HCA HOUSTON NORTHWEST
621 RAYFORD RD, SPRING, TX · HCA Houston Healthcare · · NPI 1740450121
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 |
|---|---|---|---|---|
| T3 (triiodothyronine) free CPT 84481 | $844.22 | $844.22 | $14.23 – $69.71 | 29 |
| T3 (triiodothyronine) total CPT 84480 | $3,091.24 | $3,091.24 | $11.91 – $58.54 | 29 |
| T4 (thyroxine) free CPT 84439 | $1,966.36 | $1,966.36 | $7.58 – $37.63 | 29 |
| T4 (thyroxine) total CPT 84436 | $1,497.66 | $1,497.66 | $5.77 – $27.89 | 29 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.57 – $4.58 | 6 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.81 – $12.27 | 6 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.19 – $7.11 | 6 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $255.06 – $2,002.74 | 6 |
| Tacrolimus therapeutic drug level CPT 80197 | $632.07 | $632.07 | $11.53 – $57.16 | 29 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $13.93 – $34.07 | 5 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $21,144.00 – $21,144.00 | 1 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $19,471.76 – $19,471.76 | 1 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $11,761.72 – $11,761.72 | 1 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $70.38 – $486.90 | 6 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $70.00 – $175.21 | 5 |
| Talymed HCPCS Q4127 | not published | not published | $68.49 – $209.78 | 4 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | $81.25 | $81.25 | $0.48 – $16.46 | 3 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $61.77 – $72.67 | 5 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $50.92 – $59.90 | 5 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.49 – $1.07 | 23 |
| Target gsa panel hmtlmph neop CPT 81450 | $4,221.50 | $4,221.50 | $638.01 – $3,123.84 | 27 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $2,452.46 – $12,010.29 | 27 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $585.95 – $2,458.92 | 24 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,570.77 – $3,793.33 | 5 |
| Tas congenital car anomal CPT 33741 | not published | not published | $1,785.68 – $1,785.68 | 1 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $128.62 – $992.75 | 6 |
| Tavr perq femoral CPT 33361 | not published | not published | $13,047.26 – $13,047.26 | 1 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.37 – $5.65 | 6 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $134.26 – $563.16 | 23 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $76.12 – $78.91 | 2 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $19.03 – $19.72 | 2 |
| Tbs techl calculation only CPT 77091 | not published | not published | $151.59 – $297.19 | 3 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $150.96 – $297.19 | 3 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $84.00 – $411.22 | 29 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $1,338.24 | $1,338.24 | $52.06 – $255.08 | 29 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $867.45 – $4,480.40 | 3 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $2,138.32 – $12,028.90 | 4 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $726.38 – $9,049.95 | 4 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $1,321.02 – $7,168.64 | 3 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $101.95 – $818.16 | 4 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $1,305.67 | $1,305.67 | $1,541.31 – $17,017.34 | 4 |
| Tc-99m exametazime diag HCPCS A9521 | $6,745.24 | $6,745.24 | $1,530.72 – $17,017.34 | 4 |
| Tc-99m fanolesomab diag HCPCS A9566 | not published | not published | $10,186.09 – $10,186.09 | 1 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $542.19 – $612.46 | 2 |
| Tc-99m labeled rbc HCPCS A9560 | $2,682.67 | $2,682.67 | $179.67 – $1,091.66 | 4 |
| Tc-99m maa HCPCS A9540 | $1,328.96 | $1,328.96 | $50.14 – $233.18 | 4 |
| Tc-99m mebrofenin HCPCS A9537 | $1,328.96 | $1,328.96 | $108.00 – $646.54 | 4 |
| Tc-99m medronate HCPCS A9503 | $1,328.96 | $1,328.96 | $25.38 – $151.94 | 4 |
| Tc-99m mertiatide HCPCS A9562 | $2,611.33 | $2,611.33 | $1,308.90 – $9,055.57 | 3 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $85.89 – $514.27 | 4 |
| Tc-99m pentetate dtpa HCPCS A9539 | $1,617.17 | $1,617.17 | $47.39 – $366.22 | 4 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | not published | not published | $34.72 – $236.00 | 3 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $244.54 | $244.54 | $4.19 – $38.28 | 4 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | not published | not published | $65.59 – $467.52 | 4 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $6,202.30 | $6,202.30 | $240.23 – $1,247.69 | 4 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $1,088.88 – $7,005.98 | 4 |
| Tc-99m sulfur colloid HCPCS A9541 | $1,328.96 | $1,328.96 | $104.39 – $1,239.81 | 4 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $3,125.17 | $3,125.17 | $190.26 – $1,139.09 | 4 |
| Tc-99m tilmanocept diag HCPCS A9520 | $4,513.82 | $4,513.82 | $917.12 – $5,480.11 | 3 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $1,813.23 – $1,813.23 | 1 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $108.97 – $262.27 | 6 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $108.97 – $262.27 | 6 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $230.13 – $2,136.76 | 4 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $690.71 – $690.71 | 1 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | not published | not published | $39.46 – $193.77 | 29 |
| T cells absolute cd 4 count CPT 86361 | $5,838.04 | $5,838.04 | $22.50 – $110.11 | 29 |
| T cells total count CPT 86359 | $8,225.14 | $8,225.14 | $31.69 – $154.71 | 29 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $59.04 – $1,434.99 | 2 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $430.09 – $709.56 | 2 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $709.66 – $709.66 | 1 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $4,464.78 – $4,464.78 | 1 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $9,874.71 – $9,874.71 | 1 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $89.39 – $355.70 | 2 |
| Team conf without pat by phys CPT 99367 | not published | not published | $135.77 – $546.71 | 2 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $6.53 – $100.36 | 2 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $214.76 – $525.36 | 5 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $1,593.12 – $1,593.12 | 1 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $1,593.12 – $1,593.12 | 1 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $73.67 – $161.62 | 23 |
| Telavancin injection HCPCS J3095 | not published | not published | $7.09 – $53.28 | 6 |
| Telehealth original site facility fee HCPCS Q3014 | not published | not published | $31.01 – $250.90 | 3 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $257.21 – $2,501.11 | 3 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $142.45 – $1,383.68 | 3 |
| Temozolomide HCPCS J8700 | not published | not published | $0.38 – $8.06 | 6 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.41 – $102.76 | 6 |
| Temperature gradient studies CPT 93740 | not published | not published | $78.60 – $323.74 | 2 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $12,628.30 – $12,628.30 | 1 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $30.32 – $718.33 | 6 |
| Tendon lengthening CPT 26476 | not published | not published | $1,167.76 – $4,872.66 | 6 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $1,167.76 – $4,872.66 | 6 |
| Tendon shortening CPT 26477 | not published | not published | $1,167.76 – $4,872.66 | 6 |
| Tendon transfer with graft CPT 26492 | not published | not published | $1,167.76 – $4,872.66 | 6 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $162.46 – $1,185.94 | 6 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $3,381.39 – $21,271.77 | 3 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $2,573.70 – $10,647.87 | 6 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $1,167.76 – $4,872.66 | 6 |
| Tenolysis triceps CPT 24332 | not published | not published | $1,167.76 – $4,872.66 | 6 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $2,573.70 – $10,647.87 | 6 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $636.36 – $2,412.59 | 6 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $6,873.92 – $6,873.92 | 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.