Prices / Houston–Pasadena–The Woodlands, TX / Hospitals
Texas Childrens Hospital
6621 Fannin Street, Houston, TX 77030 · CCN 453304
Source: the hospital's standard-charges file dated 2026-03-05 (original file, csv_tall, 358 MB), checked by us on 2026-10-06. 124 of 300 common services found in it.
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Evaluation & Management
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| New Patient Office Or Other Outpatient Visit, Typically 30 Min | CPT 99203 | $203.68 | $82.08 – $194.56 – $288.80 13 insurers | $304.00 |
| New Patient Office Or Other Outpatient Visit, Typically 45 Min | CPT 99204 | $278.72 | $112.32 – $266.24 – $395.20 13 insurers | $416.00 |
| New Patient Office Or Other Outpatient Visit, Typically 60 Min | CPT 99205 | $369.84 | $149.04 – $353.28 – $524.40 13 insurers | $552.00 |
Laboratory & Pathology
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| Automated Urinalysis Test | CPT 81002 | $84.42 | $3.48 – $80.64 – $121.60 14 insurers | $128.00 |
| Automated Urinalysis Test | CPT 81003 | $83.75 | $2.25 – $79.38 – $118.75 14 insurers | $125.00 |
| Basic Metabolic Panel | CPT 80048 | $445.55 | $8.46 – $422.28 – $631.75 14 insurers | $665.00 |
| Blood Test, Clotting Time | CPT 85610 | $77.05 | $4.29 – $85.84 – $151.05 14 insurers | $159.00 |
| Blood Test, Comprehensive Group of Blood Chemicals | CPT 80053 | $706.18 | $10.56 – $674.56 – $1,025.05 14 insurers | $1,079.00 |
| Blood Test, Lipids (Cholesterol and Triglycerides) | CPT 80061 | $97.82 | $13.39 – $109.50 – $365.75 14 insurers | $385.00 |
| Blood Test, Thyroid Stimulating Hormone (Tsh) | CPT 84443 | $60.97 | $16.80 – $96.00 – $281.20 14 insurers | $296.00 |
| Coagulation Assessment Blood Test | CPT 85730 | $106.53 | $6.01 – $101.76 – $151.05 14 insurers | $159.00 |
| Complete Blood Cell Count, With Differential White Blood Cells, Automated | CPT 85025 | $119.93 | $7.77 – $114.56 – $201.40 14 insurers | $212.00 |
| Complete Blood Count, Automated | CPT 85027 | $75.71 | $6.47 – $73.98 – $121.60 14 insurers | $128.00 |
| Kidney Function Panel Test | CPT 80069 | $365.82 | $8.68 – $346.71 – $518.70 14 insurers | $546.00 |
| Liver Function Blood Test Panel | CPT 80076 | $290.78 | $8.17 – $275.59 – $412.30 14 insurers | $434.00 |
| Manual Urinalysis Test With Examination Using Microscope | CPT 81001 | $156.11 | $3.17 – $149.12 – $221.35 14 insurers | $233.00 |
| Psa (Prostate Specific Antigen) | CPT 84153 | $60.30 | $18.39 – $57.15 – $85.50 14 insurers | $90.00 |
Medicine & Surgery
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| Biopsy of Prostate Gland | CPT 55700 | $799.98 | $322.38 – $764.16 – $1,134.30 14 insurers | $1,194.00 |
| Injection of Substance Into Spinal Canal of Lower Back Or Sacrum Using Imaging Guidance | CPT 62322 | $1,194.61 | $262.86 – $1,337.25 – $3,679.35 14 insurers | $3,873.00 |
| Injection of Substance Into Spinal Canal of Lower Back Or Sacrum Using Imaging Guidance | CPT 62323 | $3,047.83 | $262.86 – $2,911.36 – $4,321.55 14 insurers | $4,549.00 |
| Injections of Anesthetic and/Or Steroid Drug Into Lower Or Sacral Spine Nerve Root Using Imaging Guidance | CPT 64483 | $1,473.33 | $340.77 – $1,407.36 – $2,089.05 14 insurers | $2,199.00 |
| Insertion of Catheter Into Left Heart For Diagnosis | CPT 93452 | $11,087.83 | $4,468.23 – $10,591.36 – $15,721.55 13 insurers | $16,549.00 |
| Sleep Study | CPT 95810 | $3,818.33 | $1,538.73 – $3,728.33 – $6,253.85 13 insurers | $6,583.00 |
Radiology
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| Abdominal Ultrasound of Pregnant Uterus (>= 14 Weeks 0 Days) Single Or First Fetus | CPT 76805 | $629.13 | $104.75 – $592.83 – $893.95 14 insurers | $941.00 |
| Ct Scan, Head Or Brain, Without Contrast | CPT 70450 | $2,278.67 | $104.75 – $2,142.63 – $3,230.95 14 insurers | $3,401.00 |
| Ct Scan of Abdomen and Pelvis With Contrast | CPT 74177 | $4,893.01 | $312.08 – $4,600.89 – $6,937.85 14 insurers | $7,303.00 |
| Ct Scan, Pelvis, With Contrast | CPT 72193 | $2,645.16 | $175.06 – $2,487.24 – $3,750.60 14 insurers | $3,948.00 |
| Mri Scan of Brain Before and After Contrast | CPT 70553 | $4,438.08 | $328.11 – $4,173.12 – $6,292.80 14 insurers | $6,624.00 |
| Mri Scan of Leg Joint | CPT 73721 | $3,174.46 | $208.84 – $2,984.94 – $4,501.10 14 insurers | $4,738.00 |
| Mri Scan of Lower Spinal Canal | CPT 72148 | $3,694.38 | $197.14 – $3,473.82 – $5,238.30 14 insurers | $5,514.00 |
| Ultrasound of Abdomen | CPT 76700 | $946.71 | $104.75 – $890.82 – $1,344.25 14 insurers | $1,415.00 |
| Ultrasound Pelvis Through Vagina | CPT 76830 | $785.24 | $104.75 – $738.99 – $1,115.30 14 insurers | $1,174.00 |
| X-Ray, Lower Back, Minimum Four Views | CPT 72110 | $562.80 | $52.13 – $537.60 – $798.00 14 insurers | $840.00 |
Outpatient/professional (volume)
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| 3d Radiographic Procedure | CPT 76376 | $733.65 | $295.65 – $700.80 – $1,042.15 13 insurers | $1,097.00 |
| Aspiration and/Or Injection of Fluid From Large Joint | CPT 20610 | $732.31 | $27.96 – $983.70 – $1,843.95 14 insurers | $1,941.00 |
| Calculation of Radiation Therapy Dose | CPT 77300 | $625.11 | $251.91 – $597.12 – $886.35 13 insurers | $933.00 |
| Complete Ultrasound Scan Behind Abdominal Cavity | CPT 76770 | $885.74 | $104.75 – $840.10 – $1,257.80 14 insurers | $1,324.00 |
| Critical Care, Each Additional 30 Minutes | CPT 99292 | $1,789.57 | $721.17 – $1,709.44 – $2,537.45 13 insurers | $2,671.00 |
| Critical Care, First 30-74 Minutes | CPT 99291 | $4,115.14 | $1,658.34 – $3,930.88 – $5,834.90 13 insurers | $6,142.00 |
| Ct Guidance For Insertion of Radiation Therapy Fields | CPT 77014 | $729.63 | $294.03 – $696.96 – $1,034.55 13 insurers | $1,089.00 |
| Ct Scan of Abdomen and Pelvis Before and After Contrast | CPT 74178 | $5,073.91 | $350.18 – $4,770.99 – $7,194.35 14 insurers | $7,573.00 |
| Ct Scan of Abdomen and Pelvis Without Contrast | CPT 74176 | $3,980.47 | $188.11 – $3,742.83 – $5,643.95 14 insurers | $5,941.00 |
| Ct Scan of Blood Vessels of Abdomen and Pelvis With Contrast | CPT 74174 | $5,609.24 | $366.42 – $5,274.36 – $7,953.40 14 insurers | $8,372.00 |
| Ct Scan of Blood Vessels of Chest With Contrast | CPT 71275 | $2,594.91 | $175.06 – $2,439.99 – $3,679.35 14 insurers | $3,873.00 |
| Ct Scan of Blood Vessels of Head With Contrast | CPT 70496 | $2,840.80 | $175.06 – $2,671.20 – $4,028.00 14 insurers | $4,240.00 |
| Ct Scan of Blood Vessels of Neck With Contrast | CPT 70498 | $2,556.72 | $175.06 – $2,404.08 – $3,625.20 14 insurers | $3,816.00 |
| Ct Scan of Chest With Contrast | CPT 71260 | $2,614.34 | $171.74 – $2,458.26 – $3,706.90 14 insurers | $3,902.00 |
| Ct Scan of Chest Without Contrast | CPT 71250 | $2,168.12 | $104.75 – $2,038.68 – $3,074.20 14 insurers | $3,236.00 |
| Ct Scan of Face Without Contrast | CPT 70486 | $2,599.60 | $104.75 – $2,444.40 – $3,686.00 14 insurers | $3,880.00 |
| Ct Scan of Leg Without Contrast | CPT 73700 | $2,149.36 | $104.75 – $2,021.04 – $3,047.60 14 insurers | $3,208.00 |
| Ct Scan of Lower Spine Without Contrast | CPT 72131 | $2,694.74 | $104.75 – $2,533.86 – $3,820.90 14 insurers | $4,022.00 |
| Ct Scan of Upper Spine Without Contrast | CPT 72125 | $2,730.25 | $104.75 – $2,567.25 – $3,871.25 14 insurers | $4,075.00 |
| Design and Construction of Complex Radiation Treatment Device | CPT 77334 | $1,283.72 | $517.32 – $1,226.24 – $1,820.20 13 insurers | $1,916.00 |
| Destruction of Precancer Skin Growth, 2-14 Growths | CPT 17003 | $75.04 | $30.24 – $71.68 – $106.40 13 insurers | $112.00 |
| Diagnostic Exam of Bladder and Urethra Using An Endoscope | CPT 52000 | $693.45 | $238.15 – $657.23 – $983.25 14 insurers | $1,035.00 |
| Dxa Bone Density Measurement of Hip, Pelvis, Spine | CPT 77080 | $548.73 | $39.09 – $524.16 – $778.05 14 insurers | $819.00 |
| Emergency Department Visit With High Level of Medical Decision Making | CPT 99285 | $3,612.64 | $1,455.84 – $3,450.88 – $5,122.40 13 insurers | $5,392.00 |
| Emergency Department Visit With Low Level of Medical Decision Making | CPT 99283 | $1,361.44 | $51.36 – $1,300.48 – $1,930.40 13 insurers | $2,032.00 |
| Emergency Department Visit With Moderate Level of Medical Decision Making | CPT 99284 | $2,562.08 | $1,032.48 – $2,447.36 – $3,632.80 13 insurers | $3,824.00 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More | CPT 99215 | $235.84 | $95.04 – $577.26 – $2,031.10 13 insurers | $2,138.00 |
| Established Patient Office Or Other Outpatient Visit With Low Level Od Decision Making, If Using Time, 20 Minutes Or More | CPT 99213 | $128.64 | $51.84 – $285.12 – $1,352.00 13 insurers | $1,056.00 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More | CPT 99214 | $176.88 | $71.28 – $471.69 – $1,659.65 13 insurers | $1,747.00 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More | CPT 99212 | $85.76 | $34.56 – $117.90 – $1,352.00 13 insurers | $393.00 |
| Evaluation of Fine Needle Aspirate With Interpretation and Report | CPT 88173 | $283.41 | $114.21 – $270.72 – $401.85 13 insurers | $423.00 |
| Hemodialysis Procedure With Physician Evaluation | CPT 90935 | $647.22 | $260.82 – $1,260.11 – $2,749.30 13 insurers | $2,894.00 |
| Imaging For Evaluation of Swallowing Function | CPT 74230 | $620.42 | $124.96 – $592.64 – $879.70 14 insurers | $926.00 |
| Immunologic Analysis Technique On Serum (Immunofixation) | CPT 86334 | $79.06 | $22.34 – $91.80 – $323.00 14 insurers | $340.00 |
| Injection of Anesthetic Agent and/Or Steroid Into Thigh Nerve (Femoral Nerve) | CPT 64447 | $2,165.44 | $39.86 – $2,068.48 – $3,070.40 14 insurers | $3,232.00 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level | CPT 64493 | $1,734.63 | $340.77 – $1,656.96 – $2,461.45 14 insurers | $2,591.00 |
| Insertion of Artery Tube For Blood Sampling Or Infusion Through Skin | CPT 36620 | $1,132.97 | $456.57 – $1,082.24 – $1,608.35 13 insurers | $1,693.00 |
| Insertion of Non-Tunneled Central Venous Tube For Infusion (5 Years Or Older) | CPT 36556 | $2,089.06 | $841.86 – $1,995.52 – $2,962.10 14 insurers | $3,118.00 |
| Insertion of Tube In Left Lower Heart Chamber and Coronary Artery For Diagnosis With Review By Radiologist | CPT 93458 | $8,848.69 | $3,565.89 – $8,452.48 – $12,546.65 13 insurers | $13,207.00 |
| Limited Ultrasound Scan of 1 Breast | CPT 76642 | $477.71 | $85.20 – $453.39 – $679.25 14 insurers | $715.00 |
| Limited Ultrasound Scan of Abdomen | CPT 76705 | $749.06 | $87.21 – $710.56 – $1,064.00 14 insurers | $1,120.00 |
| Low Dose Ct Scan of Chest For Lung Cancer Screening | CPT 71271 | $176.21 | $71.01 – $165.69 – $249.85 14 insurers | $263.00 |
| Microscopic Genetic Analysis of Tumor, Manual | CPT 88360 | $160.80 | $64.80 – $163.84 – $378.10 13 insurers | $398.00 |
| Mri Scan of Abdomen Before and After Contrast | CPT 74183 | $4,600.22 | $348.50 – $4,325.58 – $6,522.70 14 insurers | $6,866.00 |
| Mri Scan of Brain Without Contrast | CPT 70551 | $2,782.51 | $202.15 – $2,616.39 – $3,945.35 14 insurers | $4,153.00 |
| Mri Scan of Upper Spinal Canal Without Contrast | CPT 72141 | $3,706.44 | $196.48 – $3,485.16 – $5,255.40 14 insurers | $5,532.00 |
| Nuclear Medicine Studies of Heart Muscle At Rest and With Stress and Spect | CPT 78452 | $3,092.72 | $438.05 – $2,954.24 – $4,385.20 14 insurers | $4,616.00 |
| Nuclear Medicine Study From Skull Base To Mid-Thigh With Ct Scan | CPT 78815 | $6,850.75 | $1,489.35 – $6,544.00 – $9,713.75 14 insurers | $10,225.00 |
| Pathology Examination of Tissue Using A Microscope, Intermediate Complexity | CPT 88305 | $109.21 | $44.01 – $231.57 – $623.20 13 insurers | $656.00 |
| Pathology Examination of Tissue Using A Microscope, Moderately High Complexity | CPT 88307 | $661.29 | $266.49 – $631.68 – $937.65 13 insurers | $987.00 |
| Pathology Examination of Tissue Using A Microscope, Moderately Low Complexity | CPT 88304 | $352.42 | $142.02 – $336.64 – $499.70 13 insurers | $526.00 |
| Preparation of Tissue For Examination By Removing Any Calcium Present | CPT 88311 | $92.46 | $37.26 – $88.32 – $131.10 13 insurers | $138.00 |
| Protein Measurement, Serum | CPT 84165 | $43.55 | $10.74 – $41.28 – $61.75 14 insurers | $65.00 |
| Removal of Skin and Tissue, 20.0 Sq Cm Or Less | CPT 11042 | $502.50 | $171.51 – $476.25 – $712.50 14 insurers | $750.00 |
| Removal of Skin and Tissue, Each Additional 20.0 Sq Cm Or Less | CPT 11045 | $600.99 | $242.19 – $574.08 – $852.15 13 insurers | $897.00 |
| Special Stained Specimen Slides To Examine Tissue, Each Additional Procedure | CPT 88341 | $56.28 | $22.68 – $220.89 – $1,222.65 13 insurers | $1,287.00 |
| Special Stained Specimen Slides To Examine Tissue Including Interpretation and Report | CPT 88313 | $64.32 | $25.92 – $178.98 – $361.95 13 insurers | $381.00 |
| Special Stained Specimen Slides To Examine Tissue, Initial Procedure | CPT 88342 | $59.63 | $24.03 – $230.28 – $1,222.65 13 insurers | $1,287.00 |
| Special Stained Specimen Slides To Identify Organisms Including Interpretation and Report | CPT 88312 | $127.30 | $51.30 – $180.50 – $356.25 13 insurers | $375.00 |
| Test To Determine Lung Volumes Using Sensors | CPT 94726 | $529.97 | $213.57 – $506.24 – $751.45 13 insurers | $791.00 |
| Test To Examine How Well The Lungs Exchange Gases | CPT 94729 | $481.06 | $193.86 – $459.52 – $682.10 13 insurers | $718.00 |
| Test To Measure Expiratory Airflow and Volume Changes Before and After Medication Administration | CPT 94060 | $889.76 | $358.56 – $849.92 – $1,261.60 13 insurers | $1,328.00 |
| Ultrasonic Guidance For Blood Vessel Access | CPT 76937 | $946.04 | $381.24 – $903.68 – $1,343.30 13 insurers | $1,414.00 |
| Ultrasonic Guidance For Needle Placement | CPT 76942 | $1,220.07 | $491.67 – $1,165.44 – $1,731.85 13 insurers | $1,823.00 |
| Ultrasound of Both Sides of Head and Neck Blood Flow | CPT 93880 | $1,020.41 | $187.79 – $974.72 – $1,748.95 14 insurers | $1,841.00 |
| Ultrasound of Heart Blood Flow, Valves and Chambers | CPT 93320 | $1,362.78 | $549.18 – $1,301.76 – $1,934.20 13 insurers | $2,036.00 |
| Ultrasound of Heart Blood Flow, Valves and Chambers, Follow-Up | CPT 93321 | $631.14 | $254.34 – $602.88 – $896.80 13 insurers | $944.00 |
| Ultrasound of Heart, Follow-Up | CPT 93308 | $792.61 | $97.56 – $757.12 – $1,125.75 14 insurers | $1,185.00 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate and Valve Function | CPT 93325 | $657.27 | $264.87 – $627.84 – $933.85 13 insurers | $983.00 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function | CPT 93306 | $2,742.31 | $1,105.11 – $2,619.52 – $3,890.25 13 insurers | $4,095.00 |
| Ultrasound of Heart With Probe In Esophagus, With Report | CPT 93312 | $1,163.79 | $232.89 – $1,111.68 – $1,652.05 14 insurers | $1,739.00 |
| Ultrasound Scan of Head and Neck Soft Tissue | CPT 76536 | $493.79 | $104.75 – $471.68 – $1,025.05 14 insurers | $1,079.00 |
| Ultrasound Study of Arm Or Leg Veins With Compression and Maneuvers | CPT 93970 | $984.23 | $184.78 – $940.16 – $1,395.55 14 insurers | $1,469.00 |
| Ultrasound Study of One Arm Or Leg Veins With Compression and Maneuvers | CPT 93971 | $617.07 | $106.34 – $589.44 – $1,058.30 14 insurers | $1,114.00 |
| Use of A Drug To Induce Depression of Consciousness By Physician Performing A Procedure (5 Years Or Older), Initial 15 Minutes | CPT 99152 | $284.75 | $114.75 – $272.00 – $405.65 13 insurers | $427.00 |
| X-Ray of Abdomen, 1 View | CPT 74018 | $323.61 | $30.40 – $309.12 – $458.85 14 insurers | $483.00 |
| X-Ray of Ankle, Minimum of 3 Views | CPT 73610 | $452.92 | $36.75 – $432.64 – $642.20 14 insurers | $676.00 |
| X-Ray of Chest, 1 View | CPT 71045 | $348.40 | $25.73 – $332.80 – $494.00 14 insurers | $520.00 |
| X-Ray of Chest, 2 Views | CPT 71046 | $361.80 | $33.75 – $345.60 – $513.00 14 insurers | $540.00 |
| X-Ray of Foot, Minimum of 3 Views | CPT 73630 | $452.92 | $34.41 – $432.64 – $642.20 14 insurers | $676.00 |
| X-Ray of Hand, Minimum of 3 Views | CPT 73130 | $416.74 | $37.43 – $398.08 – $590.90 14 insurers | $622.00 |
| X-Ray of Hip, 2-3 Views | CPT 73502 | $397.98 | $47.78 – $380.16 – $564.30 14 insurers | $594.00 |
| X-Ray of Knee, 1-2 Views | CPT 73560 | $422.77 | $34.41 – $403.84 – $599.45 14 insurers | $631.00 |
| X-Ray of Knee, 3 Views | CPT 73562 | $447.56 | $41.10 – $427.52 – $634.60 14 insurers | $668.00 |
| X-Ray of Knee, 4 Or More Views | CPT 73564 | $487.09 | $47.45 – $465.28 – $690.65 14 insurers | $727.00 |
| X-Ray of Lower and Sacral Spine, 2-3 Views | CPT 72100 | $449.57 | $40.10 – $429.44 – $735.30 14 insurers | $774.00 |
| X-Ray of Lower Leg, 2 Views | CPT 73590 | $469.67 | $31.74 – $448.64 – $665.95 14 insurers | $701.00 |
| X-Ray of Pelvis, 1-2 Views | CPT 72170 | $481.73 | $28.06 – $460.16 – $683.05 14 insurers | $719.00 |
| X-Ray of Shoulder, Minimum of 2 Views | CPT 73030 | $496.47 | $35.09 – $474.24 – $703.95 14 insurers | $741.00 |
| X-Ray of Thigh Bone, Minimum 2 Views | CPT 73552 | $453.59 | $35.75 – $433.28 – $643.15 14 insurers | $677.00 |
| X-Ray of Wrist, Minimum of 3 Views | CPT 73110 | $509.87 | $41.44 – $487.04 – $722.95 14 insurers | $761.00 |