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 |
|---|---|---|---|---|
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $71.50 – $78.65 | 7 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $317.85 | $529.75 | $87.54 – $96.29 | 7 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $317.85 | $529.75 | $57.74 – $66.15 | 7 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | not published | not published | $177.76 – $195.54 | 7 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | not published | not published | $104.75 – $115.23 | 7 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $422.55 | $704.25 | $81.20 – $89.32 | 7 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $589.80 | $983.00 | $92.89 – $102.18 | 7 |
| Ultrasound prostate/transrectal CPT 76872 | not published | not published | $104.75 – $115.23 | 7 |
| Ultrasound retroperitoneal limited CPT 76775 | $381.75 | $636.25 | $59.81 – $65.79 | 7 |
| Ultrasound scrotum and contents CPT 76870 | $568.35 | $947.25 | $100.24 – $110.26 | 7 |
| Ultrasound spinal canal and contents CPT 76800 | not published | not published | $104.75 – $115.23 | 7 |
| Ultrasound transabd ea addl gest CPT 76812 | not published | not published | $192.13 – $211.34 | 7 |
| Ultrasound transvaginal non obstetric CPT 76830 | $589.80 | $983.00 | $104.75 – $115.23 | 7 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $175.06 – $192.57 | 7 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $143.01 – $157.31 | 7 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | not published | 0 |
| Unlistd noninvas vasc dx std CPT 93998 | $1,105.80 | $1,843.00 | $33.73 – $33.73 | 1 |
| Unlisted CT procedure CPT 76497 | not published | not published | $86.58 – $95.24 | 7 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $7.11 – $7.11 | 1 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $7.11 – $7.11 | 1 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $86.58 – $95.24 | 7 |
| Unlisted hematology&coagj px CPT 85999 | not published | not published | $7.11 – $7.11 | 1 |
| Unlisted misc path test CPT 89240 | not published | not published | $7.11 – $7.11 | 1 |
| Unlisted mr procedure CPT 76498 | not published | not published | $86.58 – $95.24 | 7 |
| Unlisted procedure microbiology CPT 87999 | not published | not published | $7.11 – $7.11 | 1 |
| Unlisted px casting/strpg CPT 29799 | $136.50 | $227.50 | not published | 0 |
| Unlisted surgical path px CPT 88399 | not published | not published | $7.11 – $7.11 | 1 |
| Unlisted transfusion med px CPT 86999 | $204.60 | $341.00 | $18.81 – $31.96 | 5 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $86.58 – $95.24 | 7 |
| Unlisted urinalysis px CPT 81099 | not published | not published | $7.11 – $7.11 | 1 |
| Upgrade pm system CPT 33214 | not published | not published | $6,346.73 – $6,981.40 | 7 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,264.90 | $5,441.50 | $330.45 – $363.50 | 7 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,612.85 | $4,354.75 | $281.34 – $309.47 | 7 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,394.15 | $3,990.25 | $196.14 – $215.75 | 7 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,824.75 | $3,041.25 | $334.95 – $368.45 | 7 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $731.70 | $1,219.50 | $334.95 – $368.45 | 7 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | $760.76 | $1,267.93 | not published | 0 |
| Uppr gi scope w/submuc inj CPT 43236 | $731.70 | $1,219.50 | $334.95 – $368.45 | 7 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $1,888.85 – $2,077.74 | 7 |
| Urea nitrogen CPT 84520 | $133.20 | $222.00 | $3.32 – $16.14 | 10 |
| Urea nitrogen 24 hour urine CPT 84540 | $111.45 | $185.75 | $4.67 – $19.18 | 10 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $6.05 – $12.96 | 7 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $4.31 – $7.37 | 7 |
| Ureteral embolization/occl CPT 50705 | not published | not published | not published | 0 |
| Ureteral reflux study CPT 78740 | not published | not published | $203.83 – $224.21 | 7 |
| Ureter endoscopy CPT 50970 | not published | not published | $1,142.90 – $1,257.19 | 7 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $1,689.43 – $1,858.37 | 7 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $1,689.43 – $1,858.37 | 7 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $1,142.90 – $1,257.19 | 7 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $1,689.43 – $1,858.37 | 7 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $1,689.43 – $1,858.37 | 7 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $1,689.43 – $1,858.37 | 7 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $1,689.43 – $1,858.37 | 7 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $622.35 | $1,037.25 | $81.38 – $89.52 | 7 |
| Urethrocystography void s&i CPT 74455 | $622.35 | $1,037.25 | $104.25 – $114.68 | 7 |
| Uric acid blood CPT 84550 | $130.65 | $217.75 | $3.80 – $19.18 | 10 |
| Uric acid urine CPT 84560 | $130.65 | $217.75 | $4.27 – $19.18 | 10 |
| Urinalysis glass test CPT 81020 | not published | not published | $3.95 – $7.24 | 7 |
| Urinalysis microscopic only CPT 81015 | $43.50 | $72.50 | $2.56 – $12.10 | 10 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $1.82 – $4.26 | 7 |
| Urinalysis (with microscopy) CPT 81001 | $107.85 | $179.75 | $2.66 – $13.08 | 10 |
| Urinalysis (without microscopy) CPT 81003 | $107.85 | $179.75 | $1.89 – $9.07 | 10 |
| Urine Culture Test CPT 87086 | $210.00 | $350.00 | $6.78 – $33.26 | 10 |
| Urine ost pouch w faucet/tap HCPCS A4428 | $2.00 | $3.33 | not published | 0 |
| Urine pregnancy test CPT 81025 | $187.20 | $312.00 | $7.23 – $26.21 | 10 |
| Urine screen for bacteria CPT 81007 | not published | not published | $5.05 – $27.19 | 7 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $4.21 – $4.21 | 1 |
| Urography, antegrade CPT 74425 | $622.35 | $1,037.25 | $135.99 – $149.59 | 7 |
| Urography inf drip &/or bolus CPT 74410 | $591.75 | $986.25 | $142.00 – $156.20 | 7 |
| Use 1st target lesion CPT 76982 | not published | not published | $93.56 – $102.92 | 7 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $4,008.54 | $6,680.89 | $24.49 – $48.66 | 3 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $55,128.85 | $91,881.41 | $486.22 – $570.69 | 3 |
| Vaccine dtap < 7 years im CPT 90700 | $68.19 | $113.65 | $56.65 – $56.65 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | $221.24 | $368.73 | $230.36 – $230.36 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $72.98 | $121.63 | $60.05 – $60.05 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $33.30 | $55.50 | $25.99 – $25.99 | 1 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $192.15 | $320.25 | $137.54 – $137.54 | 1 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $93.90 | $156.49 | $78.25 – $78.25 | 1 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $160.86 | $268.09 | $116.53 – $272.04 | 3 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $69.74 | $116.22 | $46.76 – $115.56 | 3 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $149.21 | $248.68 | $88.33 – $270.33 | 3 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $54.84 | $91.40 | $34.45 – $83.18 | 3 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $149.21 | $248.68 | $93.70 – $270.33 | 3 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $409.35 | $682.24 | $334.32 – $334.32 | 1 |
| Vaccine mmr live subcutaneous CPT 90707 | $194.93 | $324.88 | $143.89 – $143.89 | 1 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $252.90 | $421.49 | $240.07 – $515.88 | 3 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $487.47 | $812.45 | $378.47 – $997.17 | 3 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $563.36 | $938.92 | $507.66 – $1,115.72 | 3 |
| Vaccine rabies im CPT 90675 | $858.95 | $1,431.57 | $606.45 – $1,275.46 | 3 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $637.20 | $1,062.00 | $445.42 – $445.42 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $980.10 | $1,633.50 | $1,039.50 – $1,039.50 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $980.10 | $1,633.50 | $1,039.50 – $1,039.50 | 1 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $102.83 | $171.38 | $202.55 – $202.55 | 1 |
| Vaccine tdap >=7 years im CPT 90715 | $106.66 | $177.76 | $80.94 – $80.94 | 1 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $89.72 | $149.53 | $37.97 – $37.97 | 1 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | not published | 0 |
| Vag hyst including t/o CPT 58262 | not published | not published | $1,526.99 – $1,679.69 | 7 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $1,526.99 – $1,679.69 | 7 |
| Valproic acid total therapeutic drug level CPT 80164 | $226.50 | $377.50 | $11.37 – $56.47 | 10 |
| Vancomycin hcl injection HCPCS J3370 | $459.00 | $765.00 | $2.91 – $2.91 | 1 |
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.