Texas Health Harris Methodist Hospital Alliance
10864 Texas Health Trail, Fort Worth, TX · Texashealth · · NPI 1215296884
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 |
|---|---|---|---|---|
| Dexmedetomidine film, 1 mcg HCPCS J1105 | $56.70 | $94.50 | $0.77 – $0.77 | 1 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $1,086.05 | $1,810.08 | $247.38 – $440.25 | 3 |
| Dextran 40 infusion HCPCS J7100 | $100.80 | $168.00 | $34.62 – $34.62 | 1 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $30.00 | $50.00 | $2.19 – $2.19 | 1 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $30.00 | $50.00 | $6.46 – $6.46 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $30.00 | $50.00 | $9.89 – $9.89 | 1 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $82.95 | $138.25 | $18.67 – $91.76 | 10 |
| Diabetes (HbA1c) Test CPT 83036 | $133.20 | $222.00 | $8.16 – $40.34 | 10 |
| Diab manage trn ind/group HCPCS G0109 | $84.00 | $140.00 | $21.05 – $21.05 | 1 |
| Diab shoe for density insert HCPCS A5500 | $147.56 | $245.92 | not published | 0 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $525.71 – $578.28 | 7 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $1,888.85 – $2,077.74 | 7 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $136.80 | $228.00 | not published | 0 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $247.10 – $247.10 | 1 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $247.10 – $247.10 | 1 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $163.35 | $272.25 | $56.20 – $61.82 | 7 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $163.05 | $271.75 | $68.14 – $74.95 | 7 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $366.15 | $610.25 | $185.97 – $185.97 | 1 |
| Diagnostic Mammogram (one breast) CPT 77065 | $366.15 | $610.25 | $145.32 – $145.32 | 1 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $86.58 – $95.24 | 7 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $10,828.35 | $18,047.25 | not published | 0 |
| Dialysis one evaluation CPT 90945 | $2,127.45 | $3,545.75 | not published | 0 |
| Dialysis repeated eval CPT 90947 | $2,195.40 | $3,659.00 | not published | 0 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $900.00 | $1,500.00 | $0.12 – $0.12 | 1 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $84.83 | $141.38 | $8.09 – $8.09 | 1 |
| Dicyclomine injection HCPCS J0500 | $90.79 | $151.31 | $36.64 – $36.64 | 1 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | not published | 0 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $297.50 | $495.83 | $4.96 – $4.96 | 1 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $4,553.01 | $7,588.35 | $4,986.41 – $17,754.87 | 3 |
| Digoxin total therapeutic drug level CPT 80162 | $284.70 | $474.50 | $11.16 – $54.47 | 10 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $322.92 | $538.20 | $253.33 – $253.33 | 1 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | not published | 0 |
| Dilate esophagus CPT 43453 | not published | not published | $564.97 – $621.47 | 7 |
| Dilate esophagus 1/mult pass CPT 43450 | $562.65 | $937.75 | $334.95 – $368.45 | 7 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $7,703.40 | $12,839.00 | not published | 0 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $7,703.40 | $12,839.00 | not published | 0 |
| Dilate ic vasospasm init CPT 61640 | $12,849.75 | $21,416.25 | not published | 0 |
| Dilate urethra stricture CPT 53600 | not published | not published | $34.88 – $38.37 | 7 |
| Dilate urethra stricture CPT 53601 | not published | not published | $39.07 – $42.98 | 7 |
| Dilate urethra stricture CPT 53605 | not published | not published | $1,142.90 – $1,257.19 | 7 |
| Dilate urethra stricture CPT 53621 | not published | not published | $94.13 – $103.54 | 7 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $39.59 – $43.55 | 7 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $429.26 – $472.19 | 7 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $39.86 – $43.85 | 7 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $429.26 – $472.19 | 7 |
| Dilation of salivary duct CPT 42660 | not published | not published | $57.03 – $62.73 | 7 |
| Dilation of urethra CPT 53661 | not published | not published | $29.60 – $32.56 | 7 |
| Dilation of urethra CPT 53665 | not published | not published | $652.80 – $718.08 | 7 |
| Dilation of vagina CPT 57400 | not published | not published | $1,063.52 – $1,169.87 | 7 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $37.38 – $41.12 | 7 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $92.46 – $101.71 | 7 |
| Dilator fascial 10fx20cm HCPCS C2627 | $596.68 | $994.46 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $1,142.90 – $1,257.19 | 7 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $1,142.90 – $1,257.19 | 7 |
| Dimenhydrinate injection HCPCS J1240 | $31.55 | $52.58 | $13.09 – $13.09 | 1 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $27.53 | $45.87 | $807.26 – $2,638.04 | 3 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $6.00 | $10.00 | $0.90 – $0.90 | 1 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $151.14 | $251.90 | $49.02 – $49.02 | 1 |
| Disaccharidases CPT 82657 | $642.75 | $1,071.25 | $18.62 – $74.62 | 10 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $709.01 – $779.91 | 7 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $132.31 – $145.54 | 7 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $68.14 – $74.95 | 7 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | not published | not published | not published | 0 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $1,954.22 – $2,149.64 | 7 |
| Division of fallopian tube 58605 CPT 58605 | $2,714.25 | $4,523.75 | not published | 0 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $9.91 – $10.70 | 6 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $234.36 – $253.11 | 6 |
| Dna antibody native/double stranded CPT 86225 | $164.55 | $274.25 | $11.54 – $56.47 | 10 |
| Dna gardnerella CPT 87510 | not published | not published | $16.84 – $39.35 | 7 |
| Dna probe chlamydia CPT 87490 | not published | not published | $19.11 – $39.35 | 7 |
| Dna probe gc CPT 87590 | not published | not published | $22.58 – $39.35 | 7 |
| Dna trichomonas CPT 87660 | not published | not published | $16.84 – $39.35 | 7 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $100.80 | $168.00 | $3.72 – $3.72 | 1 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $1,105.40 | $1,842.32 | $3.16 – $3.16 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $57.75 | $96.25 | $0.33 – $0.33 | 1 |
| Doppler echo complete CPT 93320 | $963.30 | $1,605.50 | $43.42 – $43.42 | 1 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $2,781.60 | $4,636.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $849.60 | $1,416.00 | $129.98 – $142.98 | 7 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $791.40 | $1,319.00 | $132.69 – $132.69 | 1 |
| Dornhoffer fixed part w/window HCPCS L8614 | $34,278.00 | $57,130.00 | not published | 0 |
| Dorsi & plantar flex ass/res HCPCS L2220 | $163.50 | $272.49 | not published | 0 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $526.65 | $877.74 | $4.55 – $4.55 | 1 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $1,312.74 | $2,187.90 | $340.06 – $437.03 | 3 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $1,053.00 | $1,755.00 | $131.78 – $144.96 | 7 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,053.00 | $1,755.00 | $147.56 – $162.32 | 7 |
| Drainage external ear complex 69005 CPT 69005 | $2,428.35 | $4,047.25 | $113.23 – $124.55 | 7 |
| Drainage external ear simple 69000 CPT 69000 | $631.80 | $1,053.00 | $107.14 – $117.85 | 7 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $815.20 – $896.72 | 7 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $815.20 – $896.72 | 7 |
| Drainage mouth roof lesion CPT 42000 | $286.50 | $477.50 | $87.58 – $96.34 | 7 |
| Drainage of arm bursa 23931 CPT 23931 | $1,611.00 | $2,685.00 | $486.45 – $535.10 | 7 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $815.20 – $896.72 | 7 |
| Drainage of eye CPT 65800 | not published | not published | $849.94 – $934.93 | 7 |
| Drainage of eye CPT 65810 | not published | not published | $849.94 – $934.93 | 7 |
| Drainage of eye CPT 65815 | not published | not published | $849.94 – $934.93 | 7 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $593.04 – $652.34 | 7 |
| Drainage of kidney lesion CPT 50390 | $1,092.00 | $1,820.00 | $257.60 – $283.36 | 7 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $87.58 – $96.34 | 7 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $420.64 – $462.70 | 7 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $420.64 – $462.70 | 7 |
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.