Houston Methodist West Hospital
18500 Katy Freeway, Houston, TX · Houstonmethodist · · NPI 1083937593
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 |
|---|---|---|---|---|
| X-ray exam of tear duct CPT 70170 | not published | not published | $239.69 – $958.76 | 9 |
| X-ray exam of teeth CPT 70300 | not published | not published | $32.47 – $349.69 | 9 |
| X-ray exam of teeth CPT 70310 | not published | not published | $125.80 – $958.76 | 9 |
| X-ray exam si joints CPT 72200 | not published | not published | $97.67 – $420.09 | 9 |
| X-ray exam thorac spine4/>vw CPT 72074 | $858.00 | $1,716.00 | $105.02 – $420.09 | 9 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $429.50 | $859.00 | $87.42 – $349.69 | 9 |
| X-ray facial bones complete > 3 views CPT 70150 | $858.00 | $1,716.00 | $105.02 – $420.09 | 9 |
| X-ray fallopian tube CPT 74742 | not published | not published | $125.57 – $125.57 | 1 |
| X-ray femur >=2 views (both sides) CPT 73552 | $612.00 | $1,224.00 | $87.42 – $349.69 | 9 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $497.50 | $995.00 | $87.42 – $349.69 | 9 |
| X-ray foot 2 views (both sides) CPT 73620 | $636.00 | $1,272.00 | $81.05 – $349.69 | 9 |
| X-ray forearm 2 views (both sides) CPT 73090 | $631.00 | $1,262.00 | $83.61 – $349.69 | 9 |
| X-ray hand 2 views (both sides) CPT 73120 | $477.00 | $954.00 | $89.99 – $420.09 | 9 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $35.03 – $349.69 | 9 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $615.50 | $1,231.00 | $79.79 – $349.69 | 9 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $602.50 | $1,205.00 | $105.02 – $420.09 | 9 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $902.50 | $1,805.00 | $105.02 – $420.09 | 9 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $1,187.50 | $2,375.00 | $105.02 – $420.09 | 9 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $1,374.50 | $2,749.00 | $105.02 – $420.09 | 9 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $435.50 | $871.00 | $87.42 – $349.69 | 9 |
| X-ray humerus >= 2 views left CPT 73060 | $632.50 | $1,265.00 | $87.42 – $349.69 | 9 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $105.02 – $420.09 | 9 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $598.00 | $1,196.00 | $87.42 – $349.69 | 9 |
| X-ray knee 3 views (both sides) CPT 73562 | $732.00 | $1,464.00 | $87.42 – $349.69 | 9 |
| X-ray knee ap standing bilateral CPT 73565 | $708.50 | $1,417.00 | $87.42 – $349.69 | 9 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $338.00 | $676.00 | $87.42 – $349.69 | 9 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $497.00 | $994.00 | $105.02 – $420.09 | 9 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $1,152.00 | $2,304.00 | $105.02 – $420.09 | 9 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $1,180.00 | $2,360.00 | $105.02 – $420.09 | 9 |
| X-ray male genital tract CPT 74440 | not published | not published | $239.69 – $958.76 | 9 |
| X-ray mandible complete > 4 views CPT 70110 | $855.50 | $1,711.00 | $105.02 – $420.09 | 9 |
| X-ray mandible ltd <4 views CPT 70100 | $673.50 | $1,347.00 | $87.42 – $349.69 | 9 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $358.00 – $358.00 | 1 |
| X-ray nasal bones complete > 3 views CPT 70160 | $522.50 | $1,045.00 | $87.42 – $349.69 | 9 |
| X-ray neck soft tissue CPT 70360 | $594.50 | $1,189.00 | $87.42 – $349.69 | 9 |
| X-ray nose to rectum for foreign body child CPT 76010 | $532.00 | $1,064.00 | $79.79 – $349.69 | 9 |
| X-ray of mammary ducts CPT 77054 | $1,200.00 | $2,400.00 | $185.85 – $958.76 | 9 |
| X-ray optic foramina CPT 70190 | not published | not published | $87.42 – $349.69 | 9 |
| X-ray pelvis 1-2 views CPT 72170 | $596.00 | $1,192.00 | $75.92 – $420.09 | 9 |
| X-ray pelvis complete > 3 views CPT 72190 | $733.50 | $1,467.00 | $105.02 – $420.09 | 9 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $696.45 – $696.45 | 1 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $799.21 – $799.21 | 1 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,952.50 | $3,905.00 | $184.10 – $1,401.85 | 9 |
| X-ray ribs 2 views left CPT 71100 | $651.50 | $1,303.00 | $87.42 – $349.69 | 9 |
| X-ray ribs 3 views bilateral CPT 71110 | $939.50 | $1,879.00 | $105.02 – $420.09 | 9 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $770.50 | $1,541.00 | $105.02 – $420.09 | 9 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $894.00 | $1,788.00 | $105.02 – $420.09 | 9 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $657.50 | $1,315.00 | $105.02 – $420.09 | 9 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $583.50 | $1,167.00 | $87.42 – $349.69 | 9 |
| X-ray scapula complete (both sides) CPT 73010 | $671.00 | $1,342.00 | $59.34 – $420.09 | 9 |
| X-ray sella turcica CPT 70240 | not published | not published | $87.42 – $349.69 | 9 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $492.50 | $985.00 | $55.48 – $349.69 | 9 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $761.50 | $1,523.00 | $87.42 – $349.69 | 9 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,200.50 | $2,401.00 | $136.01 – $2,195.62 | 9 |
| X-ray skull < 4 views CPT 70250 | $729.50 | $1,459.00 | $105.02 – $420.09 | 9 |
| X-ray skull > 4 views complete CPT 70260 | $1,153.50 | $2,307.00 | $105.02 – $420.09 | 9 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $641.00 | $1,282.00 | $105.02 – $420.09 | 9 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $1,522.00 | $3,044.00 | $176.20 – $704.80 | 9 |
| X-ray small intestine follow-through study CPT 74248 | $2,596.00 | $5,192.00 | $185.85 – $189.80 | 2 |
| X-ray spine single view CPT 72020 | $535.50 | $1,071.00 | $64.42 – $349.69 | 9 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $370.00 | $740.00 | $87.42 – $349.69 | 9 |
| X-ray sternum > 2 views CPT 71120 | $572.50 | $1,145.00 | $87.42 – $349.69 | 9 |
| X-ray surgical specimen CPT 76098 | $1,450.00 | $2,900.00 | $107.88 – $2,195.62 | 9 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $1,176.00 | $2,352.00 | $176.20 – $704.80 | 9 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $839.50 | $1,679.00 | $87.42 – $349.69 | 9 |
| X-ray thoracic spine 2 views CPT 72070 | $726.50 | $1,453.00 | $89.99 – $420.09 | 9 |
| X-ray thoracic spine 3 views CPT 72072 | $899.50 | $1,799.00 | $105.02 – $420.09 | 9 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $615.50 | $1,231.00 | $87.42 – $349.69 | 9 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $695.00 | $1,390.00 | $87.42 – $349.69 | 9 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $927.50 | $1,855.00 | $105.02 – $420.09 | 9 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $782.50 | $1,565.00 | $87.42 – $349.69 | 9 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $468.00 | $936.00 | $87.42 – $349.69 | 9 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $1,732.00 | $3,464.00 | $176.20 – $704.80 | 9 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $1,502.50 | $3,005.00 | $176.20 – $704.80 | 9 |
| X-ray upper gi delay w/kub CPT 74241 | $668.50 | $1,337.00 | not published | 0 |
| X-ray upper gi&small intest CPT 74245 | $1,502.00 | $3,004.00 | not published | 0 |
| X-ray wrist 2 views (both sides) CPT 73100 | $484.00 | $968.00 | $87.42 – $349.69 | 9 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $176.20 – $704.80 | 9 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $449.53 – $449.53 | 1 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $282.24 – $282.24 | 1 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $125.01 – $500.05 | 9 |
| Xylose absorption test blood &/or urine CPT 84620 | $183.50 | $367.00 | $12.91 – $53.71 | 9 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.67 – $6.69 | 9 |
| Yersinia antibody CPT 86793 | not published | not published | $13.19 – $54.87 | 9 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $56,824.55 – $227,298.20 | 9 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $125.01 – $500.05 | 9 |
| Ziconotide injection HCPCS J2278 | not published | not published | $10.14 – $40.56 | 9 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.51 – $6.05 | 9 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.13 – $3.64 | 2 |
| Zika virus dna/rna amp probe CPT 87662 | $342.50 | $685.00 | $51.31 – $213.45 | 9 |
| Zika virus igm antibody CPT 86794 | $85.00 | $170.00 | $16.85 – $70.10 | 9 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | not published | not published | $7.38 – $96.88 | 4 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $7.88 – $31.52 | 9 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $33.71 – $134.84 | 9 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | not published | not published | $12.22 – $56.31 | 4 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $559.75 – $829.41 | 3 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $193.25 – $3,159.64 | 9 |
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.