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 |
|---|---|---|---|---|
| Low cost skin substitute app HCPCS C5278 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $4,761.56 | $4,761.56 | $352.98 – $614.99 | 2 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $4,112.34 | $4,112.34 | $702.08 – $1,288.74 | 2 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $3,740.70 | $3,740.70 | $210.39 – $378.27 | 2 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $7,256.12 | $7,256.12 | $702.08 – $1,288.74 | 2 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $6,162.86 | $6,162.86 | $702.08 – $1,288.74 | 2 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $5,117.37 | $5,117.37 | $480.17 – $786.51 | 2 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $797.02 | $797.02 | $210.39 – $258.01 | 2 |
| Lower jaw bone graft CPT 21215 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $239.55 – $403.76 | 2 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $19.85 – $31.80 | 2 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $5,104.40 – $21,391.73 | 3 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $8,884.24 – $21,391.73 | 3 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $8,884.24 – $21,391.73 | 3 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $8,884.24 – $21,391.73 | 3 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $21.99 – $88.38 | 5 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $3,929.71 – $3,957.94 | 2 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $12,567.15 – $35,285.47 | 3 |
| Lumizyme injection HCPCS J0221 | not published | not published | $209.60 – $413.18 | 3 |
| Lung function test (mbc/mvv) CPT 94200 | $105.38 | $105.38 | $75.42 – $118.72 | 2 |
| Lung Function Test (Spirometry) CPT 94010 | $1,041.82 | $1,041.82 | $189.68 – $434.53 | 2 |
| Lung perfusion imaging CPT 78580 | $1,838.87 | $1,838.87 | $483.67 – $804.51 | 2 |
| Lung transplant double CPT 32853 | not published | not published | $5,081.41 – $9,124.00 | 2 |
| Lung transplant single CPT 32851 | not published | not published | $3,628.76 – $9,124.00 | 2 |
| Lung transplant with bypass CPT 32852 | not published | not published | $3,945.02 – $9,124.00 | 2 |
| Lung transplant with bypass CPT 32854 | not published | not published | $5,393.10 – $9,124.00 | 2 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,617.05 – $9,124.00 | 2 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $225.97 – $414.25 | 3 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $45.34 – $83.96 | 3 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $323.47 – $633.97 | 3 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $280.01 – $511.68 | 3 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $24.28 – $1,187.00 | 3 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $20.05 – $80.56 | 5 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $779.79 – $16,448.32 | 3 |
| Lymphatics/lymph node imaging CPT 78195 | $1,319.14 | $1,319.14 | $713.48 – $1,092.68 | 2 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $227.92 | 5 |
| Lymphocyte transformation mitogen CPT 86353 | $391.29 | $391.29 | $49.03 – $197.45 | 5 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $158.95 – $379.02 | 5 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $47.59 – $191.55 | 5 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $1,262.40 – $1,451.43 | 2 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $2,517.90 – $3,167.87 | 2 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $2,517.90 – $6,354.19 | 2 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $6,354.19 – $6,379.49 | 2 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $466.46 – $1,187.00 | 3 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $2,637.99 – $6,514.47 | 3 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $1,870.76 – $4,781.00 | 3 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $23.17 – $30.83 | 2 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $7.22 – $17.31 | 3 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $4.27 – $16.70 | 5 |
| Macroscopic exam parasite CPT 87169 | $221.72 | $221.72 | $4.31 – $16.70 | 5 |
| Magnesium CPT 83735 | $245.82 | $245.82 | $6.70 – $26.52 | 5 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $97.86 | $97.86 | $0.09 – $0.09 | 1 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $480.17 – $778.44 | 2 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $23.75 – $23.75 | 1 |
| Malaria antibody CPT 86750 | not published | not published | $13.19 – $53.06 | 5 |
| Male sling procedure CPT 53440 | not published | not published | $8,519.73 – $26,550.83 | 3 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $3,349.04 – $9,124.00 | 2 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $1,187.00 – $3,235.96 | 3 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,431.29 – $3,235.96 | 3 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $331.74 | $331.74 | $149.48 – $267.75 | 2 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $527.26 | $527.26 | $149.48 – $267.75 | 2 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,431.29 – $3,235.96 | 3 |
| Manipulation of spine CPT 22505 | not published | not published | $1,431.29 – $3,235.96 | 3 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $75.46 – $1,187.00 | 3 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $55.83 | $55.83 | $4.06 – $4.06 | 1 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $8.71 – $8.71 | 1 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $5.07 – $14.73 | 5 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $124.02 – $124.02 | 1 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Map tachycard site(s) CPT 93609 | $6,583.20 | $6,583.20 | $400.22 – $1,187.00 | 2 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $50,266.77 | $50,266.77 | $54.75 – $104.97 | 3 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $0.48 – $2,508.00 | 2 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $1,248.28 – $9,124.00 | 2 |
| Mastectomy partial CPT 19301 | not published | not published | $3,199.20 – $7,879.51 | 3 |
| Mast mod rad CPT 19307 | not published | not published | $5,530.58 – $13,362.83 | 3 |
| Mastoidectomy CPT 69501 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $4,781.00 – $11,913.21 | 3 |
| Mastoids complete CPT 70130 | not published | not published | $210.39 – $258.01 | 2 |
| Mastoid surgery revision CPT 69603 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Mastopexy CPT 19316 | not published | not published | $5,530.58 – $13,362.83 | 3 |
| Mast radical CPT 19305 | not published | not published | $1,245.62 – $9,124.00 | 2 |
| Mast rad urban type CPT 19306 | not published | not published | $1,319.83 – $9,124.00 | 2 |
| Mast simple complete CPT 19303 | not published | not published | $5,530.58 – $13,362.83 | 3 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $35.09 – $141.47 | 5 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $27.29 – $80.56 | 5 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $42.84 – $172.93 | 5 |
| Maxillofacial fixation CPT 21100 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $253.88 | $253.88 | $14.46 – $57.95 | 5 |
| Mayo aathr protein s free CPT 85306 | $607.47 | $607.47 | $15.32 – $61.90 | 5 |
| Mayo activated protein c resistance assay CPT 85307 | $223.56 | $223.56 | $15.32 – $61.90 | 5 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $392.62 | $392.62 | $38.57 – $105.53 | 4 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $171.41 | $171.41 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $943.29 | $943.29 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $320.30 | $320.30 | $14.78 – $59.92 | 5 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $579.07 | $579.07 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $190.80 | $190.80 | $13.44 – $54.03 | 5 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $276.62 | $276.62 | $15.08 – $60.90 | 5 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $239.76 | $239.76 | not published | 0 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $104.61 | $104.61 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $674.92 | $674.92 | $121.63 – $344.93 | 4 |
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.