Texas Health Harris Methodist Hospital Southlake
1545 E Southlake Blvd, Southlake, TX · Texashealth · · NPI 1629064928
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 |
|---|---|---|---|---|
| Change g-tube to g-j perc CPT 49446 | not published | not published | $564.97 – $621.47 | 7 |
| Change nephroureteral cath CPT 50387 | not published | not published | $652.80 – $718.08 | 7 |
| Change of ureter tube/stent CPT 50688 | not published | not published | $652.80 – $718.08 | 7 |
| Change of windpipe airway 31502 CPT 31502 | not published | not published | $87.58 – $96.34 | 7 |
| Change stent via transureth CPT 50385 | not published | not published | $652.80 – $718.08 | 7 |
| Change ureter stent percut CPT 50382 | not published | not published | $652.80 – $718.08 | 7 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $38.07 – $38.07 | 1 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $74.47 – $81.92 | 7 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | not published | not published | not published | 0 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | not published | not published | 0 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $85.54 – $94.09 | 7 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $68.66 – $75.53 | 7 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $429.26 – $472.19 | 7 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $498.60 | $831.00 | $64.78 – $71.26 | 7 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $102.16 – $112.38 | 7 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $57.86 – $63.65 | 7 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $50.66 – $55.73 | 7 |
| Chemodenerv musc migraine 64615 CPT 64615 | $442.20 | $737.00 | $59.25 – $65.18 | 7 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $724.95 | $1,208.25 | $57.30 – $63.03 | 7 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $67.55 – $74.31 | 7 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $68.66 – $75.53 | 7 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $75.30 – $82.83 | 7 |
| Chemotaxis assay CPT 86155 | not published | not published | $13.43 – $31.37 | 7 |
| Chest 2 vws w oblique CPT 71048 | not published | not published | $45.78 – $50.36 | 7 |
| Chest apical lordotic proj CPT 71047 | not published | not published | $42.44 – $46.68 | 7 |
| Chest CT scan (with and without contrast) CPT 71270 | $3,264.90 | $5,441.50 | $175.06 – $192.57 | 7 |
| Chest CT scan (with contrast) CPT 71260 | $2,656.20 | $4,427.00 | $171.74 – $188.91 | 7 |
| Chest CT scan (without contrast) CPT 71250 | $2,383.80 | $3,973.00 | $104.75 – $115.23 | 7 |
| Chest X-ray CPT 71046 | $457.05 | $761.75 | $33.75 – $37.13 | 7 |
| Chest X-ray (single view) CPT 71045 | $383.10 | $638.50 | $25.73 – $28.30 | 7 |
| Chg radiologic exam esophagus double contrast CPT 74221 | not published | not published | $109.93 – $120.92 | 7 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $174.27 – $188.21 | 6 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $219.06 – $236.58 | 6 |
| Chlamydia culture CPT 87110 | not published | not published | $16.46 – $38.44 | 7 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $10.06 – $23.54 | 7 |
| Chlamydia type CPT 87140 | not published | not published | $4.68 – $10.95 | 7 |
| Chlmyd pneum dna dir probe CPT 87485 | not published | not published | $16.84 – $39.35 | 7 |
| Chlmyd pneum dna quant CPT 87487 | not published | not published | $35.99 – $84.07 | 7 |
| Chlnggrphy intraop addl s&i CPT 74301 | $468.00 | $780.00 | $28.40 – $28.40 | 1 |
| Chloramphenicol sodium injec HCPCS J0720 | $113.85 | $189.74 | $55.09 – $55.09 | 1 |
| Chloride CPT 82435 | $64.95 | $108.25 | $3.86 – $19.18 | 10 |
| Chloride 24 hour urine CPT 82436 | $63.60 | $106.00 | $4.83 – $21.17 | 10 |
| Chloroprocaine hcl injection HCPCS J2401 | $56.41 | $94.01 | $0.08 – $0.08 | 1 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $98.16 | $163.59 | $294.32 – $294.32 | 1 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $36.41 | $60.67 | $42.64 – $42.64 | 1 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | $6.96 | $11.60 | $0.20 – $0.20 | 1 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $602.40 | $1,004.00 | $49.23 – $49.23 | 1 |
| Cholesterol CPT 82465 | $90.00 | $150.00 | $3.65 – $18.16 | 10 |
| Cholesterol body fluid CPT 84999 | not published | not published | $7.11 – $7.11 | 1 |
| Cholesterol (Lipid) Test CPT 80061 | $391.80 | $653.00 | $11.25 – $66.57 | 10 |
| Cholinesterase CPT 82480 | not published | not published | $6.61 – $15.47 | 7 |
| Chorion biopsy CPT 59015 | not published | not published | $49.83 – $54.81 | 7 |
| Chorionic gonadotropin/1000u HCPCS J0725 | $674.46 | $1,124.10 | $44.20 – $44.20 | 1 |
| Chrom analysis CPT 88273 | not published | not published | $29.24 – $63.06 | 7 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $32.76 – $38.48 | 7 |
| Chromatography CPT 83021 | $139.65 | $232.75 | $15.17 – $74.62 | 10 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $9.99 – $23.34 | 7 |
| Chromo high res and frag x - sendout CPT 81243 | not published | not published | $47.91 – $51.74 | 6 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $145.87 – $326.42 | 7 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $145.46 – $339.86 | 7 |
| Chromosome analysis 15-20 cell count CPT 88262 | $513.30 | $855.50 | $105.41 – $515.27 | 10 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $145.46 – $292.14 | 7 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $126.24 – $294.93 | 7 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $222.05 – $346.85 | 7 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $145.46 – $339.86 | 7 |
| Chromosome analys placenta CPT 88267 | not published | not published | $158.40 – $352.80 | 7 |
| Chromosome banding study CPT 88283 | not published | not published | $57.62 – $134.62 | 7 |
| Chromosome count additional CPT 88285 | not published | not published | $22.60 – $37.28 | 7 |
| Chromosome karyotype study CPT 88280 | not published | not published | $28.11 – $49.26 | 7 |
| Chromosome study additional CPT 88289 | not published | not published | $28.92 – $67.58 | 7 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $10.47 – $24.45 | 7 |
| Chylomicron screen, bf - sendout CPT 82664 | $84.00 | $140.00 | $51.66 – $142.16 | 10 |
| Cidofovir injection HCPCS J0740 | $1,465.20 | $2,442.00 | $1,047.53 – $2,230.31 | 3 |
| Cilastatin sodium injection HCPCS J0743 | $41.02 | $68.36 | $7.07 – $7.07 | 1 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $698.30 – $768.13 | 7 |
| Cine/video x-rays CPT 76120 | not published | not published | $104.75 – $115.23 | 7 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $30.00 | $50.00 | $3.22 – $3.22 | 1 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | $611.72 | $1,019.52 | $58.00 – $116.03 | 3 |
| Circum 28 days or older CPT 54161 | not published | not published | $652.80 – $718.08 | 7 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $238.15 – $261.97 | 7 |
| Circumcision (newborn) CPT 54150 | not published | not published | $652.80 – $718.08 | 7 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $192.66 | $321.10 | $5.02 – $5.02 | 1 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $276.79 – $298.93 | 6 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $861.30 | $1,435.50 | $49.54 – $70.74 | 3 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $18,003.00 | $30,005.00 | not published | 0 |
| Claviculectomy partial CPT 23120 | not published | not published | $1,088.27 – $1,197.10 | 7 |
| Claviculectomy total CPT 23125 | not published | not published | $1,088.27 – $1,197.10 | 7 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $133.99 – $147.39 | 7 |
| Clearance of tear duct CPT 68530 | not published | not published | $108.29 – $119.12 | 7 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $35.69 | $59.47 | $3.67 – $3.67 | 1 |
| Clip ligating vesolock lg HCPCS C1760 | $4,320.00 | $7,200.00 | not published | 0 |
| Clip phn wireless f/baha4 proc HCPCS L9900 | $16,740.00 | $27,900.00 | not published | 0 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $1,063.52 – $1,169.87 | 7 |
| Cllr miami j sm HCPCS L0174 | $724.65 | $1,207.74 | not published | 0 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | $7,057.58 | $11,762.63 | $113.71 – $164.33 | 3 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $78.99 | $131.64 | $27.75 – $27.75 | 1 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | $85.32 – $93.85 | 7 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $593.04 – $652.34 | 7 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $85.32 – $93.85 | 7 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $593.04 – $652.34 | 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.