White Rock Medical Center

9440 Poppy Drive, Dallas, TX 75218 · (214) 324-6100

Acute Care HospitalsProprietaryCMS rating 2/5Dallas, TX metro Website ↗

Price file

Prices published

File dated 2026-09-15

2,929 price rows for 52 procedures

Published prices

cash · negotiated range · list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $3,920

$5,386

cash

$312 to $5,702

28 negotiated rates

$7,920

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $1,907

$3,057

cash

$105 to $3,236

28 negotiated rates

$4,495

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $2,293

$3,086

cash

$175 to $3,267

28 negotiated rates

$4,538

list

Cataract surgery with lens implant

CPT 66984 · lowest of 2 lines · metro median $2,352

$8,483

cash

$850 to $10,000

52 negotiated rates

$12,475

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$6,879 to $18,217

23 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 4 lines · metro median $39

$203

cash

$14 to $215

54 negotiated rates

$298

list

Colonoscopy (diagnostic)

CPT 45378 · lowest of 2 lines · metro median $1,899

$3,238

cash

$329 to $10,000

52 negotiated rates

$4,762

list

Colonoscopy with biopsy

CPT 45380 · lowest of 2 lines · metro median $761

$5,641

cash

$429 to $10,000

52 negotiated rates

$8,296

list

Colonoscopy with polyp removal

CPT 45385 · lowest of 2 lines · metro median $761

$3,058

cash

$429 to $10,000

52 negotiated rates

$4,497

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $348

$457

cash

$60 to $484

13 negotiated rates

$672

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 18 lines · metro median $484

$290

cash

$38 to $307

120 negotiated rates

$426

list

Gallbladder removal (laparoscopic)

CPT 47562 · lowest of 2 lines · metro median $10,323

$10,323

cash

$1,889 to $12,837

52 negotiated rates

$15,181

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 4 lines · metro median $49

$167

cash

$14 to $176

54 negotiated rates

$245

list

Group psychotherapy

CPT 90853 · lowest of 4 lines · metro median $161

$310

cash

$41 to $328

56 negotiated rates

$456

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$16,878 to $36,649

23 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$6,496 to $14,812

23 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$9,594 to $23,573

23 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 2 lines · metro median $6,211

$25,310

cash

$1,152 to $26,799

52 negotiated rates

$37,220

list

Knee arthroscopy with meniscus repair

CPT 29881 · lowest of 2 lines · metro median $5,896

$15,397

cash

$1,088 to $16,303

52 negotiated rates

$22,643

list

Liver function panel

CPT 80076 · lowest of 4 lines · metro median $288

$412

cash

$3 to $606

54 negotiated rates

$606

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $2,830

$6,093

cash

$328 to $6,452

28 negotiated rates

$8,961

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $2,394

$4,243

cash

$197 to $4,492

28 negotiated rates

$6,239

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $2,394

$4,451

cash

$196 to $4,713

28 negotiated rates

$6,546

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$4,725 to $46,385

28 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 4 lines · metro median $1,482

$1,108

cash

$341 to $10,000

80 negotiated rates

$1,630

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 18 lines · metro median $396

$279

cash

$37 to $296

108 negotiated rates

$411

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 20 lines · metro median $484

$332

cash

$44 to $351

120 negotiated rates

$488

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 20 lines · metro median $221

$405

cash

$54 to $429

120 negotiated rates

$596

list

PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $26

$154

cash

$7 to $163

27 negotiated rates

$227

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $21

$150

cash

$2 to $158

27 negotiated rates

$220

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 12 lines · metro median $124

$103

cash

$14 to $200

84 negotiated rates

$152

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $382

$1,125

cash

$105 to $1,191

28 negotiated rates

$1,654

list

Prostate biopsy

CPT 55700 · lowest of 2 lines · metro median $2,627

$1,246

cash

$165 to $10,000

13 negotiated rates

$1,833

list

Psychotherapy, 30 minutes

CPT 90832 · lowest of 4 lines · metro median $189

$191

cash

$25 to $377

56 negotiated rates

$281

list

Psychotherapy, 45 minutes

CPT 90834 · lowest of 4 lines · metro median $275

$248

cash

$33 to $377

56 negotiated rates

$364

list

Psychotherapy, 60 minutes

CPT 90837 · lowest of 4 lines · metro median $287

$283

cash

$37 to $377

56 negotiated rates

$416

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 2 lines · metro median $4,921

$9,878

cash

$964 to $10,460

28 negotiated rates

$14,527

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $227

$348

cash

$46 to $369

13 negotiated rates

$512

list

Shoulder arthroscopy with decompression

CPT 29826 · lowest of 2 lines · metro median $3,803

$18,653

cash

$2,469 to $19,751

16 negotiated rates

$27,431

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines · metro median $4,659

$4,113

cash

$544 to $4,355

28 negotiated rates

$6,048

list

Spinal fusion (not neck), no complications

MS-DRG 460

—

cash

$34,723 to $46,294

3 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 2 lines · metro median $1,001

$2,125

cash

$263 to $10,000

52 negotiated rates

$3,125

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $1,001

$1,295

cash

$263 to $10,000

80 negotiated rates

$1,904

list

TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $130

$341

cash

$7 to $361

27 negotiated rates

$502

list

Tonsils and adenoids removal (under age 12)

CPT 42820 · lowest of 2 lines · metro median $4,784

$27,668

cash

$1,954 to $29,296

52 negotiated rates

$40,688

list

Transvaginal ultrasound

CPT 76830 · lowest of 4 lines · metro median $590

$665

cash

$105 to $704

56 negotiated rates

$978

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $786

$1,087

cash

$105 to $1,151

28 negotiated rates

$1,598

list

Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines · metro median $1,825

$1,652

cash

$335 to $10,000

52 negotiated rates

$2,429

list

Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines · metro median $732

$1,652

cash

$335 to $10,000

52 negotiated rates

$2,429

list

Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $108

$128

cash

$1 to $135

27 negotiated rates

$188

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$4,586 to $12,810

23 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $531

$732

cash

$52 to $775

28 negotiated rates

$1,077

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://pricetransparency.healthcare/white-rock-medical-center/charges/export
Pipeline East Dallas LLC · parsed · tall v3.0.0 · file dated 2026-09-15 · 45.9 MB · 2929 price rows read · read Nov 2026