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 |
|---|---|---|---|---|
| Mayo efpo chloride stool CPT 82438 | not published | not published | $4.20 – $9.60 | 7 |
| Mayo estriol CPT 82677 | not published | not published | $20.31 – $47.46 | 7 |
| Mayo estrone CPT 82679 | $73.80 | $123.00 | $20.96 – $102.86 | 10 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | not published | not published | $13.73 – $32.07 | 7 |
| Mayo everolimus therapeutic drug level CPT 80169 | not published | not published | $11.53 – $12.45 | 6 |
| Mayo factor ii CPT 85210 | $253.20 | $422.00 | $10.90 – $53.42 | 10 |
| Mayo factor v CPT 85220 | $59.10 | $98.50 | $14.83 – $72.59 | 10 |
| Mayo factor vii CPT 85230 | $175.05 | $291.75 | $15.04 – $73.60 | 10 |
| Mayo factor viii vw factor antigen CPT 85246 | $62.85 | $104.75 | $19.27 – $94.80 | 10 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | not published | not published | $19.27 – $45.04 | 7 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $81.18 | $135.30 | $19.27 – $94.80 | 10 |
| Mayo factor x CPT 85260 | $70.20 | $117.00 | $15.04 – $73.60 | 10 |
| Mayo factor xi CPT 85270 | $121.80 | $203.00 | $15.04 – $73.60 | 10 |
| Mayo fat/lipids feces quantitative CPT 82710 | not published | not published | $14.11 – $32.96 | 7 |
| Mayo fbl culture fungi blood CPT 87103 | $232.65 | $387.75 | $17.19 – $37.31 | 10 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $16.90 – $73.00 | 7 |
| Mayo ffspg allergen clam igg CPT 86001 | not published | not published | $6.57 – $10.26 | 7 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $12.15 – $16.67 | 7 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $45.60 | $76.00 | $18.20 – $21.67 | 8 |
| Mayo hemosiderin qualitative urine CPT 83070 | $22.50 | $37.50 | $3.99 – $19.18 | 10 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $329.70 | $549.50 | $29.48 – $145.22 | 10 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | not published | not published | $29.48 – $68.88 | 7 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $31.50 | $52.50 | $11.58 – $51.43 | 10 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $181.50 | $302.50 | $21.68 – $106.89 | 10 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $167.40 | $279.00 | $7.47 – $36.29 | 10 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $99.60 | $166.00 | $11.36 – $55.46 | 10 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $143.70 | $239.50 | $22.82 – $111.94 | 10 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $97.35 | $162.25 | $14.51 – $53.42 | 10 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $492.60 | $821.00 | $12.59 – $61.51 | 10 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $96.90 | $161.50 | $17.48 – $85.69 | 10 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | not published | not published | $17.48 – $40.82 | 7 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $29.48 – $31.84 | 6 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $225.45 | $375.75 | $13.50 – $49.42 | 10 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $220.66 | $367.76 | $10.06 – $49.42 | 10 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $246.00 | $410.00 | $29.48 – $145.22 | 10 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $48.75 | $81.25 | $29.48 – $35.09 | 8 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $243.90 | $406.50 | $29.48 – $145.22 | 10 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | not published | not published | $29.48 – $31.84 | 6 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $289.05 | $481.75 | $35.99 – $177.51 | 10 |
| Mayo infliximab therapeutic drug level CPT 80230 | not published | not published | $32.40 – $34.99 | 6 |
| Mayo inhab inhibin a CPT 86336 | not published | not published | $13.10 – $30.58 | 7 |
| Mayo insft insulin free CPT 83527 | not published | not published | $10.88 – $25.41 | 7 |
| Mayo insulin antibodies CPT 86337 | $141.30 | $235.50 | $17.98 – $88.71 | 10 |
| Mayo iodine CPT 83789 | not published | not published | $20.25 – $35.44 | 7 |
| Mayo itraconazole therapeutic drug level CPT 80189 | not published | not published | $22.77 – $24.59 | 6 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $219.00 | $365.00 | $22.77 – $27.11 | 8 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $52.50 | $87.50 | $11.13 – $13.25 | 8 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | not published | not published | $10.74 – $25.12 | 7 |
| Mayo legionella antibody CPT 86713 | not published | not published | $12.85 – $30.04 | 7 |
| Mayo leptospira antibody igm CPT 86720 | $96.45 | $160.75 | $13.61 – $54.47 | 10 |
| Mayo lipoprotein electrophoresis CPT 83700 | not published | not published | $9.46 – $22.10 | 7 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $70.20 | $117.00 | $13.01 – $64.53 | 10 |
| Mayo manganese CPT 83785 | not published | not published | $22.39 – $48.26 | 7 |
| Mayo metanephrines plasma CPT 83835 | not published | not published | $14.23 – $33.24 | 7 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | not published | not published | $11.02 – $11.90 | 6 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | not published | not published | $10.12 – $10.93 | 6 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | not published | not published | $15.46 – $16.70 | 6 |
| Mayo microsomal antibody liver-kidney CPT 86376 | not published | not published | $12.22 – $28.56 | 7 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $171.00 | $285.00 | $15.66 – $56.47 | 10 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $900.00 | $1,500.00 | $115.08 – $137.00 | 8 |
| Mayo muramidase CPT 85549 | $36.90 | $61.50 | $15.75 – $77.62 | 10 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | not published | not published | $15.46 – $16.70 | 6 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | not published | not published | $15.16 – $16.37 | 6 |
| Mayo myoglobin CPT 83874 | $183.00 | $305.00 | $10.85 – $53.42 | 10 |
| Mayo nickel CPT 83885 | not published | not published | $20.59 – $48.09 | 7 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | not published | not published | $14.28 – $15.42 | 6 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | not published | not published | $11.59 – $12.52 | 6 |
| Mayo opatu oxycodone definitive assay CPT 80365 | not published | not published | $11.91 – $12.86 | 6 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $150.00 | $250.00 | $17.82 – $68.56 | 10 |
| Mayo organic acids qualitative each specimen CPT 83919 | not published | not published | $13.82 – $32.30 | 7 |
| Mayo oxalate 24 hour urine CPT 83945 | not published | not published | $12.14 – $25.27 | 7 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $9.69 – $22.64 | 7 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | not published | not published | $12.63 – $29.49 | 7 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $810.00 | $1,350.00 | $10.12 – $49.42 | 10 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $236.25 | $393.75 | $29.48 – $145.22 | 10 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $184.50 | $307.50 | $15.10 – $17.98 | 8 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $16.20 | $27.00 | $11.56 – $56.47 | 10 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | not published | not published | $7.09 – $16.57 | 7 |
| Mayo pregnenolone CPT 84140 | not published | not published | $17.36 – $40.58 | 7 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $92.85 | $154.75 | $13.94 – $68.56 | 10 |
| Mayo proinsulin CPT 84206 | not published | not published | $22.42 – $34.97 | 7 |
| Mayo psaft prostate specific antigen free CPT 84154 | not published | not published | $15.45 – $36.10 | 7 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $474.75 | $791.25 | $15.46 – $55.46 | 10 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | not published | not published | $11.22 – $26.20 | 7 |
| Mayo receptor assay transferrin soluble CPT 84238 | not published | not published | $30.72 – $71.77 | 7 |
| Mayo renin CPT 84244 | $102.60 | $171.00 | $18.47 – $90.72 | 10 |
| Mayo repu protein electrophoresis urine CPT 84166 | $379.95 | $633.25 | $14.98 – $74.02 | 10 |
| Mayo selenium CPT 84255 | not published | not published | $21.45 – $50.10 | 7 |
| Mayo serotonin CPT 84260 | $262.50 | $437.50 | $26.02 – $128.09 | 10 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $37.80 | $63.00 | $16.25 – $79.67 | 10 |
| Mayo sirolimus therapeutic drug level CPT 80195 | not published | not published | $11.53 – $26.93 | 7 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | not published | not published | $29.68 – $32.05 | 6 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $127.05 | $211.75 | $3.59 – $17.14 | 10 |
| Mayo tau phosphorylated 217 each CPT 84393 | not published | not published | $253.13 – $273.38 | 6 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $175.49 – $189.53 | 6 |
| Mayo tgrp testosterone free CPT 84402 | $110.55 | $184.25 | $21.39 – $104.88 | 10 |
| Mayo tgrp testosterone total CPT 84403 | $31.05 | $51.75 | $21.68 – $106.89 | 10 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $18.62 – $20.11 | 6 |
| Mayo thyroglobulin CPT 84432 | $52.20 | $87.00 | $13.49 – $66.57 | 10 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | not published | not published | $8.55 – $19.97 | 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.