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Texas Scottish Rite Hospital For Children

Dallas, TX · 100 beds · 43 procedures priced

Sourced from this hospital's machine-readable file, posted Thu Jun 04 2026 00:00:00 GMT+0000 (Coordinated Universal Time) · data quality 100/100 · source file ↗

Category

Procedure ▲	Negotiated i	Cash i	Gross i
ACL Reconstruction (Arthroscopic)	$3,167$966$3.3k	$3,167	$3,167
Basic Metabolic Panel	$199$9$339	$452	$452
Bunion Correction Surgery	$1,670$511$1.8k	$1,670	$1,670
Carpal Tunnel Release Surgery	$1,352$434$1.4k	$1,352	$1,352
Cervical Spinal Fusion (Anterior)	$5,748$1.6k$6.0k	$5,748	$5,748
Chest X-ray (2 Views)	$55$7$242	$84	$84
Complete Abdominal Ultrasound	$130$26$942	$652	$652
Complete Blood Count (CBC) with Differential	$40$8$68	$91	$91
Comprehensive Metabolic Panel	$83$12$142	$189	$189
CT Abdomen and Pelvis with Contrast	$589$68$1.2k	$1,001	$1,001
CT Chest without Contrast	$164$43$2.2k	$1,524	$1,524
CT Head without Contrast	$135$32$1.9k	$1,352	$1,352
Emergency Room Visit (Level 3)	$295$64$310	$295	$295
Individual Therapy Session (45 Minutes)	$255$86$268	$255	$255
Initial Hospital Admission (Level 1)	$314$98$330	$314	$314
Initial Psychiatric Diagnostic Evaluation	$385$130$404	$385	$385
Initial Psychiatric Evaluation with Medication Management	$531$147$558	$531	$531
Knee Arthroscopy with Meniscectomy	$1,746$539$1.8k	$1,746	$1,746
Lipid Panel (Cholesterol Test)	$24$15$54	$54	$54
Lumbar Epidural Steroid Injection	$301$24$316	$301	$301
Lumbar Puncture (Spinal Tap)	$248$50$1.9k	$782	$782
Lumbar Spinal Fusion (Posterior)	$5,131$1.5k$5.4k	$5,131	$5,131
Lumpectomy (Partial Mastectomy)	$2,130$643$2.2k	$2,130	$2,130
MRI Abdomen with and without Contrast	$366$83$4.2k	$3,004	$3,004
MRI Brain with and without Contrast	$379$87$4.0k	$2,880	$2,880
MRI Brain with Contrast	$292$68$3.1k	$2,195	$2,195
MRI Brain without Contrast	$235$57$2.9k	$2,033	$2,033
MRI Cervical Spine (Neck) without Contrast	$256$57$3.0k	$2,121	$2,121
MRI Knee without Contrast	$224$52$2.6k	$1,858	$1,858
MRI Lower Back (Lumbar Spine) without Contrast	$239$57$2.8k	$1,966	$1,966
MRI Thoracic Spine (Mid-back) without Contrast	$256$57$3.0k	$2,121	$2,121
Office Visit, Established Patient (Level 3)	$139$53$146	$139	$139
Office Visit, New Patient (Level 3)	$242$79$254	$242	$242
Pulmonary Function Test with Bronchodilator	$375$16$682	$853	$853
Rotator Cuff Repair (Arthroscopic)	$3,608$1.1k$3.8k	$3,608	$3,608
Septoplasty (Deviated Septum Repair)	$2,130$663$2.2k	$2,130	$2,130
Skin Lesion Removal (Benign, up to 0.5 cm)	$186$82$195	$186	$186
Spirometry (Breathing Test)	$242$11$441	$551	$551
Total Hip Replacement	$4,600$1.3k$4.8k	$4,600	$4,600
Total Knee Replacement	$5,153$1.3k$5.4k	$5,153	$5,153
Total Mastectomy	$3,300$933$3.5k	$3,300	$3,300
TSH Thyroid Function Test	$63$18$107	$143	$143
Vitamin D Blood Test	$157$32$267	$356	$356

Median facility price per procedure. Negotiated shows the median across payers with the full range. Figures as reported in the hospital's file — not a quote.