NORTHWEST TEXAS HOSPITAL
Acute Care Hospitals
Procedure Prices at NORTHWEST TEXAS HOSPITAL
VENIPUNCTURE
CPT 36415
$3
CBC AUTO W/AUTO DIFF
CPT 85025
$29
CMP PANEL
CPT 80053
$47
EKG Tracing
CPT 93005
$56
Mechanical Traction
CPT 97012
$64
Chest X-Ray (2 views)
CPT 71046
$65
Diagnostic Mammogram (unilateral)
CPT 77065
$74
Diagnostic Mammogram (bilateral)
CPT 77066
$74
Screening Mammogram (bilateral)
CPT 77067
$74
Chest X-Ray (1 view)
CPT 71045
$81
Therapeutic Exercises
CPT 97110
$90
Therapeutic Activities
CPT 97530
$96
CT Chest
CPT 71250
$109
Thoracic Spine X-Ray
CPT 72072
$109
Abdominal Ultrasound
CPT 76700
$109
Abdominal Ultrasound — Limited
CPT 76705
$109
Retroperitoneal Ultrasound
CPT 76770
$109
OB Ultrasound
CPT 76805
$109
INDIVIDUAL TX 1HR
CPT 90837
$119
MRI Brain w/o Contrast
CPT 70551
$230
Echocardiogram
CPT 93307
$230
Echocardiogram w/ Doppler
CPT 93306
$353
MRI Brain w/ Contrast
CPT 70553
$368
CT Abdomen & Pelvis
CPT 74177
$368
INJ TRAN EPI ANES L-S SNGL LT
CPT 64483
$555
Upper GI Endoscopy w/ Biopsy
CPT 43239
$616
Colonoscopy
CPT 45378
$794
Colonoscopy w/ Biopsy
CPT 45380
$1,037
MRI Joint of Lower Extremity
CPT 73721
$1,065
Cataract Surgery — Complex
CPT 66982
$2,079
Cataract Surgery
CPT 66984
$2,079
Treat thigh fracture
CPT 27245
$2,509
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$2,736
Knee Arthroscopy
CPT 29881
$2,830
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$3,070
Appendectomy
CPT 44950
$3,183
Recurrent Inguinal Hernia Repair
CPT 49520
$3,183
Hip Replacement
CPT 27130
$3,779
Knee Replacement
CPT 27447
$3,779
Laparoscopic Hernia Repair
CPT 49650
$3,779
ARTHROSCOP ROTATOR CUFF REPR
CPT 29827
$4,313
Laparoscopic Cholecystectomy
CPT 47562
$5,060
Compare Prices Nearby
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.