Memorial Hermann Sugar Land Hospital — price list
← Hospital overviewVerified from Memorial Hermann Sugar Land 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.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
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.
1,500 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Clinic Visits and Related Services Outpatient | 5012 OTHER | — | — | — | $506 | |
| Clinical Diagnostic Lab Services Outpatient | N800 OTHER | — | — | — | $15.90 | |
| Critical Care Outpatient | 5041 OTHER | — | — | — | $1,452 | |
| Durable Medical Equipment Outpatient | N805 OTHER | — | — | — | $361 | |
| Aspirin effect platelet Inpatient & outpatient | 3058557605 CDM | $441 | $141 | — | — | |
| Drug quantitation not specif Inpatient & outpatient | 3008029901 CDM | $377 | $120 | — | — | |
| Infectious agent pcr quant Inpatient & outpatient | 3068779907 CDM | $1,046 | $335 | — | — | |
| (stat)hepatitis bsag transplan Inpatient & outpatient | 3068734003 CDM | $256 | $82.00 | — | — | |
| A.c.t. hemochron Inpatient & outpatient | 3008534701 CDM | $143 | $45.76 | — | — | |
| Acetaminophen level Inpatient & outpatient | 3018014301 CDM | $404 | $129 | — | — | |
| Acetylcholinesterase assay - acetylcholinesterase Inpatient & outpatient | 3018201301 CDM | $259 | $82.96 | — | — | |
| Adenovirus antigen eia Inpatient & outpatient | 3068730101 CDM | $306 | $97.84 | — | — | |
| Afb concentration Inpatient & outpatient | 3068701501 CDM | $131 | $42.00 | — | — | |
| Agent nos assay withoptic - adenovirus Inpatient & outpatient | 3068789902 CDM | $527 | $169 | — | — | |
| Agent nos assay withoptic - trichomonas Inpatient & outpatient | 3068789903 CDM | $527 | $169 | — | — | |
| Agglutinins; febrile - febrile agglutinins Inpatient & outpatient | 3028600001 CDM | $139 | $44.48 | — | — | |
| Alcohols class list a Inpatient & outpatient | 3018207701 CDM | $480 | $154 | — | — | |
| Alteplase recombinant 1mg Inpatient & outpatient | 252J299701 CDM | $353 | $113 | — | — | |
| Alteplase recombinant waste 1mg Inpatient & outpatient | 252J299702 CDM | $353 | $113 | — | — | |
| Amikacin level Inpatient & outpatient | 3018015004 CDM | $95.75 | $30.64 | — | — | |
| Amnisure rom pamg-1 Inpatient & outpatient | 3018411201 CDM | $663 | $212 | — | — | |
| Amnisure rupture of membrane Inpatient & outpatient | 3008411201 CDM | $640 | $205 | — | — | |
| Anaerobic organism id Inpatient & outpatient | 3068707601 CDM | $80.00 | $25.60 | — | — | |
| Antibiotic sens,disk,each - susceptibility charge Inpatient & outpatient | 3068718401 CDM | $40.00 | $12.80 | — | — | |
| Antibiotic sens,mic,each - susceptibility charge Inpatient & outpatient | 3068718601 CDM | $89.75 | $28.72 | — | — | |
| Antibody covid19 igg Inpatient & outpatient | 3028676902 CDM | $152 | $48.48 | — | — | |
| Antibody treponema pallidum - t. pallidum confirmatory Inpatient & outpatient | 3028678001 CDM | $113 | $36.16 | — | — | |
| Antihuman globulin dir each antiserum - direct antiglobulin test Inpatient & outpatient | 3008688002 CDM | $166 | $53.12 | — | — | |
| Antihuman globulin indirect each antibody titer - antibody titer Inpatient & outpatient | 3008688601 CDM | $266 | $85.04 | — | — | |
| Antithrombin iii test,activ - antithrombin iii Inpatient & outpatient | 3058530001 CDM | $731 | $234 | — | — |