Memorial Hermann Cypress Hospital — price list

← Hospital overviewVerified from Memorial Hermann Cypress Hospital’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

120 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Cath coronary drug-delivery Outpatient	2050 OTHER	—	—	—	$29,478
Clinic Visits and Related Services Outpatient	5012 OTHER	—	—	—	$127
Cochlear Implant Procedure Outpatient	5166 OTHER	—	—	—	$113,242
Complex GI Procedures Outpatient	5331 OTHER	—	—	—	$2,861
Critical Care Outpatient	5041 OTHER	—	—	—	$1,464
Dialysis Outpatient	5401 OTHER	—	—	—	$4,401
Gamunex-C/Gammaked Outpatient	0948 OTHER	—	—	—	$308
Hyperbaric Oxygen Outpatient	5061 OTHER	—	—	—	$5,956
Implantation of Drug Infusion Device Outpatient	5471 OTHER	—	—	—	$27,325
Implantation Wireless PA Pressure Monitor Outpatient	5200 OTHER	—	—	—	$27,905
Inj, bupivacaine liposome Outpatient	0763 OTHER	—	—	—	$2,660
Ketorolac tromethamine inj Outpatient	0764 OTHER	—	—	—	$6,676
Laser Eye Procedures Outpatient	5481 OTHER	—	—	—	$853
Leuprolide acetate Outpatient	0800 OTHER	—	—	—	$16,268
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures Outpatient	5341 OTHER	—	—	—	$5,479
Level 1 Airway Endoscopy Outpatient	5151 OTHER	—	—	—	$191
Level 1 Blood Product Exchange and Related Services Outpatient	5241 OTHER	—	—	—	$4,584
Level 1 Breast/Lymphatic Surgery and Related Procedures Outpatient	5091 OTHER	—	—	—	$6,409
Level 1 Endovascular Procedures Outpatient	5191 OTHER	—	—	—	$18,659
Level 1 ENT Procedures Outpatient	5161 OTHER	—	—	—	$3,821
Level 1 Excision/ Biopsy/ Incision and Drainage Outpatient	5071 OTHER	—	—	—	$775
Level 1 Extraocular, Repair, and Plastic Eye Procedures Outpatient	5501 OTHER	—	—	—	$108
Level 1 Gynecologic Procedures Outpatient	5411 OTHER	—	—	—	$4,744
Level 1 Imaging with Contrast Outpatient	5571 OTHER	—	—	—	$1,507
Level 1 Imaging without Contrast Outpatient	5521 OTHER	—	—	—	$86.93
Level 1 Intraocular Procedures Outpatient	5491 OTHER	—	—	—	$2,607
Level 1 Laparoscopy and Related Services Outpatient	5361 OTHER	—	—	—	$5,781
Level 1 Lower GI Procedures Outpatient	5311 OTHER	—	—	—	$899
Level 1 Musculoskeletal Procedures Outpatient	5111 OTHER	—	—	—	$7,056
Level 1 Nerve Injections Outpatient	5441 OTHER	—	—	—	$2,709