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 |
|---|---|---|---|---|
| X-ray exam of tear duct CPT 70170 | not published | not published | $57.57 – $1,352.14 | 9 |
| X-ray exam of teeth CPT 70300 | not published | not published | $13.03 – $140.47 | 9 |
| X-ray exam of teeth CPT 70310 | not published | not published | $39.43 – $410.15 | 9 |
| X-ray exam si joints CPT 72200 | not published | not published | $33.08 – $197.26 | 9 |
| X-ray exam thorac spine4/>vw CPT 72074 | not published | not published | $44.44 – $197.26 | 9 |
| X-ray eye detection foreign body (both sides) CPT 70030 | not published | not published | $32.75 – $141.18 | 9 |
| X-ray facial bones complete > 3 views CPT 70150 | not published | not published | $47.11 – $208.86 | 9 |
| X-ray fallopian tube CPT 74742 | not published | not published | $55.81 – $832.97 | 3 |
| X-ray femur >=2 views (both sides) CPT 73552 | not published | not published | $35.75 – $157.11 | 9 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | not published | not published | $38.09 – $183.02 | 9 |
| X-ray foot 2 views (both sides) CPT 73620 | not published | not published | $28.40 – $140.47 | 9 |
| X-ray forearm 2 views (both sides) CPT 73090 | not published | not published | $29.40 – $140.47 | 9 |
| X-ray hand 2 views (both sides) CPT 73120 | not published | not published | $31.41 – $197.26 | 9 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $16.38 – $140.47 | 9 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | not published | not published | $28.74 – $140.47 | 9 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $1,920.59 | $1,920.59 | $59.48 – $272.65 | 9 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | not published | not published | $41.44 – $197.26 | 9 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | not published | not published | $53.80 – $234.77 | 9 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $3,073.59 | $3,073.59 | $62.15 – $276.62 | 9 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | not published | not published | $33.08 – $140.47 | 9 |
| X-ray humerus >= 2 views left CPT 73060 | not published | not published | $32.08 – $143.16 | 9 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $47.11 – $197.26 | 9 |
| X-ray knee 1-2 views (both sides) CPT 73560 | not published | not published | $34.41 – $155.12 | 9 |
| X-ray knee 3 views (both sides) CPT 73562 | not published | not published | $40.76 – $188.97 | 9 |
| X-ray knee ap standing bilateral CPT 73565 | $4,124.81 | $4,124.81 | $40.10 – $190.95 | 9 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | not published | not published | $80.90 – $143.16 | 9 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | not published | not published | $40.76 – $197.26 | 9 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | not published | not published | $51.45 – $230.81 | 9 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | not published | not published | $61.48 – $282.56 | 9 |
| X-ray male genital tract CPT 74440 | not published | not published | $97.56 – $485.76 | 9 |
| X-ray mandible complete > 4 views CPT 70110 | not published | not published | $43.44 – $197.26 | 9 |
| X-ray mandible ltd <4 views CPT 70100 | not published | not published | $38.76 – $177.00 | 9 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $40.10 – $334.70 | 2 |
| X-ray nasal bones complete > 3 views CPT 70160 | not published | not published | $37.76 – $177.00 | 9 |
| X-ray neck soft tissue CPT 70360 | not published | not published | $31.41 – $140.47 | 9 |
| X-ray nose to rectum for foreign body child CPT 76010 | $2,176.57 | $2,176.57 | $77.44 – $140.47 | 9 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $69.16 – $410.15 | 9 |
| X-ray optic foramina CPT 70190 | not published | not published | $37.76 – $163.05 | 9 |
| X-ray pelvis 1-2 views CPT 72170 | not published | not published | $28.06 – $197.26 | 9 |
| X-ray pelvis complete > 3 views CPT 72190 | $2,646.58 | $2,646.58 | $42.44 – $197.26 | 9 |
| Xray place dist ext thor ao CPT 75959 | $1,323.14 | $1,323.14 | $309.53 – $3,152.84 | 2 |
| Xray place prox ext thor ao CPT 75958 | $1,505.15 | $1,505.15 | $355.20 – $3,595.54 | 2 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $10,538.87 | $10,538.87 | $77.19 – $312.44 | 9 |
| X-ray ribs 2 views left CPT 71100 | not published | not published | $36.75 – $155.12 | 9 |
| X-ray ribs 3 views bilateral CPT 71110 | not published | not published | $44.10 – $197.26 | 9 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | not published | not published | $42.44 – $197.26 | 9 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | not published | not published | $52.79 – $222.81 | 9 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | not published | not published | $39.43 – $197.26 | 9 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | not published | not published | $32.75 – $143.16 | 9 |
| X-ray scapula complete (both sides) CPT 73010 | not published | not published | $23.73 – $197.26 | 9 |
| X-ray sella turcica CPT 70240 | not published | not published | $33.08 – $143.16 | 9 |
| X-ray shoulder 1 view (both sides) CPT 73020 | not published | not published | $21.71 – $140.47 | 9 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | not published | not published | $37.76 – $163.05 | 9 |
| X-ray sinus tract/fistula/abscess CPT 76080 | not published | not published | $59.81 – $847.58 | 9 |
| X-ray skull < 4 views CPT 70250 | not published | not published | $36.09 – $197.26 | 9 |
| X-ray skull > 4 views complete CPT 70260 | not published | not published | $44.78 – $197.26 | 9 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $89.55 – $370.21 | 9 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $5,735.00 | $5,735.00 | $121.96 – $521.58 | 9 |
| X-ray small intestine follow-through study CPT 74248 | $7,370.40 | $7,370.40 | $82.53 – $308.48 | 8 |
| X-ray spine single view CPT 72020 | $911.84 | $911.84 | $24.39 – $140.47 | 9 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | not published | not published | $41.44 – $185.00 | 9 |
| X-ray sternum > 2 views CPT 71120 | not published | not published | $33.75 – $145.14 | 9 |
| X-ray surgical specimen CPT 76098 | $980.05 | $980.05 | $42.10 – $847.58 | 9 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $4,019.54 | $4,019.54 | $124.96 – $625.16 | 9 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $3,341.96 | $3,341.96 | $53.13 – $250.70 | 9 |
| X-ray thoracic spine 2 views CPT 72070 | not published | not published | $33.08 – $197.26 | 9 |
| X-ray thoracic spine 3 views CPT 72072 | not published | not published | $39.43 – $197.26 | 9 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | not published | not published | $34.75 – $147.12 | 9 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $954.85 | $954.85 | $42.78 – $178.98 | 9 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $1,958.61 | $1,958.61 | $70.50 – $328.37 | 9 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | not published | not published | $31.74 – $141.18 | 9 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | not published | not published | $29.40 – $140.47 | 9 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $5,981.13 | $5,981.13 | $139.34 – $605.27 | 9 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | not published | not published | $122.96 – $525.55 | 9 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $1,446.79 – $1,446.79 | 1 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $2,192.36 – $2,192.36 | 1 |
| X-ray wrist 2 views (both sides) CPT 73100 | not published | not published | $34.09 – $153.14 | 9 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $94.89 – $426.00 | 9 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $218.28 – $218.28 | 1 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $58.64 – $857.90 | 4 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $8.88 – $9,134.94 | 5 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $10.84 – $52.96 | 29 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.49 – $11.88 | 6 |
| Yersinia antibody CPT 86793 | not published | not published | $11.08 – $54.38 | 29 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $93,760.51 – $551,754.93 | 4 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $8.88 – $209.78 | 5 |
| Ziconotide injection HCPCS J2278 | not published | not published | $9.70 – $73.93 | 6 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.51 – $14.71 | 6 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $0.57 – $13.15 | 3 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $43.10 – $210.48 | 29 |
| Zika virus igm antibody CPT 86794 | $318.20 | $318.20 | $14.15 – $69.71 | 29 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $1.75 – $3.85 | 23 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $787.32 | $787.32 | $5.18 – $183.70 | 6 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $8.30 – $81.04 | 6 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $55.56 – $81.22 | 3 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | not published | not published | $8.38 – $121.26 | 6 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $235.88 – $2,361.37 | 4 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $189.38 – $794.56 | 22 |
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.