Texas Health Harris Methodist Hospital Fort Worth
1301 Pennsylvania Avenue, Fort Worth, TX · Texashealth · · NPI 1336172105
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 |
|---|---|---|---|---|
| Lengthen radius & ulna CPT 25393 | not published | not published | $3,155.47 – $3,471.02 | 7 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $2,616.00 | $4,360.00 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $479.70 | $799.50 | not published | 0 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $725.70 | $1,209.50 | not published | 0 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $100.80 | $168.00 | $3.35 – $3.35 | 1 |
| Leukacyte transfusion CPT 86950 | not published | not published | $73.65 – $73.65 | 1 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $8.73 – $15.67 | 7 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $16,189.23 | $26,982.05 | $572.90 – $641.07 | 3 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $10,189.22 | $16,982.03 | $991.94 – $5,965.94 | 3 |
| Leuprolide acetate injeciton HCPCS J9218 | $52.51 | $87.51 | $38.89 – $47.82 | 3 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $105.30 | $175.50 | $0.14 – $0.14 | 1 |
| Levetiracetam therapeutic drug level CPT 80177 | $146.70 | $244.50 | $11.13 – $13.25 | 8 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $46.98 | $78.30 | $1.88 – $1.88 | 1 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $627.16 | $1,045.26 | $13.89 – $13.89 | 1 |
| Liberta rc ipg HCPCS C1820 | $31,524.00 | $52,540.00 | not published | 0 |
| Lidocaine injection HCPCS J2001 | $44.76 | $74.59 | not published | 0 |
| Lidocaine therapeutic drug level CPT 80176 | $243.60 | $406.00 | $12.34 – $60.52 | 10 |
| Lift heel adj small gl60404sm HCPCS L3332 | $148.39 | $247.31 | not published | 0 |
| Ligate leg veins open CPT 37761 | not published | not published | $1,118.22 – $1,230.04 | 7 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $1,118.22 – $1,230.04 | 7 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | $1,743.00 | $2,905.00 | not published | 0 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $1,118.22 – $1,230.04 | 7 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $1,118.22 – $1,230.04 | 7 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $1,063.52 – $1,169.87 | 7 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $1,355.85 | $2,259.75 | $486.45 – $535.10 | 7 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $1,118.22 – $1,230.04 | 7 |
| Ligation/major artery/extremity 37618 CPT 37618 | $1,205.40 | $2,009.00 | not published | 0 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $1,118.22 – $1,230.04 | 7 |
| Ligation of femoral vein CPT 37650 | not published | not published | $1,118.22 – $1,230.04 | 7 |
| Ligation of salivary duct CPT 42665 | not published | not published | $886.62 – $975.28 | 7 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $1,118.22 – $1,230.04 | 7 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $1,118.22 – $1,230.04 | 7 |
| Lig/band angioaccess av fistula CPT 37607 | $8,234.70 | $13,724.50 | $1,118.22 – $1,230.04 | 7 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $1,118.22 – $1,230.04 | 7 |
| Liletta, 52 mg HCPCS J7297 | $1,100.85 | $1,834.75 | not published | 0 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | not published | 0 |
| Limited ankle motion ea jnt HCPCS L2200 | $123.05 | $205.08 | not published | 0 |
| Limited autopsy CPT 88036 | not published | not published | $178.84 – $178.84 | 1 |
| Limited autopsy CPT 88037 | not published | not published | $131.11 – $131.11 | 1 |
| Limited motion knee joint HCPCS L2184 | $278.92 | $464.86 | not published | 0 |
| Lincomycin injection HCPCS J2010 | $64.31 | $107.18 | $9.96 – $9.96 | 1 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $83.16 | $138.60 | $18.79 – $18.79 | 1 |
| Lipase CPT 83690 | $160.50 | $267.50 | $5.79 – $28.26 | 10 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $886.62 – $975.28 | 7 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $28.44 – $48.72 | 7 |
| Lipoprotein blood quant CPT 83704 | $76.50 | $127.50 | $28.72 – $130.06 | 10 |
| Lipoprotein direct measurement hdl CPT 83718 | $221.10 | $368.50 | $6.88 – $34.27 | 10 |
| Lipoprotein direct measurement ldl CPT 83721 | $99.45 | $165.75 | $8.82 – $39.31 | 10 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $28.72 – $31.02 | 6 |
| Listeria monocytogenes CPT 86723 | not published | not published | $11.08 – $25.90 | 7 |
| Lithium therapeutic drug level CPT 80178 | $147.30 | $245.50 | $5.55 – $27.22 | 10 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $5,847.75 | $9,746.25 | not published | 0 |
| Liver elastography 91200 CPT 91200 | not published | not published | $31.93 – $35.12 | 7 |
| Liver Function Test CPT 80076 | $316.20 | $527.00 | $6.86 – $34.27 | 10 |
| Liver imaging CPT 78201 | $777.90 | $1,296.50 | $179.10 – $197.01 | 7 |
| Liver imag w/vasclr flow CPT 78202 | $820.20 | $1,367.00 | $195.46 – $215.01 | 7 |
| Liver/spleen imag static only CPT 78215 | $1,069.20 | $1,782.00 | $184.44 – $202.88 | 7 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,069.20 | $1,782.00 | $128.64 – $141.50 | 7 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $1,088.27 – $1,197.10 | 7 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $211.50 | $352.50 | $0.87 – $0.87 | 1 |
| Long tongue stirrup HCPCS L2265 | $293.85 | $489.75 | not published | 0 |
| Loop ostmy bridg ster HCPCS A4421 | $27.60 | $46.00 | not published | 0 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $39.61 | $66.01 | $0.48 – $0.48 | 1 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $156.86 | $261.42 | not published | 0 |
| Low back disk surgery CPT 63030 | not published | not published | $2,398.52 – $2,638.37 | 7 |
| Low cost skin substitute app HCPCS C5271 | $933.60 | $1,556.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5273 | $2,710.80 | $4,518.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5275 | $933.60 | $1,556.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5277 | $2,710.80 | $4,518.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5272 | $466.80 | $778.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5274 | $1,355.40 | $2,259.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5276 | $466.80 | $778.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5278 | $1,355.40 | $2,259.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $3,264.90 | $5,441.50 | $175.06 – $192.57 | 7 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,612.85 | $4,354.75 | $173.75 – $191.13 | 7 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,394.15 | $3,990.25 | $104.75 – $115.23 | 7 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,264.90 | $5,441.50 | $329.13 – $362.04 | 7 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,612.85 | $4,354.75 | $279.00 – $306.90 | 7 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,394.15 | $3,990.25 | $197.14 – $216.85 | 7 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $524.40 | $874.00 | $40.10 – $44.11 | 7 |
| Lower jaw bone graft CPT 21215 | not published | not published | $2,788.09 – $3,066.90 | 7 |
| Low frequency non-thermal Ultrasound CPT 97610 | $235.35 | $392.25 | $237.28 – $237.28 | 1 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $1,888.85 – $2,077.74 | 7 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $3,110.01 – $3,421.01 | 7 |
| Lso flex no ri stays pre ots HCPCS L0628 | $135.35 | $225.58 | not published | 0 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | $326.82 | $544.69 | not published | 0 |
| Lso sagit rigid panel prefab HCPCS L0635 | $1,990.83 | $3,318.05 | not published | 0 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | $577.00 | $961.66 | not published | 0 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | $598.52 | $997.53 | not published | 0 |
| Lso s/c shell/panel custom HCPCS L0640 | $2,320.59 | $3,867.65 | not published | 0 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $18.47 – $43.14 | 7 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $111.60 – $122.76 | 7 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $7,051.26 – $7,756.39 | 7 |
| Lumizyme injection HCPCS J0221 | $1,909.58 | $3,182.62 | $206.75 – $753.39 | 3 |
| Lung function test (mbc/mvv) CPT 94200 | $241.80 | $403.00 | $74.70 – $74.70 | 1 |
| Lung Function Test (Spirometry) CPT 94010 | $356.85 | $594.75 | $187.88 – $187.88 | 1 |
| Lung perfusion imaging CPT 78580 | $1,257.45 | $2,095.75 | $221.20 – $243.32 | 7 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $16.84 – $39.35 | 7 |
| Lymphatics/lymph node imaging CPT 78195 | $1,654.65 | $2,757.75 | $329.79 – $362.77 | 7 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $30.71 – $110.80 | 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.