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 |
|---|---|---|---|---|
| Nm imaging bone/joint whole body CPT 78306 | $1,213.00 | $2,426.00 | $261.88 – $1,128.00 | 60 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $914.00 | $1,828.00 | $202.20 – $1,060.55 | 60 |
| Nm imaging gastric emptying study CPT 78264 | $888.50 | $1,777.00 | $292.68 – $1,260.66 | 60 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $655.50 | $1,311.00 | $308.54 – $1,329.00 | 60 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $1,162.50 | $2,325.00 | $386.94 – $1,666.67 | 60 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,098.00 | $2,196.00 | $165.06 – $1,440.44 | 60 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,932.00 | $3,864.00 | $293.93 – $1,440.44 | 60 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $816.00 | $1,632.00 | $207.28 – $1,060.55 | 60 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $1,672.50 | $3,345.00 | $85.89 – $619.01 | 60 |
| Noninv pace analysis CPT 93724 | $199.50 | $399.00 | $35.92 – $814.80 | 57 |
| Npm1 gene CPT 81310 | $202.00 | $404.00 | $196.73 – $847.37 | 61 |
| Nras gene variants exon 2&3 CPT 81311 | $260.50 | $521.00 | $295.79 – $798.63 | 57 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $2,921.00 | $5,842.00 | $1,756.85 – $4,743.50 | 57 |
| Nuclear rx intra-arterial CPT 79445 | $1,910.00 | $3,820.00 | $191.41 – $824.46 | 60 |
| Nuclear rx intra-articular CPT 79440 | $1,669.00 | $3,338.00 | $66.38 – $619.01 | 60 |
| Nuclear rx intracav admin CPT 79200 | $1,669.00 | $3,338.00 | $89.54 – $619.01 | 60 |
| Nuclear rx IV admin CPT 79101 | $1,672.50 | $3,345.00 | $85.26 – $619.01 | 60 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,548.50 | $9,097.00 | $416.15 – $3,434.56 | 60 |
| Nuclr rx interstit colloid CPT 79300 | $1,669.00 | $3,338.00 | $116.32 – $619.01 | 57 |
| Nudt15 gene common variants CPT 81306 | $304.50 | $609.00 | $291.36 – $786.67 | 57 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $11,958.50 | $23,917.00 | $81.63 – $15,546.95 | 55 |
| Observation direct referral from physician office for admission HCPCS G0379 | $126.50 | $253.00 | $245.70 – $1,579.88 | 57 |
| Observation per hour HCPCS G0378 | $30.50 | $61.00 | $166.02 – $166.02 | 1 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $73.50 | $147.00 | $5.93 – $5.93 | 1 |
| Oncoprotein dcp CPT 83951 | $129.00 | $258.00 | $51.40 – $221.38 | 61 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $0.87 | $1.75 | $5.64 – $5.64 | 1 |
| Opps service,sched team conf HCPCS G0175 | $101.00 | $202.00 | $6.42 – $1,106.95 | 57 |
| Opscpy extnd rta draw uni/bi CPT 92201 | $71.00 | $142.00 | $57.96 – $156.50 | 56 |
| Oral aprepitant HCPCS J8501 | $170.50 | $341.00 | $139.19 – $139.19 | 1 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $202.50 | $405.00 | $324.71 – $876.72 | 54 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $676.00 | $1,352.00 | $787.21 – $2,125.47 | 53 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $261.50 | $523.00 | $304.55 – $822.29 | 53 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $310.00 | $620.00 | $361.14 – $975.08 | 53 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $261.50 | $523.00 | $304.55 – $822.29 | 53 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $322.50 | $645.00 | $375.75 – $1,014.53 | 53 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $957.50 | $1,915.00 | $1,115.05 – $3,010.64 | 53 |
| Oscillation chest wall mechanical per session CPT 94669 | $234.50 | $469.00 | $91.31 – $580.92 | 57 |
| Osmolality blood CPT 83930 | $184.00 | $368.00 | $5.27 – $22.71 | 61 |
| Osmolality urine CPT 83935 | $184.00 | $368.00 | $5.44 – $23.45 | 61 |
| Ot evaluation high complexity patient/family CPT 97167 | $481.50 | $963.00 | $34.02 – $273.40 | 57 |
| Ot evaluation low complexity patient/family CPT 97165 | $445.50 | $891.00 | $53.04 – $273.40 | 57 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $463.50 | $927.00 | $101.26 – $273.40 | 57 |
| Oth resp proc, group HCPCS G0239 | $38.00 | $76.00 | $36.70 – $422.42 | 57 |
| Oth resp proc, indiv HCPCS G0238 | $110.50 | $221.00 | $28.42 – $76.73 | 57 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $112.00 | $224.00 | $17.13 – $135.84 | 57 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $112.00 | $224.00 | $10.71 – $125.04 | 57 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $112.00 | $224.00 | $18.03 – $75.30 | 57 |
| Ot re-evaluation patient/family CPT 97168 | $427.50 | $855.00 | $26.88 – $186.06 | 57 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $112.00 | $224.00 | $35.25 – $95.18 | 57 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $112.00 | $224.00 | $18.03 – $49.98 | 57 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $112.00 | $224.00 | $18.03 – $53.46 | 57 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $112.00 | $224.00 | $15.94 – $78.95 | 57 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $112.00 | $224.00 | $15.46 – $88.94 | 57 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $112.00 | $224.00 | $32.58 – $87.97 | 57 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $103.50 | $207.00 | $69.31 – $69.31 | 1 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $14.75 | $29.50 | $1.29 – $1.29 | 1 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $17,381.25 | $34,762.50 | $163.03 – $4,692.94 | 54 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $110.25 | $220.50 | $43.45 – $43.45 | 1 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $2,042.00 | $4,084.00 | $8.18 – $3,259.96 | 55 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $174.12 | $348.25 | $19.74 – $19.74 | 1 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $8.62 | $17.25 | $10.97 – $10.97 | 1 |
| Papaverin hcl injection HCPCS J2440 | $87.00 | $174.00 | $59.10 – $59.10 | 1 |
| Parathormone (pth) intact CPT 83970 | $174.50 | $349.00 | $32.95 – $141.91 | 61 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,317.50 | $2,635.00 | $533.49 – $1,440.44 | 57 |
| Parathyroid planar imaging CPT 78070 | $1,400.50 | $2,801.00 | $259.97 – $1,119.78 | 60 |
| Parathyroid planar img w/tomo spect CPT 78071 | $2,100.00 | $4,200.00 | $310.44 – $1,337.18 | 60 |
| Paricalcitol HCPCS J2501 | $63.75 | $127.50 | $34.66 – $34.66 | 1 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $1.69 | $3.39 | $7.62 – $7.62 | 1 |
| Passy muir valve metal trach HCPCS L8501 | $85.51 | $171.02 | $147.88 – $399.28 | 54 |
| Path clin consltj sf 5-20 CPT 80503 | $129.50 | $259.00 | $51.20 – $138.25 | 57 |
| Pdgfra gene CPT 81314 | $343.00 | $686.00 | $262.95 – $1,132.62 | 61 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $8,086.75 | $16,173.50 | $122.84 – $5,811.72 | 55 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,545.00 | $5,090.00 | $166.31 – $716.35 | 59 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,251.50 | $4,503.00 | $166.31 – $716.35 | 59 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,958.00 | $3,916.00 | $99.51 – $428.64 | 59 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,642.00 | $5,284.00 | $329.80 – $1,420.58 | 59 |
| Pelvic MRI (with contrast) CPT 72196 | $2,337.50 | $4,675.00 | $262.83 – $1,370.84 | 59 |
| Pelvic MRI (without contrast) CPT 72195 | $2,032.50 | $4,065.00 | $221.80 – $955.36 | 59 |
| Pelvic Ultrasound (complete) CPT 76856 | $629.50 | $1,259.00 | $91.47 – $393.98 | 60 |
| Pelvic Ultrasound (limited) CPT 76857 | $330.50 | $661.00 | $48.25 – $277.35 | 60 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $1,048.12 | $2,096.25 | $31.97 – $361.37 | 55 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $93.00 | $186.00 | $17.69 – $17.69 | 1 |
| Penile vascular study CPT 93981 | $1,147.00 | $2,294.00 | $33.30 – $288.49 | 60 |
| Peri-proc device eval icd CPT 93287 | $508.00 | $1,016.00 | $23.93 – $23.93 | 1 |
| Peri-proc device eval pm CPT 93286 | $508.00 | $1,016.00 | $15.17 – $15.17 | 1 |
| Peritoneogram rs&i CPT 74190 | $600.50 | $1,201.00 | $76.99 – $1,449.58 | 60 |
| Perit-vens shunt pat tst CPT 78291 | $703.00 | $1,406.00 | $233.63 – $1,060.55 | 60 |
| Pet CT skull-mid thgh initial CPT 78815 | $7,898.00 | $15,796.00 | $1,405.00 – $6,094.42 | 60 |
| Pet CT whole body initial CPT 78816 | $7,898.00 | $15,796.00 | $1,405.00 – $6,094.42 | 60 |
| Pet fdg brain metoblic eval sb CPT 78608 | $7,898.00 | $15,796.00 | $1,391.28 – $5,992.73 | 60 |
| Pet image w/ct lmtd CPT 78814 | $1,410.00 | $2,820.00 | $1,405.00 – $6,094.42 | 60 |
| Ph body fluid CPT 83986 | $81.50 | $163.00 | $2.86 – $12.32 | 61 |
| Phencyclidine (pcp) CPT 83992 | $97.50 | $195.00 | $13.40 – $183.09 | 32 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $36.75 | $73.50 | $66.75 – $66.75 | 1 |
| Phenobarbital therapeutic drug level CPT 80184 | $64.50 | $129.00 | $12.21 – $52.58 | 61 |
| Phentolaine mesylate inj HCPCS J2760 | $775.00 | $1,550.00 | $420.56 – $1,135.51 | 55 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $31.37 | $62.75 | $1.20 – $1.20 | 1 |
| Phenytoin total therapeutic drug level CPT 80185 | $25.00 | $50.00 | $10.57 – $45.54 | 61 |
| Phlebotomy therapeutic CPT 99195 | $134.00 | $268.00 | $6.18 – $352.96 | 57 |
| Phosphorus CPT 84100 | $108.00 | $216.00 | $3.78 – $16.29 | 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.