Texas Health Huguley Hospital Fort Worth South
11801 South Freeway, Burleson, TX · AdventHealth · · NPI 1033120423
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $4,781.00 – $10,790.21 | 3 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $2,761.00 – $10,790.21 | 3 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $4,781.00 – $10,790.21 | 3 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $2,763.77 – $4,781.00 | 2 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $2,820.82 – $9,124.00 | 2 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $1,387.82 | $1,387.82 | $240.08 – $480.17 | 2 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $3,546.88 – $9,098.00 | 3 |
| Urethrocystography void s&i CPT 74455 | not published | not published | $240.08 – $480.17 | 2 |
| Uric acid blood CPT 84550 | $174.82 | $174.82 | $4.52 – $20.06 | 5 |
| Uric acid urine CPT 84560 | $135.95 | $135.95 | $5.08 – $21.10 | 5 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.70 – $16.39 | 5 |
| Urinalysis microscopic only CPT 81015 | not published | not published | $3.05 – $13.49 | 5 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.17 – $9.59 | 5 |
| Urinalysis (with microscopy) CPT 81001 | $223.25 | $223.25 | $3.17 – $14.09 | 5 |
| Urinalysis (without microscopy) CPT 81003 | $194.74 | $194.74 | $2.25 – $9.98 | 5 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $209.35 – $209.35 | 1 |
| Urinary reflex study CPT 51792 | not published | not published | $59.36 – $1,187.00 | 3 |
| Urine Culture Test CPT 87086 | $311.53 | $311.53 | $8.07 – $35.90 | 5 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $133.87 – $1,187.00 | 3 |
| Urine pregnancy test CPT 81025 | not published | not published | $8.61 – $28.11 | 5 |
| Urine screen for bacteria CPT 81007 | not published | not published | $10.80 – $59.96 | 5 |
| Urine shunt to intestine CPT 50815 | not published | not published | $3,056.73 – $9,124.00 | 2 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $3.00 – $9.07 | 3 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $253.18 – $253.18 | 1 |
| Urography, antegrade CPT 74425 | $1,629.05 | $1,629.05 | $351.04 – $702.08 | 2 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $176.49 – $352.98 | 2 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $870.07 – $870.07 | 1 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $17.40 – $17.40 | 1 |
| Use 1st target lesion CPT 76982 | not published | not published | $105.20 – $210.39 | 2 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $28,690.98 | $28,690.98 | $11.36 – $24.56 | 3 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $299.95 – $480.28 | 2 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $4,781.00 – $25,836.87 | 3 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $145.92 – $286.88 | 2 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $145.92 – $286.88 | 2 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $131.10 – $257.74 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $87.78 – $172.58 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $65.36 – $128.87 | 2 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $55.96 – $55.96 | 1 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $187.35 – $187.35 | 1 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $123.36 – $123.36 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $227.55 – $227.55 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $59.31 – $59.31 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $25.67 – $25.67 | 1 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $227.96 | $227.96 | $135.86 – $135.86 | 1 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $640.71 | $640.71 | $203.01 – $203.01 | 1 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $77.30 – $77.30 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $118.81 – $147.74 | 2 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $332.28 | $332.28 | $115.11 – $138.37 | 2 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $231.71 – $315.11 | 2 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $46.19 – $60.49 | 2 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $984.74 | $984.74 | $412.53 – $412.53 | 1 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $322.47 – $322.47 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $447.81 | $447.81 | $87.25 – $144.30 | 2 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $202.96 | $202.96 | $89.38 – $89.38 | 1 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $31.64 – $31.64 | 1 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $136.43 | $136.43 | $25.54 – $34.41 | 2 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $116.44 | $116.44 | $31.90 – $41.05 | 2 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $34.03 – $152.09 | 2 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $37.87 – $37.87 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $34.03 – $43.94 | 2 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $16.81 – $20.53 | 2 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $46.43 – $54.64 | 2 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $92.55 – $144.30 | 2 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $222.88 | $222.88 | $53.23 – $53.23 | 1 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $26.19 – $32.08 | 2 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $563.38 | $563.38 | $404.15 – $404.15 | 1 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $330.23 – $330.23 | 1 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $172.12 – $172.12 | 1 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $544.09 | $544.09 | $172.12 – $172.12 | 1 |
| Vaccine mmr live subcutaneous CPT 90707 | not published | not published | $142.14 – $142.14 | 1 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $260.87 – $409.46 | 2 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $385.73 | $385.73 | $237.14 – $262.40 | 2 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $373.85 – $507.21 | 2 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $498.50 – $501.46 | 2 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $792.00 | $792.00 | $501.46 – $585.95 | 2 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $64.15 – $64.15 | 1 |
| Vaccine rabies im CPT 90675 | not published | not published | $331.98 – $663.95 | 3 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $439.98 – $439.98 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $1,001.39 – $1,001.39 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $1,001.39 – $1,001.39 | 1 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $439.98 – $439.98 | 1 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $244.68 – $244.68 | 1 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $200.07 – $200.07 | 1 |
| Vaccine tdap >=7 years im CPT 90715 | $313.00 | $313.00 | $79.95 – $79.95 | 1 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $259.07 | $259.07 | $37.51 – $37.51 | 1 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $132.85 – $132.85 | 1 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $321.25 – $321.25 | 1 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $227.65 – $227.65 | 1 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.02 | 3 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $5,033.52 – $10,067.05 | 3 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $5,033.52 – $13,172.00 | 3 |
| Vag hyst including t/o CPT 58262 | not published | not published | $5,033.52 – $10,067.05 | 3 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $7,461.50 – $14,923.00 | 3 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $5,033.52 – $13,172.00 | 3 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $5,033.52 – $10,067.05 | 3 |
| Vaginal bx CPT 58999 | not published | not published | $203.43 – $1,187.00 | 3 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $3,257.23 – $6,514.47 | 3 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $5,222.46 – $5,222.46 | 1 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $5,033.52 – $10,067.05 | 3 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $3,257.23 – $6,514.47 | 3 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.