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 |
|---|---|---|---|---|
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $42.77 – $101.54 | 5 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $479.22 – $752.93 | 3 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $414.83 – $613.13 | 3 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $619.58 – $1,359.27 | 31 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $29.20 – $40.00 | 2 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $342.55 – $751.51 | 31 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $16.50 – $82.23 | 37 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $6,771.49 – $6,771.49 | 1 |
| Lymphatics/lymph node imaging CPT 78195 | $12,601.00 | $12,601.00 | $323.19 – $1,667.84 | 10 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $30.10 – $150.55 | 37 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $40.37 – $202.12 | 37 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $156.01 – $779.23 | 37 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $39.18 – $195.15 | 37 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $278.96 – $3,176.58 | 11 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $293.61 – $8,265.40 | 11 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $307.12 – $16,825.83 | 11 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $143.61 – $16,825.83 | 11 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $183.48 – $768.59 | 9 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $1,042.25 – $4,346.69 | 9 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $639.74 – $3,082.50 | 9 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $15.10 – $36.95 | 5 |
| Macro exam dissect molec study ea CPT 88387 | $2,097.00 | $2,097.00 | $8.03 – $61.57 | 5 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $3.52 – $18.14 | 37 |
| Macroscopic exam parasite CPT 87169 | $649.00 | $649.00 | $3.55 – $18.14 | 37 |
| Magnesium CPT 83735 | not published | not published | $5.52 – $27.89 | 37 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | not published | not published | $0.14 – $7.50 | 6 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $228.80 – $461.30 | 9 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $357.36 – $357.36 | 1 |
| Malaria antibody CPT 86750 | not published | not published | $10.86 – $54.38 | 37 |
| Male sling procedure CPT 53440 | not published | not published | $7,430.58 – $14,038.20 | 9 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $29,082.10 – $29,082.10 | 1 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $581.18 – $2,358.38 | 9 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $581.18 – $2,358.38 | 9 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $162.00 | $162.00 | $255.13 – $298.34 | 2 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $411.00 | $411.00 | $248.95 – $255.13 | 2 |
| Manipulation of hip joint CPT 27275 | not published | not published | $581.18 – $2,358.38 | 9 |
| Manipulation of spine CPT 22505 | not published | not published | $581.18 – $2,358.38 | 9 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $65.39 – $515.94 | 9 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $5.42 – $22.30 | 2 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $1.95 – $35.94 | 4 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $77.64 – $170.32 | 31 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $4.17 – $20.91 | 37 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $211.68 – $828.29 | 2 |
| Map tachycard site(s) CPT 93609 | $4,183.00 | $4,183.00 | $683.09 – $683.09 | 1 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $53.75 – $122.09 | 5 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $0.71 – $2,069.10 | 2 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $10,839.67 – $10,839.67 | 1 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $107.46 – $235.75 | 31 |
| Mastectomy form HCPCS L8020 | not published | not published | $272.58 – $598.00 | 31 |
| Mastectomy partial CPT 19301 | not published | not published | $944.39 – $5,271.42 | 9 |
| Mast mod rad CPT 19307 | not published | not published | $6,703.78 – $9,112.88 | 2 |
| Mastoidectomy CPT 69501 | not published | not published | $1,915.14 – $8,439.92 | 9 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $1,915.14 – $8,439.92 | 9 |
| Mastoids complete CPT 70130 | not published | not published | $60.91 – $276.62 | 11 |
| Mastoid surgery revision CPT 69603 | not published | not published | $1,915.14 – $8,439.92 | 9 |
| Mastopexy CPT 19316 | not published | not published | $1,808.31 – $9,112.88 | 9 |
| Mast radical CPT 19305 | not published | not published | $10,816.57 – $10,816.57 | 1 |
| Mast rad urban type CPT 19306 | not published | not published | $11,461.03 – $11,461.03 | 1 |
| Mast simple complete CPT 19303 | not published | not published | $1,808.31 – $9,112.88 | 9 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $8.88 – $209.78 | 3 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $4,235.01 – $4,525.40 | 2 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $564.00 | $564.00 | $50.46 – $209.78 | 2 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $28.89 – $144.97 | 37 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $22.46 – $112.93 | 37 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $35.27 – $175.62 | 37 |
| Maxillofacial fixation CPT 21100 | not published | not published | $1,915.14 – $8,439.92 | 9 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | not published | not published | $11.91 – $59.93 | 37 |
| Mayo aathr protein s free CPT 85306 | not published | not published | $12.61 – $62.74 | 37 |
| Mayo activated protein c resistance assay CPT 85307 | not published | not published | $12.61 – $62.74 | 37 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $31.75 – $158.91 | 36 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $864.00 | $864.00 | $0.05 – $14.14 | 9 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | not published | not published | $0.05 – $98.98 | 10 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $1,117.00 | $1,117.00 | $12.17 – $61.31 | 37 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $864.00 | $864.00 | $0.05 – $98.98 | 10 |
| Mayo alpha 1 antitrypsin CPT 82103 | $568.00 | $568.00 | $11.06 – $55.77 | 37 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | not published | not published | $12.42 – $62.74 | 37 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $0.05 – $13.65 | 9 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | not published | $0.05 – $98.98 | 10 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | not published | not published | $100.13 – $500.42 | 35 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $894.00 | $894.00 | $75.45 – $376.36 | 35 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $112.78 – $563.16 | 34 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $12,500.00 | $12,500.00 | $954.91 – $4,771.49 | 35 |
| Mayo androstenedione CPT 82157 | not published | not published | $24.11 – $119.90 | 37 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $1,117.00 | $1,117.00 | $12.01 – $59.93 | 37 |
| Mayo antithrombin iii antigen CPT 85301 | $206.00 | $206.00 | $8.90 – $44.60 | 37 |
| Mayo aspergillus fumigatus antibody CPT 86606 | not published | not published | $12.39 – $61.31 | 37 |
| Mayo avwpr vw factor activity CPT 85397 | $926.00 | $926.00 | $25.40 – $126.87 | 37 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $28.89 – $144.97 | 36 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $931.00 | $931.00 | $0.05 – $98.98 | 10 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | not published | not published | $8.38 – $41.83 | 37 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | not published | not published | $119.24 – $595.20 | 35 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $176.67 – $882.37 | 35 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $230.00 | $230.00 | $10.62 – $52.96 | 37 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $0.05 – $98.98 | 10 |
| Mayo bordetella pertussis antibody igg CPT 86615 | not published | not published | $10.86 – $54.38 | 37 |
| Mayo brcmg brucella antibody igm CPT 86622 | not published | not published | $7.35 – $36.24 | 37 |
| Mayo c1 esterase inhibitor CPT 83883 | not published | not published | $11.19 – $55.77 | 37 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | not published | not published | $0.05 – $98.98 | 10 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | not published | not published | $13.89 – $69.71 | 37 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | not published | not published | $22.05 – $110.11 | 37 |
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.