Memorial Hermann Southwest Hospital — price list

← Hospital overviewVerified from Memorial Hermann Southwest 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.

126 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Brachytx, non-str,Yttrium-90 Outpatient	2616 OTHER	—	—	—	$28,272
Cardiac Rehabilitation Outpatient	5771 OTHER	—	—	—	$1,958
Cath coronary drug-delivery Outpatient	2050 OTHER	—	—	—	$46,570
Clinic Visits and Related Services Outpatient	5012 OTHER	—	—	—	$75.45
Cochlear Implant Procedure Outpatient	5166 OTHER	—	—	—	$31,229
Complex GI Procedures Outpatient	5331 OTHER	—	—	—	$5,861
Critical Care Outpatient	5041 OTHER	—	—	—	$1,946
Dialysis Outpatient	5401 OTHER	—	—	—	$688
Hyperbaric Oxygen Outpatient	5061 OTHER	—	—	—	$3,795
Implantation of Drug Infusion Device Outpatient	5471 OTHER	—	—	—	$4,238
Inj, bupivacaine liposome Outpatient	0763 OTHER	—	—	—	$23,872
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures Outpatient	5341 OTHER	—	—	—	$3,474
Level 1 Airway Endoscopy Outpatient	5151 OTHER	—	—	—	$317
Level 1 Blood Product Exchange and Related Services Outpatient	5241 OTHER	—	—	—	$1,392
Level 1 Breast/Lymphatic Surgery and Related Procedures Outpatient	5091 OTHER	—	—	—	$4,137
Level 1 Diagnostic Tests and Related Services Outpatient	5721 OTHER	—	—	—	$155
Level 1 Drug Administration Outpatient	5691 OTHER	—	—	—	$10,036
Level 1 Endovascular Procedures Outpatient	5191 OTHER	—	—	—	$3,163
Level 1 Excision/ Biopsy/ Incision and Drainage Outpatient	5071 OTHER	—	—	—	$691
Level 1 Gynecologic Procedures Outpatient	5411 OTHER	—	—	—	$3,994
Level 1 Health and Behavior Services Outpatient	5821 OTHER	—	—	—	$29.84
Level 1 ICD and Similar Procedures Outpatient	5231 OTHER	—	—	—	$22,047
Level 1 Imaging with Contrast Outpatient	5571 OTHER	—	—	—	$178
Level 1 Imaging without Contrast Outpatient	5521 OTHER	—	—	—	$105
Level 1 Laparoscopy and Related Services Outpatient	5361 OTHER	—	—	—	$888
Level 1 Lower GI Procedures Outpatient	5311 OTHER	—	—	—	$2,825
Level 1 Minor Procedures Outpatient	5731 OTHER	—	—	—	$171
Level 1 Musculoskeletal Procedures Outpatient	5111 OTHER	—	—	—	$476
Level 1 Nerve Injections Outpatient	5441 OTHER	—	—	—	$1,465
Level 1 Nerve Procedures Outpatient	5431 OTHER	—	—	—	$2,825