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 |
|---|---|---|---|---|
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $7.30 – $29.45 | 5 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $1,417.66 | $1,417.66 | $227.72 – $1,187.00 | 3 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $227.72 – $1,187.00 | 3 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $24.30 – $98.21 | 5 |
| Ghs urine, porphyrins quant CPT 84120 | $234.47 | $234.47 | $14.71 – $58.96 | 5 |
| Ghs vaginal delivery only CPT 59409 | $7,559.96 | $7,559.96 | $2,637.99 – $6,514.47 | 3 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $665.77 – $750.95 | 2 |
| Ghs windowing of cast CPT 29730 | not published | not published | $34.30 – $1,187.00 | 3 |
| Giardia ag if CPT 87269 | not published | not published | $13.61 – $48.14 | 5 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $14.72 – $58.96 | 5 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $480.17 – $536.46 | 2 |
| Gi inhouse confirmation CPT 87045 | $157.76 | $157.76 | $9.44 – $38.30 | 5 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $353.66 – $13,172.00 | 3 |
| Gi protein loss CPT 78282 | not published | not published | $804.51 – $813.85 | 2 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $1,044.03 – $2,761.00 | 3 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $1,871.47 – $1,942.98 | 2 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $1,044.03 – $2,761.00 | 3 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $1,616.19 – $2,761.00 | 3 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $101.12 – $276.66 | 4 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $61.52 – $168.32 | 4 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.00 – $95.76 | 4 |
| Glassia injection HCPCS J0257 | not published | not published | $6.65 – $11.28 | 3 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $58.21 – $78.06 | 2 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $58.31 – $75.17 | 2 |
| Glaucoma surgery CPT 66150 | not published | not published | $4,032.16 – $8,318.20 | 3 |
| Glaucoma surgery CPT 66155 | not published | not published | $4,032.16 – $8,318.20 | 3 |
| Glaucoma surgery CPT 66160 | not published | not published | $2,135.08 – $4,781.00 | 3 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,135.08 – $4,781.00 | 3 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $109.33 – $376.53 | 3 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $238.60 – $297.98 | 3 |
| Glucagon plasma - sendout CPT 82943 | $87.50 | $87.50 | $14.29 – $57.95 | 5 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $46.07 – $172.93 | 5 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $50.50 – $172.93 | 5 |
| Glucagon tolerance test CPT 82946 | not published | not published | $17.77 – $60.90 | 5 |
| Glucose 1 hr post dose CPT 82950 | $161.03 | $161.03 | $4.75 – $18.68 | 5 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $6.05 – $24.57 | 5 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $40.50 | $40.50 | $3.28 – $9.81 | 5 |
| Glucose blood quantitative CPT 82947 | $240.12 | $240.12 | $3.93 – $15.72 | 5 |
| Glucose body fluid CPT 82945 | $114.14 | $114.14 | $3.93 – $15.72 | 5 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $77.08 – $118.72 | 2 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $226.00 | $226.00 | $12.87 – $52.04 | 5 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $82.64 | $82.64 | $3.92 – $15.72 | 5 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $54.00 | $54.00 | $0.90 – $0.90 | 1 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $19.22 – $19.22 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $1,683.67 | $1,683.67 | $22.08 – $46.77 | 3 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $393.73 | $393.73 | $18.58 – $74.65 | 5 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $148.41 – $477.39 | 5 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $455.18 | $455.18 | $18.52 – $74.65 | 5 |
| Gonioscopy CPT 92020 | not published | not published | $149.48 – $267.75 | 2 |
| Goniotomy CPT 65820 | not published | not published | $4,032.16 – $8,318.20 | 3 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $773.12 – $1,467.33 | 3 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | not published | $45.22 – $250.44 | 2 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $2,890.75 – $9,098.00 | 3 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $46.69 – $250.44 | 2 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $1,354.29 – $1,354.29 | 1 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $70.17 – $250.44 | 2 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,202.62 – $9,124.00 | 2 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $659.21 | $659.21 | $60.47 – $250.44 | 2 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $11.25 – $11.25 | 1 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.70 – $0.70 | 1 |
| Granulocyte pheresis ea unit HCPCS P9050 | not published | not published | $1,387.82 – $1,387.82 | 1 |
| Great toe-hand transfer CPT 26551 | not published | not published | $3,601.36 – $14,602.58 | 3 |
| Great toe with reduction 28495 CPT 28495 | $1,320.65 | $1,320.65 | $115.06 – $1,187.00 | 3 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $1,713.61 – $4,152.19 | 3 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $3,144.02 – $9,098.00 | 3 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $3,144.02 – $9,098.00 | 3 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $22.24 – $24.68 | 2 |
| Group train without patient HCPCS G0543 | not published | not published | $58.21 – $58.21 | 1 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.74 – $63.84 | 5 |
| Growth hormone panel CPT 80428 | not published | not published | $66.70 – $264.26 | 5 |
| Growth hormone panel CPT 80430 | not published | not published | $129.33 – $264.26 | 5 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $62.37 – $151.20 | 4 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $37.46 – $75.40 | 2 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $37.46 – $75.40 | 2 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $2,123.98 – $9,124.00 | 2 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $1,392.90 – $13,172.00 | 2 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,789.08 – $9,124.00 | 2 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,982.79 – $9,124.00 | 2 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,316.40 – $9,124.00 | 2 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,644.61 – $4,781.00 | 3 |
| G-tube reposition CPT 43761 | not published | not published | $248.05 – $1,187.00 | 3 |
| Gu dilat ureter/urethra s&i CPT 74485 | $8,795.40 | $8,795.40 | $4,078.11 – $4,206.74 | 2 |
| Guided cath fluid drainage 10030 CPT 10030 | $4,021.92 | $4,021.92 | $644.17 – $2,265.00 | 3 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $115.49 – $115.49 | 1 |
| Gum graft CPT 41870 | not published | not published | $1,424.90 – $3,122.44 | 3 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $3,199.20 – $7,879.51 | 3 |
| Hair analysis HCPCS P2031 | not published | not published | $4.95 – $13.54 | 3 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $265.20 – $1,487.33 | 3 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $337.40 – $1,187.00 | 3 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $337.40 – $1,187.00 | 3 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $69.63 | $69.63 | $15.93 – $15.93 | 1 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $20.72 | $20.72 | $5.25 – $5.25 | 1 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $5.77 – $19.20 | 2 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $2,890.75 – $9,098.00 | 3 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $2,761.00 – $14,602.58 | 3 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $2,890.75 – $9,098.00 | 3 |
| Hand X-ray CPT 73130 | $644.05 | $644.05 | $175.13 – $183.72 | 2 |
| Haptoglobin quantitative CPT 83010 | $151.38 | $151.38 | $12.58 – $51.09 | 5 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $90.57 – $1,187.00 | 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.