HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
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 |
|---|---|---|---|---|
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $7,406.06 – $7,406.06 | 1 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $1,066.50 – $4,763.16 | 9 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $106.12 – $986.83 | 9 |
| Drng of finger abscess comp 26011 CPT 26011 | not published | not published | $476.72 – $2,388.32 | 9 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $53.17 – $714.92 | 9 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $183.48 – $768.59 | 9 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $1,042.25 – $4,346.69 | 9 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $1,066.50 – $4,763.16 | 9 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $1,066.50 – $4,763.16 | 9 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $420.67 – $1,747.34 | 9 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $868.89 – $4,557.56 | 9 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $476.72 – $2,388.32 | 9 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $10,522.39 – $10,522.39 | 1 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $9,550.83 – $9,550.83 | 1 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $6,546.74 – $6,546.74 | 1 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $15,244.94 – $15,244.94 | 1 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $412.23 – $2,347.85 | 9 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $183.48 – $768.59 | 9 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $1.35 – $18.70 | 6 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | not published | not published | $3.27 – $24.84 | 6 |
| Drop lock knee HCPCS L2182 | not published | not published | $129.17 – $283.39 | 31 |
| Drop lock retainer each HCPCS L2785 | not published | not published | $35.69 – $78.30 | 31 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $3.02 – $209.78 | 4 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $22.97 – $209.78 | 4 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $6.00 – $209.78 | 2 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | not published | not published | $161.20 – $161.20 | 1 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $15.28 – $33.52 | 31 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $16.50 – $366.07 | 3 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $450.00 | $450.00 | $37.42 – $209.78 | 3 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $13,994.00 | $13,994.00 | $78.83 – $348.59 | 4 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | not published | not published | $0.69 – $209.78 | 2 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $11.74 – $497.79 | 3 |
| Drug admin & hemodynmic meas CPT 93463 | not published | not published | $237.81 – $961.24 | 2 |
| Drug assay caffeine CPT 80155 | $814.00 | $814.00 | $31.75 – $158.91 | 37 |
| Drug assay posaconazole CPT 80187 | not published | not published | $22.31 – $111.50 | 36 |
| Drug assay rufinamide CPT 80210 | not published | not published | $22.31 – $111.50 | 36 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $31.75 – $158.91 | 36 |
| Drug assay voriconazole CPT 80285 | not published | not published | $22.31 – $111.50 | 36 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $15.35 – $76.68 | 36 |
| Drug of abuse screen urine CPT 80305 | not published | not published | $10.37 – $51.57 | 37 |
| Drug screening tapentadol CPT 80372 | not published | not published | $0.05 – $98.98 | 10 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $22.31 – $111.50 | 37 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $0.05 – $98.98 | 10 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $163.60 – $816.85 | 36 |
| Drug test def 1-7 classes HCPCS G0480 | $3,433.00 | $3,433.00 | $94.20 – $471.15 | 36 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $203.26 – $1,016.21 | 36 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $128.91 – $644.00 | 36 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $51.16 – $255.08 | 34 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $14.11 – $71.10 | 37 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | not published | not published | $51.16 – $255.08 | 37 |
| Drvvt confirm - quest CPT 85597 | not published | not published | $14.80 – $73.87 | 37 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $131.05 – $3,969.06 | 9 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $646.74 – $2,300.80 | 9 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $131.05 – $1,165.67 | 9 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $114.76 – $1,037.08 | 9 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $126.17 – $1,143.86 | 9 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $150.31 – $1,362.77 | 9 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $204.16 – $1,849.33 | 8 |
| Ductogram sgl duct CPT 77053 | $1,318.00 | $1,318.00 | $53.05 – $410.15 | 11 |
| Duodenal exclusion CPT 48547 | not published | not published | $17,151.84 – $17,151.84 | 1 |
| Duodenal motility study CPT 91022 | not published | not published | $224.31 – $880.50 | 2 |
| Duplex scan bilateral study 93985 CPT 93985 | $7,899.00 | $7,899.00 | $407.84 – $766.06 | 2 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $232.14 – $452.21 | 2 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $4,185.00 | $4,185.00 | $104.74 – $448.55 | 9 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $10,381.00 | $10,381.00 | $154.56 – $485.69 | 9 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | not published | not published | $192.22 – $575.53 | 9 |
| Duragen 1x1 5ea/bx HCPCS C9354 | not published | not published | $46.90 – $46.90 | 1 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | $1,005.00 | $1,005.00 | $12.69 – $209.78 | 2 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $86.27 – $206.31 | 5 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $51.79 – $214.88 | 11 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $348.26 – $348.26 | 1 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $41.23 – $41.23 | 1 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $515.20 – $2,489.26 | 9 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $515.20 – $2,489.26 | 9 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $515.20 – $2,489.26 | 9 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $466.55 – $850.80 | 2 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $915.67 – $1,367.50 | 2 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $328.25 – $1,367.50 | 9 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $217.99 – $440.39 | 2 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $129.91 – $240.73 | 2 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $62.62 – $62.62 | 1 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $167.59 – $167.59 | 1 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $54.88 – $54.88 | 1 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $152.48 – $657.53 | 9 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $515.20 – $2,489.26 | 9 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $106.76 – $106.76 | 1 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $252.24 – $466.41 | 2 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $168.70 – $168.70 | 1 |
| Dynamic surface emg CPT 96002 | not published | not published | $53.12 – $214.67 | 2 |
| Ear and throat examination CPT 92502 | not published | not published | $768.59 – $928.51 | 2 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $93.06 – $1,566.45 | 9 |
| Ear cartilage graft CPT 21235 | not published | not published | $1,915.14 – $8,439.92 | 9 |
| Ear irrigation 69209 CPT 69209 | not published | not published | $59.56 – $95.72 | 2 |
| Ear protector evaluation CPT 92596 | not published | not published | $67.53 – $637.58 | 2 |
| Ecallantide injection HCPCS J1290 | not published | not published | $579.75 – $4,655.33 | 6 |
| Ecg 12 lead tracing only CPT 93005 | not published | not published | $78.41 – $128.72 | 2 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $16.87 – $68.57 | 2 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $712.00 | $712.00 | $52.11 – $128.72 | 2 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $398.03 – $1,594.63 | 2 |
| Ecg external < 48 hours recording CPT 93225 | $2,391.00 | $2,391.00 | $246.13 – $255.13 | 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.