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 |
|---|---|---|---|---|
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $30.65 | $30.65 | $10.03 – $10.03 | 1 |
| Dextrose 5 % IV bolus HCPCS J7070 | $98.42 | $98.42 | $20.06 – $20.06 | 1 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $272.25 | $272.25 | $22.23 – $89.39 | 5 |
| Diabetes (HbA1c) Test CPT 83036 | $258.48 | $258.48 | $9.71 – $39.30 | 5 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $37.48 – $75.40 | 2 |
| Diab manage trn ind/group HCPCS G0109 | $100.82 | $100.82 | $21.25 – $31.98 | 2 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $1,510.72 – $3,581.91 | 3 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $5,104.40 – $13,172.00 | 3 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $115.14 – $1,187.00 | 3 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,060.46 – $2,761.00 | 3 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $726.86 | $726.86 | $115.14 – $1,187.00 | 3 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $293.04 | $293.04 | $216.53 – $216.53 | 1 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $203.52 | $203.52 | $216.53 – $216.53 | 1 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $67.84 – $1,187.00 | 3 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $83.53 – $1,187.00 | 3 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $1,071.65 | $1,071.65 | $209.78 – $277.09 | 2 |
| Diagnostic Mammogram (one breast) CPT 77065 | $725.48 | $725.48 | $170.66 – $216.53 | 2 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $175.13 – $183.72 | 2 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $5,366.71 | $5,366.71 | $1,187.00 – $1,187.00 | 1 |
| Dialysis one evaluation CPT 90945 | $1,331.27 | $1,331.27 | $839.71 – $839.71 | 1 |
| Diathermy eg microwave CPT 97024 | not published | not published | $9.88 – $14.54 | 2 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $501.68 | $501.68 | $0.12 – $0.12 | 1 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $64.23 | $64.23 | $8.20 – $8.20 | 1 |
| Dicyclomine injection HCPCS J0500 | $228.46 | $228.46 | $37.15 – $37.15 | 1 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.24 – $0.24 | 1 |
| Diffusing capacity CPT 94729 | $1,431.24 | $1,431.24 | $64.23 – $64.23 | 1 |
| Digital analysis of eeg CPT 95957 | not published | not published | $230.74 – $230.74 | 1 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $34.31 | $34.31 | $5.03 – $5.03 | 1 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $5,055.18 – $10,336.46 | 3 |
| Digoxin total therapeutic drug level CPT 80162 | $217.60 | $217.60 | $13.28 – $53.06 | 5 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $256.82 – $256.82 | 1 |
| Dilate biliary duct/ampulla CPT 47542 | $2,109.39 | $2,109.39 | $1,187.00 – $1,187.00 | 1 |
| Dilate esophagus CPT 43453 | not published | not published | $1,644.61 – $3,861.66 | 3 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $829.93 – $2,761.00 | 3 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $374.48 – $9,124.00 | 2 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $187.24 – $9,124.00 | 2 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $533.18 – $9,124.00 | 2 |
| Dilate tear duct opening CPT 68801 | not published | not published | $383.95 – $1,187.00 | 3 |
| Dilate urethra stricture CPT 53600 | not published | not published | $41.54 – $1,187.00 | 3 |
| Dilate urethra stricture CPT 53601 | not published | not published | $115.14 – $1,187.00 | 3 |
| Dilate urethra stricture CPT 53605 | not published | not published | $1,870.76 – $7,093.76 | 3 |
| Dilate urethra stricture CPT 53621 | not published | not published | $94.51 – $1,187.00 | 3 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $46.50 – $1,187.00 | 3 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,060.46 – $2,761.00 | 3 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $42.68 – $6,514.47 | 3 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $1,060.46 – $2,761.00 | 3 |
| Dilation of salivary duct CPT 42660 | not published | not published | $79.65 – $1,187.00 | 3 |
| Dilation of urethra CPT 53661 | not published | not published | $115.14 – $1,187.00 | 3 |
| Dilation of urethra CPT 53665 | not published | not published | $1,870.76 – $4,781.00 | 3 |
| Dilation of vagina CPT 57400 | not published | not published | $2,637.99 – $6,514.47 | 3 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $52.21 – $3,122.44 | 3 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $92.23 – $2,265.00 | 3 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $1,870.76 – $7,093.76 | 3 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $3,187.58 – $9,098.00 | 3 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $74.64 – $117.59 | 2 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $13.27 – $13.27 | 1 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $818.39 – $1,497.69 | 3 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.03 – $0.03 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $27.91 | $27.91 | $0.91 – $0.91 | 1 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $49.69 – $49.69 | 1 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $3.63 – $3.63 | 1 |
| Direct advanced life support CPT 99288 | not published | not published | $214.93 – $214.93 | 1 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $45.83 – $75.17 | 2 |
| Disability dlco CPT 94727 | $607.94 | $607.94 | $189.68 – $434.53 | 2 |
| Disaccharidases CPT 82657 | $368.08 | $368.08 | $22.17 – $72.69 | 5 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,713.61 – $4,152.19 | 3 |
| Disarticulation shoulder CPT 23920 | not published | not published | $1,235.72 – $25,836.87 | 3 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,683.65 – $9,124.00 | 2 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $230.63 – $9,124.00 | 2 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $3,929.71 – $3,957.94 | 2 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $90.03 – $3,581.91 | 3 |
| Dissect brain w/scope CPT 62161 | not published | not published | $1,679.85 – $9,124.00 | 2 |
| Dissolve clot heart vessel CPT 92975 | $342.53 | $342.53 | $417.87 – $9,124.00 | 2 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $4,853.58 – $16,164.00 | 3 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $1,271.12 – $9,124.00 | 2 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $355.84 – $2,761.00 | 2 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $329.58 – $9,124.00 | 2 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $279.00 – $558.00 | 4 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $274.83 – $751.93 | 4 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $137.00 – $374.83 | 4 |
| Dna antibody native/double stranded CPT 86225 | $111.46 | $111.46 | $13.74 – $55.01 | 5 |
| Dna gardnerella CPT 87510 | $103.08 | $103.08 | $20.05 – $80.56 | 5 |
| Dna probe chlamydia CPT 87490 | not published | not published | $22.75 – $80.56 | 5 |
| Dna probe gc CPT 87590 | not published | not published | $26.88 – $80.56 | 5 |
| Dna trichomonas CPT 87660 | $116.77 | $116.77 | $20.05 – $80.56 | 5 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $455.51 | $455.51 | $3.77 – $3.77 | 1 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $828.06 | $828.06 | $3.20 – $3.20 | 1 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $1.47 – $101.56 | 2 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $7.73 – $7.73 | 1 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $126.36 – $126.36 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $123.78 | $123.78 | $0.33 – $0.33 | 1 |
| Doppler echo complete CPT 93320 | $881.68 | $881.68 | $48.92 – $48.92 | 1 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $3,283.30 | $3,283.30 | $1,187.00 – $1,187.00 | 1 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $1,717.24 | $1,717.24 | $155.64 – $434.53 | 2 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $1,368.95 | $1,368.95 | $149.48 – $267.75 | 2 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $0.95 – $0.95 | 1 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $54.73 – $54.73 | 1 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $47,633.70 | $47,633.70 | $316.82 – $487.42 | 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.