The cash price gap: what 131 hospitals and imaging centers in Houston, Dallas–Fort Worth, Phoenix, and Austin charge if you don't have insurance

We read the price files that 131 hospitals and imaging centers from 17 hospital systems must publish by law, and compared each cash price with the list price and with what insurers pay.

Hospital files dated January 1, 2026 – September 25, 2026 · Data checked October 2, 2026 · How we read these files · Report an error

Key findings

  1. In Houston, the same brain MRI is listed at $232 cash at Harris Health Ben Taub Hospital and $32,113 at HCA Houston Healthcare Conroe: 138× as much.
  2. In Dallas–Fort Worth, the same brain MRI is listed at $1,362 cash at Parkland Health (Parkland Memorial Hospital) and $2,504 at Texas Health Harris Methodist Hospital Southlake: 1.8× as much.
  3. In Phoenix, the same brain MRI is listed at $287 cash at Banner Casa Grande Medical Center and $3,014 at HonorHealth Deer Valley Medical Center: 11× as much.
  4. In Austin, the same brain MRI is listed at $521 cash at Ascension Seton Cedar Park and $2,557 at Baylor Scott & White Medical Center – Lakeway: 4.9× as much.
  5. In 721 of 4,864 price lines, the “cash price” is the full list price: the file shows no discount for paying without insurance. This happens at HCA Healthcare (Houston); HonorHealth (Phoenix).

By hospital system

Median across every price line of each system for the procedures we track. A cash price at 100% of list means no published discount.

Cash price gap by hospital system
SystemHospitalsCash = listCash as % of listCash ÷ typical insured
Baylor Scott & White HealthAustin60 / 23460%1.1×
Ascension SetonAustin90 / 30736%1.0×
CHRISTUS HealthAustin10 / 0——
Baylor Scott & White HealthDallas–Fort Worth150 / 58560%1.1×
Texas Health ResourcesDallas–Fort Worth180 / 67560%1.3×
UT Southwestern Medical CenterDallas–Fort Worth10 / 3850%0.7×
Parkland HealthDallas–Fort Worth10 / 3940%0.6×
Methodist Health SystemDallas–Fort Worth60 / 23430%2.5×
HCA HealthcareHouston11397 / 397100%9.0×
Houston MethodistHouston80 / 30450%3.2×
St. Luke's HealthHouston80 / 31135%3.1×
Memorial HermannHouston160 / 62432%4.3×
Harris HealthHouston20 / 786%0.4×
HonorHealthPhoenix9324 / 324100%11×
Dignity HealthPhoenix60 / 20827%1.1×
Banner HealthPhoenix130 / 46819%0.5×
Valleywise HealthPhoenix10 / 389%0.8×

↓ Download this table (CSV)free to reuse with attribution (CC BY 4.0)

Cheapest and most expensive, by procedure

Lowest and highest cash price by procedure
ProcedureLowest cash priceHighest cash priceGap
Brain MRICPT 70551 · Houston$232Harris Health Ben Taub Hospital$32,113HCA Houston Healthcare Conroe138×
Abdomen and pelvis CT with contrastCPT 74177 · Houston$343Harris Health Ben Taub Hospital$38,564HCA Houston Healthcare Northwest113×
Chest X-rayCPT 71046 · Houston$84.49Harris Health Ben Taub Hospital$2,728HCA Houston Healthcare West32×
CMPCPT 80053 · Houston$10.56Harris Health Ben Taub Hospital$4,035HCA Houston Healthcare Conroe382×
ER visit level 4CPT 99284 · Houston$409Harris Health Ben Taub Hospital$6,678HCA Houston Healthcare Southeast16×
Brain MRICPT 70551 · Dallas–Fort Worth$1,362Parkland Health (Parkland Memorial Hospital)$2,504Texas Health Harris Methodist Hospital Southlake1.8×
Abdomen and pelvis CT with contrastCPT 74177 · Dallas–Fort Worth$1,899Parkland Health (Parkland Memorial Hospital)$3,920Texas Health Harris Methodist Hospital Southlake2.1×
Chest X-rayCPT 71046 · Dallas–Fort Worth$77.55Texas Health Harris Methodist Hospital Fort Worth$457Texas Health Harris Methodist Hospital Southlake5.9×
CMPCPT 80053 · Dallas–Fort Worth$76.00UT Southwestern William P. Clements Jr. University Hospital$392Texas Health Harris Methodist Hospital Southlake5.2×
ER visit level 4CPT 99284 · Dallas–Fort Worth$775Methodist Celina Medical Center$1,274Baylor Scott & White Medical Center – Lake Pointe1.6×
Brain MRICPT 70551 · Phoenix$287Banner Casa Grande Medical Center$3,014HonorHealth Deer Valley Medical Center11×
Abdomen and pelvis CT with contrastCPT 74177 · Phoenix$428Valleywise Health Medical Center$5,350HonorHealth Deer Valley Medical Center12×
Chest X-rayCPT 71046 · Phoenix$56.09Mercy Gilbert Medical Center$863HonorHealth Deer Valley Medical Center15×
CMPCPT 80053 · Phoenix$12.14Valleywise Health Medical Center$603HonorHealth Deer Valley Medical Center50×
ER visit level 4CPT 99284 · Phoenix$512Valleywise Health Medical Center$1,642Banner Ocotillo Medical Center3.2×
Brain MRICPT 70551 · Austin$521Ascension Seton Cedar Park$2,557Baylor Scott & White Medical Center – Lakeway4.9×
Abdomen and pelvis CT with contrastCPT 74177 · Austin$685Ascension Seton Cedar Park$3,842Baylor Scott & White Medical Center – Lakeway5.6×
Chest X-rayCPT 71046 · Austin$82.08Ascension Seton Cedar Park$413Baylor Scott & White Medical Center – Lakeway5.0×
CMPCPT 80053 · Austin$75.60Ascension Seton Smithville$214Baylor Scott & White Medical Center – Lakeway2.8×
ER visit level 4CPT 99284 · Austin$883Ascension Seton Smithville$1,676Baylor Scott & White Medical Center – Lakeway1.9×

How we made this report

We used each hospital's standard charges file (45 CFR 180), dated between January 1, 2026 and September 25, 2026. We compare only the hospital's full charge for each service (no doctor fees or modifiers) and leave out children's hospitals. Details are in our methodology.

How to cite this data

UninsuredCost, “The cash price gap”, October 2, 2026. https://uninsuredcost.com/cash-price-gap/. License CC BY 4.0.

See prices in your city