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 |
|---|---|---|---|---|
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $25.26 – $250.44 | 2 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $53.21 – $250.44 | 2 |
| Drug admin & hemodynmic meas CPT 93463 | not published | not published | $139.33 – $1,187.00 | 2 |
| Drug assay caffeine CPT 80155 | not published | not published | $38.57 – $77.14 | 4 |
| Drug assay posaconazole CPT 80187 | $326.84 | $326.84 | $27.11 – $74.17 | 4 |
| Drug assay rufinamide CPT 80210 | not published | not published | $27.11 – $74.17 | 4 |
| Drug assay vedolizumab CPT 80280 | $887.64 | $887.64 | $38.57 – $105.53 | 4 |
| Drug assay voriconazole CPT 80285 | $309.52 | $309.52 | $27.11 – $82.87 | 4 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.64 – $51.00 | 4 |
| Drug of abuse screen urine CPT 80305 | $221.46 | $221.46 | $12.60 – $25.20 | 4 |
| Drug screening tapentadol CPT 80372 | $80.76 | $80.76 | not published | 0 |
| Drug screen quant tiagabine CPT 80199 | $312.46 | $312.46 | $27.11 – $54.22 | 4 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $198.74 – $397.48 | 4 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $114.43 – $228.86 | 4 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $246.92 – $675.57 | 4 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $156.59 – $313.18 | 4 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $62.14 – $170.02 | 4 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $17.14 – $34.28 | 4 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $1,388.54 | $1,388.54 | $62.14 – $126.16 | 4 |
| Drvvt confirm - quest CPT 85597 | $225.17 | $225.17 | $17.98 – $72.69 | 5 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $173.79 – $9,098.00 | 3 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $336.52 – $4,781.00 | 3 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $170.49 – $1,187.00 | 3 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $151.68 – $1,187.00 | 3 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $167.30 – $1,487.33 | 3 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $199.32 – $1,487.33 | 3 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $270.48 – $2,265.00 | 3 |
| Ductogram sgl duct CPT 77053 | not published | not published | $480.17 – $536.46 | 2 |
| Duodenal exclusion CPT 48547 | not published | not published | $1,975.17 – $9,124.00 | 2 |
| Duodenal motility study CPT 91022 | not published | not published | $131.42 – $1,187.00 | 3 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $480.17 – $533.44 | 2 |
| Duplex scan unilateral study 93986 CPT 93986 | $1,526.31 | $1,526.31 | $210.39 – $303.63 | 2 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $938.20 | $938.20 | $153.66 – $210.39 | 2 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | not published | not published | $196.16 – $434.53 | 2 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,589.15 | $1,589.15 | $231.73 – $480.17 | 2 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $52,299.83 | $52,299.83 | $98.40 – $170.24 | 3 |
| Dxa bone density axl vrt fx CPT 77085 | $770.26 | $770.26 | $210.39 – $258.01 | 2 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $204.05 – $258.94 | 2 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $24.16 – $24.16 | 1 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $1,510.72 – $3,581.91 | 3 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $9,857.87 | $9,857.87 | $1,510.72 – $3,581.91 | 3 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $1,510.72 – $3,581.91 | 3 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $498.48 – $899.00 | 2 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $829.93 – $2,761.00 | 3 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $829.93 – $2,761.00 | 3 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $267.27 – $1,187.00 | 3 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $146.10 – $1,187.00 | 3 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $81.91 – $81.91 | 1 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $219.20 – $219.20 | 1 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $71.78 – $71.78 | 1 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $399.05 – $1,187.00 | 3 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $1,510.72 – $3,581.91 | 3 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $139.64 – $139.64 | 1 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $68.22 – $2,761.00 | 3 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $347.00 – $347.00 | 1 |
| Dynamic surface emg CPT 96002 | not published | not published | $31.12 – $434.53 | 2 |
| Ear and throat examination CPT 92502 | not published | not published | $466.46 – $1,187.00 | 3 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $115.85 – $3,122.44 | 3 |
| Ear cartilage graft CPT 21235 | not published | not published | $2,761.00 – $11,913.21 | 3 |
| Ear irrigation 69209 CPT 69209 | $452.60 | $452.60 | $58.09 – $1,187.00 | 3 |
| Ear protector evaluation CPT 92596 | not published | not published | $52.38 – $75.17 | 2 |
| Ecallantide injection HCPCS J1290 | not published | not published | $648.65 – $1,159.93 | 3 |
| Ecg 12 lead tracing only CPT 93005 | $619.04 | $619.04 | $75.42 – $118.72 | 2 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $9.88 – $9.88 | 1 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | not published | not published | $75.42 – $118.72 | 2 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $191.32 – $233.21 | 2 |
| Ecg external < 48 hours recording CPT 93225 | $1,958.29 | $1,958.29 | $149.48 – $267.75 | 2 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $2,086.91 | $2,086.91 | $118.72 – $149.48 | 2 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $53.03 – $75.17 | 2 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $75.17 – $87.22 | 2 |
| Ecg record/review CPT 93268 | not published | not published | $281.63 – $281.63 | 1 |
| Ecg/review interpret only CPT 93272 | not published | not published | $35.58 – $35.58 | 1 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $3,321.48 | $3,321.48 | $185.78 – $1,099.62 | 2 |
| Echocardiography doppler color flow mapping CPT 93325 | $875.94 | $875.94 | $30.63 – $30.63 | 1 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | not published | not published | $933.40 – $1,577.58 | 2 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $1,905.51 | $1,905.51 | $101.29 – $480.17 | 2 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | not published | not published | $523.52 – $702.08 | 2 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $820.13 | $820.13 | $27.17 – $27.17 | 1 |
| Echo exam of eye CPT 76516 | not published | not published | $210.39 – $258.01 | 2 |
| Echo exam of eye CPT 76519 | not published | not published | $210.39 – $258.01 | 2 |
| Echo exam of eye CPT 76529 | not published | not published | $175.13 – $183.72 | 2 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $52.92 – $58.21 | 2 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $448.82 – $1,099.62 | 2 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $286.21 – $480.17 | 2 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $210.39 – $258.01 | 2 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $210.39 – $258.01 | 2 |
| Echo exam uterus 76831- CPT 76831 | not published | not published | $480.17 – $536.46 | 2 |
| Echograp trans r pros study CPT 76873 | not published | not published | $210.39 – $223.18 | 2 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $58.08 – $58.08 | 1 |
| Echo guidance radiotherapy HCPCS G6001 | not published | not published | $50.86 – $50.86 | 1 |
| Echo guide for amniocentesis CPT 76946 | not published | not published | $30.69 – $30.69 | 1 |
| Echo guide for artery repair CPT 76936 | not published | not published | $400.71 – $434.53 | 2 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $77.99 – $77.99 | 1 |
| Echo guide for transfusion CPT 76941 | not published | not published | $163.44 – $163.44 | 1 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $93.74 – $93.74 | 1 |
| Echo guide villus sampling CPT 76945 | not published | not published | $82.14 – $82.14 | 1 |
| Echo stress CPT 93350 | $3,730.72 | $3,730.72 | $162.56 – $1,099.62 | 2 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $39.03 – $1,099.62 | 2 |
| Echo tee guidance CPT 93355 | $6,821.99 | $6,821.99 | $324.63 – $324.63 | 1 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $6,106.82 | $6,106.82 | $190.72 – $1,099.62 | 2 |
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.