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 |
|---|---|---|---|---|
| Prepare fecal microbiota CPT 44705 | not published | not published | $186.66 – $186.66 | 1 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $4,407.50 – $9,124.00 | 2 |
| Prepare penis study CPT 54230 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $3,545.01 – $9,124.00 | 2 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $965.34 – $9,124.00 | 2 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $690.50 – $9,124.00 | 2 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $5,570.75 – $9,124.00 | 2 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $960.14 – $9,124.00 | 2 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $5,444.56 – $9,124.00 | 2 |
| Prep donor liver/venous CPT 47146 | not published | not published | $814.96 – $9,124.00 | 2 |
| Prep donor liver whole CPT 47143 | not published | not published | $5,823.95 – $9,124.00 | 2 |
| Prep donor pancreas CPT 48551 | not published | not published | $4,557.88 – $4,557.88 | 1 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $593.72 – $593.72 | 1 |
| Prep donor renal graft CPT 50325 | not published | not published | $3,798.24 – $9,124.00 | 2 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $864.07 – $1,728.15 | 2 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $476.19 – $9,124.00 | 2 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $452.84 – $9,124.00 | 2 |
| Prep renal graft/venous CPT 50327 | not published | not published | $543.60 – $9,124.00 | 2 |
| Prep skin to 100cm2 other CPT 15004 | $1,633.59 | $1,633.59 | $409.04 – $1,187.00 | 3 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $743.66 – $2,761.00 | 3 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Pressure max expiratory/inspiratory CPT 94799 | not published | not published | $129.47 – $258.94 | 2 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $537.54 – $9,124.00 | 2 |
| Pressure velocity wire add ves CPT 93572 | $2,140.98 | $2,140.98 | $1,187.00 – $1,187.00 | 1 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $56.96 – $342.86 | 5 |
| Pretreat rbc absorption reference CPT 86978 | $745.00 | $745.00 | $33.43 – $118.72 | 5 |
| Pretreat rbc density gradient separation reference CPT 86972 | $287.68 | $287.68 | $67.79 – $342.86 | 5 |
| Pretreat rbc w chem/drugs reference CPT 86970 | not published | not published | $33.43 – $118.72 | 5 |
| Pretreat rbc w enzyme reference CPT 86971 | $287.68 | $287.68 | $42.25 – $342.86 | 5 |
| Preventive counseling group CPT 99411 | not published | not published | $21.63 – $21.63 | 1 |
| Preventive counseling group CPT 99412 | not published | not published | $35.38 – $35.38 | 1 |
| Prev med cnsl indiv apprx 15 CPT 99401 | not published | not published | $68.83 – $68.83 | 1 |
| Prev med cnsl indiv apprx 30 CPT 99402 | not published | not published | $139.62 – $139.62 | 1 |
| Prev med cnsl indiv apprx 45 CPT 99403 | not published | not published | $208.42 – $208.42 | 1 |
| Prev med cnsl indiv apprx 60 CPT 99404 | not published | not published | $276.26 – $276.26 | 1 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $133.96 – $267.93 | 2 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $212.89 – $3,323.71 | 3 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $1,661.86 – $3,323.71 | 3 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,387.54 | $1,387.54 | $238.00 – $1,187.00 | 3 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $3,408.47 – $9,098.00 | 3 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $37.55 – $75.11 | 2 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $37.55 – $75.11 | 2 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $37.55 – $75.11 | 2 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $37.55 – $75.11 | 2 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $37.55 – $75.11 | 2 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $37.55 – $75.11 | 2 |
| Prgr stim/pace a/iv drug CPT 93623 | $10,297.52 | $10,297.52 | $453.23 – $1,187.00 | 2 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $560.39 – $560.39 | 1 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $379.49 – $379.49 | 1 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $281.17 – $281.17 | 1 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $288.05 – $288.05 | 1 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $201.54 – $201.54 | 1 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $109.12 – $109.12 | 1 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $39,743.66 | $39,743.66 | $16,164.00 – $36,891.02 | 3 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $20,012.43 | $20,012.43 | $1,187.00 – $1,187.00 | 1 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $102.22 – $204.44 | 2 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $1,218.50 | $1,218.50 | $276.95 – $1,187.00 | 3 |
| Pr incision & drainage abscess simple/single CPT 10060 | $1,164.08 | $1,164.08 | $180.88 – $1,187.00 | 3 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $2,155.58 | $2,155.58 | $167.88 – $1,187.00 | 3 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $1,909.30 | $1,909.30 | $256.18 – $1,187.00 | 3 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $133.96 – $267.93 | 2 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $133.96 – $267.93 | 2 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $1,104.29 | $1,104.29 | $34.40 – $34.40 | 1 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $1,964.86 – $4,781.00 | 3 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $319.38 – $1,187.00 | 3 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $2,392.25 – $4,784.51 | 3 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $2,392.25 – $4,784.51 | 3 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $2,392.25 – $4,784.51 | 3 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $1,823.56 | $1,823.56 | $196.29 – $590.72 | 3 |
| Procalcitonin CPT 84145 | $923.42 | $923.42 | $27.22 – $86.16 | 4 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $204.04 – $204.04 | 1 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $59.22 | $59.22 | $25.17 – $25.17 | 1 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.28 – $0.28 | 1 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $4,668.50 – $9,124.00 | 2 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $4,608.88 – $9,124.00 | 2 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $2,792.90 – $5,585.81 | 3 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $1,204.07 – $2,761.00 | 3 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $1,204.07 – $2,761.00 | 3 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $225.87 – $2,265.00 | 3 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $2,761.00 – $5,585.81 | 3 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $1,204.07 – $2,761.00 | 3 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $1,204.07 – $2,761.00 | 3 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $2,792.90 – $5,585.81 | 3 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $1,204.07 – $2,761.00 | 3 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $2,792.90 – $5,585.81 | 3 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $6,108.61 – $12,217.22 | 3 |
| Progesterone CPT 84144 | $355.95 | $355.95 | $20.86 – $92.73 | 5 |
| Prolactin CPT 84146 | $484.48 | $484.48 | $19.38 – $86.16 | 5 |
| Prolng clin staff svc 1st hr CPT 99415 | not published | not published | $27.53 – $27.53 | 1 |
| Prolng clin staff svc ea add CPT 99416 | not published | not published | $11.78 – $11.78 | 1 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | not published | not published | $114.06 – $114.06 | 1 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | not published | not published | $91.44 – $91.44 | 1 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $214.02 – $428.05 | 2 |
| Prolong home eval add 15m HCPCS G0318 | not published | not published | $86.50 – $86.50 | 1 |
| Prolong service without contact CPT 99358 | not published | not published | $309.68 – $309.68 | 1 |
| Prolong serv without contact add CPT 99359 | not published | not published | $149.44 – $149.44 | 1 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.12 – $0.12 | 1 |
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.