Methodist Hospital For Surgery
Methodist Hospital For Surgery in Addison, TX publishes cash prices for 203 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Texas median for 114 of 203 procedures and below it for 89. By typical cash price it ranks #153 of 240 Texas hospitals and #52 of 81 hospitals in the Dallas, TX area, cheapest first. Click a procedure to compare it with other hospitals nearby.
17101 Dallas Pkwy, Addison, TX 75001 Collected Sep 27, 2026 Source price file (469) 248-3900
Acute care hospital Emergency department CMS star rating 4 of 5 CCN 670073 · CMS hospital register
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Methodist Hospital For Surgery in Addison, TX:
- May 18, 2021 Warning notice
- Oct 27, 2021 Corrective action plan requested
- Mar 2, 2022 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 HC Ankle Compl Min 3 Views | $453.00 | $755.00 | $377.50–$755.00 | 27% above | 40% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC Ankle Compl Min 3 Views | $453.00 | $755.00 | $377.50–$755.00 | — | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Tcom Ltd Bil | $669.60 | $1,116.00 | $558.00–$1,116.00 | 5% below | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC Tcom Ltd Bil | $669.60 | $1,116.00 | $558.00–$1,116.00 | — | 40% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Esophagram Ba Swallow Single Contrast Study | $531.00 | $885.00 | $442.50–$885.00 | 6% above | 40% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC Esophagram Ba Swallow Single Contrast Study | $531.00 | $885.00 | $442.50–$885.00 | — | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 HC US Breast Unilateral Complete | $333.00 | $555.00 | $277.50–$555.00 | 25% below | 40% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US Breast Unilateral Complete | $333.00 | $555.00 | $277.50–$555.00 | — | 40% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC US Breast Uni Limited | $216.00 | $360.00 | $180.00–$360.00 | 38% below | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US Breast Uni Limited | $216.00 | $360.00 | $180.00–$360.00 | — | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC Cta Chest WC/Noncontrast | $3,402.60 | $5,671.00 | $2,835.50–$5,671.00 | 4% above | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC Cta Chest WC/Noncontrast | $3,402.60 | $5,671.00 | $2,835.50–$5,671.00 | — | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd Pelvis Woc | $4,523.40 | $7,539.00 | $3,769.50–$7,539.00 | 35% above | 40% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT Abd Pelvis Woc | $4,523.40 | $7,539.00 | $3,769.50–$7,539.00 | — | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd Pelvis WC | $5,202.00 | $8,670.00 | $4,335.00–$8,670.00 | 34% above | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abd Pelvis WC | $5,202.00 | $8,670.00 | $4,335.00–$8,670.00 | — | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abd Pelvis Wowc | $6,007.20 | $10,012.00 | $5,006.00–$10,012.00 | 44% above | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT Abd Pelvis Wowc | $6,007.20 | $10,012.00 | $5,006.00–$10,012.00 | — | 40% |
| CT scan of the abdomen with contrast CPT 74160 HC CT Abdomen WC | $2,727.60 | $4,546.00 | $2,273.00–$4,546.00 | 2% above | 40% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT Abdomen WC | $2,727.60 | $4,546.00 | $2,273.00–$4,546.00 | — | 40% |
| CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen Woc | $2,372.40 | $3,954.00 | $1,977.00–$3,954.00 | 11% above | 40% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT Abdomen Woc | $2,372.40 | $3,954.00 | $1,977.00–$3,954.00 | — | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Maxillofacial Woc | $2,038.20 | $3,397.00 | $1,698.50–$3,397.00 | 20% above | 40% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT Maxillofacial Woc | $2,038.20 | $3,397.00 | $1,698.50–$3,397.00 | — | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head Brain Woc | $2,146.80 | $3,578.00 | $1,789.00–$3,578.00 | 10% above | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Head Brain Woc | $2,146.80 | $3,578.00 | $1,789.00–$3,578.00 | — | 40% |
| CT scan of the head with contrast CPT 70460 HC CT Head Brain WC | $2,469.00 | $4,115.00 | $2,057.50–$4,115.00 | 22% above | 40% |
| CT scan of the head with contrast inpatient CPT 70460 HC CT Head Brain WC | $2,469.00 | $4,115.00 | $2,057.50–$4,115.00 | — | 40% |
| CT scan of the head without and with contrast CPT 70470 HC CT Head Brain Wowc | $2,790.60 | $4,651.00 | $2,325.50–$4,651.00 | 20% above | 40% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT Head Brain Wowc | $2,790.60 | $4,651.00 | $2,325.50–$4,651.00 | — | 40% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT Lumbar Spine Woc | $2,715.60 | $4,526.00 | $2,263.00–$4,526.00 | 20% above | 40% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT Lumbar Spine Woc | $2,715.60 | $4,526.00 | $2,263.00–$4,526.00 | — | 40% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT Cervical Spine Woc | $2,535.00 | $4,225.00 | $2,112.50–$4,225.00 | 20% above | 40% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT Cervical Spine Woc | $2,535.00 | $4,225.00 | $2,112.50–$4,225.00 | — | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis WC | $2,701.80 | $4,503.00 | $2,251.50–$4,503.00 | 20% above | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Pelvis WC | $2,701.80 | $4,503.00 | $2,251.50–$4,503.00 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC Doppler Carotids Bil | $1,771.20 | $2,952.00 | $1,476.00–$2,952.00 | 22% above | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HC Doppler Carotids Bil | $1,771.20 | $2,952.00 | $1,476.00–$2,952.00 | — | 40% |
| Chest X-ray, 2 views CPT 71046 HC Chest 2 Views | $389.40 | $649.00 | $324.50–$649.00 | 6% below | 40% |
| Chest X-ray, 2 views inpatient CPT 71046 HC Chest 2 Views | $389.40 | $649.00 | $324.50–$649.00 | — | 40% |
| Chest X-ray, single view CPT 71045 HC Chest 1 View | $360.60 | $601.00 | $300.50–$601.00 | 4% above | 40% |
| Chest X-ray, single view inpatient CPT 71045 HC Chest 1 View | $360.60 | $601.00 | $300.50–$601.00 | — | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US Retroperitoneum Complete | $849.60 | $1,416.00 | $708.00–$1,416.00 | 14% above | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US Retroperitoneum Complete | $849.60 | $1,416.00 | $708.00–$1,416.00 | — | 40% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Bone Density Axial Skeleton | $908.40 | $1,514.00 | $757.00–$1,514.00 | 118% above | 40% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC Bone Density Axial Skeleton | $908.40 | $1,514.00 | $757.00–$1,514.00 | — | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Thorax Woc | $2,351.40 | $3,919.00 | $1,959.50–$3,919.00 | 20% above | 40% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT Thorax Woc | $2,351.40 | $3,919.00 | $1,959.50–$3,919.00 | — | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Thorax WC | $2,703.00 | $4,505.00 | $2,252.50–$4,505.00 | 20% above | 40% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT Thorax WC | $2,703.00 | $4,505.00 | $2,252.50–$4,505.00 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 HC Doppler Lower Ext Artery Bil | $2,170.80 | $3,618.00 | $1,809.00–$3,618.00 | 5% below | 40% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 HC Doppler Lower Ext Artery Bil | $2,170.80 | $3,618.00 | $1,809.00–$3,618.00 | — | 40% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 HC Doppler Extremity Veins Bil | $2,056.80 | $3,428.00 | $1,714.00–$3,428.00 | 1% below | 40% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC Doppler Extremity Veins Bil | $2,056.80 | $3,428.00 | $1,714.00–$3,428.00 | — | 40% |
| Knee X-ray, 3 views CPT 73562 HC Knee 3 Views | $244.80 | $408.00 | $204.00–$408.00 | 30% below | 40% |
| Knee X-ray, 3 views inpatient CPT 73562 HC Knee 3 Views | $244.80 | $408.00 | $204.00–$408.00 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US Abdomen Limited | $607.80 | $1,013.00 | $506.50–$1,013.00 | 10% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US Abdomen Limited | $607.80 | $1,013.00 | $506.50–$1,013.00 | — | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT Thorax Low Dose Lung Cancer Scr | $204.60 | $341.00 | $170.50–$341.00 | 15% below | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT Thorax Low Dose Lung Cancer Scr | $204.60 | $341.00 | $170.50–$341.00 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Extremity Lwr Joint Woc | $2,926.80 | $4,878.00 | $2,439.00–$4,878.00 | 36% above | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI Extremity Lwr Joint Woc | $2,926.80 | $4,878.00 | $2,439.00–$4,878.00 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Extremity Lwr Joint Wowc | $3,805.80 | $6,343.00 | $3,171.50–$6,343.00 | 27% above | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI Extremity Lwr Joint Wowc | $3,805.80 | $6,343.00 | $3,171.50–$6,343.00 | — | 40% |
| MRI of the abdomen without contrast CPT 74181 HC MRI Abdomen Woc | $2,739.00 | $4,565.00 | $2,282.50–$4,565.00 | 20% above | 40% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI Abdomen Woc | $2,739.00 | $4,565.00 | $2,282.50–$4,565.00 | — | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI Abdomen Wowc | $3,560.40 | $5,934.00 | $2,967.00–$5,934.00 | 9% above | 40% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI Abdomen Wowc | $3,560.40 | $5,934.00 | $2,967.00–$5,934.00 | — | 40% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Head Woc | $2,788.80 | $4,648.00 | $2,324.00–$4,648.00 | 27% above | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Head Woc | $2,788.80 | $4,648.00 | $2,324.00–$4,648.00 | — | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI Head Wowc | $3,625.20 | $6,042.00 | $3,021.00–$6,042.00 | 20% above | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI Head Wowc | $3,625.20 | $6,042.00 | $3,021.00–$6,042.00 | — | 40% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI Spinal Canal Lumbar Woc | $2,946.00 | $4,910.00 | $2,455.00–$4,910.00 | 29% above | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI Spinal Canal Lumbar Woc | $2,946.00 | $4,910.00 | $2,455.00–$4,910.00 | — | 40% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI Spinal Canal Lumbar Wowc | $3,829.80 | $6,383.00 | $3,191.50–$6,383.00 | 20% above | 40% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI Spinal Canal Lumbar Wowc | $3,829.80 | $6,383.00 | $3,191.50–$6,383.00 | — | 40% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI Spinal Canal Thoraci Woc | $2,768.40 | $4,614.00 | $2,307.00–$4,614.00 | 29% above | 40% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI Spinal Canal Thoraci Woc | $2,768.40 | $4,614.00 | $2,307.00–$4,614.00 | — | 40% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI Spinal Canal Cervical Wowc | $3,775.20 | $6,292.00 | $3,146.00–$6,292.00 | 16% above | 40% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI Spinal Canal Cervical Wowc | $3,775.20 | $6,292.00 | $3,146.00–$6,292.00 | — | 40% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI Spinal Canal Cervical Woc | $2,902.80 | $4,838.00 | $2,419.00–$4,838.00 | 21% above | 40% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI Spinal Canal Cervical Woc | $2,902.80 | $4,838.00 | $2,419.00–$4,838.00 | — | 40% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI Pelvis Wowc | $3,170.40 | $5,284.00 | $2,642.00–$5,284.00 | 7% below | 40% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI Pelvis Wowc | $3,170.40 | $5,284.00 | $2,642.00–$5,284.00 | — | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI Pelvis Woc | $2,439.00 | $4,065.00 | $2,032.50–$4,065.00 | 2% below | 40% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI Pelvis Woc | $2,439.00 | $4,065.00 | $2,032.50–$4,065.00 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI Extremity Up Joint Woc | $2,870.40 | $4,784.00 | $2,392.00–$4,784.00 | 61% above | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI Extremity Up Joint Woc | $2,870.40 | $4,784.00 | $2,392.00–$4,784.00 | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US Pelvic Non OB Limited | $396.60 | $661.00 | $330.50–$661.00 | 23% below | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US Pelvic Non OB Limited | $396.60 | $661.00 | $330.50–$661.00 | — | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US Pelvic Non OB Complete | $755.40 | $1,259.00 | $629.50–$1,259.00 | 12% below | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US Pelvic Non OB Complete | $755.40 | $1,259.00 | $629.50–$1,259.00 | — | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB >14 Wks Single Gestation | $680.40 | $1,134.00 | $567.00–$1,134.00 | 3% above | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB >14 Wks Single Gestation | $680.40 | $1,134.00 | $567.00–$1,134.00 | — | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US OB <14 Wks Single Gestation | $637.80 | $1,063.00 | $531.50–$1,063.00 | 4% below | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US OB <14 Wks Single Gestation | $637.80 | $1,063.00 | $531.50–$1,063.00 | — | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US Preg Uterus Limited, 1/> Fetuses | $574.20 | $957.00 | $478.50–$957.00 | 17% above | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US Preg Uterus Limited, 1/> Fetuses | $574.20 | $957.00 | $478.50–$957.00 | — | 40% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC Shoulder Min 2 Views | $407.40 | $679.00 | $339.50–$679.00 | 33% above | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC Shoulder Min 2 Views | $407.40 | $679.00 | $339.50–$679.00 | — | 40% |
| Transvaginal pelvic ultrasound CPT 76830 HC US Transvaginal | $793.80 | $1,323.00 | $661.50–$1,323.00 | 20% above | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US Transvaginal | $793.80 | $1,323.00 | $661.50–$1,323.00 | — | 40% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US Preg Uterus Transvaginal | $497.40 | $829.00 | $414.50–$829.00 | 16% below | 40% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US Preg Uterus Transvaginal | $497.40 | $829.00 | $414.50–$829.00 | — | 40% |
| Ultrasound of the abdomen, complete CPT 76700 HC US Abdomen Complete | $939.60 | $1,566.00 | $783.00–$1,566.00 | 9% above | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US Abdomen Complete | $939.60 | $1,566.00 | $783.00–$1,566.00 | — | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 HC US Scrotum | $688.20 | $1,147.00 | $573.50–$1,147.00 | 8% below | 40% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US Scrotum | $688.20 | $1,147.00 | $573.50–$1,147.00 | — | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US Head Neck Tissues | $596.40 | $994.00 | $497.00–$994.00 | 8% below | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US Head Neck Tissues | $596.40 | $994.00 | $497.00–$994.00 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC Doppler Extrem Veins Uni/Lmtd | $1,376.40 | $2,294.00 | $1,147.00–$2,294.00 | 71% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC Doppler Extrem Veins Uni/Lmtd | $1,376.40 | $2,294.00 | $1,147.00–$2,294.00 | — | 40% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC Wrist Complete Minimum 3 Views | $373.20 | $622.00 | $311.00–$622.00 | 4% above | 40% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC Wrist Complete Minimum 3 Views | $373.20 | $622.00 | $311.00–$622.00 | — | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC Hip Uni V2-3 W Pelvis | $501.60 | $836.00 | $418.00–$836.00 | 24% above | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC Hip Uni V2-3 W Pelvis | $501.60 | $836.00 | $418.00–$836.00 | — | 40% |
| X-ray of the abdomen, 1 view CPT 74018 HC Abdomen 1 View | $364.20 | $607.00 | $303.50–$607.00 | 7% above | 40% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC Abdomen 1 View | $364.20 | $607.00 | $303.50–$607.00 | — | 40% |
| X-ray of the ankle, 2 views CPT 73600 HC Ankle 2 Views | $339.00 | $565.00 | $282.50–$565.00 | 18% above | 40% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC Ankle 2 Views | $339.00 | $565.00 | $282.50–$565.00 | — | 40% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC Finger(S) Min 2 Views | $256.80 | $428.00 | $214.00–$428.00 | 7% above | 40% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC Finger(S) Min 2 Views | $256.80 | $428.00 | $214.00–$428.00 | — | 40% |
| X-ray of the foot, 2 views CPT 73620 HC Foot 2 Views | $291.60 | $486.00 | $243.00–$486.00 | 12% below | 40% |
| X-ray of the foot, 2 views inpatient CPT 73620 HC Foot 2 Views | $291.60 | $486.00 | $243.00–$486.00 | — | 40% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC Foot 3 Views | $388.80 | $648.00 | $324.00–$648.00 | 5% above | 40% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC Foot 3 Views | $388.80 | $648.00 | $324.00–$648.00 | — | 40% |
| X-ray of the hand, 3 or more views CPT 73130 HC Hand Min 3 Views | $340.20 | $567.00 | $283.50–$567.00 | 11% below | 40% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC Hand Min 3 Views | $340.20 | $567.00 | $283.50–$567.00 | — | 40% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC Knee 1/2 Views | $162.00 | $270.00 | $135.00–$270.00 | 42% below | 40% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC Knee 1/2 Views | $162.00 | $270.00 | $135.00–$270.00 | — | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC Spine Lumbosacral 2/3 Views | $447.60 | $746.00 | $373.00–$746.00 | 6% below | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC Spine Lumbosacral 2/3 Views | $447.60 | $746.00 | $373.00–$746.00 | — | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 HC Spinelumbosacral Minimum 4 Views | $637.20 | $1,062.00 | $531.00–$1,062.00 | 2% below | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC Spinelumbosacral Minimum 4 Views | $637.20 | $1,062.00 | $531.00–$1,062.00 | — | 40% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC Spine Thoracic 2 Views | $447.60 | $746.00 | $373.00–$746.00 | 11% above | 40% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC Spine Thoracic 2 Views | $447.60 | $746.00 | $373.00–$746.00 | — | 40% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC Nasal Bones, Compl, Min 3 Views | $340.20 | $567.00 | $283.50–$567.00 | 17% above | 40% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC Nasal Bones, Compl, Min 3 Views | $340.20 | $567.00 | $283.50–$567.00 | — | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Spine Cervical 2 Views | $447.60 | $746.00 | $373.00–$746.00 | 20% above | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Spine Cervical 3 Views | $560.40 | $934.00 | $467.00–$934.00 | 50% above | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC Spine Cervical 2 Views | $447.60 | $746.00 | $373.00–$746.00 | — | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC Spine Cervical 3 Views | $560.40 | $934.00 | $467.00–$934.00 | — | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC Pelvis 1/2 View | $400.80 | $668.00 | $334.00–$668.00 | 8% above | 40% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC Pelvis 1/2 View | $400.80 | $668.00 | $334.00–$668.00 | — | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC Sacrum Coccyx Min 2 Views | $423.60 | $706.00 | $353.00–$706.00 | 29% above | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC Sacrum Coccyx Min 2 Views | $423.60 | $706.00 | $353.00–$706.00 | — | 40% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Alt (Sgpt) | $181.80 | $303.00 | $151.50–$303.00 | 209% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC Alt (Sgpt) | $181.80 | $303.00 | $151.50–$303.00 | — | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC Ast (Sgot) | $178.20 | $297.00 | $148.50–$297.00 | 203% above | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC Ast (Sgot) | $178.20 | $297.00 | $148.50–$297.00 | — | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Acute Hepatitis Panel | $31.20 | $52.00 | $26.00–$52.00 | 92% below | 40% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC Acute Hepatitis Panel | $31.20 | $52.00 | $26.00–$52.00 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Peptide Igg Antibodies | $42.00 | $70.00 | $35.00–$70.00 | 18% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Cyclic Peptide Igg Antibodies | $42.00 | $70.00 | $35.00–$70.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Ab | $78.60 | $131.00 | $65.50–$131.00 | 24% below | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Antinuclear Ab | $78.60 | $131.00 | $65.50–$131.00 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC B Type Natriuretic Peptide | $418.20 | $697.00 | $348.50–$697.00 | 113% above | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC B Type Natriuretic Peptide | $418.20 | $697.00 | $348.50–$697.00 | — | 40% |
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel | $375.60 | $626.00 | $313.00–$626.00 | 47% above | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic Panel | $375.60 | $626.00 | $313.00–$626.00 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Anatomic Pathology Level IV | $222.00 | $370.00 | $185.00–$370.00 | 28% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Anatomic Pathology Level IV | $222.00 | $370.00 | $185.00–$370.00 | — | 40% |
| Blood culture for bacteria CPT 87040 HC Blood Culture | $257.40 | $429.00 | $214.50–$429.00 | 8% above | 40% |
| Blood culture for bacteria inpatient CPT 87040 HC Blood Culture | $257.40 | $429.00 | $214.50–$429.00 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Collection Venous Blood Venipuncture | $10.20 | $17.00 | $8.50–$17.00 | 50% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Collection Venous Blood Venipuncture | $10.20 | $17.00 | $8.50–$17.00 | — | 40% |
| Blood glucose (sugar) test CPT 82947 HC Glucose Level Serum | $127.20 | $212.00 | $106.00–$212.00 | 158% above | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 HC Glucose Level Serum | $127.20 | $212.00 | $106.00–$212.00 | — | 40% |
| Blood lead test CPT 83655 HC Lead Blood | $10.20 | $17.00 | $8.50–$17.00 | 80% below | 40% |
| Blood lead test inpatient CPT 83655 HC Lead Blood | $10.20 | $17.00 | $8.50–$17.00 | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Urine Pregnancy Test | $33.60 | $56.00 | $28.00–$56.00 | 81% below | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC B Hcg Qual (Preg Test) | $317.40 | $529.00 | $264.50–$529.00 | 76% above | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC Urine Pregnancy Test | $33.60 | $56.00 | $28.00–$56.00 | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC B Hcg Qual (Preg Test) | $317.40 | $529.00 | $264.50–$529.00 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Abo Type | $79.20 | $132.00 | $66.00–$132.00 | 10% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Abo Descrepancy Cbc | $142.20 | $237.00 | $118.50–$237.00 | 61% above | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Abo Type Cbc | $142.20 | $237.00 | $118.50–$237.00 | 61% above | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Donor Unit Abo Type | $247.20 | $412.00 | $206.00–$412.00 | 180% above | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Abo Type | $79.20 | $132.00 | $66.00–$132.00 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Abo Descrepancy Cbc | $142.20 | $237.00 | $118.50–$237.00 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Abo Type Cbc | $142.20 | $237.00 | $118.50–$237.00 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Donor Unit Abo Type | $247.20 | $412.00 | $206.00–$412.00 | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C Reactive Protein | $24.60 | $41.00 | $20.50–$41.00 | 58% below | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C Reactive Protein | $24.60 | $41.00 | $20.50–$41.00 | — | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC Clostridium Diff by Pcr | $314.40 | $524.00 | $262.00–$524.00 | 62% above | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC Clostridium Diff by Pcr | $314.40 | $524.00 | $262.00–$524.00 | — | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC Ca 19-9 Carbohydrate Ag 19-9 | $17.40 | $29.00 | $14.50–$29.00 | 87% below | 40% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC Ca 19-9 Carbohydrate Ag 19-9 | $17.40 | $29.00 | $14.50–$29.00 | — | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC Cancer Antigen 125 | $17.40 | $29.00 | $14.50–$29.00 | 89% below | 40% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC Cancer Antigen 125 | $17.40 | $29.00 | $14.50–$29.00 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Covid-19 Molecular Detection | $90.00 | $150.00 | $75.00–$150.00 | 9% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Covid-19 Pcr Molecular Detect | $127.20 | $212.00 | $106.00–$212.00 | 54% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Covid-19 Molecular Detection | $90.00 | $150.00 | $75.00–$150.00 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Covid-19 Pcr Molecular Detect | $127.20 | $212.00 | $106.00–$212.00 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chlamydia Nucleic Acid Amplif | $28.80 | $48.00 | $24.00–$48.00 | 77% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Chlamydia Nucleic Acid Amplif | $28.80 | $48.00 | $24.00–$48.00 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel | $264.60 | $441.00 | $220.50–$441.00 | 9% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel | $264.60 | $441.00 | $220.50–$441.00 | — | 40% |
| Complete blood count (CBC) with differential CPT 85025 HC Complete Blood Count Cbc | $187.80 | $313.00 | $156.50–$313.00 | 100% above | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC Complete Blood Count Cbc | $187.80 | $313.00 | $156.50–$313.00 | — | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel | $433.80 | $723.00 | $361.50–$723.00 | 20% above | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Comprehensive Metabolic Panel | $433.80 | $723.00 | $361.50–$723.00 | — | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 HC D Dimer Quantitative | $282.00 | $470.00 | $235.00–$470.00 | 54% above | 40% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D Dimer Quantitative | $282.00 | $470.00 | $235.00–$470.00 | — | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dhea Sulfate | $19.80 | $33.00 | $16.50–$33.00 | 87% below | 40% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC Dhea Sulfate | $19.80 | $33.00 | $16.50–$33.00 | — | 40% |
| Estradiol blood test CPT 82670 HC Estradiol | $25.20 | $42.00 | $21.00–$42.00 | 83% below | 40% |
| Estradiol blood test inpatient CPT 82670 HC Estradiol | $25.20 | $42.00 | $21.00–$42.00 | — | 40% |
| Ferritin blood test (iron stores) CPT 82728 HC Ferritin Ria | $195.60 | $326.00 | $163.00–$326.00 | 91% above | 40% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC Ferritin Ria | $195.60 | $326.00 | $163.00–$326.00 | — | 40% |
| Folate (folic acid) blood test CPT 82746 HC Folate (Folic Acid) Serum | $223.20 | $372.00 | $186.00–$372.00 | 170% above | 40% |
| Folate (folic acid) blood test inpatient CPT 82746 HC Folate (Folic Acid) Serum | $223.20 | $372.00 | $186.00–$372.00 | — | 40% |
| Free T3 thyroid hormone test CPT 84481 HC T3 Free | $202.20 | $337.00 | $168.50–$337.00 | 33% above | 40% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC T3 Free | $202.20 | $337.00 | $168.50–$337.00 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 Free | $225.60 | $376.00 | $188.00–$376.00 | 119% above | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4 Free | $225.60 | $376.00 | $188.00–$376.00 | — | 40% |
| Free testosterone test CPT 84402 HC Assay of Free Testosterone | $9.60 | $16.00 | $8.00–$16.00 | 91% below | 40% |
| Free testosterone test inpatient CPT 84402 HC Assay of Free Testosterone | $9.60 | $16.00 | $8.00–$16.00 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Gc Nucleic Acid Amplification | $28.80 | $48.00 | $24.00–$48.00 | 80% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC Gc Nucleic Acid Amplification | $28.80 | $48.00 | $24.00–$48.00 | — | 40% |
| H. pylori antibody blood test CPT 86677 HC Helicobacter Pylori Ab Iga | $13.80 | $23.00 | $11.50–$23.00 | 89% below | 40% |
| H. pylori antibody blood test CPT 86677 HC Helicobacter Pylori Ab Igm | $19.20 | $32.00 | $16.00–$32.00 | 85% below | 40% |
| H. pylori antibody blood test CPT 86677 HC Helicobacter Pylori Ab | $252.60 | $421.00 | $210.50–$421.00 | 93% above | 40% |
| H. pylori antibody blood test inpatient CPT 86677 HC Helicobacter Pylori Ab Iga | $13.80 | $23.00 | $11.50–$23.00 | — | 40% |
| H. pylori antibody blood test inpatient CPT 86677 HC Helicobacter Pylori Ab Igm | $19.20 | $32.00 | $16.00–$32.00 | — | 40% |
| H. pylori antibody blood test inpatient CPT 86677 HC Helicobacter Pylori Ab | $252.60 | $421.00 | $210.50–$421.00 | — | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC Hiv Screen | $72.00 | $120.00 | $60.00–$120.00 | 24% below | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC Hiv 1/2 Ab | $195.00 | $325.00 | $162.50–$325.00 | 105% above | 40% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC Hiv Screen | $72.00 | $120.00 | $60.00–$120.00 | — | 40% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC Hiv 1/2 Ab | $195.00 | $325.00 | $162.50–$325.00 | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv Antigen Ab Combo | $11.40 | $19.00 | $9.50–$19.00 | 92% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Hiv Antigen Ab Combo | $11.40 | $19.00 | $9.50–$19.00 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Glycosylated Hemoglobin | $94.80 | $158.00 | $79.00–$158.00 | 3% above | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Glycosylated Hemoglobin | $94.80 | $158.00 | $79.00–$158.00 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surface Ab | $13.20 | $22.00 | $11.00–$22.00 | 79% below | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Hepatitis B Surface Ab | $13.20 | $22.00 | $11.00–$22.00 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Hepatitis B Surface Antigen | $217.20 | $362.00 | $181.00–$362.00 | 175% above | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Hepatitis B Surface Antigen | $217.20 | $362.00 | $181.00–$362.00 | — | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Virus (Hcv) Antibody | $92.40 | $154.00 | $77.00–$154.00 | 6% above | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC Hepatitis C Virus (Hcv) Antibody | $92.40 | $154.00 | $77.00–$154.00 | — | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC Hcv Rna Quant Pcr | $94.80 | $158.00 | $79.00–$158.00 | 70% below | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC Hcv Rna Quant Pcr | $94.80 | $158.00 | $79.00–$158.00 | — | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC Cardio Crp | $21.60 | $36.00 | $18.00–$36.00 | 73% below | 40% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC Cardio Crp | $21.60 | $36.00 | $18.00–$36.00 | — | 40% |
| Homocysteine blood test CPT 83090 HC Homocysteine | $485.40 | $809.00 | $404.50–$809.00 | 224% above | 40% |
| Homocysteine blood test inpatient CPT 83090 HC Homocysteine | $485.40 | $809.00 | $404.50–$809.00 | — | 40% |
| Insulin blood test CPT 83525 HC Insulin Assay I Specimen | $9.60 | $16.00 | $8.00–$16.00 | 89% below | 40% |
| Insulin blood test inpatient CPT 83525 HC Insulin Assay I Specimen | $9.60 | $16.00 | $8.00–$16.00 | — | 40% |
| Iron blood test (serum iron) CPT 83540 HC Iron Level Serum | $189.00 | $315.00 | $157.50–$315.00 | 112% above | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 HC Iron Level Serum | $189.00 | $315.00 | $157.50–$315.00 | — | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 HC Unbound Iron Binding Capacity | $189.00 | $315.00 | $157.50–$315.00 | 93% above | 40% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC Unbound Iron Binding Capacity | $189.00 | $315.00 | $157.50–$315.00 | — | 40% |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel | $464.40 | $774.00 | $387.00–$774.00 | 41% above | 40% |
| Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel | $464.40 | $774.00 | $387.00–$774.00 | — | 40% |
| LH (luteinizing hormone) test CPT 83002 HC Lh Leutinizing Hormone | $9.60 | $16.00 | $8.00–$16.00 | 94% below | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC Lh Leutinizing Hormone | $9.60 | $16.00 | $8.00–$16.00 | — | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC Lipase Serum | $190.20 | $317.00 | $158.50–$317.00 | 93% above | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Lipase Serum | $190.20 | $317.00 | $158.50–$317.00 | — | 40% |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel | $345.60 | $576.00 | $288.00–$576.00 | 20% above | 40% |
| Liver function blood test panel inpatient CPT 80076 HC Hepatic Function Panel | $345.60 | $576.00 | $288.00–$576.00 | — | 40% |
| Lyme disease antibody test CPT 86618 HC Borrelia Ab Total | $13.80 | $23.00 | $11.50–$23.00 | 83% below | 40% |
| Lyme disease antibody test inpatient CPT 86618 HC Borrelia Ab Total | $13.80 | $23.00 | $11.50–$23.00 | — | 40% |
| Magnesium blood test CPT 83735 HC Magnesium Assay | $203.40 | $339.00 | $169.50–$339.00 | 342% above | 40% |
| Magnesium blood test inpatient CPT 83735 HC Magnesium Assay | $203.40 | $339.00 | $169.50–$339.00 | — | 40% |
| Measles (rubeola) antibody test CPT 86765 HC Rubeola Ab Igg | $11.40 | $19.00 | $9.50–$19.00 | 57% below | 40% |
| Measles (rubeola) antibody test CPT 86765 HC Rubeola Ab Igm | $39.00 | $65.00 | $32.50–$65.00 | 49% above | 40% |
| Measles (rubeola) antibody test CPT 86765 HC Measles Ab Igg | $253.80 | $423.00 | $211.50–$423.00 | 867% above | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC Rubeola Ab Igg | $11.40 | $19.00 | $9.50–$19.00 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC Rubeola Ab Igm | $39.00 | $65.00 | $32.50–$65.00 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC Measles Ab Igg | $253.80 | $423.00 | $211.50–$423.00 | — | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC Monospot | $90.00 | $150.00 | $75.00–$150.00 | 6% below | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC Monospot | $90.00 | $150.00 | $75.00–$150.00 | — | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Psa Free | $21.60 | $36.00 | $18.00–$36.00 | 81% below | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Psa Free | $21.60 | $36.00 | $18.00–$36.00 | — | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Psa Ultrasentative Total | $16.20 | $27.00 | $13.50–$27.00 | 80% below | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Assay of Prostate Specific Antigen Total | $20.40 | $34.00 | $17.00–$34.00 | 75% below | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Psa Ultrasentative Total | $16.20 | $27.00 | $13.50–$27.00 | — | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Assay of Prostate Specific Antigen Total | $20.40 | $34.00 | $17.00–$34.00 | — | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC Pth Intact Hormone | $187.20 | $312.00 | $156.00–$312.00 | 16% below | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Pth Intact Hormone | $187.20 | $312.00 | $156.00–$312.00 | — | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Coag Screen Ptt | $25.20 | $42.00 | $21.00–$42.00 | 53% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Activated Part Thrombo Time | $107.40 | $179.00 | $89.50–$179.00 | 101% above | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Coag Screen Ptt | $25.20 | $42.00 | $21.00–$42.00 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Activated Part Thrombo Time | $107.40 | $179.00 | $89.50–$179.00 | — | 40% |
| Progesterone blood test CPT 84144 HC Progesterone Ria | $20.40 | $34.00 | $17.00–$34.00 | 83% below | 40% |
| Progesterone blood test inpatient CPT 84144 HC Progesterone Ria | $20.40 | $34.00 | $17.00–$34.00 | — | 40% |
| Prolactin blood test CPT 84146 HC Prolactin | $16.20 | $27.00 | $13.50–$27.00 | 87% below | 40% |
| Prolactin blood test inpatient CPT 84146 HC Prolactin | $16.20 | $27.00 | $13.50–$27.00 | — | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Coag Screen Pt | $16.80 | $28.00 | $14.00–$28.00 | 64% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time | $126.00 | $210.00 | $105.00–$210.00 | 167% above | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Coag Screen Pt | $16.80 | $28.00 | $14.00–$28.00 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time | $126.00 | $210.00 | $105.00–$210.00 | — | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC Drug Screen Urine Prsmv | $77.40 | $129.00 | $64.50–$129.00 | 48% below | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC Drug Screen Urine Prsmv | $77.40 | $129.00 | $64.50–$129.00 | — | 40% |
| Rapid flu test (influenza antigen) CPT 87804 HC Influenza Antigen Screen | $232.20 | $387.00 | $193.50–$387.00 | 104% above | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC Influenza Antigen Screen | $232.20 | $387.00 | $193.50–$387.00 | — | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Rapid Strep Screen | $96.00 | $160.00 | $80.00–$160.00 | 11% below | 40% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC Rapid Strep Screen | $96.00 | $160.00 | $80.00–$160.00 | — | 40% |
| Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor Body Fluid | $31.80 | $53.00 | $26.50–$53.00 | 43% below | 40% |
| Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor | $42.00 | $70.00 | $35.00–$70.00 | 24% below | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC Rheumatoid Factor Body Fluid | $31.80 | $53.00 | $26.50–$53.00 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC Rheumatoid Factor | $42.00 | $70.00 | $35.00–$70.00 | — | 40% |
| Rubella antibody test (immunity check) CPT 86762 HC Rubella Ab Igg | $16.20 | $27.00 | $13.50–$27.00 | 59% below | 40% |
| Rubella antibody test (immunity check) CPT 86762 HC Rubella Ab Igm | $24.60 | $41.00 | $20.50–$41.00 | 37% below | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC Rubella Ab Igg | $16.20 | $27.00 | $13.50–$27.00 | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC Rubella Ab Igm | $24.60 | $41.00 | $20.50–$41.00 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Rapid Plasma Reagin | $62.40 | $104.00 | $52.00–$104.00 | 11% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Vdrl | $102.00 | $170.00 | $85.00–$170.00 | 81% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Rapid Plasma Reagin | $62.40 | $104.00 | $52.00–$104.00 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Vdrl | $102.00 | $170.00 | $85.00–$170.00 | — | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC Quantiferon TB Gold | $81.00 | $135.00 | $67.50–$135.00 | 63% below | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC Quantiferon TB Gold | $81.00 | $135.00 | $67.50–$135.00 | — | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC Testosterone | $21.00 | $35.00 | $17.50–$35.00 | 83% below | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Testosterone | $21.00 | $35.00 | $17.50–$35.00 | — | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Liver Kidney Thyroid Microsome Ab | $12.60 | $21.00 | $10.50–$21.00 | 87% below | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Liver Kidney Thyroid Microsome Ab | $12.60 | $21.00 | $10.50–$21.00 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stimulatin Hormone-Tsh | $414.00 | $690.00 | $345.00–$690.00 | 218% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Thyroid Stimulatin Hormone-Tsh | $414.00 | $690.00 | $345.00–$690.00 | — | 40% |
| Uric acid blood test CPT 84550 HC Uric Acid Serum | $129.60 | $216.00 | $108.00–$216.00 | 17% above | 40% |
| Uric acid blood test inpatient CPT 84550 HC Uric Acid Serum | $129.60 | $216.00 | $108.00–$216.00 | — | 40% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis With Microscopy | $140.40 | $234.00 | $117.00–$234.00 | 20% above | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urinalysis With Microscopy | $140.40 | $234.00 | $117.00–$234.00 | — | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Chemical | $56.40 | $94.00 | $47.00–$94.00 | 5% above | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis Chemical | $56.40 | $94.00 | $47.00–$94.00 | — | 40% |
| Urine culture for bacteria, with colony count CPT 87086 HC Culture Colony Count-Urine | $241.20 | $402.00 | $201.00–$402.00 | 70% above | 40% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC Culture Colony Count-Urine | $241.20 | $402.00 | $201.00–$402.00 | — | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC Vitamin B12 | $192.00 | $320.00 | $160.00–$320.00 | 112% above | 40% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC Vitamin B12 | $192.00 | $320.00 | $160.00–$320.00 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Vitamin D 25 Oh | $157.20 | $262.00 | $131.00–$262.00 | 33% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC Vitamin D 25 Oh | $157.20 | $262.00 | $131.00–$262.00 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Hcg Quantative | $193.80 | $323.00 | $161.50–$323.00 | 72% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Hcg Quantative | $193.80 | $323.00 | $161.50–$323.00 | — | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC ED Remove Impacted Ear Wax Uni | $157.80 | $263.00 | $131.50–$263.00 | 27% above | 40% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC ED Remove Impacted Ear Wax Uni | $157.80 | $263.00 | $131.50–$263.00 | — | 40% |
| Earwax removal with instruments, one ear CPT 69210 HC Clear/Clean Outer Ear Canal | $206.40 | $344.00 | $172.00–$344.00 | 20% above | 40% |
| Earwax removal with instruments, one ear inpatient CPT 69210 HC Clear/Clean Outer Ear Canal | $206.40 | $344.00 | $172.00–$344.00 | — | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D Abscess Simple | $249.60 | $416.00 | $208.00–$416.00 | 47% below | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC ED Drainage of Skin Abscess Simple/Single | $249.60 | $416.00 | $208.00–$416.00 | 47% below | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC ED Drainage of Skin Abscess Simple/Single | $249.60 | $416.00 | $208.00–$416.00 | — | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D Abscess Simple | $249.60 | $416.00 | $208.00–$416.00 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Drain/Inj Joint/Bursa Uni W/O US | $534.60 | $891.00 | $445.50–$891.00 | 25% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Drain/Inj Joint/Bursa Uni W/O US | $534.60 | $891.00 | $445.50–$891.00 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Drain/Inj Joint/Bursa Uni W/O US | $397.80 | $663.00 | $331.50–$663.00 | 37% below | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Drain/Inj Joint/Bursa Uni W/O US | $397.80 | $663.00 | $331.50–$663.00 | — | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC ED Repair Intmd S/a/T/E 2.5 Cm/< | $552.00 | $920.00 | $460.00–$920.00 | 2% above | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC ED Repair Intmd S/a/T/E 2.5 Cm/< | $552.00 | $920.00 | $460.00–$920.00 | — | 40% |
| Nail removal (partial or complete), one nail CPT 11730 HC Avulsion Nail Plate | $339.00 | $565.00 | $282.50–$565.00 | 5% below | 40% |
| Nail removal (partial or complete), one nail CPT 11730 HC ED Avulsion Nail Plate Part/Comp/Simple | $339.00 | $565.00 | $282.50–$565.00 | 5% below | 40% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC Avulsion Nail Plate | $339.00 | $565.00 | $282.50–$565.00 | — | 40% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC ED Avulsion Nail Plate Part/Comp/Simple | $339.00 | $565.00 | $282.50–$565.00 | — | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 HC ED Inc&Rmvl FB Subq Tiss Smpl | $822.60 | $1,371.00 | $685.50–$1,371.00 | 29% above | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 HC Remove FB Subcutaneous Other | $822.60 | $1,371.00 | $685.50–$1,371.00 | 29% above | 40% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC ED Inc&Rmvl FB Subq Tiss Smpl | $822.60 | $1,371.00 | $685.50–$1,371.00 | — | 40% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC Remove FB Subcutaneous Other | $822.60 | $1,371.00 | $685.50–$1,371.00 | — | 40% |
| Short arm splint (forearm and hand) CPT 29125 HC ED Apply Forearm Splint | $157.80 | $263.00 | $131.50–$263.00 | 45% below | 40% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC ED Apply Forearm Splint | $157.80 | $263.00 | $131.50–$263.00 | — | 40% |
| Short leg splint (calf to foot) CPT 29515 HC ED Application Lower Leg Splint | $188.40 | $314.00 | $157.00–$314.00 | 39% below | 40% |
| Short leg splint (calf to foot) CPT 29515 HC Application Short Leg Splint Calf Foot | $188.40 | $314.00 | $157.00–$314.00 | 39% below | 40% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC Application Short Leg Splint Calf Foot | $188.40 | $314.00 | $157.00–$314.00 | — | 40% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC ED Application Lower Leg Splint | $188.40 | $314.00 | $157.00–$314.00 | — | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC ED Rpr S/N/Ax/Gen/Trnk 2.5cm/< | $249.60 | $416.00 | $208.00–$416.00 | 41% below | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC ED Rpr S/N/Ax/Gen/Trnk 2.5cm/< | $249.60 | $416.00 | $208.00–$416.00 | — | 40% |
| Skin biopsy, punch, one lesion CPT 11104 HC Bx Skin Punch Single Lesion | $371.40 | $619.00 | $309.50–$619.00 | 19% below | 40% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC Bx Skin Punch Single Lesion | $371.40 | $619.00 | $309.50–$619.00 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Lumbar Puncture Diagnostic | $549.00 | $915.00 | $457.50–$915.00 | 47% below | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Lumbar Puncture Diagnostic | $549.00 | $915.00 | $457.50–$915.00 | — | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC ED Rpr S/N/Ax/Gen/Trnk2.6-7.5cm | $249.60 | $416.00 | $208.00–$416.00 | 47% below | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC ED Rpr S/N/Ax/Gen/Trnk2.6-7.5cm | $249.60 | $416.00 | $208.00–$416.00 | — | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC ED Rpr F/E/E/N/L/M 2.5 Cm/< | $249.60 | $416.00 | $208.00–$416.00 | 41% below | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC ED Rpr F/E/E/N/L/M 2.5 Cm/< | $249.60 | $416.00 | $208.00–$416.00 | — | 40% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Biopsy Skin Tangential Single Lesion | $371.40 | $619.00 | $309.50–$619.00 | 3% above | 40% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC Biopsy Skin Tangential Single Lesion | $371.40 | $619.00 | $309.50–$619.00 | — | 40% |
| Thoracentesis with imaging guidance CPT 32555 HC Thoracentesis CT Guided Bil | $3,698.40 | $6,164.00 | $3,082.00–$6,164.00 | 160% above | 40% |
| Thoracentesis with imaging guidance CPT 32555 HC Thoracentesis US Guided Bil | $3,698.40 | $6,164.00 | $3,082.00–$6,164.00 | 160% above | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC Thoracentesis US Guided Bil | $3,698.40 | $6,164.00 | $3,082.00–$6,164.00 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC Thoracentesis CT Guided Bil | $3,698.40 | $6,164.00 | $3,082.00–$6,164.00 | — | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debridement Sk Tiss 1st 20scm | $822.60 | $1,371.00 | $685.50–$1,371.00 | 20% below | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Debridement Sk Tiss 1st 20scm | $822.60 | $1,371.00 | $685.50–$1,371.00 | — | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Administration Fee | $1,530.00 | $2,550.00 | $1,275.00–$2,550.00 | 62% above | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Blood Administration Fee | $1,530.00 | $2,550.00 | $1,275.00–$2,550.00 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Hm/Cm Tx | $181.20 | $302.00 | $151.00–$302.00 | 11% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Mdi Tx | $181.20 | $302.00 | $151.00–$302.00 | 11% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Uabd Tx | $181.20 | $302.00 | $151.00–$302.00 | 11% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Ippb Tx | $181.20 | $302.00 | $151.00–$302.00 | 11% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Hm/Cm Tx | $181.20 | $302.00 | $151.00–$302.00 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Ippb Tx | $181.20 | $302.00 | $151.00–$302.00 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Uabd Tx | $181.20 | $302.00 | $151.00–$302.00 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Mdi Tx | $181.20 | $302.00 | $151.00–$302.00 | — | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 HC ER Critical Care 99291 | $2,792.40 | $4,654.00 | $2,327.00–$4,654.00 | 8% above | 40% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ER Critical Care 99291 | $2,792.40 | $4,654.00 | $2,327.00–$4,654.00 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Routine Ekg | $378.60 | $631.00 | $315.50–$631.00 | 28% above | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC Routine Ekg | $378.60 | $631.00 | $315.50–$631.00 | — | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER Level I 99281 | $314.40 | $524.00 | $262.00–$524.00 | 10% above | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ER Level I 99281 | $314.40 | $524.00 | $262.00–$524.00 | — | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ER Level II 99282 | $555.60 | $926.00 | $463.00–$926.00 | 15% above | 40% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ER Level II 99282 | $555.60 | $926.00 | $463.00–$926.00 | — | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ER Level III 99283 | $1,173.60 | $1,956.00 | $978.00–$1,956.00 | 42% above | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ER Level III 99283 | $1,173.60 | $1,956.00 | $978.00–$1,956.00 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER Level IV 99284 | $1,549.20 | $2,582.00 | $1,291.00–$2,582.00 | 14% above | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ER Level IV 99284 | $1,549.20 | $2,582.00 | $1,291.00–$2,582.00 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER Level V 99285 | $2,129.40 | $3,549.00 | $1,774.50–$3,549.00 | 9% below | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ER Level V 99285 | $2,129.40 | $3,549.00 | $1,774.50–$3,549.00 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC ED IV Hydrate Initial 31-60 Min | $521.40 | $869.00 | $434.50–$869.00 | 7% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC ED IV Hydrate Initial 31-60 Min | $521.40 | $869.00 | $434.50–$869.00 | — | 40% |
| IV infusion of a medicine, first hour CPT 96365 HC ED Ivpb/Infusion Initial 16-60 Min | $521.40 | $869.00 | $434.50–$869.00 | 3% above | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC ED Ivpb/Infusion Initial 16-60 Min | $521.40 | $869.00 | $434.50–$869.00 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC ED Non Chemo Sq Im Injection | $202.20 | $337.00 | $168.50–$337.00 | 20% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC ED Non Chemo Sq Im Injection | $202.20 | $337.00 | $168.50–$337.00 | — | 40% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC Nrv Cndj Test 7-8 Studies | $454.20 | $757.00 | $378.50–$757.00 | 56% below | 40% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC Nrv Cndj Test 7-8 Studies | $454.20 | $757.00 | $378.50–$757.00 | — | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Neuromuscular | $95.40 | $159.00 | $79.50–$159.00 | 16% below | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Neuromuscular | $95.40 | $159.00 | $79.50–$159.00 | — | 40% |
| New patient office visit, about 30 minutes CPT 99203 HC Pt Visit New Level III | $253.20 | $422.00 | $211.00–$422.00 | 1% below | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC Pt Visit New Level III | $253.20 | $422.00 | $211.00–$422.00 | — | 40% |
| New patient office visit, about 45 minutes CPT 99204 HC Pt Visit New Level IV | $385.20 | $642.00 | $321.00–$642.00 | 20% above | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC Pt Visit New Level IV | $385.20 | $642.00 | $321.00–$642.00 | — | 40% |
| New patient office visit, about 60 minutes CPT 99205 HC Pt Visit New Level V | $441.00 | $735.00 | $367.50–$735.00 | 31% above | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC Pt Visit New Level V | $441.00 | $735.00 | $367.50–$735.00 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Pt Visit New Level II | $234.00 | $390.00 | $195.00–$390.00 | 20% above | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC Pt Visit New Level II | $234.00 | $390.00 | $195.00–$390.00 | — | 40% |
| Occupational therapy evaluation, low complexity CPT 97165 HC Ot Eval Complexity | $259.80 | $433.00 | $216.50–$433.00 | 3% below | 40% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Ot Eval Complexity | $259.80 | $433.00 | $216.50–$433.00 | — | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Eval Complexity High | $561.60 | $936.00 | $468.00–$936.00 | 84% above | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Pt Eval Complexity High | $561.60 | $936.00 | $468.00–$936.00 | — | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Eval Complexity Low | $259.80 | $433.00 | $216.50–$433.00 | 9% above | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Pt Eval Complexity Low | $259.80 | $433.00 | $216.50–$433.00 | — | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Eval Complexity Mod | $519.00 | $865.00 | $432.50–$865.00 | 82% above | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Pt Eval Complexity Mod | $519.00 | $865.00 | $432.50–$865.00 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Manual Therapy | $95.40 | $159.00 | $79.50–$159.00 | 15% below | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Manual Therapy | $95.40 | $159.00 | $79.50–$159.00 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Therapeutic Rx Each 15 Min | $95.40 | $159.00 | $79.50–$159.00 | 23% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Therapeutic Treatment | $95.40 | $159.00 | $79.50–$159.00 | 23% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Therapeutic Treatment | $95.40 | $159.00 | $79.50–$159.00 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Therapeutic Rx Each 15 Min | $95.40 | $159.00 | $79.50–$159.00 | — | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC Smoke Cessation 3-10 Min | $30.60 | $51.00 | $25.50–$51.00 | 35% below | 40% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC Smoke Cessation 3-10 Min | $30.60 | $51.00 | $25.50–$51.00 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Pt Visit Est Level V | $441.00 | $735.00 | $367.50–$735.00 | 42% above | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC Pt Visit Est Level V | $441.00 | $735.00 | $367.50–$735.00 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Pt Visit Est Level III | $253.20 | $422.00 | $211.00–$422.00 | 20% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC Pt Visit Est Level III | $253.20 | $422.00 | $211.00–$422.00 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Pt Visit Est Level IV | $385.20 | $642.00 | $321.00–$642.00 | 40% above | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC Pt Visit Est Level IV | $385.20 | $642.00 | $321.00–$642.00 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Pt Visit Est Level II | $234.00 | $390.00 | $195.00–$390.00 | 43% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Pt Visit Est Level II | $234.00 | $390.00 | $195.00–$390.00 | — | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Functional Training | $95.40 | $159.00 | $79.50–$159.00 | 19% below | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Functional Training | $95.40 | $159.00 | $79.50–$159.00 | — | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $49.80 | $83.00 | $41.50–$83.00 | 4% above | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $49.80 | $83.00 | $41.50–$83.00 | — | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP | $166.05 | $276.75 | $138.38–$276.75 | 8% below | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP | $166.05 | $276.75 | $138.38–$276.75 | — | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE | $261.45 | $435.75 | $217.88–$435.75 | 1% below | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE | $261.45 | $435.75 | $217.88–$435.75 | — | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $105.00 | $175.00 | $87.50–$175.00 | 20% below | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $105.00 | $175.00 | $87.50–$175.00 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Inj Admin Vaccine 1st Vaccine | $66.00 | $110.00 | $55.00–$110.00 | 15% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Inj Admin Hep B | $66.00 | $110.00 | $55.00–$110.00 | 15% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Inj Admin Vaccine Pneumococcal | $66.00 | $110.00 | $55.00–$110.00 | 15% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Inj Admin Vaccine Flu | $66.00 | $110.00 | $55.00–$110.00 | 15% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Inj Admin Hep B | $66.00 | $110.00 | $55.00–$110.00 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Inj Admin Vaccine Flu | $66.00 | $110.00 | $55.00–$110.00 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Inj Admin Vaccine 1st Vaccine | $66.00 | $110.00 | $55.00–$110.00 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Inj Admin Vaccine Pneumococcal | $66.00 | $110.00 | $55.00–$110.00 | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Inj Admin Vaccine Ea Add Vacc | $66.00 | $110.00 | $55.00–$110.00 | 24% above | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Inj Admin Vaccine Ea Add Vacc | $66.00 | $110.00 | $55.00–$110.00 | — | 40% |
Source file: https://methodistsite.s3.us-east-1.amazonaws.com/263195791_Methodist-Hospital-for-Surgery_standardcharges.csv