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Memorial Hospital

Texas · 1,500 published self-pay prices, from $3.60 to $11,356.

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.

Showing the 300 lowest-priced of 1,500 published items.

ItemCash priceSetting
00003-2187-13 - abatacept 250 mg Pwdr for Recon Inj[MHG]$842Both
00009-0018-20 - methylPREDNISolone 1 g preservative-free Pwdr for Recon Inj[MHG]$57.89Both
00009-0039-06 - methylPREDNISolone 40 mg preservative-free Pwdr for Recon Inj[MHG]$9.73Both
00009-0039-28 - methylPREDNISolone SOD SUCC 40 mg preservative-free Pwdr for Recon Inj [MHG]$9.31Both
00009-0047-22 - methylPREDNISolone 125 mg preservative-free Pwdr for Recon Inj[MHG]$15.00Both
00009-0758-01 - methylPREDNISolone 500 mg Pwdr for Recon Inj[MHG]$34.97Both
00009-3073-03 - methylPREDNISolone ACETATE 40 mg/1 mL Inj Susp [MHG]$10.91Both
00009-3475-03 - methylPREDNISolone ACETATE 80 mg/1 mL Inj Susp [MHG]$28.40Both
00074-5015-01 - risankizumab rzaa 600 mg/10 mL IV Sol [MHG]$5,975Both
00078-1000-60 - inclisiran 284 mg/1.5 mL Sol [MHG]$1,943Both
00143-9386-10 - acetaminophen 1000mg/100mL IV Soln [MHG]$16.80Both
00143-9857-25 - cefTRIAXone 1 g Pwdr for Recon Inj[MHG]$4.00Both
00143-9858-25 - cefTRIAXone 500 mg Pwdr for Recon Inj[MHG]$4.00Both
00173-0881-01 - mepolizumab 100 mg Pwdr for Recon SubQ Inj [MHG]$2,075Both
00264-4100-90 - acetaminophen 1000mg/100mL IV Soln [MHG]$12.00Both
00338-0069-10 - ketorolac 15 mg/1 mL Inj Sol [MHG]$4.00Both
00338-0072-25 - ketorolac 30 mg/1 mL Inj Sol [MHG]$4.00Both
00338-1055-48 - metroNIDAZOLE 500 mg/100 mL IV Sol[MHG]$4.00Both
00409-0152-24 - metroNIDAZOLE 500 mg/100 mL IV Sol[MHG]$4.00Both
00409-1283-10 - HYDROmorphone 1 mg/1 mL Inj Sol[MHG]$4.00Both
00409-1283-31 - HYDROmorphone 1 mg/1 mL Inj Sol[MHG]$4.00Both
00409-1312-10 - HYDROmorphone 2 mg/1 mL Inj Sol[MHG]$4.00Both
00409-1312-30 - HYDROmorphone 2 mg/1 mL Inj Sol[MHG]$4.85Both
00409-3793-25 - ketorolac 15 mg/1 mL Inj Sol [MHG]$4.33Both
00409-3795-01 - ketorolac 30 mg/1 mL Inj Sol[MHG]$9.13Both
00409-4264-01 - HYDROmorphone 0.5 mg/0.5 mL Inj Sol [MHG]$4.58Both
00409-7338-01 - cefTRIAXone 500 mg Pwdr for Recon Inj[MHG]$4.00Both
00409-7811-24 - metroNIDAZOLE 500 mg/100 mL IV Sol[MHG]$4.00Both
00409-9094-22 - fentaNYL 100 mcg/2 mL Inj Sol[MHG]$4.00Both
00517-4605-25 - glycopyrrolate 1 mg/5 mL Inj Sol[MHG]$55.00Both
00641-6027-25 - fentaNYL 100 mcg/2 mL Inj Sol[MHG]$4.00Both
00781-3154-01 - ferumoxytol 510 mg/17 mL IV Sol[MHG]$522Both
00781-3156-95 - acetaminophen 1000mg/100mL IV Soln [MHG]$48.40Both
00781-3207-95 - cefTRIAXone 500 mg Pwdr for Recon Vial [MHG]$32.26Both
040696 90662 HIGH DOSE FLU CHARGE$31.20Both
10060-I&D Abscess/Cyst/Hematoma Simple$183Both
10061 INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee$165Both
10160-Aspiration Abscess/Cyst/Hematoma$334Both
11642 Exc Malig Lesion Face 1.1 to 2.0 CM$238Both
11720 Debridement Nail(s) 1 to 5$76.40Both
11720 Debridement Nail(s) 1 to 5 Tech$38.40Both
11721 Debridement Nails EA ADDL, 6 or more$51.20Both
11721 Debridement Nails EA ADDL, 6 or more Tech$25.60Both
12001-Scalp/Neck/Trunk/Genital/Extremity <= 2.5 cm$183Both
12002-Scalp/Neck/Trunk/Genital/Extremity 2.6-7.5 cm$183Both
12011-Face/Ear/Eyelid/Nose/Lip Less Than/Equal to 2.5 cm$183Both
12013-Face/Ear/Eyelid/Nose/Lip 2.6-5.0 cm$183Both
13132-Face/Neck/Hand/Feet/Genital 2.6-7.5 cm$518Both
20103 EXPLORATION PENETRATING WOUND SPX EXTREMITY TechFee$239Both
20103 Wound Exploration-Trauma (eg, Penetrating Gunshot, Stab Wound) Procedures on the Musculoskelet$246Both
20610-Major Joint Aspirate/Inject w/o US$99.60Both
23650-Shoulder w/o Anesthesia$225Both
24605-Elbow w/ Anesthesia$1,412Both
25021-0109-10 - cefOXitin 1 g Pwdr for Recon Inj[MHG]$8.64Both
25021-0110-20 - cefOXitin 2 g Pwdr for Recon Inj[MHG]$14.40Both
25021-0131-82 - metroNIDAZOLE 500 mg/100 mL IV Sol[MHG]$4.00Both
25021-0174-15 - DAPTOmycin 500 mg Pwdr for Recon IV Inj [MHG]$34.56Both
26010-I&D Finger Abscess Simple$183Both
26770-Interphalangeal Hand w/o Anesthesia$225Both
29130-Finger$92.40Both
29515-Short Leg$140Both
31500-Endotracheal Intubation$225Both
31722-0216-01 - DAPTOmycin 500 mg Pwdr for Recon IV Inj[MHG]$257Both
31722-0305-25 - ketorolac 15 mg/mL Sol$4.00Both
31722-0306-25 - ketorolac 30 mg/1 mL Inj Sol[MHG]$4.10Both
32551-Insertion Chest Tube$1,698Both
36000-0306-60 - acetaminophen 1000mg/100mL IV Soln [MHG]$13.68Both
36430 BLOOD ADMINISTRATION, 10+ HRS$405Both
36556-Central Line Greater Than/Equal to 5 Years$1,698Both
4.8MM CANC NONSTRL 42MM$188Both
4.8MM CANC SCREW 48MM$188Both
43762-Replacement of gastrostomy tube$245Both
44567-0701-25 - cefTRIAXone 1 g Pwdr for Recon Inj[MHG]$4.32Both
46083 INCISION THROMBOSED HEMORRHOID TechFee$200Both
47335-0993-01 - metroNIDAZOLE 500 mg/100 mL IV Sol[MHG]$4.00Both
49281-0125-65 - influenza virus vaccine, inactivated high-dose preservative-free trivalent Sus$56.91Both
50242-0041-64 - alteplase 2 mg Pwdr for Recon Inj[MHG]$102Both
50242-0085-27 - alteplase 100 mg Pwdr for Recon Inj[MHG]$5,069Both
50242-0150-01 - ocrelizumab 300 mg/10 mL IV Sol[MHG]$11,356Both
51702 INSERT TEMP URINARY CATH INDWELL SIMPLE$114Both
51702-Insertion Indwelling Catheter$114Both
51705 Change of cystostomy tube; simple$245Both
51705-Change Cystostomy Tube Simple$245Both
55513-0710-01 - denosumab 60 mg/1 mL SubQ Soln [MHG]$1,029Both
55513-0710-21 - denosumab 60 mg/1 mL SubQ Soln [MHG]$1,029Both
55513-0880-02 - romosozumab 210 mg/2.34 mL Inj Sol Syringe[MHG]$1,402Both
55513-0998-02 - romosozumab 210 mg/2.34 mL Inj Sol Syringe[MHG]$1,442Both
57894-0350-01 - golimumab 50 mg/4 mL IV Soln [MHG]$1,152Both
59338-0775-01 - ferumoxytol 510 mg/17 mL IV Sol[MHG]$667Both
60505-6148-04 - cefTRIAXone 1 g Pwdr for Recon Inj[MHG]$50.54Both
60505-6151-01 - cefTRIAXone 250 mg Pwdr for Recon Inj[MHG]$17.78Both
60505-6151-04 - cefTRIAXone 250 mg Pwdr for Recon Inj[MHG]$19.13Both
60505-6152-01 - cefTRIAXone 500 mg Pow$32.22Both
60793-0701-10 - penicillin G benzathine 1,200,000 units/2 mL Sus[MHG]$176Both
63323-0161-01 - ketorolac 15 mg/1 mL Inj Sol[MHG]$5.40Both
63323-0162-01 - ketorolac 30 mg/1 mL Inj Sol[MHG]$7.20Both
63323-0341-25 - cefOXitin 1 g Pwdr for Recon Inj[MHG]$10.07Both
63323-0342-25 - cefOXitin 2 g Pwdr for Recon Inj[MHG]$20.10Both
63323-0434-00 - acetaminophen 1000mg/100mL IV Soln [MHG]$14.40Both
63323-0806-02 - fentaNYL 100 mcg/2 mL Inj Sol[MHG]$4.00Both
64640 DESTRUCTION BY NEUROLYTIC AGENT; OTHER PERIPHERAL NERVE OR BRANCH ProFee$263Both
64764-0300-20 - vedolizumab 300 mg Pwdr for Recon Inj [MHG]$4,992Both
65250-0133-09 - bupivacaine liposome 1.3% 133 mg/10 mL Inj Sus[MHG]$131Both
65250-0266-09 - bupivacaine liposome 1.3% 266 mg/20 mL Inj Sus[MHG]$217Both
67457-0813-50 - DAPTOmycin 500 mg Pwdr for Recon IV Inj [MHG]$90.01Both
67457-0940-10 - acetaminophen 1000mg/100mL IV Soln [MHG]$49.50Both
68462-0755-25 - ketorolac 15 mg/1 mL Inj Sol [MHG]$4.00Both
70069-0619-25 - glycopyrrolate 1 mg/5 mL Inj Sol[MHG]$6.72Both
70121-1573-05 - methylPREDNISolone ACETATE 40 mg/1 mL Inj Susp [MHG]$9.25Both
70121-1574-05 - methylPREDNISolone ACETATE 80 mg/1 mL Inj Susp[MHG]$23.50Both
70496 CT Angio Neck: AddOn$692Both
70860-0701-03 - ketorolac 30 mg/1 mL Inj Sol [MHG]$4.00Both
71045 XR Chest 1 View: AddOn$84.00Both
71250 CT Thorax w/o Contrast: AddOn$525Both
71270 CT Thorax w/ + w/o Contrast: AddOn$1,067Both
71275 CT Angio Chest: AddOn$742Both
71288-0016-15 - DAPTOmycin 500 mg Pwdr for Recon IV Inj[MHG]$43.20Both
71288-0016-91 - DAPTOmycin 500 mg Pwdr for Recon IV Inj[MHG]$28.42Both
72128 CT Spine Thoracic w/o Contrast: AddOn$890Both
72131 CT Spine Lumbar w/o Contrast: AddOn$808Both
72266-0118-25 - ketorolac 30 mg/1 mL Inj Sol[MHG]$4.00Both
72266-0234-25 - ketorolac 15 mg/1 mL Inj Sol[MHG]$4.00Both
72611-0719-25 - ketorolac 15 mg/1 mL Inj Sol[MHG]$4.00Both
72611-0722-25 - ketorolac 30 mg/1 mL Inj Sol [MHG]$4.00Both
74174 CT Angio Abdomen/Pelvis: AddOn$661Both
74176 CT Abdomen & Pelvis w/o Contrast: AddOn$696Both
74177 CT Abdomen & Pelvis w/ Contrast: AddOn$835Both
74178 CT Abdomen & Pelvis w/ + w/o Contrast: AddOn$1,020Both
77063 MG Mammo Screening Tomo: AddOn$34.80Both
80050 General Health Panel$162Both
82172$20.40Both
82570$28.00Both
82670 Estradiol Free and Total REF$26.80Both
82681 Estradiol Free and Total REF$26.80Both
84270 Testosterone Free, Profile$29.20Both
84403 Testosterone Free, Profile$29.20Both
84439 T4 Free$70.40Both
84443 TSH$63.20Both
86255 Myasthenia Gravis, Profile REF$36.00Both
86753 Trypanosoma cruzi IgG Abs$56.00Both
86753 Trypanosoma cruzi IgG Antibodies$56.00Both
87661 Vaginitis REF$26.80Both
87801 Vaginitis REF$26.80Both
90471 ADMIN OF INFLUENZA VACCINE CHARGE$10.80Both
90471-Vaccine Administration$63.20Both
90471: IM/SUBQ First dose - Admin Immunization Charge$63.20Both
92507 Treatment of Speech$54.80Both
92523 SPEECH SOUND LANGUAGE COMPREHENS CHARGE$110Both
92526 TREATMENT OF SWALLOWING DYSFUNC CHARGE$50.80Both
92611 ST VIDEOFLUOR SWALLOW CHARGE$72.80Both
92950-Cardiopulmonary Resuscitation$467Both
93000 EKG w/ 12 Plus leads, Tracing/Interp/Report$59.60Both
95810 SLEEP STUDY W/4 ADDL PARMETRS$1,330Both
95811 SLEEP STUDY WITH CPAP - TECH CHARGE$1,354Both
96360 - Hydration, first hour$192Both
96360 IV HYDRATION 31 MIN TO 1 HOUR CHARGE$192Both
96360-59 IV Hydration Initial Addl Site w/ Modification$192Both
96361 IV HYDRATION EA ADD HR CHARGE$54.00Both
96361- Hydration, each additional hour$54.00Both
96361-IV Hydration Each Addl Hour Greater Than 30 mins$54.00Both
96365 IV INFUSION INITIAL UP TO 1 HR CHARGE$232Both
96365- IV tx, first hour$232Both
96365-59 Infusion Initial Addl Site w/ Modification$232Both
96366 IV INFUSION EA ADDTL HOUR CHARGE$58.40Both
96366- IV tx, each additional hour$58.40Both
96366-Infuse Drug Each Addl Hour Greater Than 30 mins$58.40Both
96367 IV INFUSION SEQ UP TO 1 HR CHARGE$117Both
96367- IV tx, sequential infusion$117Both
96367-Infusion Sequential 1 hr Greater Than 15 mins$117Both
96368 CONCURRENT INFUS NON CHEMO/HY CHARGE$34.80Both
96368 IV CONCURRENT INFUSION CHARGE$34.80Both
96368- IV tx, concurrent infusion$35.20Both
96368-Infusion Concurrent Greater Than 15 mins$35.20Both
96372 INJECTION SUBQ/IM CHARGE$70.40Both
96372- Subq/IM Injection$70.40Both
96372-59 SQ/IM Injection w/ Modification$20.80Both
96374 IV PUSH$192Both
96374- IV Injection, single/initial$192Both
96374-59 IV Push Initial Drug Addl Site w/ Modification$192Both
96375 IV PUSH EA ADDL NEW DRUG$192Both
96375 IV PUSH EA ADDL NEW DRUG CHARGE.$58.40Both
96375- IV Injection, add new drug$58.40Both
96375-IV Push Each Additional New Drug$58.40Both
96376 IV PUSH SEQUENTIAL SAME DAY CHARGE$32.80Both
96376- IV Injection, add same drug$33.20Both
96376-IV Push Addl Same Drug Greater Than 30 mins$33.20Both
96523 IRRIGATE IMPLANTED VENOUS ACCESS DEVICE$81.60Both
97012 APPLICATION OF TRACTION/MECH CHARGE$53.20Both
97032 OT ELEC STIM MANUAL 15 MIN CHARGE$54.80Both
97032 PT E STIM CON - EA 15MIN CHARGE$38.00Both
97035 PT ULTRASOUND$47.20Both
97110 OT THERAPEUTIC EXERCISE$29.60Both
97110 THERAPEUTIC EXER 15 MIN CHARGES$26.40Both
97112 NEUROMUSCULAR RE-EDUCATION CHARGE$39.60Both
97112 NEUROMUSCULAR RE-EDUCATION EA 15 MINS$47.60Both
97113 OT AQUATIC THERAPY CHARGE$39.60Both
97116 GAIT TRAINING CHARGE$19.20Both
97140 MANUAL THERAPY-MANIPULATION CHARGE$70.00Both
97140 OT MANUAL THERAPY 15MIN CHARGE$70.00Both
97161 EVAL - LOW COMPLEXITY CHARGE$114Both
97162 EVAL - MODERATE COMPLEXITY CHARGE$114Both
97163 EVAL - HIGH COMPLEXITY CHARGE$114Both
97164 RE-EVALUATION CHARGE$69.20Both
97165 EVAL - LOW COMPLEXITY CHARGE$104Both
97166 EVAL - MODERATE COMPLEXITY CHARGE$113Both
97530 ACTIVITIES EACH 15 MIN CHARGE$26.80Both
97530 OT THERAPEUTIC ACTIVITY 15 MIN$32.40Both
97535 SELF CARE/HOME MGT-ADL'S 15 MIN CHARGE$34.80Both
97762 ORTHOTIC/PROSTHETIC RE-CHECK CHARGE$66.00Both
97802 MEDICAL NUTRITION INDIVIDUAL CHARGE$18.80Both
99152-Same MD First 15 mins Greater Than/Equal to 5 yrs$70.40Both
99156-Different MD First 15 mins Greater Than/Equal to 5 yrs$70.40Both
99204 Office Visit New Pt. Level 4$183Both
99211 EST PATIENT EVAL LEVEL 1 CHARGE$151Both
99212 EST PATIENT EVAL LEVEL 2 CHARGE$84.80Both
99215 Office Visit Established Pt. Level 5$161Both
99281 Emergency Department Visit. Level 1$93.20Both
99282 - Level 2$152Both
99283 - Level 3$198Both
99284 - Level 4$325Both
99285 - Level 5$464Both
99305 Initial Non-Skilled Nursing Facility Care/Day High Severity$149Both
99305 Initial Skilled Nursing Facility Care/Day High Severity$149Both
99306 Initial Non-Skilled Nursing Facility Care/Day High Severity$191Both
99306 Initial Skilled Nursing Facility Care/Day High Severity$191Both
99309 Sbsq Non-Skilled Nursing Facil Care/Day New Problem 25 Min$134Both
99309 Sbsq Skilled Nursing Facil Care/Day New Problem 25 Min$134Both
ABO & RHD TYPE$11.60Both
ABO DISCPRE$29.60Both
Acetaminophen Level FSI$61.60Both
Acetone (Qual) FSI$14.40Both
Actin (Smooth Muscle) Ab REF$52.00Both
Activated Protein C Resistance Assay REF$72.40Both
ADL Training Charges$37.20Both
Admin Influenza Virus Vaccine (Medicare) G0008$4.40Both
Administration of Blood (Bridge)$405Both
Adrenocorticotropic Hormone (ACTH),P REF$116Both
Aerobic Culture FSI$57.20Both
AFP Maternal S REF$44.00Both
AFP, S, Tumor Marker REF$52.80Both
Aldolase REF$50.40Both
ALPHA FETOPROTEIN SERUM$44.80Both
ALPHA FETOPROTEIN SERUM 1$44.80Both
ALT(SGPT) FSI$34.40Both
ALUM$25.20Both
Ambulatory POC - Result Entry$15.20Both
Amebiasis Abs REF$46.40Both
Ammonia FSI$68.00Both
Amylase Serum FSI$36.40Both
Amylase, Body Fluid REF$23.20Both
ANA$18.80Both
ANA REFLEX$10.00Both
Anaerobic Culture FSI$67.60Both
ANDROGEN INDEX$34.00Both
Angiotensin-Converting Enzyme REF$38.80Both
ANTI CARDIOLIPIN PANEL$56.40Both
Anti LGI1 REF$158Both
ANTI THROMBIN III ACTIVITY$46.00Both
Anti-Carbamylated Protein Ab REF$120Both
Anti-CEP-1 Ab, IgG REF$132Both
Anti-DNAse B (Streptococcal) Abs REF$53.60Both
Anti-dsDNA Ab Farr REF$68.00Both
Anti-dsDNA Abs REF$39.20Both
ANTI-ENA PANEL$30.00Both
Anti-Hu Abs REF$89.60Both
Anti-JO-1 REF$58.00Both
Anti-Mullerian Hormone REF$48.80Both
Anti-PM/Scl-100 Ab REF$43.20Both
Anti-Sa Ab, IgG REF$132Both
Antiadrenal Abs, Quant REF$43.20Both
Antibody Screen FSI$43.20Both
Anticardiolipin Ab$11.60Both
ANTICARDIOLIPIN ANTIBODY IGG/M 1$48.00Both
ANTICARDIOLIPIN ANTIBODY IGG/M 2$67.20Both
Anticentromere B Abs REF$48.00Both
Antihistone Abs REF$55.60Both
Antimyeloperoxidase (MPO) Abs REF$43.20Both
Antinuclear Abs Direct REF$40.40Both
Antinuclear Abs IFA REF$46.80Both
Antinuclear Abs Reflex 9 REF$40.40Both
Antinuclear Antibodies Reflex 11 REF$40.40Both
Antipancreatic Islet Cells REF$66.40Both
Antiparietal Cell Ab REF$53.60Both
Antiproteinase 3 (PR3) Ab REF$46.00Both
Antiscleroderma - 70 Abs REF$53.20Both
Antistreptolysin O Abs REF$26.40Both
ANTISTREPTOLYSIN O TITER ASO$18.40Both
Antithrombin Activity REF$91.20Both
Apolipoprotein B REF$34.40Both
Aquatic Therapy Charges$42.40Both
Arterial Blood Gas FSI$66.00Both
ASCU 1$35.20Both
ASCU 2$35.20Both
ASSAY IGA/IGD/IGG/IDM$42.40Both
ASSAY OF ESTRADIOL$82.40Both
ASSAY OF URINE CREATINE$19.60Both
AST(SGOT) FSI$33.20Both
Attended E-Stim Charges$40.40Both
AUTOANTIBODY$90.00Both
B-Type Natriuretic Peptide (BNP) REF$94.80Both

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