Texas Regional Medical Center, LLC
Texas Regional Medical Center, LLC in Sunnyvale, TX publishes cash prices for 47 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Click a procedure to compare it with other hospitals nearby.
231 S Collins Rd, Sunnyvale, TX 75182 Collected Sep 22, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 BCE CT Abd & Pelvis, w/contrast 74177 | $3,394.20 | $5,657.00 | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis w/ Contrast 74177 | $3,394.20 | $5,657.00 | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Enterography 74177 | $3,394.20 | $5,657.00 | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 BCE CT Abd & Pelvis, w/contrast 74177 | $3,394.20 | $5,657.00 | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Enterography 74177 | $3,394.20 | $5,657.00 | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen and Pelvis w/ Contrast 74177 | $3,394.20 | $5,657.00 | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 BCE CT, Head or brain; w/o contrast 70450 | $1,330.80 | $2,218.00 | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head or Brain w/o Contrast 70450 | $1,330.80 | $2,218.00 | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head Stroke Protocol W/O Contrast | $1,330.80 | $2,218.00 | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 BCE STROKE CT Head or Brain w/o Contrast 70450 | $1,330.80 | $2,218.00 | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head Stroke Protocol W/O Contrast | $1,330.80 | $2,218.00 | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 BCE CT, Head or brain; w/o contrast 70450 | $1,330.80 | $2,218.00 | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head or Brain w/o Contrast 70450 | $1,330.80 | $2,218.00 | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 BCE STROKE CT Head or Brain w/o Contrast 70450 | $1,330.80 | $2,218.00 | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Contrast 72193 | $1,646.40 | $2,744.00 | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 BCE CT Pelvis s/contrast 72193 | $1,646.40 | $2,744.00 | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/ Contrast 72193 | $1,646.40 | $2,744.00 | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 BCE CT Pelvis s/contrast 72193 | $1,646.40 | $2,744.00 | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MA Dx Mammo Incl Cad Bilateral 77066 | $150.00 | $250.00 | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 BCE MA Dx Mammo Incl Cad Bilateral 77066 | $150.00 | $250.00 | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 BCE MA Dx Mammo Incl Cad Bilateral 77066 | $150.00 | $250.00 | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MA Dx Mammo Incl Cad Bilateral 77066 | $150.00 | $250.00 | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 MA Dx Mammo+Cad Unilat Rt 77065 | $121.80 | $203.00 | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 MA Dx Mammo+Cad Unilat Lt 77065 | $121.80 | $203.00 | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 BCE MA Dx Mammo+Cad Unilat 77065 | $121.80 | $203.00 | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MA Dx Mammo+Cad Unilat Lt 77065 | $121.80 | $203.00 | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MA Dx Mammo+Cad Unilat Rt 77065 | $121.80 | $203.00 | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 BCE MA Dx Mammo+Cad Unilat 77065 | $121.80 | $203.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Hip w/o Contrast Bilateral 73721 | $2,043.00 | $3,405.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Knee w/o Contrast Bilateral 73721 | $2,043.00 | $3,405.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Ankle w/o Contrast Bilateral 73721 | $2,043.00 | $3,405.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 BCE MRI w/o contrast lower extremity 73721 | $2,043.00 | $3,405.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Signature Knee w/o contrast R 73721 | $2,043.00 | $3,405.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Signature Knee w/o contrast L 73721 | $2,043.00 | $3,405.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Left 73721 | $2,043.00 | $3,405.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Left 73721 | $2,043.00 | $3,405.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Left 73721 | $2,043.00 | $3,405.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Right 73721 | $2,043.00 | $3,405.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Right 73721 | $2,043.00 | $3,405.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Right | $2,043.00 | $3,405.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Hip w/o Contrast Bilateral 73721 | $2,043.00 | $3,405.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Knee w/o Contrast Bilateral 73721 | $2,043.00 | $3,405.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Ankle w/o Contrast Bilateral 73721 | $2,043.00 | $3,405.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI Signature Knee w/o contrast L 73721 | $2,043.00 | $3,405.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 BCE MRI w/o contrast lower extremity 73721 | $2,043.00 | $3,405.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI Signature Knee w/o contrast R 73721 | $2,043.00 | $3,405.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Right 73721 | $2,043.00 | $3,405.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Left 73721 | $2,043.00 | $3,405.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Right | $2,043.00 | $3,405.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Left 73721 | $2,043.00 | $3,405.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Right 73721 | $2,043.00 | $3,405.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Left 73721 | $2,043.00 | $3,405.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 BCE MRI any joint of lower extremity w/ + w/o Contrast 73723 | $1,904.40 | $3,174.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Ankle w/ + w/o Contrast Bl 73723 | $1,904.40 | $3,174.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Knee w/ + w/o Contrast Bl 73723 | $1,904.40 | $3,174.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Hip w/ + w/o Contrast Bl 73723 | $1,904.40 | $3,174.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Right 73723 | $1,904.40 | $3,174.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Right 73723 | $1,904.40 | $3,174.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Left 73723 | $1,904.40 | $3,174.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Left 73723 | $1,904.40 | $3,174.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Right 73723 | $1,904.40 | $3,174.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Left 73723 | $1,904.40 | $3,174.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 BCE MRI any joint of lower extremity w/ + w/o Contrast 73723 | $1,904.40 | $3,174.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Knee w/ + w/o Contrast Bl 73723 | $1,904.40 | $3,174.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Hip w/ + w/o Contrast Bl 73723 | $1,904.40 | $3,174.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Ankle w/ + w/o Contrast Bl 73723 | $1,904.40 | $3,174.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Right 73723 | $1,904.40 | $3,174.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Left 73723 | $1,904.40 | $3,174.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip w/ + w/o Contrast Right 73723 | $1,904.40 | $3,174.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w/ + w/o Contrast Right 73723 | $1,904.40 | $3,174.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip w/ + w/o Contrast Left 73723 | $1,904.40 | $3,174.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w/ + w/o Contrast Left 73723 | $1,904.40 | $3,174.00 | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI Pituitary 70551 | $1,816.80 | $3,028.00 | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast 70551 | $1,816.80 | $3,028.00 | 40% |
| MRI of the brain, no contrast dye CPT 70551 BCE MRI Brain w/o Contrast 70551 | $1,816.80 | $3,028.00 | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI IAC 70551 | $1,816.80 | $3,028.00 | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Pituitary 70551 | $1,816.80 | $3,028.00 | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Contrast 70551 | $1,816.80 | $3,028.00 | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 BCE MRI Brain w/o Contrast 70551 | $1,816.80 | $3,028.00 | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI IAC 70551 | $1,816.80 | $3,028.00 | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Contrast 70553 | $2,571.00 | $4,285.00 | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 BCE MRI Brain, w/o & w/contrast 70553 | $2,571.00 | $4,285.00 | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 BCE MRI Brain, w/o & w/contrast 70553 | $2,571.00 | $4,285.00 | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w/ + w/o Contrast 70553 | $2,571.00 | $4,285.00 | 40% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast 72148 | $1,788.00 | $2,980.00 | 40% |
| MRI of the lower back, no contrast dye CPT 72148 BCE MRI Spine Lumbar w/o contrast 72148 | $1,788.00 | $2,980.00 | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 BCE MRI Spine Lumbar w/o contrast 72148 | $1,788.00 | $2,980.00 | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Contrast 72148 | $1,788.00 | $2,980.00 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 BCE US Pregnancy After 1st Trimester 76805 | $289.80 | $483.00 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Pregnancy After 1st Trimester 76805 | $289.80 | $483.00 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Pregnancy After 1st Trimester 76805 | $289.80 | $483.00 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 BCE US Pregnancy After 1st Trimester 76805 | $289.80 | $483.00 | 40% |
| Screening mammogram, both breasts both sides CPT 77067 MA Scrn Mammo+Cad Bilat 77067 | $121.80 | $203.00 | 40% |
| Screening mammogram, both breasts both sides CPT 77067 BCE MA Scrn Mammo+Cad Bilat 77067 | $121.80 | $203.00 | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 BCE MA Scrn Mammo+Cad Bilat 77067 | $121.80 | $203.00 | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MA Scrn Mammo+Cad Bilat 77067 | $121.80 | $203.00 | 40% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non-OB | $427.20 | $712.00 | 40% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal 76830 | $427.20 | $712.00 | 40% |
| Transvaginal pelvic ultrasound CPT 76830 BCE US Transvaginal 76830 | $427.20 | $712.00 | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal 76830 | $427.20 | $712.00 | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non-OB | $427.20 | $712.00 | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 BCE US Transvaginal 76830 | $427.20 | $712.00 | 40% |
| Ultrasound of the abdomen, complete CPT 76700 BCE US Abdomen Complete 76700 | $619.20 | $1,032.00 | 40% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete 76700 | $619.20 | $1,032.00 | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete 76700 | $619.20 | $1,032.00 | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 BCE US Abdomen Complete 76700 | $619.20 | $1,032.00 | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 BCE XR Spine Lumbosacral Min 4 views 72110 | $355.80 | $593.00 | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Minimum 4 V 72110 | $355.80 | $593.00 | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 BCE XR Spine Lumbosacral Min 4 views 72110 | $355.80 | $593.00 | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Minimum 4 V 72110 | $355.80 | $593.00 | 40% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $334.80 | $558.00 | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel | $334.80 | $558.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $296.40 | $494.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $296.40 | $494.00 | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC w/ Auto Diff | $125.40 | $209.00 | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC w/ Auto Diff | $125.40 | $209.00 | 40% |
| Complete blood count (CBC), no differential CPT 85027 Complete Blood Count w/ Indices | $165.00 | $275.00 | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC Auto No Diff | $165.00 | $275.00 | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC Auto No Diff | $165.00 | $275.00 | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Complete Blood Count w/ Indices | $165.00 | $275.00 | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $447.60 | $746.00 | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel | $447.60 | $746.00 | 40% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $395.40 | $659.00 | 40% |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $395.40 | $659.00 | 40% |
| Liver function blood test panel CPT 80076 LIVER | $410.40 | $684.00 | 40% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $410.40 | $684.00 | 40% |
| Liver function blood test panel inpatient CPT 80076 LIVER | $410.40 | $684.00 | 40% |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $410.40 | $684.00 | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate specific antigen (PSA); free 84154 | $147.00 | $245.00 | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (Free and Total) | $298.20 | $497.00 | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Prostate specific antigen (PSA); free 84154 | $147.00 | $245.00 | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA (Free and Total) | $298.20 | $497.00 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen | $147.00 | $245.00 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Antigen | $147.00 | $245.00 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $148.80 | $248.00 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $148.80 | $248.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR Istat | $123.60 | $206.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR Hemochron | $123.60 | $206.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT | $123.60 | $206.00 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT/INR Hemochron | $123.60 | $206.00 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT/INR Istat | $123.60 | $206.00 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT | $123.60 | $206.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH w/ Rflx Free T4 | $338.40 | $564.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $338.40 | $564.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 zzTSH/FT4 | $338.40 | $564.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH w/ Rflx Free T4 | $338.40 | $564.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 zzTSH/FT4 | $338.40 | $564.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone | $338.40 | $564.00 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis With Microscopy | $127.20 | $212.00 | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis With Microscopy | $127.20 | $212.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 UA w/Reflex to Micro if Indicated-SV | $82.20 | $137.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis | $82.20 | $137.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Dipstick | $82.20 | $137.00 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis | $82.20 | $137.00 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA w/Reflex to Micro if Indicated-SV | $82.20 | $137.00 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Dipstick | $82.20 | $137.00 | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY FLEXIBLE; WITH REMOVAL OF TUMOR/POLYP/LESION BY SNARE TECHNIQUE 45385 | $3,429.00 | $5,715.00 | 40% |
| Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY FLEXIBLE; WITH REMOVAL OF TUMOR/POLYP/LESION BY SNARE TECHNIQUE 45385 | $3,429.00 | $5,715.00 | 40% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY FLEXIBLE; WITH BIOPSY; SINGLE OR MULTIPLE 45380 | $3,429.00 | $5,715.00 | 40% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY FLEXIBLE; WITH BIOPSY; SINGLE OR MULTIPLE 45380 | $3,429.00 | $5,715.00 | 40% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY FLEXIBLE; DIAGNOSTIC; INCL. COLLECTION OF SPECIMENS 45378 | $2,599.80 | $4,333.00 | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY FLEXIBLE; DIAGNOSTIC; INCL. COLLECTION OF SPECIMENS 45378 | $2,599.80 | $4,333.00 | 40% |
| Gallbladder removal, laparoscopic CPT 47562 CHOLECYSTECTOMY LAPAROSCOPIC 47562 | $16,435.80 | $27,393.00 | 40% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 CHOLECYSTECTOMY LAPAROSCOPIC 47562 | $16,435.80 | $27,393.00 | 40% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INITIAL HERNIA INGUINAL-AGE 5 YEARS OR OLDER-REDUCIBLE 49505 | $10,658.40 | $17,764.00 | 40% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 REPAIR INITIAL HERNIA INGUINAL-AGE 5 YEARS OR OLDER-REDUCIBLE 49505 | $10,658.40 | $17,764.00 | 40% |
| Knee arthroscopy with meniscus trim CPT 29881 ARTHROSCOPY KNEE W/MEDIAL OR LATERAL MENISCECTOMY 29881 | $9,685.80 | $16,143.00 | 40% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 ARTHROSCOPY KNEE W/MEDIAL OR LATERAL MENISCECTOMY 29881 | $9,685.80 | $16,143.00 | 40% |
| Left heart catheterization, diagnostic one side CPT 93452 LEFT HEART CATH 93452 | $10,534.80 | $17,558.00 | 40% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 LEFT HEART CATH 93452 | $10,534.80 | $17,558.00 | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION DIAG./THER. SUB. W/NEEDLE OR CATH. LUMBAR/SACRAL W/IMAGE 62323 | $1,266.00 | $2,110.00 | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJECTION DIAG./THER. SUB. W/NEEDLE OR CATH. LUMBAR/SACRAL W/IMAGE 62323 | $1,266.00 | $2,110.00 | 40% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJECTION DIAG./THER. SUB. W/NEEDLE OR CATH. LUMBAR/SACRAL W/O IMAGE 62322 | $1,989.60 | $3,316.00 | 40% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJECTION DIAG./THER. SUB. W/NEEDLE OR CATH. LUMBAR/SACRAL W/O IMAGE 62322 | $1,989.60 | $3,316.00 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ CATH PLACE OF DISG/THERA SUBSTANCE EPIDURAL OR SUBARACHNOID LUMBAR/SACRAL PP 64483 | $2,118.00 | $3,530.00 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ.ANESTHETIC AGENT AND/OR STEROID; LUMBAR/SACRAL 64483 | $2,460.60 | $4,101.00 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ CATH PLACE OF DISG/THERA SUBSTANCE EPIDURAL OR SUBARACHNOID LUMBAR/SACRAL PP 64483 | $2,118.00 | $3,530.00 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ.ANESTHETIC AGENT AND/OR STEROID; LUMBAR/SACRAL 64483 | $2,460.60 | $4,101.00 | 40% |
| Prostate biopsy CPT 55700 BIOPSY PROSTATE;NEEDLE OR PUNCTURE 55700 | $6,362.40 | $10,604.00 | 40% |
| Prostate biopsy inpatient CPT 55700 BIOPSY PROSTATE;NEEDLE OR PUNCTURE 55700 | $6,362.40 | $10,604.00 | 40% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPARASCOPIC PROSTATECTOMY RETROPUBIC RADICAL 55866 | $23,120.40 | $38,534.00 | 40% |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 LAPARASCOPIC PROSTATECTOMY RETROPUBIC RADICAL 55866 | $23,120.40 | $38,534.00 | 40% |
| Removal of a breast lump, open surgery CPT 19120 EXCISION LIPOMA BREAST 19120 | $9,988.20 | $16,647.00 | 40% |
| Removal of a breast lump, open surgery inpatient CPT 19120 EXCISION LIPOMA BREAST 19120 | $9,988.20 | $16,647.00 | 40% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 ARTHROSCOPY SHOULDER W/SUBACROMIAL DECOMPRESSION/ACROMIOPLASTY 29826 | $16,810.80 | $28,018.00 | 40% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 ARTHROSCOPY SHOULDER W/SUBACROMIAL DECOMPRESSION/ACROMIOPLASTY 29826 | $16,810.80 | $28,018.00 | 40% |
| Total hip replacement CPT 27130 ARTHROPLASTY ACETABULAR & PROXIMAL FEMORAL PROSTHETIC REPLACEMENT 27130 | $39,876.60 | $66,461.00 | 40% |
| Total hip replacement inpatient CPT 27130 ARTHROPLASTY ACETABULAR & PROXIMAL FEMORAL PROSTHETIC REPLACEMENT 27130 | $39,876.60 | $66,461.00 | 40% |
| Total knee replacement CPT 27447 ARTHROPLASTY KNEE CONDYLE & PLATEAU MEDIAL AND LATERAL 27447 | $37,065.60 | $61,776.00 | 40% |
| Total knee replacement inpatient CPT 27447 ARTHROPLASTY KNEE CONDYLE & PLATEAU MEDIAL AND LATERAL 27447 | $37,065.60 | $61,776.00 | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 ESOPHAGOGASTRODUODENOSCOPY W/BIOPSY 43239 | $2,722.80 | $4,538.00 | 40% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 ESOPHAGOGASTRODUODENOSCOPY W/BIOPSY 43239 | $2,722.80 | $4,538.00 | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 ESOPHAGOGASTRODUODENOSCOPY; FLEXIBLE DIAGNOSTIC 43235 | $2,722.80 | $4,538.00 | 40% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 ESOPHAGOGASTRODUODENOSCOPY; FLEXIBLE DIAGNOSTIC 43235 | $2,722.80 | $4,538.00 | 40% |
Source file: https://mrfs.hyvehealthcare.com/USPI/510570864_texas-regional-medical-center,-llc_standardcharges.json