Prices / Houston–Pasadena–The Woodlands, TX / Hospitals
Legent North Houston Surgical Hospital
4801 Bissonnet Street, Bellaire, TX 77401 · CCN 670345
Source: the hospital's standard-charges file dated 2026-03-22 (original file, csv_wide, 21 MB), checked by us on 2026-10-06. 84 of 300 common services found in it.
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Laboratory & Pathology
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| Automated Urinalysis Test | CPT 81002 | $10.00 | $1.25 – $3.06 – $3.79 4 insurers | $20.00 |
| Automated Urinalysis Test | CPT 81003 | $21.75 | $0.81 – $1.98 – $2.45 4 insurers | $43.50 |
| Basic Metabolic Panel | CPT 80048 | $23.50 | $3.05 – $7.45 – $9.22 4 insurers | $47.00 |
| Blood Test, Clotting Time | CPT 85610 | $71.00 | $1.54 – $3.78 – $4.68 4 insurers | $142.00 |
| Blood Test, Comprehensive Group of Blood Chemicals | CPT 80053 | $72.45 | $3.80 – $9.30 – $11.51 4 insurers | $144.90 |
| Blood Test, Lipids (Cholesterol and Triglycerides) | CPT 80061 | $91.85 | $4.82 – $11.79 – $14.60 4 insurers | $183.70 |
| Blood Test, Thyroid Stimulating Hormone (Tsh) | CPT 84443 | $115.25 | $6.05 – $14.79 – $18.31 4 insurers | $230.50 |
| Coagulation Assessment Blood Test | CPT 85730 | $17.00 | $2.16 – $5.29 – $6.55 4 insurers | $34.00 |
| Complete Blood Cell Count, With Differential White Blood Cells, Automated | CPT 85025 | $53.30 | $2.80 – $6.84 – $8.47 4 insurers | $106.60 |
| Complete Blood Count, Automated | CPT 85027 | $18.50 | $2.33 – $5.70 – $7.05 4 insurers | $37.00 |
| Kidney Function Panel Test | CPT 80069 | $24.00 | $3.12 – $7.64 – $9.46 4 insurers | $48.00 |
| Liver Function Blood Test Panel | CPT 80076 | $54.50 | $2.94 – $7.19 – $8.91 4 insurers | $109.00 |
| Manual Urinalysis Test With Examination Using Microscope | CPT 81001 | $36.50 | $1.14 – $2.79 – $3.46 4 insurers | $73.00 |
| Psa (Prostate Specific Antigen) | CPT 84153 | $172.50 | $6.62 – $16.19 – $20.05 4 insurers | $345.00 |
Medicine & Surgery
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| Injection of Substance Into Spinal Canal of Lower Back Or Sacrum Using Imaging Guidance | CPT 62323 | $1,200.00 | $1,009.63 – $1,147.53 – $1,312.61 4 insurers | $2,770.00 |
| Injections of Anesthetic and/Or Steroid Drug Into Lower Or Sacral Spine Nerve Root Using Imaging Guidance | CPT 64483 | $1,200.00 | $1,200.00 – $1,352.88 – $1,705.31 4 insurers | $3,565.00 |
| Removal of One Knee Cartilage Using An Endoscope | CPT 29881 | $4,930.37 | $3,500.00 – $5,439.63 – $8,732.93 4 insurers | $13,099.00 |
| Removal of Tonsils and Adenoid Glands Patient Younger Than Age 12 | CPT 42820 | $8,920.21 | $3,000.00 – $8,989.36 – $10,186.11 4 insurers | $23,639.00 |
| Shaving of Shoulder Bone Using An Endoscope | CPT 29826 | $2,250.00 | $175.90 – $1,587.95 – $3,000.00 2 insurers | $4,500.00 |
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 | $2,400.00 | $74.51 – $159.60 – $238.52 4 insurers | $4,800.00 |
| Ct Scan, Head Or Brain, Without Contrast | CPT 70450 | $1,250.00 | $72.54 – $176.55 – $238.52 4 insurers | $2,500.00 |
| Ct Scan of Abdomen and Pelvis With Contrast | CPT 74177 | $1,500.00 | $246.29 – $597.39 – $801.02 4 insurers | $3,000.00 |
| Mri Scan of Brain Before and After Contrast | CPT 70553 | $1,352.50 | $297.18 – $597.39 – $801.02 4 insurers | $2,705.00 |
| Mri Scan of Leg Joint | CPT 73721 | $807.50 | $581.40 – $1,440.00 – $2,000.00 3 insurers | $4,000.00 |
| Mri Scan of Lower Spinal Canal | CPT 72148 | $807.50 | $170.71 – $383.37 – $542.16 4 insurers | $1,615.00 |
| Ultrasound of Abdomen | CPT 76700 | $600.00 | $67.20 – $176.55 – $238.52 4 insurers | $1,200.00 |
| X-Ray, Lower Back, Minimum Four Views | CPT 72110 | $250.00 | $32.60 – $176.55 – $238.52 4 insurers | $500.00 |
Outpatient/professional (volume)
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| 3d Radiographic Procedure | CPT 76376 | $1,500.00 | $13.92 – $21.99 – $25.32 3 insurers | $3,000.00 |
| Aspiration and/Or Injection of Fluid From Large Joint | CPT 20610 | $462.53 | $65.18 – $448.58 – $1,200.00 4 insurers | $1,800.00 |
| Complete Ultrasound Scan Behind Abdominal Cavity | CPT 76770 | $400.00 | $62.70 – $176.55 – $238.52 4 insurers | $800.00 |
| Ct Scan of Abdomen and Pelvis Before and After Contrast | CPT 74178 | $1,500.00 | $277.70 – $597.39 – $801.02 4 insurers | $3,000.00 |
| Ct Scan of Abdomen and Pelvis Without Contrast | CPT 74176 | $1,250.00 | $111.98 – $383.37 – $542.16 4 insurers | $2,500.00 |
| Ct Scan of Blood Vessels of Chest With Contrast | CPT 71275 | $1,500.00 | $183.78 – $291.08 – $399.28 4 insurers | $3,000.00 |
| Ct Scan of Blood Vessels of Head With Contrast | CPT 70496 | $1,750.00 | $183.78 – $291.08 – $399.28 4 insurers | $3,500.00 |
| Ct Scan of Blood Vessels of Neck With Contrast | CPT 70498 | $125.00 | $183.78 – $250.00 – $399.28 4 insurers | $3,500.00 |
| Ct Scan of Chest With Contrast | CPT 71260 | $1,500.00 | $123.49 – $291.08 – $399.28 4 insurers | $3,000.00 |
| Ct Scan of Chest Without Contrast | CPT 71250 | $1,500.00 | $90.34 – $176.55 – $238.52 4 insurers | $3,000.00 |
| Ct Scan of Leg Without Contrast | CPT 73700 | $1,250.00 | $900.00 – $1,000.00 – $1,250.00 3 insurers | $2,500.00 |
| Ct Scan of Lower Spine Without Contrast | CPT 72131 | $1,250.00 | $90.69 – $176.55 – $238.52 4 insurers | $2,500.00 |
| Ct Scan of Upper Spine Without Contrast | CPT 72125 | $1,250.00 | $91.39 – $176.55 – $238.52 4 insurers | $2,500.00 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint | CPT 64635 | $2,942.44 | $1,200.00 – $2,967.41 – $3,610.64 4 insurers | $7,762.00 |
| Emergency Department Visit With High Level of Medical Decision Making | CPT 99285 | $2,000.00 | $893.84 – $1,984.74 – $3,880.00 4 insurers | $4,000.00 |
| Emergency Department Visit With Low Level of Medical Decision Making | CPT 99283 | $750.00 | $403.68 – $908.92 – $1,428.00 4 insurers | $1,500.00 |
| Emergency Department Visit With Moderate Level of Medical Decision Making | CPT 99284 | $1,250.00 | $620.80 – $1,136.67 – $2,740.00 4 insurers | $3,000.00 |
| Injection of Anesthetic Agent and/Or Steroid Into Thigh Nerve (Femoral Nerve) | CPT 64447 | $1,063.65 | $52.37 – $555.60 – $1,095.06 4 insurers | $3,000.00 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level | CPT 64493 | $1,332.75 | $1,200.00 – $1,352.88 – $1,705.31 4 insurers | $3,566.00 |
| Limited Ultrasound Scan of 1 Breast | CPT 76642 | $2,400.00 | $44.41 – $130.03 – $139.22 4 insurers | $4,800.00 |
| Limited Ultrasound Scan of Abdomen | CPT 76705 | $500.00 | $50.60 – $176.55 – $238.52 4 insurers | $1,000.00 |
| Microscopic Genetic Analysis of Tumor, Manual | CPT 88360 | $453.00 | $63.29 – $203.13 – $270.97 4 insurers | $906.00 |
| Mri Scan of Abdomen Before and After Contrast | CPT 74183 | $1,352.50 | $333.54 – $597.39 – $801.02 4 insurers | $2,705.00 |
| Mri Scan of Brain Without Contrast | CPT 70551 | $807.50 | $176.84 – $383.37 – $542.16 4 insurers | $1,615.00 |
| Mri Scan of Upper Spinal Canal Without Contrast | CPT 72141 | $807.50 | $170.27 – $383.37 – $542.16 4 insurers | $1,615.00 |
| Pathology Examination of Tissue Using A Microscope, Intermediate Complexity | CPT 88305 | $460.00 | $27.03 – $65.91 – $84.49 4 insurers | $920.00 |
| Pathology Examination of Tissue Using A Microscope, Moderately High Complexity | CPT 88307 | $27.00 | $54.00 – $54.00 – $54.00 4 insurers | $54.00 |
| Pathology Examination of Tissue Using A Microscope, Moderately Low Complexity | CPT 88304 | $27.00 | $24.05 – $53.96 – $54.00 4 insurers | $54.00 |
| Preparation of Tissue For Examination By Removing Any Calcium Present | CPT 88311 | $27.00 | $6.73 – $9.82 – $20.14 3 insurers | $54.00 |
| Protein Measurement, Serum | CPT 84165 | $36.00 | $3.87 – $9.45 – $11.71 4 insurers | $72.00 |
| Replacement of Knee Joint, Both Sides of Knee | CPT 27447 | $19,345.78 | $12,000.00 – $22,798.93 – $25,943.55 4 insurers | $38,663.00 |
| Replacement of Thigh Bone and Hip Joint With Prosthesis | CPT 27130 | $18,000.00 | $12,000.00 – $22,798.93 – $25,943.55 4 insurers | $78,288.00 |
| Special Stained Specimen Slides To Examine Tissue, Each Additional Procedure | CPT 88341 | $220.00 | $48.17 – $70.32 – $94.09 3 insurers | $440.00 |
| Special Stained Specimen Slides To Examine Tissue Including Interpretation and Report | CPT 88313 | $134.00 | $36.44 – $121.42 – $203.83 4 insurers | $268.00 |
| Special Stained Specimen Slides To Examine Tissue, Initial Procedure | CPT 88342 | $100.00 | $53.01 – $178.21 – $200.00 4 insurers | $200.00 |
| Special Stained Specimen Slides To Identify Organisms Including Interpretation and Report | CPT 88312 | $100.00 | $53.92 – $73.44 – $84.49 4 insurers | $200.00 |
| Ultrasonic Guidance For Blood Vessel Access | CPT 76937 | $750.00 | $21.66 – $32.70 – $37.81 3 insurers | $1,500.00 |
| Ultrasound of Both Sides of Head and Neck Blood Flow | CPT 93880 | $540.00 | $143.05 – $280.68 – $542.16 4 insurers | $1,080.00 |
| Ultrasound Scan of Head and Neck Soft Tissue | CPT 76536 | $2,400.00 | $71.98 – $176.55 – $238.52 4 insurers | $4,800.00 |
| Ultrasound Study of Arm Or Leg Veins With Compression and Maneuvers | CPT 93970 | $600.00 | $144.60 – $280.29 – $542.16 4 insurers | $1,200.00 |
| Ultrasound Study of One Arm Or Leg Veins With Compression and Maneuvers | CPT 93971 | $1,408.00 | $91.62 – $138.69 – $238.52 4 insurers | $2,816.00 |
| X-Ray of Abdomen, 1 View | CPT 74018 | $125.00 | $17.97 – $130.03 – $139.22 4 insurers | $250.00 |
| X-Ray of Ankle, Minimum of 3 Views | CPT 73610 | $225.00 | $162.00 – $180.00 – $225.00 3 insurers | $450.00 |
| X-Ray of Chest, 1 View | CPT 71045 | $125.00 | $14.31 – $130.03 – $139.22 4 insurers | $250.00 |
| X-Ray of Chest, 2 Views | CPT 71046 | $175.00 | $19.38 – $130.03 – $139.22 4 insurers | $350.00 |
| X-Ray of Foot, Minimum of 3 Views | CPT 73630 | $225.00 | $162.00 – $180.00 – $225.00 3 insurers | $450.00 |
| X-Ray of Hand, Minimum of 3 Views | CPT 73130 | $225.00 | $162.00 – $180.00 – $225.00 3 insurers | $450.00 |
| X-Ray of Hip, 2-3 Views | CPT 73502 | $175.00 | $30.35 – $130.03 – $139.22 4 insurers | $350.00 |
| X-Ray of Knee, 1-2 Views | CPT 73560 | $115.00 | $82.80 – $92.00 – $115.00 3 insurers | $230.00 |
| X-Ray of Knee, 3 Views | CPT 73562 | $175.00 | $126.00 – $140.00 – $175.00 3 insurers | $350.00 |
| X-Ray of Knee, 4 Or More Views | CPT 73564 | $275.00 | $198.00 – $220.00 – $275.00 3 insurers | $550.00 |
| X-Ray of Lower and Sacral Spine, 2-3 Views | CPT 72100 | $125.00 | $24.44 – $176.55 – $238.52 4 insurers | $250.00 |
| X-Ray of Lower Leg, 2 Views | CPT 73590 | $175.00 | $126.00 – $140.00 – $175.00 3 insurers | $350.00 |
| X-Ray of Pelvis, 1-2 Views | CPT 72170 | $125.00 | $16.28 – $176.55 – $238.52 4 insurers | $250.00 |
| X-Ray of Shoulder, Minimum of 2 Views | CPT 73030 | $350.00 | $252.00 – $280.00 – $350.00 3 insurers | $700.00 |
| X-Ray of Thigh Bone, Minimum 2 Views | CPT 73552 | $225.00 | $162.00 – $225.00 – $425.00 3 insurers | $850.00 |
| X-Ray of Wrist, Minimum of 3 Views | CPT 73110 | $225.00 | $162.00 – $180.00 – $225.00 3 insurers | $450.00 |