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 |
|---|---|---|---|---|
| X-ray sacroiliac joints >= 3 views CPT 72202 | $353.00 | $706.00 | $37.46 – $277.35 | 60 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $353.00 | $706.00 | $31.11 – $230.87 | 60 |
| X-ray scapula complete (both sides) CPT 73010 | $263.50 | $527.00 | $22.86 – $277.35 | 60 |
| X-ray sella turcica CPT 70240 | $501.50 | $1,003.00 | $31.43 – $230.87 | 60 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $324.00 | $648.00 | $20.62 – $230.87 | 60 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $422.00 | $844.00 | $35.87 – $230.87 | 60 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $442.50 | $885.00 | $56.82 – $1,449.58 | 60 |
| X-ray skull < 4 views CPT 70250 | $501.50 | $1,003.00 | $34.29 – $277.35 | 60 |
| X-ray skull > 4 views complete CPT 70260 | $547.50 | $1,095.00 | $42.54 – $277.35 | 60 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $584.00 | $1,168.00 | $115.86 – $499.06 | 60 |
| X-ray small intestine follow-through study CPT 74248 | $332.50 | $665.00 | $78.40 – $337.71 | 4 |
| X-ray spine single view CPT 72020 | $251.00 | $502.00 | $23.17 – $230.87 | 60 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $347.50 | $695.00 | $39.37 – $230.87 | 60 |
| X-ray sternum > 2 views CPT 71120 | $334.50 | $669.00 | $32.06 – $230.87 | 60 |
| X-ray surgical specimen CPT 76098 | $434.50 | $869.00 | $40.64 – $1,449.58 | 60 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $524.50 | $1,049.00 | $118.71 – $511.34 | 60 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $442.00 | $884.00 | $50.47 – $230.87 | 60 |
| X-ray thoracic spine 2 views CPT 72070 | $373.00 | $746.00 | $31.43 – $277.35 | 60 |
| X-ray thoracic spine 3 views CPT 72072 | $467.00 | $934.00 | $37.77 – $277.35 | 60 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $373.00 | $746.00 | $33.01 – $230.87 | 60 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $251.00 | $502.00 | $40.64 – $230.87 | 60 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $467.00 | $934.00 | $66.98 – $288.49 | 60 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $410.00 | $820.00 | $30.15 – $230.87 | 60 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $258.50 | $517.00 | $27.93 – $230.87 | 60 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $707.50 | $1,415.00 | $132.37 – $570.18 | 60 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $707.50 | $1,415.00 | $116.81 – $503.15 | 60 |
| X-ray wrist 2 views (both sides) CPT 73100 | $318.50 | $637.00 | $32.39 – $230.87 | 60 |
| Yersinia antibody CPT 86793 | $27.50 | $55.00 | $10.53 – $45.34 | 61 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $61.37 | $122.75 | $1.51 – $67.88 | 55 |
| Zika virus dna/rna amp probe CPT 87662 | $112.50 | $225.00 | $40.95 – $176.37 | 61 |
| Zika virus igm antibody CPT 86794 | $65.50 | $131.00 | $13.44 – $57.90 | 61 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $1,054.62 | $2,109.25 | $64.53 – $64.53 | 1 |
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.