Supplies, drugs & other prices at Medical City Arlington

Arlington, TX · every code in this section with a posted price and a Medicare benchmark.

45 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $6,528.04 $6,528.04 8.3×
2d tte w or w/o fol w/con,fu (C8924) $7,050.28 $7,050.28 20.1×
Adm tocilizu covid-19 1st (M0249) $708.59 $708.59 1.6×
Adm tocilizu covid-19 2nd (M0250) $708.59 $708.59 1.6×
Admin hepatitis b vaccine (G0010) $148.49 $148.49 3.2×
Admin influenza virus vac (G0008) $148.49 $148.49 3.2×
Admin pneumococcal vaccine (G0009) $148.49 $148.49 3.2×
Catheterize for urine spec (P9612) $509.78 $509.78 54.6×
Direct refer hospital observ (G0379) $2,175.82 $2,175.82 3.6×
Drug test def 1-7 classes (G0480) $1,413.92 $1,413.92 12.4×
Elec stim other than wound (G0283) $195.99 $195.99 15.4×
Mra w/cont, abd (C8900) $8,854.17 $8,854.17 25.2×
Mra w/cont, chest (C8909) $9,415.64 $9,415.64 26.8×
Mra w/cont, lwr ext (C8912) $6,591.26 $6,591.26 18.8×
Mra w/o cont, abd (C8901) $6,591.26 $6,591.26 27.5×
Mra w/o cont, chest (C8910) $6,591.26 $6,591.26 27.5×
Mra w/o cont, lwr ext (C8913) $6,591.26 $6,591.26 27.5×
Mra w/o fol w/cont, abd (C8902) $6,591.26 $6,591.26 18.8×
Mra w/o fol w/cont, chest (C8911) $6,591.26 $6,591.26 18.8×
Mra w/o fol w/cont, lwr ext (C8914) $6,591.26 $6,591.26 18.8×
Mra w/o fol w/cont, pelvis (C8920) $10,037.30 $10,037.30 28.6×
Mri w/cont, breast, bi (C8906) $6,591.26 $6,591.26 18.8×
Mri w/cont, breast, uni (C8903) $6,988.46 $6,988.46 39.6×
Mri w/o fol w/cont, breast, (C8908) $6,591.26 $6,591.26 18.8×
Mri w/o fol w/cont, brst, un (C8905) $5,087.28 $5,087.28 14.5×
Perc d-e cor revasc chro sin (C9607) $66,636.17 $66,636.17 3.6×
Perc d-e cor revasc t cabg s (C9604) $66,636.17 $66,636.17 5.7×
Perc d-e cor stent ather s (C9602) $66,636.17 $66,636.17 3.6×
Perc drug-el cor stent sing (C9600) $66,636.17 $66,636.17 5.7×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $24,630.57 $24,630.57 2.1×
Psa screening (G0103) $1,195.89 $1,195.89 61.9×
Revasc intra lithotrip-ather (C9766) $32,381.42 $32,381.42 1.8×
Revasc intra lithotrip-stent (C9765) $40,299.60 $40,299.60 2.2×
Revasc intravasc lithotripsy (C9764) $31,484.51 $31,484.51 2.7×
Revasc lith-sten-ath tib/per (C9775) $64,460.30 $64,460.30 3.5×
Revasc lithotr-ather tib/per (C9774) $49,101.94 $49,101.94 2.7×
Revasc lithotrip tibi/perone (C9772) $39,989.29 $39,989.29 3.4×
Revasc lithotrip-stent-ather (C9767) $64,460.30 $64,460.30 3.5×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $25,566.93 $25,566.93 4.5×
Tomosynthesis, mammo (G0279) $265.34 $265.34 20.9×
Trauma respons w/hosp criti (G0390) $37,914 $37,914 28.3×
Trluml peripheral atherectomy iliac artery ea (0238T) $91,299.30 $91,299.30 4.9×
Tte w or w/o contr, cont ecg (C8930) $7,050.28 $7,050.28 8.9×
Tte w or wo fol wcon,doppler (C8929) $7,050.28 $7,050.28 8.9×
Unsched dialysis esrd pt hos (G0257) $7,809.55 $7,809.55 11.3×