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 |
|---|---|---|---|---|
| Phosphorus 24 hour urine CPT 84105 | $17.00 | $34.00 | $4.62 – $19.89 | 61 |
| Photopheresis CPT 36522 | $8,204.00 | $16,408.00 | $1,674.15 – $11,554.65 | 60 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $87.50 | $175.00 | $7.53 – $7.53 | 1 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $38.12 | $76.25 | $11.04 – $11.04 | 1 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $85.00 | $170.00 | $9.52 – $9.52 | 1 |
| Placental lactogen CPT 83632 | $109.50 | $219.00 | $16.13 – $69.48 | 61 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $52.00 | $104.00 | $132.05 – $356.54 | 56 |
| Platelet aggregation each agent teg CPT 85576 | $852.00 | $1,704.00 | $19.87 – $85.60 | 61 |
| Platelet automated CPT 85049 | $108.00 | $216.00 | $3.57 – $15.39 | 61 |
| Platelet pheresis each unit HCPCS P9034 | $655.50 | $1,311.00 | $308.96 – $834.19 | 56 |
| Platelets each unit HCPCS P9019 | $68.00 | $136.00 | $53.17 – $143.56 | 56 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $1,121.50 | $2,243.00 | $708.06 – $1,911.76 | 56 |
| Platelets irradiated ea unit HCPCS P9032 | $253.50 | $507.00 | $392.97 – $1,061.02 | 56 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $568.00 | $1,136.00 | $144.26 – $389.50 | 56 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $323.00 | $646.00 | $189.59 – $511.89 | 56 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $317.00 | $634.00 | $503.45 – $1,359.32 | 56 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $655.50 | $1,311.00 | $511.59 – $1,381.29 | 56 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $832.00 | $1,664.00 | $680.61 – $1,837.65 | 56 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $762.00 | $1,524.00 | $2.85 – $989.94 | 57 |
| Pms2 gene dup/delet variants CPT 81319 | $401.50 | $803.00 | $162.39 – $699.49 | 61 |
| Pms2 gene full seq analysis CPT 81317 | $622.50 | $1,245.00 | $539.85 – $2,325.32 | 61 |
| #pnh-flow cytometry interp CPT 88187 | $75.00 | $150.00 | $35.11 – $94.80 | 57 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $570.50 | $1,141.00 | $20.81 – $89.61 | 61 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,178.00 | $8,356.00 | $219.78 – $2,278.14 | 57 |
| Potassium 24 hour urine CPT 84133 | $134.00 | $268.00 | $3.77 – $16.25 | 61 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $22.75 | $45.50 | $0.84 – $0.84 | 1 |
| Potassium serum/plasma/whole blood CPT 84132 | $134.00 | $268.00 | $3.80 – $16.37 | 61 |
| Pq dr cath chg w cont s&i CPT 75984 | $396.50 | $793.00 | $115.71 – $115.71 | 1 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $25.50 | $51.00 | $8.56 – $99.40 | 57 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $483.50 | $967.00 | $15.46 – $532.26 | 57 |
| Prealbumin CPT 84134 | $122.00 | $244.00 | $11.65 – $50.17 | 61 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $3.75 | $7.50 | $1.36 – $1.36 | 1 |
| Pregabalin - sendout CPT 80366 | $79.50 | $159.00 | $6.58 – $183.09 | 31 |
| Pregnancy associated plasma protein-a CPT 84163 | $37.50 | $75.00 | $12.01 – $51.72 | 61 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $567.00 | $1,134.00 | $99.51 – $428.64 | 60 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $531.50 | $1,063.00 | $99.51 – $428.64 | 60 |
| Pressure max expiratory/inspiratory CPT 94799 | $80.00 | $160.00 | $36.31 – $341.35 | 57 |
| Pressure velocity wire add ves CPT 93572 | $450.00 | $900.00 | $192.67 – $192.67 | 1 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $459.50 | $919.00 | $167.40 – $451.97 | 57 |
| Pretreat rbc absorption reference CPT 86978 | $158.50 | $317.00 | $52.82 – $156.50 | 57 |
| Pretreat rbc density gradient separation reference CPT 86972 | $157.50 | $315.00 | $167.40 – $451.97 | 57 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $387.50 | $775.00 | $52.82 – $156.50 | 57 |
| Pretreat rbc w enzyme reference CPT 86971 | $176.50 | $353.00 | $167.40 – $451.97 | 57 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $253.50 | $507.00 | not published | 0 |
| Prgr stim/pace a/iv drug CPT 93623 | $750.00 | $1,500.00 | $651.79 – $651.79 | 1 |
| Procalcitonin CPT 84145 | $170.50 | $341.00 | $21.72 – $93.54 | 61 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $13.50 | $27.00 | $29.73 – $29.73 | 1 |
| Progesterone CPT 84144 | $40.50 | $81.00 | $16.64 – $71.69 | 61 |
| Prolactin CPT 84146 | $13.50 | $27.00 | $15.47 – $66.62 | 61 |
| Promethazine hcl injection HCPCS J2550 | $3.50 | $7.00 | $0.72 – $0.72 | 1 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $61.50 | $123.00 | $40.63 – $40.63 | 1 |
| _propoxygc/msur CPT 80367 | $121.00 | $242.00 | $9.98 – $183.09 | 31 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $15.00 | $30.00 | $16.63 – $16.63 | 1 |
| Prosthetic sock multi ply bk HCPCS L8420 | $30.25 | $60.51 | $25.45 – $68.72 | 54 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $37.12 | $74.25 | $14.34 – $14.34 | 1 |
| Protein c activity CPT 85303 | $203.00 | $406.00 | $11.05 – $47.59 | 61 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $231.50 | $463.00 | $8.57 – $36.91 | 61 |
| Protein s total CPT 85305 | $203.00 | $406.00 | $9.26 – $39.90 | 61 |
| Protein total 24 hour urine CPT 84156 | $105.50 | $211.00 | $2.93 – $12.60 | 61 |
| Protein total body fluid CPT 84157 | $105.50 | $211.00 | $3.19 – $13.75 | 61 |
| Protein total serum plasma whole blood CPT 84155 | $105.50 | $211.00 | $2.93 – $12.60 | 61 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $31.50 | $63.00 | $3.14 – $13.54 | 61 |
| Prq card revasc mi 1 vsl CPT 92941 | $15,296.00 | $30,592.00 | $579.18 – $1,563.79 | 57 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $15,296.00 | $30,592.00 | $11,342.75 – $30,625.42 | 57 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $11,381.00 | $22,762.00 | $11,342.75 – $30,625.42 | 57 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | $17,230.50 | $34,461.00 | $18,011.76 – $48,631.74 | 57 |
| Prq trlml c athrc st angiop1 CPT 92933 | $15,296.00 | $30,592.00 | $18,011.76 – $48,631.74 | 57 |
| Prq trluml c angiop 1art&/br CPT 92920 | $5,191.50 | $10,383.00 | $5,592.25 – $15,099.07 | 57 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $3,915.00 | $7,830.00 | $11,342.75 – $30,625.42 | 57 |
| Prq trluml revsc ch occ ant CPT 92943 | $15,296.00 | $30,592.00 | $11,342.75 – $30,625.42 | 57 |
| PSA (Prostate) Test CPT 84153 | $166.00 | $332.00 | $14.68 – $63.22 | 61 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $156.00 | $312.00 | not published | 0 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $172.50 | $345.00 | not published | 0 |
| Psytx pt w/e&m 16-37 min CPT 90833 | $84.50 | $169.00 | not published | 0 |
| Psytx pt w/e&m 38-52 min CPT 90836 | $112.50 | $225.00 | not published | 0 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $127.00 | $254.00 | $14.77 – $39.88 | 57 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $127.00 | $254.00 | $7.37 – $51.62 | 57 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $112.00 | $224.00 | $14.42 – $38.93 | 57 |
| Pt application of modality traction mechanical CPT 97012 | $112.00 | $224.00 | $4.76 – $38.96 | 57 |
| Pten gene dup/delet variant CPT 81323 | $401.50 | $803.00 | $239.40 – $1,031.18 | 61 |
| Pten gene full sequence CPT 81321 | $552.00 | $1,104.00 | $478.80 – $2,062.37 | 61 |
| Pt evaluation high complexity patient/family CPT 97163 | $481.50 | $963.00 | $42.10 – $266.19 | 57 |
| Pt evaluation low complexity patient/family CPT 97161 | $445.50 | $891.00 | $61.37 – $266.19 | 57 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $463.50 | $927.00 | $61.37 – $266.19 | 57 |
| Pt re-evaluation patient/family CPT 97164 | $427.50 | $855.00 | $34.02 – $183.36 | 57 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $201.50 | $403.00 | $29.83 – $80.54 | 57 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $138.00 | $276.00 | $12.74 – $320.50 | 57 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $112.00 | $224.00 | $18.79 – $78.95 | 57 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $112.00 | $224.00 | $12.37 – $80.62 | 57 |
| Pt wheelchair management each 15 minutes CPT 97542 | $112.00 | $224.00 | $14.98 – $84.40 | 57 |
| Pul art balloon repr percut CPT 92997 | $3,453.00 | $6,906.00 | $11,342.75 – $30,625.42 | 56 |
| Pul art balloon repr percut CPT 92998 | $1,823.50 | $3,647.00 | $167.05 – $167.05 | 1 |
| Pulmonary vent imaging CPT 78579 | $1,108.00 | $2,216.00 | $167.61 – $1,060.55 | 60 |
| Pulse ox continuous overnight monitoring CPT 94762 | $261.00 | $522.00 | $5.71 – $341.35 | 57 |
| Pulse ox multiple CPT 94761 | $44.50 | $89.00 | $22.06 – $22.06 | 1 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $85.00 | $170.00 | $130.73 – $352.96 | 56 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $52.12 | $104.25 | $18.47 – $18.47 | 1 |
| Pyruvate kinase CPT 84220 | $39.00 | $78.00 | $7.53 – $32.45 | 61 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,890.00 | $3,780.00 | $267.91 – $1,440.44 | 60 |
| Quant diff pulm perf w/imaging CPT 78597 | $824.50 | $1,649.00 | $178.70 – $1,060.55 | 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.