Prices / Houston–Pasadena–The Woodlands, TX / Hospitals

Sanavate Hospital

17400 Red Oak, Houston, TX 77090 · CCN 670349

Source: the hospital's standard-charges file dated 2026-08-17 (original file, csv_tall, 0 MB), checked by us on 2026-10-06. 94 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	$881.00	— 0 insurers	$881.00
Family Psychotherapy, Not Including Patient, 50 Min	CPT 90846	$807.50	— 0 insurers	$807.50
Group Psychotherapy	CPT 90853	$713.75	— 0 insurers	$713.75
Initial New Patient Preventive Medicine Evaluation (18-39 Years)	CPT 99385	$559.00	— 0 insurers	$559.00
Initial New Patient Preventive Medicine Evaluation (40-64 Years)	CPT 99386	$498.11	— 0 insurers	$498.11
New Patient Office Or Other Outpatient Visit, Typically 30 Min	CPT 99203	$895.00	— 0 insurers	$895.00
New Patient Office Or Other Outpatient Visit, Typically 45 Min	CPT 99204	$1,235.85	— 0 insurers	$1,235.85
New Patient Office Or Other Outpatient Visit, Typically 60 Min	CPT 99205	$1,575.38	— 0 insurers	$1,575.38
Patient Office Consultation, Typically 40 Min	CPT 99243	$580.00	— 0 insurers	$580.00
Patient Office Consultation, Typically 60 Min	CPT 99244	$676.00	— 0 insurers	$676.00
Psychotherapy, 30 Min	CPT 90832	$600.25	— 0 insurers	$600.25
Psychotherapy, 45 Min	CPT 90834	$781.25	— 0 insurers	$781.25
Psychotherapy, 60 Min	CPT 90837	$967.00	— 0 insurers	$967.00

Laboratory & Pathology

Service	Code	Cash price	Insurers pay (min – median – max)	Gross charge
Automated Urinalysis Test	CPT 81003	$259.05	— 0 insurers	$259.05
Basic Metabolic Panel	CPT 80048	$1,604.34	— 0 insurers	$1,604.34
Blood Test, Clotting Time	CPT 85610	$673.81	— 0 insurers	$673.81
Blood Test, Comprehensive Group of Blood Chemicals	CPT 80053	$2,069.00	— 0 insurers	$2,069.00
Blood Test, Lipids (Cholesterol and Triglycerides)	CPT 80061	$1,502.01	— 0 insurers	$1,502.01
Blood Test, Thyroid Stimulating Hormone (Tsh)	CPT 84443	$1,594.42	— 0 insurers	$1,594.42
Coagulation Assessment Blood Test	CPT 85730	$793.24	— 0 insurers	$793.24
Complete Blood Cell Count, With Differential White Blood Cells, Automated	CPT 85025	$329.37	— 0 insurers	$329.37
Complete Blood Count, Automated	CPT 85027	$756.98	— 0 insurers	$756.98
Kidney Function Panel Test	CPT 80069	$1,604.34	— 0 insurers	$1,604.34
Liver Function Blood Test Panel	CPT 80076	$1,604.34	— 0 insurers	$1,604.34
Manual Urinalysis Test With Examination Using Microscope	CPT 81001	$593.68	— 0 insurers	$593.68
Psa (Prostate Specific Antigen)	CPT 84153	$921.67	— 0 insurers	$921.67

Medicine & Surgery

Service	Code	Cash price	Insurers pay (min – median – max)	Gross charge
Biopsy of Large Bowel Using An Endoscope	CPT 45380	$11,633.00	— 0 insurers	$11,633.00
Biopsy of The Esophagus, Stomach, and/Or Upper Small Bowel Using An Endoscope	CPT 43239	$11,838.00	— 0 insurers	$11,838.00
Cervical Spinal Fusion Without Cc Or Mcc	MS-DRG 473	$99,970.00	— 0 insurers	$99,970.00
Diagnostic Examination of Esophagus, Stomach, and/Or Upper Small Bowel Using An Endoscope	CPT 43235	$11,838.00	— 0 insurers	$11,838.00
Diagnostic Examination of Large Bowel Using An Endoscope	CPT 45378	$11,606.00	— 0 insurers	$11,606.00
Electrocardiogram, Routine, With Interpretation and Report	CPT 93000	$850.00	— 0 insurers	$850.00
Injection of Substance Into Spinal Canal of Lower Back Or Sacrum Using Imaging Guidance	CPT 62323	$8,909.00	— 0 insurers	$11,180.00
Injections of Anesthetic and/Or Steroid Drug Into Lower Or Sacral Spine Nerve Root Using Imaging Guidance	CPT 64483	$11,180.00	— 0 insurers	$11,180.00
Insertion of Catheter Into Left Heart For Diagnosis	CPT 93452	$36,825.85	— 0 insurers	$36,825.85
Major Joint Replacement Or Reattachment of Lower Extremity Without Mcc	MS-DRG 470	$92,000.00	— 0 insurers	$92,000.00
Removal of Gallbladder Using An Endoscope	CPT 47562	$46,269.00	— 0 insurers	$46,269.00
Removal of One Knee Cartilage Using An Endoscope	CPT 29881	$34,420.00	— 0 insurers	$34,420.00
Removal of Polyps Or Growths of Large Bowel Using An Endoscope	CPT 45385	$11,633.00	— 0 insurers	$11,633.00
Repair of Groin Hernia Patient Age 5 Years Or Older	CPT 49505	$28,535.85	— 0 insurers	$28,535.85
Shaving of Shoulder Bone Using An Endoscope	CPT 29826	$35,215.00	— 0 insurers	$79,215.00
Spinal Fusion Except Cervical Without Mcc	MS-DRG 460	$152,790.00	— 0 insurers	$152,790.00
Ultrasound Examination of Lower Large Bowel Using An Endoscope	CPT 45391	$23,345.00	— 0 insurers	$23,345.00

Radiology

Service	Code	Cash price	Insurers pay (min – median – max)	Gross charge
Ct Scan, Head Or Brain, Without Contrast	CPT 70450	$8,768.02	— 0 insurers	$8,768.02
Ct Scan of Abdomen and Pelvis With Contrast	CPT 74177	$23,377.19	— 0 insurers	$23,377.19
Ct Scan, Pelvis, With Contrast	CPT 72193	$11,358.38	— 0 insurers	$11,358.38
Ultrasound of Abdomen	CPT 76700	$6,235.20	— 0 insurers	$6,235.20
X-Ray, Lower Back, Minimum Four Views	CPT 72110	$3,609.15	— 0 insurers	$3,609.15

Outpatient/professional (volume)

Service	Code	Cash price	Insurers pay (min – median – max)	Gross charge
Aspiration and/Or Injection of Fluid From Large Joint	CPT 20610	$3,561.00	— 0 insurers	$13,680.00
Ct Scan of Abdomen and Pelvis Without Contrast	CPT 74176	$20,629.60	— 0 insurers	$20,629.60
Ct Scan of Chest Without Contrast	CPT 71250	$11,760.30	— 0 insurers	$11,760.30
Ct Scan of Face Without Contrast	CPT 70486	$9,049.60	— 0 insurers	$9,049.60
Ct Scan of Leg Without Contrast	CPT 73700	$6,694.00	— 0 insurers	$6,694.00
Ct Scan of Lower Spine Without Contrast	CPT 72131	$13,908.82	— 0 insurers	$55,406.82
Ct Scan of Upper Spine Without Contrast	CPT 72125	$13,160.70	— 0 insurers	$13,160.70
Emergency Department Visit With High Level of Medical Decision Making	CPT 99285	$5,791.12	— 0 insurers	$5,791.12
Emergency Department Visit With Low Level of Medical Decision Making	CPT 99283	$2,750.00	— 0 insurers	$2,750.00
Emergency Department Visit With Moderate Level of Medical Decision Making	CPT 99284	$4,248.44	— 0 insurers	$4,248.44
Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More	CPT 99215	$1,531.22	— 0 insurers	$1,531.22
Established Patient Office Or Other Outpatient Visit With Low Level Od Decision Making, If Using Time, 20 Minutes Or More	CPT 99213	$927.55	— 0 insurers	$927.55
Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More	CPT 99214	$1,237.10	— 0 insurers	$1,237.10
Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More	CPT 99212	$820.00	— 0 insurers	$820.00
Hospital Discharge Day Management, 30 Minutes Or Less	CPT 99238	$602.00	— 0 insurers	$602.00
Hospital Discharge Day Management, More Than 30 Minutes	CPT 99239	$882.88	— 0 insurers	$882.88
Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, At Least 75 Minutes	CPT 99223	$653.00	— 0 insurers	$653.00
Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, At Least 55 Minutes	CPT 99222	$914.00	— 0 insurers	$914.00
Initial Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, At Least 40 Minutes	CPT 99221	$450.00	— 0 insurers	$450.00
Injection of Anesthetic Agent and/Or Steroid Into Thigh Nerve (Femoral Nerve)	CPT 64447	$3,400.00	— 0 insurers	$3,400.00
Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level	CPT 64493	$22,210.00	— 0 insurers	$22,210.00
Insertion of Tube In Left Lower Heart Chamber and Coronary Artery For Diagnosis With Review By Radiologist	CPT 93458	$45,269.40	— 0 insurers	$124,630.44
Nuclear Medicine Studies of Heart Muscle At Rest and With Stress and Spect	CPT 78452	$21,158.58	— 0 insurers	$38,989.15
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, At Least 35 Minutes	CPT 99232	$426.00	— 0 insurers	$426.00
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, At Least 50 Minutes	CPT 99233	$357.00	— 0 insurers	$357.00
Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, At Least 25 Minutes	CPT 99231	$450.00	— 0 insurers	$450.00
Ultrasound of Both Sides of Head and Neck Blood Flow	CPT 93880	$5,868.51	— 0 insurers	$5,868.51
Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function	CPT 93306	$10,838.48	— 0 insurers	$10,838.48
Ultrasound Study of Arm Or Leg Veins With Compression and Maneuvers	CPT 93970	$6,121.78	— 0 insurers	$6,121.78
Ultrasound Study of One Arm Or Leg Veins With Compression and Maneuvers	CPT 93971	$3,565.22	— 0 insurers	$3,565.22
X-Ray of Abdomen, 1 View	CPT 74018	$1,423.74	— 0 insurers	$1,423.74
X-Ray of Ankle, Minimum of 3 Views	CPT 73610	$2,164.00	— 0 insurers	$2,164.00
X-Ray of Chest, 1 View	CPT 71045	$1,788.00	— 0 insurers	$1,788.00
X-Ray of Chest, 2 Views	CPT 71046	$1,996.00	— 0 insurers	$8,507.04
X-Ray of Foot, Minimum of 3 Views	CPT 73630	$2,079.64	— 0 insurers	$2,079.64
X-Ray of Hand, Minimum of 3 Views	CPT 73130	$1,801.80	— 0 insurers	$1,801.80
X-Ray of Hip, 2-3 Views	CPT 73502	$2,094.92	— 0 insurers	$2,094.92
X-Ray of Knee, 1-2 Views	CPT 73560	$1,730.00	— 0 insurers	$1,730.00
X-Ray of Knee, 3 Views	CPT 73562	$2,137.99	— 0 insurers	$2,137.99
X-Ray of Knee, 4 Or More Views	CPT 73564	$2,546.41	— 0 insurers	$2,546.41
X-Ray of Lower and Sacral Spine, 2-3 Views	CPT 72100	$2,078.00	— 0 insurers	$2,078.00
X-Ray of Lower Leg, 2 Views	CPT 73590	$2,112.83	— 0 insurers	$2,112.83
X-Ray of Pelvis, 1-2 Views	CPT 72170	$1,938.81	— 0 insurers	$1,938.81
X-Ray of Shoulder, Minimum of 2 Views	CPT 73030	$2,310.12	— 0 insurers	$2,310.12
X-Ray of Thigh Bone, Minimum 2 Views	CPT 73552	$1,723.05	— 0 insurers	$1,723.05
X-Ray of Wrist, Minimum of 3 Views	CPT 73110	$1,853.30	— 0 insurers	$1,853.30