Home Dallas–Fort Worth, TX UT Southwestern William P. Clements Jr. University Hospital UT Southwestern William P. Clements Jr. University Hospital: cash prices and insurance rates UT Southwestern Medical Center Dallas–Fort Worth, TX 33 plans in file
What UT Southwestern William P. Clements Jr. University Hospital (UT Southwestern Medical Center) lists in its federally required price file for 39 common scans, tests and ER visits.
Hospital files dated March 10, 2026 · Data checked October 2, 2026 · How we read these files · Report an error
Price information, not medical advice. These are prices hospitals publish in their federally required price files. What you pay can differ: it depends on your plan, your deductible, the exact services you receive, and separate bills from doctors (for example, the radiologist who reads an image). Ask the hospital for a written estimate before you schedule. Independent site: not affiliated with any hospital or insurer. Full disclaimer .MRI
UT Southwestern William P. Clements Jr. University Hospital — MRI Procedure Published cash price Typical insured rate Lowest insured rate Brain MRI CPT 70551 · 33 plans in file Published cash price $1,603 Typical insured rate $2,240 19 plans Lowest insured rate $1,253
Brain MRI with contrast CPT 70553 · 33 plans in file Published cash price $2,585 Typical insured rate $3,613 19 plans Lowest insured rate $1,253
Neck MRI CPT 72141 · 33 plans in file Published cash price $1,799 Typical insured rate $2,346 19 plans Lowest insured rate $1,253
Lower back MRI CPT 72148 · 33 plans in file Published cash price $1,423 Typical insured rate $2,055 19 plans Lowest insured rate $1,253
Knee MRI CPT 73721 · 33 plans in file Published cash price $1,385 Typical insured rate $1,999 19 plans Lowest insured rate $1,253
Shoulder MRI CPT 73221 · 33 plans in file Published cash price $1,094 Typical insured rate $1,611 19 plans Lowest insured rate $1,170
Abdominal MRI CPT 74183 · 33 plans in file Published cash price $1,954 Typical insured rate $2,736 19 plans Lowest insured rate $1,253
Pelvic MRI CPT 72195 · 33 plans in file Published cash price $1,275 Typical insured rate $1,877 19 plans Lowest insured rate $1,253
Breast MRI CPT 77049 · 25 plans in file Published cash price $1,768 Typical insured rate $2,475 19 plans Lowest insured rate $1,253
CT scan
UT Southwestern William P. Clements Jr. University Hospital — CT scan Procedure Published cash price Typical insured rate Lowest insured rate Head CT CPT 70450 · 33 plans in file Published cash price $1,063 Typical insured rate $1,273 19 plans Lowest insured rate $731
Chest CT CPT 71250 · 33 plans in file Published cash price $798 Typical insured rate $1,128 19 plans Lowest insured rate $731
Chest CT with contrast CPT 71260 · 33 plans in file Published cash price $1,375 Typical insured rate $1,834 19 plans Lowest insured rate $993
Abdomen and pelvis CT CPT 74176 · 33 plans in file Published cash price $1,243 Typical insured rate $1,740 19 plans Lowest insured rate $993
Abdomen and pelvis CT with contrast CPT 74177 · 33 plans in file Published cash price $1,973 Typical insured rate $2,762 19 plans Lowest insured rate $993
X-ray
UT Southwestern William P. Clements Jr. University Hospital — X-ray Procedure Published cash price Typical insured rate Lowest insured rate Chest X-ray CPT 71046 · 33 plans in file Published cash price $334 Typical insured rate $432 19 plans Lowest insured rate $258
Knee X-ray CPT 73562 · 33 plans in file Published cash price $227 Typical insured rate $334 19 plans Lowest insured rate $175
Lower back X-ray CPT 72100 · 33 plans in file Published cash price $249 Typical insured rate $366 19 plans Lowest insured rate $192
Shoulder X-ray CPT 73030 · 33 plans in file Published cash price $173 Typical insured rate $261 19 plans Lowest insured rate $134
Ultrasound
UT Southwestern William P. Clements Jr. University Hospital — Ultrasound Procedure Published cash price Typical insured rate Lowest insured rate Abdominal ultrasound CPT 76700 · 33 plans in file Published cash price $436 Typical insured rate $609 19 plans Lowest insured rate $337
Pelvic ultrasound CPT 76856 · 33 plans in file Published cash price $496 Typical insured rate $648 19 plans Lowest insured rate $384
Transvaginal ultrasound CPT 76830 · 33 plans in file Published cash price $217 Typical insured rate $320 19 plans Lowest insured rate $168
Thyroid ultrasound CPT 76536 · 33 plans in file Published cash price $441 Typical insured rate $616 19 plans Lowest insured rate $341
Breast ultrasound CPT 76641 · 33 plans in file Published cash price $356 Typical insured rate $524 19 plans Lowest insured rate $276
Mammogram
UT Southwestern William P. Clements Jr. University Hospital — Mammogram Procedure Published cash price Typical insured rate Lowest insured rate Screening mammogram CPT 77067 · 25 plans in file Published cash price $260 Typical insured rate $364 19 plans Lowest insured rate $201
Diagnostic mammogram CPT 77066 · 25 plans in file Published cash price $394 Typical insured rate $551 19 plans Lowest insured rate $295
Bone density test (DEXA)
UT Southwestern William P. Clements Jr. University Hospital — Bone density test (DEXA) Procedure Published cash price Typical insured rate Lowest insured rate DEXA scan CPT 77080 · 33 plans in file Published cash price $153 Typical insured rate $213 19 plans Lowest insured rate $107
Lab tests
UT Southwestern William P. Clements Jr. University Hospital — Lab tests Procedure Published cash price Typical insured rate Lowest insured rate CMP CPT 80053 · 33 plans in file Published cash price $76.00 Typical insured rate $91.20 19 plans Lowest insured rate $10.56
BMP CPT 80048 · 33 plans in file Published cash price $68.50 Typical insured rate $76.99 19 plans Lowest insured rate $8.46
CBC CPT 85025 · 33 plans in file Published cash price $59.50 Typical insured rate $70.03 19 plans Lowest insured rate $7.77
Lipid panel CPT 80061 · 33 plans in file Published cash price $71.00 Typical insured rate $99.26 19 plans Lowest insured rate $13.39
TSH test CPT 84443 · 33 plans in file Published cash price $98.50 Typical insured rate $134 19 plans Lowest insured rate $16.80
A1c test CPT 83036 · 33 plans in file Published cash price $63.50 Typical insured rate $77.54 19 plans Lowest insured rate $9.71
Urinalysis CPT 81001 · 33 plans in file Published cash price $25.50 Typical insured rate $28.66 19 plans Lowest insured rate $3.17
Vitamin D test CPT 82306 · 33 plans in file Published cash price $146 Typical insured rate $204 19 plans Lowest insured rate $29.60
PSA test CPT 84153 · 33 plans in file Published cash price $84–$109 Typical insured rate $117 19 plans Lowest insured rate $18.39
Urine culture CPT 87086 · 22 plans in file Published cash price — Typical insured rate $42.95 8 plans Lowest insured rate $8.07
ER visit
UT Southwestern William P. Clements Jr. University Hospital — ER visit Procedure Published cash price Typical insured rate Lowest insured rate ER visit level 3 CPT 99283 · 33 plans in file Published cash price $771 Typical insured rate $1,163 19 plans Lowest insured rate $804
ER visit level 4 CPT 99284 · 33 plans in file Published cash price $1,222 Typical insured rate $1,844 19 plans Lowest insured rate $1,275
ER visit level 5 CPT 99285 · 33 plans in file Published cash price $1,879 Typical insured rate $2,837 19 plans Lowest insured rate $1,962
↓ Download this table (CSV) free to reuse with attribution (CC BY 4.0)
About this price file File: 753175630_the-university-of-texas-southwestern-medical-center-at-dallas_standardcharges.csv, last updated March 10, 2026 (hospital's price transparency page ). The same file covers these locations: William P Clements Jr University Hospital. Their prices are the ones on this page. Financial assistance: we have not yet verified a link to this hospital's policy — ask the hospital's billing office. Other hospitals in Dallas–Fort Worth