DELL SETON MED CENTER AT THE UNIVERSITY OF TX
Acute Care Hospitals
29
Procedure Prices at DELL SETON MED CENTER AT THE UNIVERSITY OF TX
COLLECTION VENOUS BLOOD VENIPUNCTURE
CPT 36415
$3.75
EKG Interpretation
CPT 93010
$12.83
BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC
CPT 85025
$13.78
COMPREHENSIVE METABOLIC PANEL
CPT 80053
$18.71
Mechanical Traction
CPT 97012
$22.45
EKG
CPT 93000
$25.67
Therapeutic Exercises
CPT 97110
$34.55
Chest X-Ray (1 view)
CPT 71045
$60.26
Chest X-Ray (2 views)
CPT 71046
$60.26
Therapeutic Activities
CPT 97530
$61.49
OFFICE OUTPATIENT VISIT 15 MINUTES
CPT 99213
$77.54
EKG Tracing
CPT 93005
$83.38
OB Ultrasound
CPT 76805
$91.21
Diagnostic Mammogram (unilateral)
CPT 77065
$92.95
Screening Mammogram (bilateral)
CPT 77067
$98.17
CT Chest
CPT 71250
$111.03
Thoracic Spine X-Ray
CPT 72072
$111.03
Abdominal Ultrasound
CPT 76700
$111.03
Abdominal Ultrasound — Limited
CPT 76705
$111.03
Retroperitoneal Ultrasound
CPT 76770
$111.03
Diagnostic Mammogram (bilateral)
CPT 77066
$118.71
Echocardiogram
CPT 93307
$147.58
Echocardiogram w/ Doppler
CPT 93306
$206.41
MRI Brain w/o Contrast
CPT 70551
$225.34
MRI Joint of Lower Extremity
CPT 73721
$225.34
CT Abdomen & Pelvis
CPT 74177
$245.16
ER Visit — Low-Moderate Complexity
CPT 99283
$326.46
MRI Brain w/ Contrast
CPT 70553
$442.68
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL
CPT 64483
$457.08
Colonoscopy
CPT 45378
$482.79
Upper GI Endoscopy w/ Biopsy
CPT 43239
$505.57
ER Visit — Moderate Complexity
CPT 99284
$529.74
Colonoscopy w/ Biopsy
CPT 45380
$636.75
ER Visit — High Complexity
CPT 99285
$776.07
TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW
CPT 27245
$866.84
Hip Replacement
CPT 27130
$1,000
Knee Replacement
CPT 27447
$1,000
ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR
CPT 29827
$1,000
Knee Arthroscopy
CPT 29881
$1,000
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$1,000
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$1,000
Appendectomy
CPT 44950
$1,000
Laparoscopic Cholecystectomy
CPT 47562
$1,000
Inguinal Hernia Repair
CPT 49505
$1,000
Recurrent Inguinal Hernia Repair
CPT 49520
$1,000
Laparoscopic Hernia Repair
CPT 49650
$1,000
Vaginal Delivery
CPT 59400
$1,000
C-Section
CPT 59510
$1,000
VBAC Delivery
CPT 59610
$1,000
Cataract Surgery — Complex
CPT 66982
$1,000
Cataract Surgery
CPT 66984
$1,000
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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.