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 |
|---|---|---|---|---|
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,224.50 | $2,449.00 | $105.02 – $420.09 | 9 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,278.00 | $2,556.00 | $350.46 – $1,401.85 | 9 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,161.50 | $2,323.00 | $350.46 – $1,401.85 | 9 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,056.00 | $2,112.00 | $239.69 – $958.76 | 9 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $732.00 | $1,464.00 | $105.02 – $420.09 | 9 |
| Lower jaw bone graft CPT 21215 | not published | not published | $4,704.68 – $23,787.22 | 12 |
| Low frequency non-thermal Ultrasound CPT 97610 | $749.00 | $1,498.00 | $201.55 – $806.19 | 9 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $15.90 – $63.60 | 9 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $7,316.00 – $42,713.09 | 9 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $7,316.00 – $42,713.09 | 9 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $7,316.00 – $42,713.09 | 9 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $7,316.00 – $42,713.09 | 9 |
| Lso corset front HCPCS L0972 | not published | not published | $152.77 – $611.08 | 9 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $61.45 – $245.80 | 9 |
| Lso full corset HCPCS L0976 | not published | not published | $216.26 – $865.04 | 9 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $200.06 – $800.24 | 9 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $1,629.51 – $6,518.04 | 9 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $870.15 – $3,480.60 | 9 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $118.63 – $474.52 | 9 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $1,222.44 – $4,889.76 | 9 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $1,657.19 – $6,628.76 | 9 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $354.31 – $1,417.24 | 9 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $210.07 – $840.28 | 9 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $1,292.78 – $5,171.12 | 9 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $1,501.02 – $6,004.08 | 9 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $21.99 – $91.48 | 9 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $97.47 – $389.88 | 9 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $96.35 – $385.40 | 9 |
| Lumbar diskogram s&i CPT 72295 | $1,966.50 | $3,933.00 | $274.07 – $7,846.49 | 9 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $101.89 – $407.56 | 9 |
| Lumbar sling HCPCS L1090 | not published | not published | $117.80 – $471.20 | 9 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $6,856.00 – $70,454.87 | 9 |
| Lumizyme injection HCPCS J0221 | not published | not published | $206.59 – $826.36 | 9 |
| Lung function test (mbc/mvv) CPT 94200 | $296.00 | $592.00 | $59.26 – $237.04 | 9 |
| Lung Function Test (Spirometry) CPT 94010 | $963.50 | $1,927.00 | $216.91 – $867.63 | 9 |
| Lung perfusion imaging CPT 78580 | $2,140.00 | $4,280.00 | $401.59 – $1,606.37 | 9 |
| Lung transplant double CPT 32853 | not published | not published | $6,159.00 – $15,912.00 | 4 |
| Lung transplant single CPT 32851 | not published | not published | $6,159.00 – $15,912.00 | 4 |
| Lung transplant with bypass CPT 32852 | not published | not published | $6,159.00 – $15,912.00 | 4 |
| Lung transplant with bypass CPT 32854 | not published | not published | $6,159.00 – $15,912.00 | 4 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $3,659.81 – $15,912.00 | 4 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $207.13 – $828.51 | 9 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $41.98 – $167.93 | 9 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $316.99 – $1,267.94 | 9 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $255.84 – $1,023.36 | 9 |
| Lvad shower bag heartmate HCPCS Q0501 | $958.50 | $1,917.00 | $632.22 – $2,528.88 | 9 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $29.06 – $2,956.00 | 10 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $349.54 – $1,398.16 | 9 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $20.05 – $83.41 | 9 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $1,764.87 – $32,842.54 | 9 |
| Lymphatics/lymph node imaging CPT 78195 | $2,239.00 | $4,478.00 | $545.44 – $2,181.78 | 9 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $152.09 | 9 |
| Lymphocyte transformation mitogen CPT 86353 | $339.00 | $678.00 | $49.03 – $203.96 | 9 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $189.51 – $788.36 | 9 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $47.59 – $197.97 | 9 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $630.16 – $2,520.65 | 9 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $1,581.33 – $6,325.31 | 9 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $2,063.82 – $12,687.48 | 9 |
| Lymph vessel x-ray trunk CPT 75807 | $3,549.50 | $7,099.00 | $2,063.82 – $12,687.48 | 9 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $541.79 – $5,545.00 | 12 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $1,650.09 – $13,007.51 | 12 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $2,099.91 – $8,399.64 | 12 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $35.88 – $90.68 | 3 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $28.50 – $28.50 | 1 |
| Macroscopic exam arthropod CPT 87168 | $46.50 | $93.00 | $4.27 – $17.76 | 9 |
| Macroscopic exam parasite CPT 87169 | $46.50 | $93.00 | $4.31 – $17.93 | 9 |
| Magnesium CPT 83735 | $290.00 | $580.00 | $6.70 – $27.87 | 9 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | not published | not published | $0.27 – $2.90 | 4 |
| Magnetic image bone marrow CPT 77084 | $771.50 | $1,543.00 | $239.69 – $958.76 | 9 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $81.75 – $81.75 | 1 |
| Malaria antibody CPT 86750 | $105.00 | $210.00 | $13.19 – $54.87 | 9 |
| Male sling procedure CPT 53440 | not published | not published | $2,214.47 – $53,014.31 | 12 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $6,159.00 – $15,912.00 | 4 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $1,615.32 – $6,461.28 | 10 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,615.32 – $6,461.28 | 10 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $143.00 | $286.00 | $133.65 – $534.62 | 9 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $219.50 | $439.00 | $133.65 – $534.62 | 9 |
| Manipulation of hip joint CPT 27275 | $2,491.50 | $4,983.00 | $1,615.32 – $6,461.28 | 12 |
| Manipulation of spine CPT 22505 | not published | not published | $1,615.32 – $6,461.28 | 12 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $104.33 – $991.17 | 9 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $5.26 – $13.37 | 4 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $6.98 – $25.66 | 3 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $79.22 – $316.88 | 9 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $5.07 – $21.09 | 9 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $282.24 – $282.24 | 1 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $4,610.00 – $7,316.00 | 2 |
| Map tachycard site(s) CPT 93609 | $5,173.50 | $10,347.00 | $910.79 – $4,610.00 | 2 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $52.49 – $209.94 | 9 |
| Marker biop eviva buckle ss HCPCS A4648 | $3,608.00 | $7,216.00 | not published | 0 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $1.40 – $5,016.00 | 9 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $2,825.17 – $15,912.00 | 4 |
| Mastectomy form HCPCS L8020 | not published | not published | $278.14 – $1,112.56 | 9 |
| Mastectomy partial CPT 19301 | not published | not published | $3,416.00 – $15,733.10 | 11 |
| Mast mod rad CPT 19307 | not published | not published | $6,670.43 – $26,681.70 | 10 |
| Mastoidectomy CPT 69501 | not published | not published | $4,704.68 – $23,787.22 | 12 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $4,704.68 – $23,787.22 | 12 |
| Mastoids complete CPT 70130 | $508.50 | $1,017.00 | $105.02 – $420.09 | 9 |
| Mastoid surgery revision CPT 69603 | not published | not published | $4,704.68 – $23,787.22 | 12 |
| Mastopexy CPT 19316 | not published | not published | $3,127.85 – $26,681.70 | 12 |
| Mast radical CPT 19305 | not published | not published | $2,819.15 – $15,912.00 | 4 |
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.