Houston Methodist Sugar Land Hospital
16655 Southwest Freeway, Sugar Land, TX · Houstonmethodist · · NPI 1497871628
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 |
|---|---|---|---|---|
| Destruction anal lesion(s) CPT 46924 | not published | not published | $1,650.09 – $5,437.20 | 11 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $235.72 – $2,956.00 | 9 |
| Destruction benign lesions < 14 lesions CPT 17110 | $1,216.50 | $2,433.00 | $201.55 – $2,956.00 | 9 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $2,385.50 | $4,771.00 | $888.50 – $5,545.00 | 11 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $3,602.00 | $7,204.00 | $4,610.00 – $7,316.00 | 2 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $6,118.00 | $12,236.00 | $1,961.62 – $3,825.17 | 8 |
| Destruction ciliary body CPT 66700 | not published | not published | $2,214.47 – $5,545.00 | 11 |
| Destruction ciliary body CPT 66720 | not published | not published | $2,214.47 – $5,545.00 | 11 |
| Destruction ciliary body CPT 66740 | not published | not published | $2,214.47 – $5,545.00 | 11 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $128.90 – $2,956.00 | 9 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $1,650.09 – $5,437.20 | 11 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $128.57 – $4,657.22 | 9 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $190.21 – $2,956.00 | 9 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $214.44 – $2,956.00 | 9 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $192.85 – $2,956.00 | 9 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $212.34 – $2,956.00 | 9 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $211.00 – $2,956.00 | 9 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $1,650.09 – $4,138.00 | 11 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $1,233.50 | $2,467.00 | $157.55 – $2,956.00 | 9 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $2,788.31 – $11,968.00 | 9 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $1,650.09 – $6,341.16 | 11 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $133.84 – $6,341.16 | 8 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $116.45 – $4,041.73 | 8 |
| Detect agent nos dna dir CPT 87797 | $279.00 | $558.00 | $30.03 – $124.92 | 8 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $43.67 – $181.67 | 8 |
| Determination venous press CPT 93770 | not published | not published | $25.86 – $25.86 | 1 |
| Determine refractive state CPT 92015 | not published | not published | $61.84 – $61.84 | 1 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $31.48 – $31.48 | 1 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $129.26 – $252.06 | 8 |
| Device ablt adv novasure HCPCS C1886 | $11,797.50 | $23,595.00 | not published | 0 |
| Device intraute mirena HCPCS J7298 | not published | not published | $2,911.49 – $8,621.47 | 3 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $141.68 – $141.68 | 1 |
| Devise bowel pouch CPT 44316 | not published | not published | $3,538.37 – $15,912.00 | 4 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $102.05 – $199.00 | 8 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $185.52 – $185.52 | 1 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $541.50 | $1,083.00 | $87.42 – $170.47 | 8 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $102.94 – $200.72 | 8 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $2.75 – $16.03 | 3 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.04 – $0.35 | 4 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | not published | not published | $0.08 – $0.53 | 4 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $204.61 – $398.99 | 8 |
| Dexamethasone panel CPT 80420 | not published | not published | $161.88 – $673.42 | 8 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $2.30 – $3.79 | 2 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $63.06 – $122.97 | 8 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $103.47 – $304.80 | 3 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $34.12 – $34.12 | 1 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $1.67 – $4.88 | 2 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | not published | not published | $2.62 – $7.39 | 4 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | not published | not published | $19.13 – $35.79 | 3 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | not published | not published | $4.00 – $29.56 | 4 |
| Dextrose 5 % IV bolus HCPCS J7070 | not published | not published | $7.14 – $59.12 | 4 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $223.50 | $447.00 | $22.23 – $92.48 | 8 |
| Diabetes (HbA1c) Test CPT 83036 | $248.00 | $496.00 | $9.71 – $40.39 | 8 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $37.64 – $73.40 | 8 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $15.99 – $31.18 | 8 |
| Diag bronchoscope/catheter CPT 31643 | $487.00 | $974.00 | $1,788.01 – $5,545.00 | 11 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $4,004.00 – $11,842.50 | 9 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $222.42 – $875.08 | 8 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,202.09 – $2,344.08 | 8 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $74.00 | $148.00 | $133.65 – $2,956.00 | 9 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $372.48 – $372.48 | 1 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $372.48 – $372.48 | 1 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $103.50 | $207.00 | $93.79 – $4,138.00 | 10 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $210.00 | $420.00 | $115.49 – $2,956.00 | 9 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $1,762.95 | $3,525.90 | $104.89 – $204.54 | 8 |
| Diagnostic Mammogram (one breast) CPT 77065 | $905.00 | $1,810.00 | $85.33 – $166.39 | 8 |
| Diagnostic radio unlisted proc CPT 76499 | $440.00 | $880.00 | $87.42 – $170.47 | 8 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $14,280.50 | $28,561.00 | $4,610.00 – $4,610.00 | 1 |
| Dialysis one evaluation CPT 90945 | $1,008.00 | $2,016.00 | $419.16 – $817.37 | 8 |
| Diathermy eg microwave CPT 97024 | not published | not published | $7.27 – $14.18 | 8 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.16 – $0.47 | 3 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | not published | not published | $14.50 – $34.25 | 4 |
| Dicyclomine injection HCPCS J0500 | not published | not published | $27.45 – $109.51 | 4 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.53 – $0.70 | 3 |
| Diffusing capacity CPT 94729 | $961.50 | $1,923.00 | $146.17 – $146.17 | 1 |
| Digital analysis of eeg CPT 95957 | not published | not published | $525.10 – $525.10 | 1 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $2,214.47 – $5,545.00 | 6 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | not published | not published | $9.40 – $28.87 | 4 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $5,168.23 – $10,078.05 | 8 |
| Digoxin total therapeutic drug level CPT 80162 | $252.50 | $505.00 | $13.28 – $55.24 | 8 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $91.11 – $757.07 | 4 |
| Dilate biliary duct/ampulla CPT 47542 | $4,689.50 | $9,379.00 | $4,610.00 – $7,316.00 | 2 |
| Dilate esophagus CPT 43453 | not published | not published | $1,650.09 – $4,138.00 | 11 |
| Dilate esophagus 1/mult pass CPT 43450 | $2,278.00 | $4,556.00 | $911.12 – $4,138.00 | 11 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $9,664.00 | $19,328.00 | $847.54 – $7,316.00 | 5 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $423.77 – $7,316.00 | 5 |
| Dilate ic vasospasm init CPT 61640 | $15,313.00 | $30,626.00 | $1,206.73 – $7,316.00 | 5 |
| Dilate tear duct opening CPT 68801 | not published | not published | $211.00 – $2,956.00 | 9 |
| Dilate urethra stricture CPT 53600 | $973.50 | $1,947.00 | $57.44 – $4,138.00 | 10 |
| Dilate urethra stricture CPT 53601 | not published | not published | $133.65 – $4,138.00 | 10 |
| Dilate urethra stricture CPT 53605 | not published | not published | $2,214.47 – $6,905.04 | 11 |
| Dilate urethra stricture CPT 53621 | not published | not published | $130.67 – $4,138.00 | 10 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $64.28 – $4,138.00 | 10 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,202.09 – $4,138.00 | 11 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $59.01 – $6,341.16 | 9 |
| Dilation of rectal stricture 45910 CPT 45910 | $4,885.00 | $9,770.00 | $1,202.09 – $4,138.00 | 11 |
| Dilation of salivary duct CPT 42660 | not published | not published | $110.13 – $2,956.00 | 9 |
| Dilation of urethra CPT 53661 | not published | not published | $133.65 – $4,138.00 | 10 |
| Dilation of urethra CPT 53665 | not published | not published | $1,650.09 – $4,138.00 | 11 |
| Dilation of vagina CPT 57400 | not published | not published | $2,214.47 – $6,341.16 | 11 |
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.