Methodist Charlton Medical Center
3500 W Wheatland Road, Dallas, TX · Methodisthealthsystem · · NPI 1275592131
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 |
|---|---|---|---|---|
| Mlh1 gene CPT 81288 | $210.50 | $421.00 | $153.47 – $661.06 | 61 |
| Mlh1 gene dup/delete variant CPT 81294 | $186.00 | $372.00 | $161.52 – $695.72 | 61 |
| Mlh1 gene full seq CPT 81292 | $621.50 | $1,243.00 | $538.97 – $2,321.56 | 61 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $350.00 | $700.00 | $19.04 – $129.68 | 60 |
| Mopath procedure level 1 CPT 81400 | $174.00 | $348.00 | $51.04 – $219.86 | 61 |
| Mopath procedure level 3 CPT 81402 | $265.00 | $530.00 | $119.97 – $516.74 | 61 |
| Mopath procedure level 5 CPT 81404 | $747.50 | $1,495.00 | $219.32 – $944.68 | 61 |
| Mopath procedure level 6 CPT 81405 | $1,840.00 | $3,680.00 | $240.47 – $1,035.81 | 61 |
| Mopath procedure level 7 CPT 81406 | $1,050.00 | $2,100.00 | $225.74 – $972.34 | 61 |
| Mopath procedure level 8 CPT 81407 | $900.00 | $1,800.00 | $675.33 – $2,908.88 | 61 |
| Mopath procedure level 9 CPT 81408 | $1,840.00 | $3,680.00 | $1,596.00 – $6,874.56 | 61 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $29.50 | $59.00 | $0.03 – $0.03 | 1 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $386.87 | $773.75 | $11.14 – $11.14 | 1 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $137.00 | $274.00 | $88.11 – $950.92 | 61 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $378.00 | $756.00 | $90.66 – $451.97 | 61 |
| Motor &/ sens nrve cndj test CPT 95905 | $141.50 | $283.00 | $66.36 – $1,185.11 | 57 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $115.00 | $230.00 | $50.03 – $215.48 | 5 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $1,126.00 | $2,252.00 | $167.40 – $1,272.12 | 61 |
| M/phmtrc alysishquant/semiq CPT 88369 | $199.00 | $398.00 | $95.15 – $428.76 | 5 |
| MRA abdomen post contrast CPT 74185 | $2,793.50 | $5,587.00 | $234.44 – $1,111.39 | 56 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $2,523.50 | $5,047.00 | $234.44 – $1,098.43 | 56 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $3,325.50 | $6,651.00 | $234.44 – $1,106.19 | 56 |
| MRA pelvis CPT 72198 | $2,444.50 | $4,889.00 | $234.44 – $1,107.48 | 56 |
| MRA upper extremity post contrast-bil CPT 73225 | $2,444.50 | $4,889.00 | $234.44 – $1,104.89 | 56 |
| Mr elastography CPT 76391 | $604.00 | $1,208.00 | $196.80 – $847.70 | 59 |
| MRI breast c- unilateral CPT 77046 | $1,880.00 | $3,760.00 | $234.44 – $836.61 | 56 |
| MRI breast c-+ w/cad uni CPT 77048 | $1,880.00 | $3,760.00 | $332.87 – $1,057.04 | 56 |
| MRI breast without cont bi CPT 77047 | $1,880.00 | $3,760.00 | $234.44 – $836.61 | 56 |
| MRI breast w IV cont bi CPT 77049 | $1,880.00 | $3,760.00 | $338.56 – $1,051.87 | 56 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $1,880.00 | $3,760.00 | $221.80 – $955.36 | 59 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $2,683.00 | $5,366.00 | $342.79 – $1,499.39 | 59 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $2,193.00 | $4,386.00 | $414.87 – $2,079.65 | 59 |
| MRI chest without contrast CPT 71550 | $2,095.00 | $4,190.00 | $221.80 – $955.36 | 59 |
| MRI chest without & w/contrast CPT 71552 | $2,723.50 | $5,447.00 | $342.79 – $1,499.39 | 59 |
| MRI chest w IV cont CPT 71551 | $2,408.50 | $4,817.00 | $365.99 – $2,444.14 | 59 |
| MRI compatible system HCPCS L0859 | $937.50 | $1,875.00 | $1,866.53 – $5,039.63 | 53 |
| MRI guid ndl plc s&i CPT 77021 | $1,880.00 | $3,760.00 | $691.89 – $691.89 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | $2,645.50 | $5,291.00 | $257.74 – $1,370.84 | 59 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,300.50 | $4,601.00 | $218.70 – $942.02 | 59 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,753.50 | $5,507.00 | $330.13 – $1,421.97 | 59 |
| MRI orbit/face/neck without contrast CPT 70540 | $2,091.00 | $4,182.00 | $221.57 – $954.38 | 59 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $2,717.50 | $5,435.00 | $331.70 – $1,428.76 | 59 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,404.00 | $4,808.00 | $262.83 – $1,370.84 | 59 |
| MRI tmj CPT 70336 | $1,890.00 | $3,780.00 | $221.80 – $955.36 | 59 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,906.00 | $3,812.00 | $221.80 – $955.36 | 59 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,478.50 | $4,957.00 | $342.79 – $1,499.39 | 59 |
| MRI upper extremity w/dye CPT 73219 | $2,192.00 | $4,384.00 | $324.72 – $1,398.69 | 59 |
| MRI w/cont, breast, bi HCPCS C8906 | $2,499.50 | $4,999.00 | $342.79 – $925.52 | 56 |
| MRI w/cont, breast, uni HCPCS C8903 | $2,167.00 | $4,334.00 | $172.34 – $465.32 | 56 |
| MRI without fol w/cont, breast HCPCS C8908 | $3,248.00 | $6,496.00 | $342.79 – $925.52 | 56 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $2,817.50 | $5,635.00 | $342.79 – $925.52 | 56 |
| Mr safety determination physician/other qhp CPT 76016 | $81.00 | $162.00 | $85.51 – $230.87 | 57 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $22.50 | $45.00 | $91.06 – $91.06 | 1 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $22.50 | $45.00 | $28.42 – $76.73 | 57 |
| Mr spectroscopy CPT 76390 | $1,880.00 | $3,760.00 | $85.51 – $1,336.49 | 56 |
| Msh2 gene dup/delete variant CPT 81297 | $200.50 | $401.00 | $170.21 – $733.16 | 61 |
| Msh2 gene full seq CPT 81295 | $351.00 | $702.00 | $304.60 – $1,312.02 | 61 |
| Msh6 gene dup/delete variant CPT 81300 | $401.50 | $803.00 | $189.92 – $818.07 | 61 |
| Msh6 gene full seq CPT 81298 | $590.50 | $1,181.00 | $512.19 – $2,206.20 | 61 |
| Mthfr gene analy common variants CPT 81291 | $94.00 | $188.00 | $52.15 – $224.61 | 61 |
| Mucin synovial fluid CPT 83872 | $12.50 | $25.00 | $4.67 – $20.13 | 61 |
| Multiple sleep latency test CPT 95805 | $2,061.50 | $4,123.00 | $347.51 – $2,278.14 | 57 |
| Mumps antibody igg CPT 86735 | $54.50 | $109.00 | $10.41 – $44.85 | 61 |
| Muscle test cran nerv unilat CPT 95867 | $236.00 | $472.00 | $37.11 – $572.82 | 57 |
| Muscle test larynx CPT 95865 | $258.50 | $517.00 | $36.31 – $352.96 | 57 |
| Mycobacteria dna amp probe CPT 87551 | $213.50 | $427.00 | $38.49 – $165.81 | 61 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $12.37 | $24.75 | $2.72 – $2.72 | 1 |
| Mycophenolic acid HCPCS J7518 | $7.75 | $15.50 | $4.71 – $4.71 | 1 |
| Mycoplasma antibody igm CPT 86738 | $66.00 | $132.00 | $10.56 – $45.50 | 61 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $240.00 | $480.00 | $139.97 – $602.92 | 60 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $121.50 | $243.00 | $9.21 – $39.65 | 61 |
| Myocrd img pet 1std rst/strs CPT 78491 | $1,680.00 | $3,360.00 | $1,405.00 – $3,793.49 | 57 |
| Myocrd img pet mlt rst&strs CPT 78492 | $1,680.00 | $3,360.00 | $1,405.00 – $3,793.49 | 57 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $31.37 | $62.75 | $26.29 – $26.29 | 1 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $11.62 | $23.25 | $4.30 – $4.30 | 1 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $41.62 | $83.25 | $6.69 – $6.69 | 1 |
| Natriuretic peptide CPT 83880 | $389.00 | $778.00 | $31.33 – $134.95 | 61 |
| Natural killer cells total count CPT 86357 | $109.00 | $218.00 | $30.11 – $129.68 | 61 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $141.50 | $283.00 | $28.31 – $352.96 | 57 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $2,745.50 | $5,491.00 | $166.31 – $716.35 | 59 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,429.00 | $4,858.00 | $164.74 – $1,370.84 | 59 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $2,112.50 | $4,225.00 | $99.51 – $428.64 | 59 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $3,146.00 | $6,292.00 | $313.30 – $1,370.84 | 59 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $2,783.00 | $5,566.00 | $269.81 – $1,370.84 | 59 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $2,419.00 | $4,838.00 | $186.66 – $836.61 | 59 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,644.00 | $5,288.00 | $338.38 – $1,457.53 | 59 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $2,338.50 | $4,677.00 | $240.92 – $1,370.84 | 59 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,034.00 | $4,068.00 | $211.41 – $910.63 | 59 |
| Neisseria meningitidis CPT 86741 | $39.50 | $79.00 | $10.53 – $45.34 | 61 |
| Nerve conduction studies 3-4 CPT 95908 | $369.50 | $739.00 | $75.87 – $572.82 | 57 |
| Nerve conduction studies 5-6 CPT 95909 | $389.00 | $778.00 | $25.45 – $572.82 | 57 |
| Nerve teasing preparations CPT 88362 | $109.00 | $218.00 | $175.47 – $2,137.38 | 61 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $226.00 | $452.00 | $126.43 – $341.35 | 57 |
| New Patient Office Visit (level 2) CPT 99202 | $195.00 | $390.00 | $17.13 – $209.30 | 57 |
| New Patient Office Visit (level 3) CPT 99203 | $211.00 | $422.00 | $34.25 – $209.30 | 57 |
| New Patient Office Visit (level 4) CPT 99204 | $321.00 | $642.00 | $52.81 – $314.44 | 57 |
| New Patient Office Visit (level 5) CPT 99205 | $367.50 | $735.00 | $74.45 – $430.76 | 57 |
| N-invas est c ffr sw aly cta CPT 75580 | $983.50 | $1,967.00 | $843.76 – $2,278.14 | 56 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $10,259.50 | $20,519.00 | $33.57 – $15,756.79 | 55 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,514.50 | $3,029.00 | $306.64 – $1,320.82 | 60 |
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.