Home Houston, TX Children's Memorial Hermann Hospital Children's Memorial Hermann Hospital: cash prices and insurance rates Memorial Hermann Houston, TX children's hospital (not in the summary above) 7 plans in file
What Children's Memorial Hermann Hospital (Memorial Hermann, children's hospital (not in the summary above)) lists in its federally required price file for 39 common scans, tests and ER visits.
Hospital files dated April 1, 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
Children's Memorial Hermann Hospital — MRI Procedure Published cash price Typical insured rate Lowest insured rate Brain MRI CPT 70551 · 7 plans in file Published cash price $1,667 Typical insured rate $378 4 plans Lowest insured rate $360
Brain MRI with contrast CPT 70553 · 7 plans in file Published cash price $2,417 Typical insured rate $552 4 plans Lowest insured rate $526
Neck MRI CPT 72141 · 7 plans in file Published cash price $2,078 Typical insured rate $378 4 plans Lowest insured rate $360
Lower back MRI CPT 72148 · 7 plans in file Published cash price $1,930 Typical insured rate $378 4 plans Lowest insured rate $360
Knee MRI CPT 73721 · 7 plans in file Published cash price $1,610–$2,415 Typical insured rate $378 4 plans Lowest insured rate $360
Shoulder MRI CPT 73221 · 7 plans in file Published cash price $1,616–$2,424 Typical insured rate $378 4 plans Lowest insured rate $360
Abdominal MRI CPT 74183 · 7 plans in file Published cash price $2,380 Typical insured rate $552 4 plans Lowest insured rate $526
Pelvic MRI CPT 72195 · 7 plans in file Published cash price $1,641 Typical insured rate $378 4 plans Lowest insured rate $360
Breast MRI CPT 77049 · 0 plans in file Published cash price $2,152 Typical insured rate — Lowest insured rate —
CT scan
Children's Memorial Hermann Hospital — CT scan Procedure Published cash price Typical insured rate Lowest insured rate Head CT CPT 70450 · 7 plans in file Published cash price $1,027 Typical insured rate $165 4 plans Lowest insured rate $158
Chest CT CPT 71250 · 7 plans in file Published cash price $1,347 Typical insured rate $165 4 plans Lowest insured rate $158
Chest CT with contrast CPT 71260 · 7 plans in file Published cash price $1,659 Typical insured rate $278 4 plans Lowest insured rate $264
Abdomen and pelvis CT CPT 74176 · 7 plans in file Published cash price $2,725 Typical insured rate $378 4 plans Lowest insured rate $360
Abdomen and pelvis CT with contrast CPT 74177 · 7 plans in file Published cash price $3,196 Typical insured rate $552 4 plans Lowest insured rate $526
X-ray
Children's Memorial Hermann Hospital — X-ray Procedure Published cash price Typical insured rate Lowest insured rate Chest X-ray CPT 71046 · 7 plans in file Published cash price $389 Typical insured rate $138 4 plans Lowest insured rate $131
Knee X-ray CPT 73562 · 7 plans in file Published cash price $490–$735 Typical insured rate $138 4 plans Lowest insured rate $131
Lower back X-ray CPT 72100 · 7 plans in file Published cash price $450 Typical insured rate $165 4 plans Lowest insured rate $158
Shoulder X-ray CPT 73030 · 7 plans in file Published cash price $439–$659 Typical insured rate $138 4 plans Lowest insured rate $131
Ultrasound
Children's Memorial Hermann Hospital — Ultrasound Procedure Published cash price Typical insured rate Lowest insured rate Abdominal ultrasound CPT 76700 · 7 plans in file Published cash price $1,178 Typical insured rate $165 4 plans Lowest insured rate $158
Pelvic ultrasound CPT 76856 · 7 plans in file Published cash price $1,009 Typical insured rate $165 4 plans Lowest insured rate $158
Transvaginal ultrasound CPT 76830 · 7 plans in file Published cash price $757 Typical insured rate $165 4 plans Lowest insured rate $158
Thyroid ultrasound CPT 76536 · 7 plans in file Published cash price $706 Typical insured rate $165 4 plans Lowest insured rate $158
Breast ultrasound CPT 76641 · 7 plans in file Published cash price $737–$1,106 Typical insured rate $165 4 plans Lowest insured rate $158
Mammogram
Children's Memorial Hermann Hospital — Mammogram Procedure Published cash price Typical insured rate Lowest insured rate Screening mammogram CPT 77067 · 7 plans in file Published cash price $144 Typical insured rate $131 4 plans Lowest insured rate $124
Diagnostic mammogram CPT 77066 · 7 plans in file Published cash price $153 Typical insured rate $165 4 plans Lowest insured rate $157
Bone density test (DEXA)
Children's Memorial Hermann Hospital — Bone density test (DEXA) Procedure Published cash price Typical insured rate Lowest insured rate DEXA scan CPT 77080 · 7 plans in file Published cash price $362 Typical insured rate $165 4 plans Lowest insured rate $158
Lab tests
Children's Memorial Hermann Hospital — Lab tests Procedure Published cash price Typical insured rate Lowest insured rate CMP CPT 80053 · 7 plans in file Published cash price $288 Typical insured rate $16.63 4 plans Lowest insured rate $15.84
BMP CPT 80048 · 7 plans in file Published cash price $214 Typical insured rate $13.32 4 plans Lowest insured rate $12.69
CBC CPT 85025 · 7 plans in file Published cash price $101 Typical insured rate $12.23 4 plans Lowest insured rate $11.66
Lipid panel CPT 80061 · 7 plans in file Published cash price $306 Typical insured rate $21.09 4 plans Lowest insured rate $20.08
TSH test CPT 84443 · 7 plans in file Published cash price $54.32–$58.08 Typical insured rate $26.46 4 plans Lowest insured rate $25.20
A1c test CPT 83036 · 7 plans in file Published cash price $53.60–$57.28 Typical insured rate $15.29 4 plans Lowest insured rate $14.57
Urinalysis CPT 81001 · 7 plans in file Published cash price $121 Typical insured rate $4.99 4 plans Lowest insured rate $4.76
Vitamin D test CPT 82306 · 7 plans in file Published cash price $63.20 Typical insured rate $46.62 4 plans Lowest insured rate $44.40
PSA test CPT 84153 · 7 plans in file Published cash price $57.44–$74.24 Typical insured rate $28.96 4 plans Lowest insured rate $27.58
Urine culture CPT 87086 · 7 plans in file Published cash price $142 Typical insured rate $12.71 4 plans Lowest insured rate $12.10
ER visit
Children's Memorial Hermann Hospital — ER visit Procedure Published cash price Typical insured rate Lowest insured rate ER visit level 3 CPT 99283 · 7 plans in file Published cash price $824 Typical insured rate $432 4 plans Lowest insured rate $411
ER visit level 4 CPT 99284 · 7 plans in file Published cash price $1,362 Typical insured rate $660 4 plans Lowest insured rate $629
ER visit level 5 CPT 99285 · 7 plans in file Published cash price $1,763 Typical insured rate $942 4 plans Lowest insured rate $897
↓ Download this table (CSV) free to reuse with attribution (CC BY 4.0)
About this price file File: 741152597_childrens-memorial-hermann-hospital_standardcharges.ashx, last updated April 1, 2026 (hospital's price transparency page ). Financial assistance: we have not yet verified a link to this hospital's policy — ask the hospital's billing office. Other hospitals in Houston