Texas · 172 published self-pay prices, from $7.50 to $2,062.
These items are published without a standard CPT or HCPCS code, so they cannot be reliably matched against the same service at another hospital. They are shown exactly as this facility published them, and are excluded from every median, average and comparison elsewhere on this site.
| Item | Cash price | Setting |
|---|---|---|
| Acetaminophen Level | $132 | Both |
| Add Seg Infuse Up To 1 Hr | $67.50 | Both |
| Add Seq Ivp Sm Drug | $56.25 | Both |
| Aerobic Identification | $56.25 | Both |
| Alcohol Ethanol Lab | $117 | Both |
| Als 1 Emergency Transport | $668 | Both |
| Als Level 2 Transport | $705 | Both |
| Amb Bls Emergency Transport | $585 | Both |
| Ammonia Level | $136 | Both |
| Ana By Ifa, Igg | $34.50 | Both |
| Anti-Microsomal Ab | $90.75 | Both |
| Bls Non Emergency Transfer | $286 | Both |
| Bmp | $169 | Both |
| Bnp Triage | $188 | Both |
| C-Reactive Protein Lab | $75.00 | Both |
| Calcium Total | $41.25 | Both |
| Cath Foley Temp Simple | $150 | Both |
| Cbc | $53.25 | Both |
| Cd4 Panel | $210 | Both |
| Chlamydia Dna Probe | $128 | Both |
| Chlamydia Trach Amp Probe | $287 | Both |
| Cmp Lab | $194 | Both |
| Cortisol, Random | $150 | Both |
| Cpk Lab | $75.00 | Both |
| Creatinine 24Hr Urine Lab | $56.25 | Both |
| Creatinine, Urine Random | $56.25 | Both |
| Critical Care 1St 30-74 M | $1,500 | Both |
| Ct Abd/Pel W & W/O | $2,062 | Both |
| Ct Abd/Pel W/ Contrast | $1,101 | Both |
| Ct Abd/Pel W/O Contrast | $1,181 | Both |
| CT angio LE RT | $1,937 | Both |
| Ct Angiogrph Lwr Ext Ww/O | $1,937 | Both |
| Ct C-Spine W/O | $1,162 | Both |
| Ct Chest W | $1,388 | Both |
| Ct Chest W/O | $1,162 | Both |
| Ct Head/Brain W/O | $1,125 | Both |
| Ct L-Spine W/O | $1,200 | Both |
| Ct Lwr Ext W/O LT | $1,162 | Both |
| Ct Lwr Ext W/O RT | $1,162 | Both |
| Ct Pelvis W/O | $1,181 | Both |
| Ct Qct Bmd Survey | $166 | Both |
| Ct Sinus W/O | $1,125 | Both |
| Ct Upr Ext W/O LT | $1,170 | Both |
| Ct Upr Ext W/O RT | $1,170 | Both |
| Culture Blood | $150 | Both |
| Culture Ua | $75.00 | Both |
| D-Dimer Lab | $131 | Both |
| Dhea-S Lab | $71.25 | Both |
| Drug Screen Profile Ua | $84.00 | Both |
| E&M Level 2 W/Modifier | $300 | Both |
| E&M Level 3 W/Modifier | $525 | Both |
| E&M Level 4W/Modiifer | $862 | Both |
| E&M Level 5 W/Modifier | $975 | Both |
| Ea Addl Seq Ivp New Drug | $37.50 | Both |
| Ekg 12 Lead Tracing Only | $124 | Both |
| Elbow 3 Views RT | $191 | Both |
| Epstein-Barr Virus | $37.50 | Both |
| Er Level 2 | $300 | Both |
| Er Level 3 | $450 | Both |
| Er Level 4 | $675 | Both |
| Er Level 5 | $975 | Both |
| Er Level I | $188 | Both |
| Esr (Sed Rate) | $56.25 | Both |
| ETC02 Detector | $26.25 | Both |
| Ferritin | $129 | Both |
| Folic Acid Level | $114 | Both |
| Ft3 (Free T3) Lab | $184 | Both |
| Ft4 (Free Thyroxine) | $93.75 | Both |
| Gait Training | $75.00 | Both |
| Ground Mileage | $7.50 | Both |
| H. Pylori Antibodies Igg | $112 | Both |
| Hcg Qualitative Serum | $127 | Both |
| Hcg Qualitative Urine | $26.25 | Both |
| Hemoglobin A1C | $75.00 | Both |
| Hepatitis Profile | $333 | Both |
| Hhn Tx Per Tx | $236 | Both |
| Hiv Ab Screen | $135 | Both |
| Hiv P24 Antigen/Ab W/ Reflex | $75.00 | Both |
| I&D Abscess Smple/Single | $256 | Both |
| Im/Subq Injection | $75.00 | Both |
| Immunization Admin Single | $23.25 | Both |
| Inj Dx/Therapeutic Subq/I | $75.00 | Both |
| Inpatient Room | $686 | Inpatient |
| Intubate Et Tube Emergenc | $212 | Both |
| Iron Binding Capacity | $84.75 | Both |
| Iron Serum | $60.00 | Both |
| Iv Inf Ea Addl Hr | $56.25 | Both |
| Iv Inf Initial Hour | $112 | Both |
| Ivp Singl Or Initl Drug | $93.75 | Both |
| Lactate/Lactic Acid | $60.00 | Both |
| Ldh Lab | $75.00 | Both |
| Lipase Lab | $56.25 | Both |
| Lipid Profile | $112 | Both |
| Liver Panel | $69.75 | Both |
| Magnesium Serum | $86.25 | Both |
| Microalbumin, Random Urin | $72.75 | Both |
| Monospot Lab | $39.75 | Both |
| Occult Blood Stool Series | $49.50 | Both |
| Orphenadrine Inj 60Mg/2Ml | $46.80 | Both |
| Oxygen & Devices | $63.75 | Both |
| Pcr Covid And Flu | $225 | Both |
| Pf Critical Care Initial Hou | $581 | Outpatient |
| Pf Er Level 2 | $158 | Outpatient |
| Pf Er Level 3 | $236 | Outpatient |
| Pf Er Level 4 | $338 | Outpatient |
| Pf Er Level 5 | $502 | Outpatient |
| Pf Intubation Endotrachel Em | $206 | Outpatient |
| Phosphatidylethanol | $210 | Both |
| Promethzine 50mg/ml ampul | $18.75 | Both |
| Psa Scrn/Ultrasensative | $150 | Both |
| PSA, Total w Reflex to PSA Fre | $112 | Both |
| Pt -Therapeutic Activities | $78.75 | Both |
| Pt -Therapeutic Exercise | $57.75 | Both |
| Pt Eval High Complexity | $213 | Both |
| Pt Eval Low Complexity | $169 | Both |
| Pt Eval Mod Complexity | $169 | Both |
| Pt Re-Eval | $81.00 | Both |
| Pt-Manual Therapy | $75.00 | Both |
| Pt/Inr Lab | $67.50 | Both |
| Pth Intact | $225 | Both |
| Ptt Lab | $75.00 | Both |
| Rapid Covid/Flu W/ Qw | $78.75 | Both |
| Reverse T3 | $96.75 | Both |
| Rh Typing Chrg | $90.00 | Both |
| Rheumatioid Factor,Qual | $65.25 | Both |
| Ribs W/ Pa Chest LT | $354 | Both |
| Rpr Confirmation Fta-Abs | $33.00 | Both |
| Rpr Lab | $121 | Both |
| Rpr Smple Fce Ear Elid No | $200 | Both |
| Rpr Smple Sclp Nck Trnk E | $169 | Both |
| Rsv Antigen | $276 | Both |
| Rsv, Covid, And Flu | $394 | Both |
| Sensitivity Test Lab | $105 | Both |
| Strep Screen Rapid | $96.75 | Both |
| T3 Total Lab | $122 | Both |
| T4 (Thyroxine) | $80.25 | Both |
| Thiamine Level | $124 | Both |
| Troponin Lab | $150 | Both |
| Tsh Level | $131 | Both |
| Ua W/Micro | $56.25 | Both |
| Uric Acid Blood | $65.25 | Both |
| Us Pelvic, Non-Ob | $512 | Both |
| Venipuncture | $10.50 | Both |
| Venous Blood Gas | $206 | Both |
| Vitamin B12 Level | $112 | Both |
| Vitamin D 25-Hydr Lab | $169 | Both |
| Xr Ankle Comp Min 3V LT | $244 | Both |
| Xr C-Spine 2-3V | $204 | Both |
| Xr Chest 1V | $169 | Both |
| Xr Chest Ap/Lat | $225 | Both |
| Xr Elbow 2V LT | $170 | Both |
| Xr Finger 2V LT | $170 | Both |
| Xr Finger 2V RT | $170 | Both |
| Xr Foot 2V RT | $165 | Both |
| Xr Foot Comp Min 3V RT | $225 | Both |
| Xr Hand Min 3V LT | $225 | Both |
| Xr Hand Min 3V RT | $225 | Both |
| Xr Humerus 2V LT | $204 | Both |
| Xr Knee 1/2V LT | $166 | Both |
| Xr Knee 1/2V RT | $166 | Both |
| Xr Knee 3V LT | $244 | Both |
| Xr Knee 3V RT | $244 | Both |
| Xr L-Spine 2-3V | $262 | Both |
| Xr Leg 2V LT | $214 | Both |
| Xr Pelvis 1V | $225 | Both |
| Xr Shoulder 2V | $225 | Both |
| Xr Shoulder 2V RT | $225 | Both |
| Xr Toes 2V LT | $182 | Both |
| Xr Wrist 3V LT | $225 | Both |
| Xr Wrist 3V RT | $225 | Both |
| Zosyn Inj 3.375 Gm/Vial | $14.85 | Both |
| Zosyn Inj 4.5 Gm/Vial | $17.55 | Both |
For procedures with standard CPT codes — where prices can be compared across hospitals — see prices in Texas or browse all procedures.