Home › Hospitals › Texas Scottish Rite Hospital For Children Posts prices for 34 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-18.
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Procedure Cash price Gross charge × Medicare
Shoulder arthroscopy with decompression (29826) $595
$595
—
Knee arthroscopy with meniscectomy (29881) $1,746
$1,746
0.5×
Epidural injection, lumbar/sacral (with imaging) (62322) $282.50
$282.50
0.3×
Transforaminal epidural injection, lumbar/sacral (64483) $234
$234
0.3×
CT head/brain without contrast (70450) $1,352
$1,352
12.9×
MRI brain without contrast (70551) $2,032.50
$2,032.50
8.5×
MRI brain with contrast (70552) $2,194.50
$2,194.50
6.3×
MRI brain without and with contrast (70553) $2,880
$2,880
8.2×
X-ray lower spine, 4+ views (72110) $392
$392
3.7×
MRI lumbar spine without contrast (72148) $1,965.50
$1,965.50
8.2×
CT pelvis with contrast (72193) $1,772
$1,772
10.1×
MRI lower-extremity joint without contrast (73721) $1,858
$1,858
7.8×
CT abdomen and pelvis with contrast (74177) $1,000.50
$1,000.50
2.9×
Ultrasound, abdomen complete (76700) $652
$652
6.2×
Basic metabolic panel (80048) $452
$452
53.4×
Comprehensive metabolic panel (80053) $189
$189
17.9×
Lipid panel (80061) $54
$54
4.0×
Hepatic function panel (80076) $516
$516
63.2×
Urinalysis, non-automated, without microscopy (81002) $10
$10
2.9×
Thyroid stimulating hormone (TSH) (84443) $143
$143
8.5×
CBC with automated differential (85025) $91
$91
11.7×
Prothrombin time (PT) (85610) $119
$119
27.7×
Partial thromboplastin time (PTT) (85730) $157
$157
26.1×
Psychotherapy, 30 minutes (90832) $191
$191
1.1×
Psychotherapy, 45 minutes (90834) $255
$255
1.4×
Psychotherapy, 60 minutes (90837) $383
$383
2.1×
Family psychotherapy, without patient (50 min) (90846) $310
$310
1.7×
Family psychotherapy, with patient (50 min) (90847) $322
$322
1.8×
Physical therapy, therapeutic exercise (per 15 min) (97110) $155
$155
5.3×
Office visit, new patient (low complexity, ~30 min) (99203) $242
$242
1.8×
Office visit, new patient (moderate complexity, ~45 min) (99204) $349
$349
2.6×
Office visit, new patient (high complexity, ~60 min) (99205) $458
$458
3.4×
Office consultation (low complexity, ~30 min) (99243) $250
$250
1.9×
Office consultation (moderate complexity, ~40 min) (99244) $348
$348
2.6×
Children's hospital — Medicare is an adult program, so the Medicare benchmarks on this page are a general yardstick, not rates this hospital typically bills.
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