Memorial Hermann Memorial City Medical Center — price list
← Hospital overviewVerified from Memorial Hermann Memorial City Medical Center’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.
935 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Cardiac Rehabilitation Outpatient | 5771 OTHER | — | — | — | $249 | |
| Clinic Visits and Related Services Outpatient | 5012 OTHER | — | — | — | $127 | |
| Clinical Diagnostic Lab Services Outpatient | N800 OTHER | — | — | — | $26.92 | |
| Complex GI Procedures Outpatient | 5331 OTHER | — | — | — | $5,849 | |
| Critical Care Outpatient | 5041 OTHER | — | — | — | $12,612 | |
| Dialysis Outpatient | 5401 OTHER | — | — | — | $21,288 | |
| Durable Medical Equipment Outpatient | N805 OTHER | — | — | — | $311 | |
| Endo, single, urinary tract Outpatient | 2040 OTHER | — | — | — | $6,597 | |
| HC DRUG QUANTITATION NOT SPECIF Inpatient & outpatient | 3008029901 CDM | $377 | $120 | — | — | |
| HC A.C.T. HEMOCHRON Inpatient & outpatient | 3008534701 CDM | $143 | $45.76 | — | — | |
| HC ACETAMINOPHEN LEVEL Inpatient & outpatient | 3018014301 CDM | $404 | $129 | — | — | |
| HC ACETYLCHOLINESTERASE ASSAY - ACETYLCHOLINESTERASE Inpatient & outpatient | 3018201301 CDM | $259 | $82.96 | — | — | |
| HC ALCOHOLS CLASS LIST A Inpatient & outpatient | 3018207701 CDM | $480 | $154 | — | — | |
| HC ALTEPLASE RECOMBINANT 1MG Inpatient & outpatient | 252J299701 CDM | $353 | $113 | — | — | |
| HC ALTEPLASE RECOMBINANT WASTE 1MG Inpatient & outpatient | 252J299702 CDM | $353 | $113 | — | — | |
| HC AMIKACIN LEVEL Inpatient & outpatient | 3018015004 CDM | $95.75 | $30.64 | — | — | |
| HC AMNISURE ROM PAMG-1 Inpatient & outpatient | 3018411201 CDM | $663 | $212 | — | — | |
| HC AMNISURE RUPTURE OF MEMBRANE Inpatient & outpatient | 3008411201 CDM | $640 | $205 | — | — | |
| HC ANTIHUMAN GLOBULIN DIR EA ANTISERUM - DIRECT ANTIGLOBULIN TEST Inpatient & outpatient | 3008688002 CDM | $166 | $53.12 | — | — | |
| HC ANTIHUMAN GLOBULIN INDIRECT EA ANTIBODY TITER - ANTIBODY TITER Inpatient & outpatient | 3008688601 CDM | $266 | $85.04 | — | — | |
| HC ASCOPE 4 BRONCHO (ANY SZ) Inpatient & outpatient | 272EDSUP02 CDM | $819 | $262 | — | — | |
| HC ASSAY ALKAL PHOSPHATASE - ALKALINE PHOSPHATASE Inpatient & outpatient | 3018407501 CDM | $350 | $112 | — | — | |
| HC ASSAY BLOOD CARBON DIOXIDE - CO2 TOTAL Inpatient & outpatient | 3018237401 CDM | $331 | $106 | — | — | |
| HC ASSAY BLOOD CARBON MONOXIDE - CARBOXYHEMOGLOBIN Inpatient & outpatient | 3018237501 CDM | $496 | $159 | — | — | |
| HC ASSAY BLOOD CARBON MONOXIDE - CARBOXYHEMOGLOBIN - POCT Inpatient & outpatient | 3018237502 CDM | $472 | $151 | — | — | |
| HC ASSAY GLUCOSE, BODY FLUID - GLUCOSE BODY FLUID Inpatient & outpatient | 3018294502 CDM | $234 | $74.96 | — | — | |
| HC ASSAY GLUCOSE, BODY FLUID - GLUCOSE CSF Inpatient & outpatient | 3018294501 CDM | $234 | $74.96 | — | — | |
| HC ASSAY GLUCOSE, BODY FLUID - GLUCOSE URINE RANDOM Inpatient & outpatient | 3018294504 CDM | $234 | $74.96 | — | — | |
| HC ASSAY OF AMMONIA - AMMONIA Inpatient & outpatient | 3018214001 CDM | $94.25 | $30.16 | — | — | |
| HC ASSAY OF AMYLASE - AMYLASE Inpatient & outpatient | 3018215005 CDM | $592 | $189 | — | — |