Prices / Houston–Pasadena–The Woodlands, TX / Hospitals
Healthbridge Childrens'S Hospital of Houston
2929 Woodland Park Drive, Houston, TX 77082 · CCN 453309
Source: the hospital's standard-charges file dated 2026-04-16 (original file, csv_tall, 15 MB), checked by us on 2026-10-06. 88 of 300 common services found in it.
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Evaluation & Management
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| Family Psychotherapy, Including Patient, 50 Min | CPT 90847 | $313.00 | $115.23 – $328.65 – $544.62 18 insurers | $626.00 |
| Family Psychotherapy, Not Including Patient, 50 Min | CPT 90846 | $298.00 | $110.85 – $312.90 – $518.52 18 insurers | $596.00 |
| Group Psychotherapy | CPT 90853 | $216.50 | $50.62 – $227.33 – $376.71 18 insurers | $433.00 |
| New Patient Office Or Other Outpatient Visit, Typically 30 Min | CPT 99203 | $208.00 | $63.32 – $218.40 – $361.92 18 insurers | $416.00 |
| New Patient Office Or Other Outpatient Visit, Typically 45 Min | CPT 99204 | $256.00 | $107.41 – $268.80 – $445.44 18 insurers | $512.00 |
| New Patient Office Or Other Outpatient Visit, Typically 60 Min | CPT 99205 | $304.00 | $140.19 – $319.20 – $528.96 18 insurers | $608.00 |
| Psychotherapy, 30 Min | CPT 90832 | $149.00 | $68.88 – $156.45 – $259.26 18 insurers | $298.00 |
| Psychotherapy, 45 Min | CPT 90834 | $225.50 | $101.23 – $236.78 – $392.37 18 insurers | $451.00 |
| Psychotherapy, 60 Min | CPT 90837 | $335.00 | $137.67 – $351.75 – $582.90 18 insurers | $670.00 |
Laboratory & Pathology
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| Automated Urinalysis Test | CPT 81002 | $26.00 | $1.95 – $19.50 – $45.24 20 insurers | $52.00 |
| Basic Metabolic Panel | CPT 80048 | $43.50 | $5.26 – $38.72 – $75.69 20 insurers | $87.00 |
| Blood Test, Clotting Time | CPT 85610 | $6.00 | $2.45 – $10.50 – $36.54 20 insurers | $42.00 |
| Blood Test, Comprehensive Group of Blood Chemicals | CPT 80053 | $36.50 | $6.57 – $41.27 – $63.51 20 insurers | $73.00 |
| Blood Test, Lipids (Cholesterol and Triglycerides) | CPT 80061 | $70.00 | $8.33 – $61.86 – $121.80 20 insurers | $140.00 |
| Blood Test, Thyroid Stimulating Hormone (Tsh) | CPT 84443 | $86.50 | $10.46 – $76.97 – $150.51 20 insurers | $173.00 |
| Coagulation Assessment Blood Test | CPT 85730 | $3.50 | $1.75 – $7.80 – $54.81 20 insurers | $63.00 |
| Complete Blood Cell Count, With Differential White Blood Cells, Automated | CPT 85025 | $40.00 | $4.83 – $35.59 – $69.60 20 insurers | $80.00 |
| Complete Blood Count, Automated | CPT 85027 | $36.50 | $4.02 – $58.40 – $355.74 20 insurers | $408.90 |
| Kidney Function Panel Test | CPT 80069 | $44.50 | $5.40 – $39.67 – $77.43 20 insurers | $89.00 |
| Liver Function Blood Test Panel | CPT 80076 | $42.50 | $5.08 – $37.65 – $73.95 20 insurers | $85.00 |
| Manual Urinalysis Test With Examination Using Microscope | CPT 81000 | $9.50 | $2.25 – $10.93 – $16.53 20 insurers | $19.00 |
| Manual Urinalysis Test With Examination Using Microscope | CPT 81001 | $20.50 | $1.97 – $16.62 – $35.67 20 insurers | $41.00 |
| Obstetric Blood Test Panel | CPT 80055 | $50.40 | $25.20 – $57.96 – $191.82 20 insurers | $100.80 |
| Psa (Prostate Specific Antigen) | CPT 84153 | $66.00 | $11.45 – $73.21 – $114.84 20 insurers | $132.00 |
Radiology
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| Ct Scan, Head Or Brain, Without Contrast | CPT 70450 | $894.00 | $31.47 – $718.85 – $1,555.56 20 insurers | $1,788.00 |
| Ct Scan of Abdomen and Pelvis With Contrast | CPT 74177 | $1,892.00 | $67.68 – $1,546.26 – $3,292.08 20 insurers | $3,784.00 |
| Ct Scan, Pelvis, With Contrast | CPT 72193 | $907.50 | $43.17 – $1,043.63 – $1,579.05 20 insurers | $1,815.00 |
| Mri Scan of Leg Joint | CPT 73721 | $991.00 | $51.16 – $1,096.79 – $1,724.34 20 insurers | $1,982.00 |
| Ultrasound of Abdomen | CPT 76700 | $455.00 | $26.63 – $450.70 – $1,117.95 20 insurers | $1,285.00 |
| Ultrasound Pelvis Through Vagina | CPT 76830 | $588.50 | $22.90 – $468.50 – $1,023.99 20 insurers | $1,177.00 |
Inpatient (volume)
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| Degenerative Nervous System Disorders Without Mcc | MS-DRG 057 | $169,543.48 | $7,665.00 – $86,185.00 – $295,005.66 32 insurers | $339,086.96 |
| Kidney and Ureter Procedures For Non-Neoplasm With Cc | MS-DRG 660 | $266,369.94 | $23,360.00 – $129,447.00 – $463,483.69 32 insurers | $532,739.87 |
| Kidney and Urinary Tract Infections Without Mcc | MS-DRG 690 | $27,540.50 | $3,285.00 – $20,385.00 – $47,920.47 32 insurers | $55,081.00 |
| Permanent Cardiac Pacemaker Implant With Cc | MS-DRG 243 | $65,419.63 | $9,125.00 – $51,357.13 – $113,830.15 32 insurers | $130,839.25 |
| Pulmonary Edema and Respiratory Failure | MS-DRG 189 | $349,926.38 | $41,610.00 – $219,648.00 – $608,871.91 32 insurers | $699,852.77 |
| Septicemia Or Severe Sepsis With Mv >96 Hours | MS-DRG 870 | $324,862.23 | $28,105.00 – $175,080.00 – $565,260.28 32 insurers | $649,724.46 |
| Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc | MS-DRG 871 | $652,173.53 | $62,415.00 – $337,765.50 – $1,134,781.94 32 insurers | $1,304,347.06 |
| Simple Pneumonia and Pleurisy With Mcc | MS-DRG 193 | $39,105.63 | $6,570.00 – $33,404.25 – $68,043.79 32 insurers | $78,211.25 |
Outpatient/professional (volume)
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| Cell Examination of Specimen, Selective Cellular Enhancement Technique | CPT 88112 | $245.70 | $16.50 – $195.49 – $427.52 20 insurers | $491.40 |
| Complete Ultrasound Scan Behind Abdominal Cavity | CPT 76770 | $632.00 | $24.30 – $539.20 – $1,102.29 20 insurers | $1,267.00 |
| Ct Scan of Abdomen and Pelvis Before and After Contrast | CPT 74178 | $2,154.00 | $74.18 – $1,677.26 – $3,747.96 20 insurers | $4,308.00 |
| Ct Scan of Abdomen and Pelvis Without Contrast | CPT 74176 | $1,628.00 | $64.52 – $1,365.74 – $2,832.72 20 insurers | $3,256.00 |
| Ct Scan of Blood Vessels of Chest With Contrast | CPT 71275 | $4,270.12 | $67.41 – $3,202.59 – $7,430.01 20 insurers | $8,540.24 |
| Ct Scan of Chest With Contrast | CPT 71260 | $1,414.50 | $46.06 – $1,307.51 – $2,461.23 20 insurers | $2,829.00 |
| Ct Scan of Chest Without Contrast | CPT 71250 | $1,248.00 | $43.17 – $936.00 – $2,171.52 20 insurers | $2,496.00 |
| Ct Scan of Face Without Contrast | CPT 70486 | $884.50 | $31.74 – $875.63 – $3,016.29 20 insurers | $3,467.00 |
| Ct Scan of Leg Without Contrast | CPT 73700 | $786.00 | $37.19 – $664.85 – $1,555.56 20 insurers | $1,788.00 |
| Ct Scan of Lower Spine Without Contrast | CPT 72131 | $798.50 | $37.19 – $671.10 – $1,389.39 20 insurers | $1,597.00 |
| Ct Scan of Upper Spine Without Contrast | CPT 72125 | $998.50 | $39.55 – $771.10 – $1,737.39 20 insurers | $1,997.00 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More | CPT 99215 | $204.00 | $92.58 – $214.20 – $354.96 18 insurers | $408.00 |
| Established Patient Office Or Other Outpatient Visit With Low Level Od Decision Making, If Using Time, 20 Minutes Or More | CPT 99213 | $69.50 | $34.75 – $79.93 – $250.56 18 insurers | $288.00 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More | CPT 99214 | $175.00 | $65.71 – $183.75 – $304.50 18 insurers | $350.00 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More | CPT 99212 | $126.50 | $21.26 – $132.83 – $220.11 18 insurers | $253.00 |
| Hemodialysis Procedure With Physician Evaluation | CPT 90935 | $1,242.50 | $52.32 – $1,304.63 – $2,161.95 18 insurers | $2,485.00 |
| Immunologic Analysis Technique On Serum (Immunofixation) | CPT 86334 | $150.89 | $10.58 – $120.28 – $262.54 20 insurers | $301.77 |
| Insertion of Non-Tunneled Central Venous Tube For Infusion (5 Years Or Older) | CPT 36556 | $1,769.00 | $74.49 – $1,857.45 – $3,078.06 18 insurers | $3,538.00 |
| Limited Ultrasound Scan of Abdomen | CPT 76705 | $427.50 | $19.21 – $446.39 – $743.85 20 insurers | $855.00 |
| Mri Scan of Abdomen Before and After Contrast | CPT 74183 | $2,596.50 | $82.54 – $2,382.13 – $4,517.91 20 insurers | $5,193.00 |
| Mri Scan of Upper Spinal Canal Without Contrast | CPT 72141 | $1,323.00 | $55.89 – $1,213.24 – $2,302.02 20 insurers | $2,646.00 |
| Protein Measurement, Serum | CPT 84165 | $53.00 | $10.58 – $48.05 – $92.22 20 insurers | $106.00 |
| Removal of Fingernails Or Toenails, 6 Or More Nails | CPT 11721 | $125.50 | $18.91 – $131.78 – $218.37 18 insurers | $251.00 |
| Removal of Skin and Tissue, 20.0 Sq Cm Or Less | CPT 11042 | $725.00 | $48.02 – $797.50 – $1,387.65 18 insurers | $1,595.00 |
| Removal of Skin and Tissue, Each Additional 20.0 Sq Cm Or Less | CPT 11045 | $507.50 | $20.54 – $532.88 – $883.05 18 insurers | $1,015.00 |
| Test To Measure Expiratory Airflow and Volume Changes Before and After Medication Administration | CPT 94060 | $266.00 | $9.39 – $279.30 – $462.84 18 insurers | $532.00 |
| Ultrasonic Guidance For Blood Vessel Access | CPT 76937 | $264.50 | $9.46 – $198.38 – $460.23 20 insurers | $529.00 |
| Ultrasonic Guidance For Needle Placement | CPT 76942 | $618.00 | $21.08 – $463.50 – $1,075.32 20 insurers | $1,236.00 |
| Ultrasound of Both Sides of Head and Neck Blood Flow | CPT 93880 | $503.50 | $28.69 – $528.68 – $876.09 18 insurers | $1,007.00 |
| Ultrasound of Heart Blood Flow, Valves and Chambers | CPT 93320 | $153.00 | $12.84 – $160.65 – $266.22 18 insurers | $306.00 |
| Ultrasound of Heart Blood Flow, Valves and Chambers, Follow-Up | CPT 93321 | $161.50 | $5.15 – $169.58 – $281.01 18 insurers | $323.00 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate and Valve Function | CPT 93325 | $251.50 | $2.23 – $264.08 – $437.61 18 insurers | $503.00 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function | CPT 93306 | $1,496.50 | $51.31 – $1,571.33 – $2,603.91 18 insurers | $2,993.00 |
| Ultrasound Scan of Head and Neck Soft Tissue | CPT 76536 | $526.00 | $18.51 – $486.20 – $915.24 20 insurers | $1,052.00 |
| Ultrasound Study of Arm Or Leg Veins With Compression and Maneuvers | CPT 93970 | $1,073.50 | $24.66 – $1,127.18 – $1,867.89 18 insurers | $2,147.00 |
| Ultrasound Study of One Arm Or Leg Veins With Compression and Maneuvers | CPT 93971 | $522.50 | $16.10 – $548.63 – $909.15 18 insurers | $1,045.00 |
| X-Ray of Abdomen, 1 View | CPT 74018 | $319.50 | $6.02 – $280.89 – $555.93 20 insurers | $639.00 |
| X-Ray of Ankle, Minimum of 3 Views | CPT 73610 | $372.00 | $5.78 – $307.14 – $647.28 20 insurers | $744.00 |
| X-Ray of Chest, 1 View | CPT 71045 | $319.00 | $6.02 – $280.64 – $555.06 20 insurers | $638.00 |
| X-Ray of Chest, 2 Views | CPT 71046 | $331.50 | $7.18 – $286.89 – $576.81 20 insurers | $663.00 |
| X-Ray of Foot, Minimum of 3 Views | CPT 73630 | $336.50 | $5.55 – $289.39 – $585.51 20 insurers | $673.00 |
| X-Ray of Hand, Minimum of 3 Views | CPT 73130 | $379.50 | $5.78 – $310.89 – $660.33 20 insurers | $759.00 |
| X-Ray of Knee, 1-2 Views | CPT 73560 | $293.00 | $5.55 – $267.64 – $509.82 20 insurers | $586.00 |
| X-Ray of Knee, 4 Or More Views | CPT 73564 | $386.50 | $7.42 – $435.77 – $672.51 20 insurers | $773.00 |
| X-Ray of Lower and Sacral Spine, 2-3 Views | CPT 72100 | $428.00 | $7.42 – $446.39 – $744.72 20 insurers | $856.00 |
| X-Ray of Lower Leg, 2 Views | CPT 73590 | $358.00 | $5.32 – $300.14 – $622.92 20 insurers | $716.00 |
| X-Ray of Pelvis, 1-2 Views | CPT 72170 | $312.50 | $5.78 – $359.38 – $543.75 20 insurers | $625.00 |
| X-Ray of Shoulder, Minimum of 2 Views | CPT 73030 | $409.50 | $6.25 – $325.89 – $712.53 20 insurers | $819.00 |
| X-Ray of Thigh Bone, Minimum 2 Views | CPT 73552 | $433.00 | $6.02 – $337.64 – $753.42 20 insurers | $866.00 |
| X-Ray of Wrist, Minimum of 3 Views | CPT 73110 | $401.00 | $5.78 – $321.64 – $697.74 20 insurers | $802.00 |