Supplies, drugs & other prices at Medical City Fort Worth

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

61 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) $10,913.86 $10,913.86 13.8×
2d tte w or w/o fol w/con,fu (C8924) $3,641.65 $3,641.65 10.4×
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) $35.26 $35.26 0.7×
Admin influenza virus vac (G0008) $94.04 $94.04 2.0×
Admin pneumococcal vaccine (G0009) $75.68 $75.68 1.6×
Covid-19 lab test non-cdc (U0002) $80.82 $80.82 1.6×
Direct refer hospital observ (G0379) $176.60 $176.60 0.3×
Drug test def 1-7 classes (G0480) $240.88 $240.88 2.1×
Drug test def 15-21 classes (G0482) $3,582.26 $3,582.26 18.0×
Drug test def 22+ classes (G0483) $5,251.43 $5,251.43 21.3×
Drug test def 8-14 classes (G0481) $1,911.57 $1,911.57 12.2×
Elec stim other than wound (G0283) $162.29 $162.29 12.8×
Elec stim unattend for press (G0281) $161.56 $161.56 13.8×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $41,245.50 $41,245.50 3.6×
Insertion/replacement complete iims (0525T) $20,522.16 $20,522.16 1.1×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $29,551.94 $29,551.94 0.9×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $52,876.32 $52,876.32 1.7×
Mra w/cont, abd (C8900) $3,341.09 $3,341.09 9.5×
Mra w/o cont, abd (C8901) $3,350.89 $3,350.89 14.0×
Mra w/o cont, chest (C8910) $3,350.89 $3,350.89 14.0×
Mra w/o cont, lwr ext (C8913) $3,074.10 $3,074.10 12.8×
Mra w/o fol w/cont, abd (C8902) $3,712.96 $3,712.96 10.6×
Mra w/o fol w/cont, chest (C8911) $6,725.53 $6,725.53 19.2×
Mra w/o fol w/cont, pelvis (C8920) $3,350.89 $3,350.89 9.5×
Mri w/cont, breast, bi (C8906) $6,307.54 $6,307.54 18.0×
Mri w/cont, breast, uni (C8903) $6,124.42 $6,124.42 34.7×
Mri w/o fol w/cont, breast, (C8908) $7,950.84 $7,950.84 22.6×
Mri w/o fol w/cont, brst, un (C8905) $7,100.18 $7,100.18 20.2×
Pathogen test for platelets (P9100) $358.69 $358.69 6.0×
Perc d-e cor revasc chro sin (C9607) $52,739.03 $52,739.03 2.9×
Perc d-e cor revasc t cabg s (C9604) $52,739.03 $52,739.03 4.5×
Perc d-e cor stent ather s (C9602) $49,913.72 $49,913.72 2.7×
Perc drug-el cor stent sing (C9600) $53,089.92 $53,089.92 4.6×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $17,104.56 $17,104.56 1.5×
Pre 3d mdl w/ccta and/or mri (C9793) $1,219.63 $1,219.63 1.4×
Psa screening (G0103) $777.83 $777.83 40.3×
Removal complete iims (0530T) $16,898.52 $16,898.52 4.5×
Revasc intra lithotrip-ather (C9766) $53,870.16 $53,870.16 2.9×
Revasc intra lithotrip-stent (C9765) $59,259.75 $59,259.75 3.2×
Revasc intravasc lithotripsy (C9764) $56,085.12 $56,085.12 4.8×
Revasc lith-sten-ath tib/per (C9775) $62,116.28 $62,116.28 3.4×
Revasc lithotr-ather tib/per (C9774) $56,085.12 $56,085.12 3.0×
Revasc lithotr-stent tib/per (C9773) $106,883.78 $106,883.78 5.8×
Revasc lithotrip tibi/perone (C9772) $56,085.12 $56,085.12 4.8×
Revasc lithotrip-stent-ather (C9767) $56,085.12 $56,085.12 3.0×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $64,079.10 $64,079.10 3.3×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $83,231.59 $83,231.59 4.3×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $39,772.20 $39,772.20 6.9×
Transcatheter implantation of coronary sinus reduction device including vascular access and closure, right heart… (0645T) $33,382.34 $33,382.34 1.8×
Transcatheter Renal Sympath Denervation Bilat (0339T) $36,000.40 $36,000.40 6.3×
Transcatheter renal sympath denervation unilat (0338T) $36,660.83 $36,660.83 6.4×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $62,912.56 $62,912.56 5.4×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $5,096 $5,096 1.5×
Trluml Perip Athrc Renal Art (0234T) $62,912.56 $62,912.56 5.4×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $62,912.56 $62,912.56 5.4×
Trluml peripheral atherectomy iliac artery ea (0238T) $56,171.93 $56,171.93 3.0×
Tte w or w/o contr, cont ecg (C8930) $11,313.75 $11,313.75 14.3×
Tte w or wo fol wcon,doppler (C8929) $12,652.51 $12,652.51 16.0×
Unsched dialysis esrd pt hos (G0257) $5,300.54 $5,300.54 7.7×