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 |
|---|---|---|---|---|
| Intranasal reconstruction CPT 30620 | not published | not published | $1,954.22 – $2,149.64 | 7 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | not published | 0 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $83.33 – $91.66 | 7 |
| Intrinsic factor antibody CPT 86340 | $157.80 | $263.00 | $12.67 – $62.51 | 10 |
| Intro cath dialysis circuit CPT 36901 | not published | not published | $446.27 – $490.90 | 7 |
| Intro cath dialysis circuit w/pta CPT 36902 | not published | not published | $1,764.89 – $1,941.38 | 7 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $5,270.09 – $5,797.10 | 7 |
| Intro catheter aorta CPT 36200 | not published | not published | not published | 0 |
| Intro cath svc/ivc CPT 36010 | not published | not published | not published | 0 |
| Intro long gi tube CPT 44500 | not published | not published | $334.95 – $368.45 | 7 |
| Intro long gi tube w/mult fluo CPT 74340 | $383.10 | $638.50 | $72.90 – $72.90 | 1 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $525.71 – $578.28 | 7 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | not published | not published | not published | 0 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | not published | not published | not published | 0 |
| Intubation endotracheal emergency procedure CPT 31500 | $539.85 | $899.75 | $87.58 – $96.34 | 7 |
| Io anal gast n-stim init CPT 95980 | not published | not published | not published | 0 |
| Ionm in operatng room 15 min CPT 95940 | $709.35 | $1,182.25 | $49.17 – $49.17 | 1 |
| Ionm remote/>1 pt or per hr CPT 95941 | $2,835.15 | $4,725.25 | $271.75 – $271.75 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $405.00 | $675.00 | $0.57 – $0.57 | 1 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $315.00 | $525.00 | $0.66 – $0.66 | 1 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | $763.50 | $1,272.50 | $0.66 – $0.66 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $67,577.14 | $112,628.56 | $299.95 – $649.07 | 3 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $77.27 | $128.77 | $5.86 – $5.86 | 1 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $5,476.68 | $9,127.80 | $87.39 – $239.48 | 3 |
| Iron CPT 83540 | $217.80 | $363.00 | $5.43 – $27.22 | 10 |
| Iron binding capacity CPT 83550 | $255.15 | $425.25 | $7.34 – $36.29 | 10 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $44.75 | $74.57 | $27.85 – $66.41 | 3 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $5.78 – $12.70 | 7 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $143.26 | $238.76 | $0.72 – $0.72 | 1 |
| Irradiation of blood product each unit reference CPT 86945 | $223.50 | $372.50 | $29.63 – $60.52 | 6 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $592.78 – $652.06 | 7 |
| Island pedicle flap graft CPT 15740 | not published | not published | $709.01 – $779.91 | 7 |
| Ivc venogram s&i CPT 75825 | not published | not published | $114.28 – $125.71 | 7 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $394.35 | $657.25 | $46.52 – $46.52 | 1 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $61.50 | $102.50 | $31.19 – $31.19 | 1 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $59.70 | $99.50 | $32.24 – $32.24 | 1 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $449.55 | $749.25 | $106.80 – $106.80 | 1 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $151.36 – $166.50 | 7 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $622.35 | $1,037.25 | $135.33 – $148.86 | 7 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $11,501.78 | $19,169.63 | $196.08 – $473.67 | 3 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $1,088.27 – $1,197.10 | 7 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $1,088.27 – $1,197.10 | 7 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $564.97 – $621.47 | 7 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | $2,185.15 | $3,641.91 | not published | 0 |
| Kafo fem fx cast molded to p HCPCS L2128 | $3,130.66 | $5,217.76 | not published | 0 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | $2,130.02 | $3,550.03 | not published | 0 |
| Kafo femoral fx cast rigid HCPCS L2136 | $2,445.29 | $4,075.48 | not published | 0 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $10.33 – $11.16 | 6 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $12.99 – $27.82 | 7 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $71.10 | $118.50 | $6.86 – $34.27 | 10 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $19.68 | $32.79 | $0.37 – $0.37 | 1 |
| Kidney endoscopy CPT 50551 | not published | not published | $1,689.43 – $1,858.37 | 7 |
| Kidney endoscopy CPT 50553 | not published | not published | $1,689.43 – $1,858.37 | 7 |
| Kidney endoscopy CPT 50570 | not published | not published | $1,142.90 – $1,257.19 | 7 |
| Kidney endoscopy CPT 50575 | not published | not published | $1,689.43 – $1,858.37 | 7 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $3,322.27 – $3,654.50 | 7 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $1,142.90 – $1,257.19 | 7 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $3,322.27 – $3,654.50 | 7 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $1,689.43 – $1,858.37 | 7 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $1,689.43 – $1,858.37 | 7 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $1,689.43 – $1,858.37 | 7 |
| Kidney function study CPT 78725 | not published | not published | $112.94 – $124.23 | 7 |
| Kidney imaging morphology CPT 78700 | not published | not published | $160.71 – $176.78 | 7 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $345.49 – $380.04 | 7 |
| Kidney img w/bldflw sgl without rx CPT 78707 | not published | not published | $218.53 – $240.38 | 7 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $742.20 | $1,237.00 | $104.75 – $115.23 | 7 |
| Kit case 4.2mm spinejack HCPCS C1062 | $9,996.00 | $16,660.00 | not published | 0 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $11,280.00 | $18,800.00 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $104.89 – $113.28 | 6 |
| Kit hfx iq ipg bundle HCPCS C1822 | $30,006.00 | $50,010.00 | not published | 0 |
| Kit ipg optimizer smart HCPCS C1824 | $30,006.00 | $50,010.00 | not published | 0 |
| Kit lead specify 5-6-5 HCPCS C1778 | $25,500.00 | $42,500.00 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,783.50 | $2,972.50 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $142.68 | $237.80 | $95.15 – $95.15 | 1 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $2,908.80 | $4,848.00 | not published | 0 |
| Kit trach suct cls 30.5cm HCPCS A4605 | $39.81 | $66.34 | not published | 0 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $1,088.27 – $1,197.10 | 7 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $1,088.27 – $1,197.10 | 7 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $1,088.27 – $1,197.10 | 7 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $1,088.27 – $1,197.10 | 7 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $593.04 – $652.34 | 7 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $593.04 – $652.34 | 7 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $1,088.27 – $1,197.10 | 7 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $1,088.27 – $1,197.10 | 7 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $1,088.27 – $1,197.10 | 7 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $1,088.27 – $1,197.10 | 7 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $1,088.27 – $1,197.10 | 7 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $1,088.27 – $1,197.10 | 7 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $1,088.27 – $1,197.10 | 7 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $1,088.27 – $1,197.10 | 7 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $1,088.27 – $1,197.10 | 7 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $1,088.27 – $1,197.10 | 7 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $2,398.52 – $2,638.37 | 7 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $3,300.05 – $3,630.06 | 7 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $6,602.00 – $7,262.20 | 7 |
| Knee control condylar pad HCPCS L2810 | $12,003.00 | $20,005.00 | not published | 0 |
| Knee disc/dial lock/adj flex HCPCS L2425 | $288.41 | $480.68 | not published | 0 |
| Knee joint drop lock ea jnt HCPCS L2405 | $175.45 | $292.41 | not published | 0 |
| Knee MRI (with and without contrast) CPT 73723 | $3,700.05 | $6,166.75 | $366.42 – $403.06 | 7 |
| Knee MRI (with contrast) CPT 73722 | $3,482.70 | $5,804.50 | $323.44 – $355.78 | 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.