $617.21 | 29 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $1.45 – $2.04 | 2 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $80.96 – $1,644.85 | 5 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $91.53 – $628.63 | 4 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $87.86 – $103.87 | 2 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $2.43 – $4.31 | 3 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $558.54 | $558.54 | $1.25 – $8.23 | 5 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $651.76 | $651.76 | $9.98 – $49.26 | 4 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | not published | not published | $1.82 – $26.15 | 5 |
| Dextrose 5 % IV bolus HCPCS J7070 | $651.76 | $651.76 | $3.64 – $52.30 | 5 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $1,104.27 | $1,104.27 | $13.34 – $85.23 | 29 |
| Diabetes (HbA1c) Test CPT 83036 | $401.98 | $401.98 | $5.83 – $37.46 | 29 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $64.52 – $64.52 | 1 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $232.65 – $1,535.54 | 2 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $37.31 – $252.31 | 2 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $37.31 – $252.31 | 2 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $37.31 – $252.31 | 2 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $14.81 – $40.95 | 23 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $77.56 – $511.92 | 2 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $37.31 – $252.31 | 2 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $525.71 – $2,103.00 | 9 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $1,888.85 – $7,105.55 | 9 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $160.27 – $451.00 | 3 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $437.23 – $1,476.20 | 3 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $134.32 – $328.50 | 3 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $961.41 | $961.41 | $111.93 – $476.55 | 6 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $94.75 – $372.49 | 6 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $56.20 – $201.52 | 9 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $68.14 – $201.52 | 9 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $1,059.43 | $1,059.43 | $102.39 – $274.81 | 24 |
| Diagnostic Mammogram (one breast) CPT 77065 | $842.27 | $842.27 | $80.12 – $214.21 | 24 |
| Diagnostic radio unlisted proc CPT 76499 | $978.71 | $978.71 | $83.86 – $316.19 | 9 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $12,015.43 – $12,015.43 | 1 |
| Dialysis one evaluation CPT 90945 | not published | not published | $606.20 – $606.20 | 1 |
| Dialysis repeated eval CPT 90947 | not published | not published | $880.19 – $880.19 | 1 |
| Dialysis training complete CPT 90989 | not published | not published | $2,521.89 – $2,521.89 | 1 |
| Dialysis training incompl CPT 90993 | not published | not published | $547.33 – $547.33 | 1 |
| Diathermy eg microwave CPT 97024 | not published | not published | $6.83 – $18.50 | 23 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.08 – $0.57 | 6 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $193.58 | $193.58 | $5.79 – $49.15 | 5 |
| Dicyclomine injection HCPCS J0500 | $526.40 | $526.40 | $12.86 – $511.99 | 5 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.46 – $1.45 | 3 |
| Diffusing capacity CPT 94729 | not published | not published | $110.57 – $311.26 | 2 |
| Digital analysis of eeg CPT 95957 | not published | not published | $397.19 – $1,255.05 | 2 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $223.56 | $223.56 | $4.88 – $89.49 | 5 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $24,496.15 | $24,496.15 | $4,968.58 – $30,064.88 | 5 |
| Digoxin total therapeutic drug level CPT 80162 | $685.87 | $685.87 | $7.97 – $50.38 | 29 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $1,165.30 | $1,165.30 | $85.75 – $669.71 | 5 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $2,217.50 – $2,217.50 | 1 |
| Dilate esophagus CPT 43453 | not published | not published | $564.97 – $2,289.38 | 9 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $334.95 – $1,155.30 | 9 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $521.29 – $521.29 | 1 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $260.65 – $260.65 | 1 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $742.22 – $742.22 | 1 |
| Dilate tear duct opening CPT 68801 | not published | not published | $67.67 – $534.48 | 3 |
| Dilate urethra stricture CPT 53600 | not published | not published | $34.88 – $252.24 | 9 |
| Dilate urethra stricture CPT 53601 | not published | not published | $39.07 – $160.27 | 9 |
| Dilate urethra stricture CPT 53605 | not published | not published | $1,142.90 – $3,558.75 | 9 |
| Dilate urethra stricture CPT 53621 | not published | not published | $94.13 – $252.24 | 9 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $39.59 – $129.91 | 9 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $429.26 – $1,476.20 | 9 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $39.86 – $3,268.14 | 9 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $429.26 – $1,476.20 | 9 |
| Dilation of salivary duct CPT 42660 | not published | not published | $57.03 – $544.50 | 9 |
| Dilation of urethra CPT 53661 | not published | not published | $29.60 – $160.27 | 9 |
| Dilation of urethra CPT 53665 | not published | not published | $652.80 – $2,604.18 | 9 |
| Dilation of vagina CPT 57400 | not published | not published | $1,063.52 – $3,672.21 | 9 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $37.38 – $1,566.45 | 9 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $92.46 – $703.98 | 9 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $1,142.90 – $3,558.75 | 9 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $1,142.90 – $4,437.25 | 9 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | not published | not published | $0.05 – $0.24 | 3 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $194.65 – $389.30 | 3 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $1.52 – $59.52 | 5 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $4,155.55 | $4,155.55 | $714.72 – $4,495.29 | 5 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.07 – $2.34 | 4 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $89.56 | $89.56 | $0.66 – $5.45 | 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.