Methodist Charlton Medical Center

3500 W Wheatland Road, Dallas, TX · Methodisthealthsystem · · NPI 1275592131

Source: hospital's published price file ↗ · Published Mar 21, 2026 · Ingested Sep 17, 2026

Published prices by procedure

Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.

Procedure Cash price Gross charge Negotiated range Payers
Igh gene rearrange amp meth CPT 81261 $282.00 $564.00 $157.99 – $680.54 61
Igh@ var region somatic mutation analy CPT 81263 $371.50 $743.00 $235.03 – $1,012.36 61
Igk rearrangeabn clonal pop CPT 81264 $250.00 $500.00 $137.84 – $593.71 61
Ihc/icc per specimen each additional single antibody stain CPT 88341 $67.50 $135.00 $73.39 – $316.11 5
Ihc/icc per specimen each multiplex antibody stain CPT 88344 $56.50 $113.00 $131.29 – $950.92 61
Ihc/icc per specimen initial single antibody stain CPT 88342 $168.50 $337.00 $85.32 – $451.97 61
Ikbkap gene CPT 81260 $36.00 $72.00 $31.37 – $135.12 61
Iliac/fem angio cath insert HCPCS G0278 $1,625.50 $3,251.00 $22.06 – $22.06 1
Img rta detc/mntr ds phy/qhp CPT 92228 $36.00 $72.00 $36.70 – $99.09 56
Immobilizer shldr cntor adlt HCPCS L3670 $62.39 $124.79 $132.02 – $356.45 54
Immobilizer shldr dlx str 24-36in med HCPCS L1830 $14.80 $29.61 $63.18 – $170.59 54
Immune complex assay CPT 86332 $16.50 $33.00 $19.45 – $83.76 61
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 $2,200.12 $4,400.25 $47.29 – $2,226.52 55
Immunoassay tumor antigen quantitative ca 125 CPT 86304 $173.50 $347.00 $16.61 – $71.53 61
Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 $263.00 $526.00 $16.61 – $71.53 61
Immunodiff gel qual ea antigen/ab CPT 86331 $8.50 $17.00 $9.56 – $41.17 61
Immunofixation electrophoresis serum CPT 86334 $407.00 $814.00 $17.83 – $76.81 61
Immunofluorescence per specimen each additional single antibody stain CPT 88350 $315.50 $631.00 $76.87 – $362.06 5
Immunofluorescence per specimen initial single antibody stain CPT 88346 $557.50 $1,115.00 $109.95 – $473.61 61
Immunoglobulin assay CPT 86023 $516.00 $1,032.00 $9.95 – $42.84 61
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 $41.50 $83.00 $56.02 – $241.31 60
Infect ag drug suscept pheno predict CPT 87900 $264.50 $529.00 $104.02 – $448.03 61
Infect ag genotype na cytomegalovirus CPT 87910 $544.00 $1,088.00 $205.45 – $884.94 61
Infect ag genotype na dna hepatitis b CPT 87912 $278.00 $556.00 $205.45 – $884.94 61
Infect ag genotype na hiv-1 other region CPT 87906 $427.50 $855.00 $102.72 – $442.47 61
Infect ag genotype na hiv-1 revr trn/prt CPT 87901 $262.50 $525.00 $205.45 – $884.94 61
Infect ag ia optc obs influenza CPT 87804 $193.50 $387.00 $13.21 – $56.88 61
Infect ag if ea plyvlnt antsrm CPT 87300 $96.50 $193.00 $9.56 – $41.17 61
Infect ag if hep delta agent CPT 87380 $94.00 $188.00 $14.65 – $63.10 61
Infect ag if influenza a CPT 87276 $96.50 $193.00 $12.83 – $55.24 61
Infect ag if influenza b CPT 87275 $96.50 $193.00 $9.78 – $42.11 61
Infect ag if legionella pneumophila CPT 87278 $28.00 $56.00 $12.45 – $53.61 61
Infect ag if nos ea CPT 87299 $96.50 $193.00 $12.84 – $55.32 61
Infect ag if pneumocystis carinii CPT 87281 $65.50 $131.00 $9.56 – $41.17 61
Infect ag na herpes simplex quant CPT 87530 $105.00 $210.00 $34.19 – $147.27 61
Infect ag na hpv high-risk types CPT 87624 $65.50 $131.00 $28.01 – $120.63 61
Infect ag na influenza r/amp 1st 2 types CPT 87502 $205.00 $410.00 $76.45 – $329.28 61
Infect ag na orthopoxvirus amp prb each CPT 87593 $32.00 $64.00 $40.95 – $176.37 60
Infect ag na resp virus 12-25 targets CPT 87633 $612.00 $1,224.00 $332.60 – $1,432.61 61
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 $58.50 $117.00 $9.56 – $41.17 61
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 $13.50 $27.00 $11.03 – $47.51 61
Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 $74.00 $148.00 $9.56 – $41.17 61
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 $231.00 $462.00 $11.48 – $49.43 61
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 $202.50 $405.00 $8.25 – $35.52 61
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 $64.00 $128.00 $8.25 – $35.52 61
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 $79.00 $158.00 $19.22 – $82.78 61
Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 $124.00 $248.00 $9.56 – $41.17 61
Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 $11.00 $22.00 $9.56 – $41.17 61
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 $45.00 $90.00 $9.56 – $41.17 61
Infectious agent nucleic acid amplified probe CPT 87798 $433.50 $867.00 $28.01 – $120.63 61
Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 $133.00 $266.00 $28.01 – $120.63 61
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 $292.50 $585.00 $29.74 – $128.12 61
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 $274.00 $548.00 $416.78 – $1,125.31 57
Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 $82.50 $165.00 $28.01 – $120.63 61
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 $126.00 $252.00 $28.01 – $120.63 61
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 $296.00 $592.00 $33.26 – $143.26 61
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 $133.00 $266.00 $28.01 – $120.63 61
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 $450.00 $900.00 $40.95 – $176.37 61
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 $197.00 $394.00 $113.82 – $490.26 61
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 $227.00 $454.00 $113.82 – $490.26 61
Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 $80.50 $161.00 $28.01 – $120.63 61
Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 $86.50 $173.00 $28.01 – $120.63 61
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 $16.50 $33.00 $70.18 – $189.49 57
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 $138.00 $276.00 $61.27 – $263.89 60
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 $654.00 $1,308.00 $332.60 – $1,432.61 61
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 $397.50 $795.00 $209.86 – $903.96 61
Infectious agent nucleic acid quantification bk virus CPT 87799 $171.50 $343.00 $34.19 – $147.27 61
Infectious agent nucleic acid quantification hepatitis b CPT 87517 $102.00 $204.00 $34.19 – $147.27 61
Infectious agent nucleic acid quantification hepatitis c CPT 87522 $79.00 $158.00 $34.19 – $147.27 61
Infectious agent nucleic acid quantification hiv-1 CPT 87536 $60.00 $120.00 $67.91 – $292.50 61
Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 $1,192.37 $2,384.75 $24.22 – $2,142.16 55
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 $157.00 $314.00 $71.96 – $580.92 57
Initiation & management bipap/cpap initial day CPT 94660 $1,581.50 $3,163.00 $91.31 – $580.92 57
Inj, acetaminophen (b braun) HCPCS J0136 $15.12 $30.25 $14.34 – $14.34 1
Inj, bupivacaine liposome HCPCS J0666 $775.00 $1,550.00 $1.44 – $1,020.24 55
Inj cefazolin sodium, hikma HCPCS J0688 $605.25 $1,210.50 $554.48 – $554.48 1
Inj, cefiderocol, 10 mg HCPCS J0699 $459.12 $918.25 $2.42 – $451.71 55
Inj ceftolozane tazobactam HCPCS J0695 $356.50 $713.00 $8.95 – $272.46 55
Injection, caplacizumab-yhdp HCPCS C9047 $11,232.37 $22,464.75 $802.25 – $18,124.06 55
Injection during cath supravalvular aortography CPT 93567 $151.00 $302.00 $3,884.57 – $3,884.57 1
Injection,onabotulinumtoxina HCPCS J0585 $820.37 $1,640.75 $6.51 – $1,395.76 55
Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 $445.50 $891.00 $23.54 – $814.31 60
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 $230.50 $461.00 $26.40 – $124.22 57
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 $230.50 $461.00 $39.91 – $39.91 1
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 $230.50 $461.00 $26.40 – $564.28 57
Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 $168.50 $337.00 $25.15 – $191.01 57
Inject sacroiliac joint CPT 27096 $1,107.50 $2,215.00 $693.56 – $1,109.70 27
Inj., eravacycline, 1 mg HCPCS J0122 $135.62 $271.25 $1.29 – $117.11 55
Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 $185.00 $370.00 $3,884.57 – $3,884.57 1
Inj hydroxocobalamin IV 25mg HCPCS J3424 $1,320.50 $2,641.00 $5.44 – $2,332.64 55
Inj moxifloxacin (fres kabi) HCPCS J2281 $87.50 $175.00 $103.53 – $103.53 1
Inj retacrit esrd on dialysi HCPCS Q5105 $775.00 $1,550.00 $102.29 – $102.29 1
Inj secretin synthetic human HCPCS J2850 $775.00 $1,550.00 $40.44 – $1,254.65 55
Inj sulf hexa lipid microsph HCPCS Q9950 $269.75 $539.50 $346.55 – $346.55 1
Inj testosterone cypionate HCPCS J1071 $50.00 $100.00 $9.56 – $9.56 1
Insertion catheter bladder temporary simple CPT 51702 $190.50 $381.00 $130.73 – $352.96 57
Insert swan-ganz cath CPT 93503 $1,855.50 $3,711.00 $1,546.69 – $4,176.05 57
Insitu hybridization auto CPT 88367 $155.50 $311.00 $83.04 – $950.92 61
Insitu hybridization (fish) CPT 88366 $366.00 $732.00 $167.40 – $879.41 61
Insitu hybridization manual CPT 88368 $325.50 $651.00 $110.30 – $950.92 61

A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.