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 |
|---|---|---|---|---|
| Pt re-evaluation patient/family CPT 97164 | $225.45 | $375.75 | $86.17 – $86.17 | 1 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $115.35 | $192.25 | $56.57 – $56.57 | 1 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $93.90 | $156.50 | $21.15 – $21.15 | 1 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $117.45 | $195.75 | $45.46 – $45.46 | 1 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $113.70 | $189.50 | $42.82 – $42.82 | 1 |
| Pul art balloon repr percut CPT 92998 | not published | not published | not published | 0 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $176.43 – $194.07 | 7 |
| Pulse ox single CPT 94760 | $121.35 | $202.25 | $3.70 – $3.70 | 1 |
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $262.86 – $289.15 | 7 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $484.50 | $807.50 | $67.83 – $74.61 | 7 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $886.62 – $975.28 | 7 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,045.65 | $1,742.75 | $262.86 – $289.15 | 7 |
| Puraply 1 sq cm HCPCS Q4195 | $553.50 | $922.50 | not published | 0 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | not published | 0 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $262.86 – $289.15 | 7 |
| Pvb thoracic single inj site CPT 64461 | $1,045.65 | $1,742.75 | $262.86 – $289.15 | 7 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $52.15 | $86.91 | $15.83 – $15.83 | 1 |
| Pyruvate CPT 84210 | not published | not published | $12.16 – $21.30 | 7 |
| Pyruvate kinase CPT 84220 | not published | not published | $7.93 – $18.51 | 7 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | not published | not published | $282.01 – $310.21 | 7 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $188.11 – $206.92 | 7 |
| Quest t3 uptake CPT 84479 | $15.30 | $25.50 | $5.43 – $27.22 | 10 |
| Quinupristin/dalfopristin HCPCS J2770 | $922.70 | $1,537.83 | $830.83 – $1,909.28 | 3 |
| Radical resection of elbow CPT 24149 | not published | not published | $2,398.52 – $2,638.37 | 7 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $815.20 – $896.72 | 7 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $815.20 – $896.72 | 7 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | not published | not published | $288.69 – $317.56 | 7 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | not published | not published | $602.44 – $662.68 | 7 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $652.23 – $717.45 | 7 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,795.35 | $2,992.25 | $355.19 – $390.71 | 7 |
| Radphm lcl tumor plr sgl day CPT 78800 | not published | not published | $235.56 – $259.12 | 7 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $89.21 – $98.13 | 7 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $815.20 – $896.72 | 7 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $815.20 – $896.72 | 7 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $815.20 – $896.72 | 7 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $815.20 – $896.72 | 7 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $815.20 – $896.72 | 7 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $815.20 – $896.72 | 7 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $815.20 – $896.72 | 7 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $2,398.52 – $2,638.37 | 7 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $815.20 – $896.72 | 7 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $2,827.91 | $4,713.17 | $121.82 – $266.20 | 3 |
| Range of motion measurements CPT 95852 | $111.60 | $186.00 | $8.99 – $8.99 | 1 |
| Ranibizumab injection HCPCS J2778 | $3,861.00 | $6,435.00 | $766.77 – $914.43 | 3 |
| Rapid Strep Test CPT 87880 | not published | not published | $13.89 – $23.54 | 7 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $10,637.69 | $17,729.48 | $548.60 – $1,381.25 | 3 |
| Rbc count only automated CPT 85041 | not published | not published | $2.54 – $5.90 | 7 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $7.22 – $16.88 | 7 |
| Rbc osmotic fragility CPT 85555 | $234.00 | $390.00 | $6.27 – $27.22 | 10 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $19.53 – $19.53 | 1 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $886.62 – $975.28 | 7 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $1,954.22 – $2,149.64 | 7 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $1,954.22 – $2,149.64 | 7 |
| Realignment of tendons CPT 26437 | not published | not published | $1,088.27 – $1,197.10 | 7 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $1,954.22 – $2,149.64 | 7 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $1,954.22 – $2,149.64 | 7 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $1,954.22 – $2,149.64 | 7 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $1,954.22 – $2,149.64 | 7 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $1,954.22 – $2,149.64 | 7 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $1,954.22 – $2,149.64 | 7 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $2,552.50 – $2,807.75 | 7 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $1,954.22 – $2,149.64 | 7 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $886.62 – $975.28 | 7 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $3,113.11 – $3,424.42 | 7 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $1,954.22 – $2,149.64 | 7 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $1,954.22 – $2,149.64 | 7 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $1,954.22 – $2,149.64 | 7 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $3,104.56 – $3,415.02 | 7 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $10,196.13 – $11,215.74 | 7 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $3,133.75 – $3,447.13 | 7 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $4,811.02 – $5,292.12 | 7 |
| Reconstruct extra finger CPT 26587 | not published | not published | $1,088.27 – $1,197.10 | 7 |
| Reconstruct finger joint CPT 26545 | not published | not published | $1,088.27 – $1,197.10 | 7 |
| Reconstruct finger joint CPT 26548 | not published | not published | $1,088.27 – $1,197.10 | 7 |
| Reconstruct head of radius CPT 24365 | not published | not published | $7,139.81 – $7,853.79 | 7 |
| Reconstruct head of radius CPT 24366 | not published | not published | $7,448.53 – $8,193.38 | 7 |
| Reconstruction knee CPT 27427 | not published | not published | $3,170.89 – $3,487.98 | 7 |
| Reconstruction knee CPT 27428 | not published | not published | $6,263.30 – $6,889.63 | 7 |
| Reconstruction knee CPT 27429 | not published | not published | $8,475.90 – $9,323.49 | 7 |
| Reconstruction of anus CPT 46753 | not published | not published | $939.93 – $1,033.92 | 7 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $698.30 – $768.13 | 7 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $698.30 – $768.13 | 7 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $1,103.42 – $1,213.76 | 7 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $698.30 – $768.13 | 7 |
| Reconstruction of jaw CPT 21245 | not published | not published | $2,544.14 – $2,798.55 | 7 |
| Reconstruction of jaw CPT 21246 | not published | not published | $1,954.22 – $2,149.64 | 7 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $1,954.22 – $2,149.64 | 7 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $1,954.22 – $2,149.64 | 7 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $9,728.82 – $10,701.70 | 7 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $2,688.18 – $2,957.00 | 7 |
| Reconstruction of mouth CPT 40840 | not published | not published | $1,954.22 – $2,149.64 | 7 |
| Reconstruction of mouth CPT 40842 | not published | not published | $1,954.22 – $2,149.64 | 7 |
| Reconstruction of mouth CPT 40843 | not published | not published | $1,954.22 – $2,149.64 | 7 |
| Reconstruction of mouth CPT 40844 | not published | not published | $1,954.22 – $2,149.64 | 7 |
| Reconstruction of mouth CPT 40845 | not published | not published | $1,954.22 – $2,149.64 | 7 |
| Reconstruction of nail bed CPT 11762 | not published | not published | $148.94 – $163.83 | 7 |
| Reconstruction of nose CPT 30410 | not published | not published | $1,954.22 – $2,149.64 | 7 |
| Reconstruction of nose CPT 30420 | not published | not published | $1,954.22 – $2,149.64 | 7 |
| Reconstruction of throat CPT 42950 | not published | not published | $1,954.22 – $2,149.64 | 7 |
| Reconstruction of urethra CPT 53410 | not published | not published | $1,689.43 – $1,858.37 | 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.