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 |
|---|---|---|---|---|
| Cardiolipin antibody iga CPT 86147 | $18.50 | $37.00 | $20.31 – $87.49 | 61 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $1,249.50 | $2,499.00 | $643.75 – $1,753.41 | 57 |
| Cardioversion/elective/internal 92961 CPT 92961 | $1,249.50 | $2,499.00 | $643.75 – $1,753.41 | 57 |
| Card MRI veloc flow mapping CPT 75565 | $404.50 | $809.00 | $70.66 – $70.66 | 1 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $4,819.87 | $9,639.75 | $55.61 – $5,553.88 | 55 |
| Car ion chnnlpath inc 10 gns CPT 81413 | $900.00 | $1,800.00 | $584.90 – $1,579.23 | 57 |
| Carotene CPT 82380 | $10.00 | $20.00 | $7.35 – $31.67 | 61 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,476.00 | $2,952.00 | $73.97 – $768.44 | 60 |
| Car seat/bed test 60 minutes CPT 94780 | $95.00 | $190.00 | $15.17 – $99.09 | 57 |
| Car seat/bed test additional 30 minutes CPT 94781 | $48.50 | $97.00 | $22.06 – $22.06 | 1 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | $2,197.50 | $4,395.00 | $11.94 – $11.94 | 1 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $9,405.50 | $18,811.00 | $3,185.36 – $8,600.47 | 57 |
| Cath left heart/lv gram CPT 93452 | $8,694.00 | $17,388.00 | $3,185.36 – $8,600.47 | 57 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $11,902.50 | $23,805.00 | $3,185.36 – $8,600.47 | 57 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $11,858.00 | $23,716.00 | $3,185.36 – $8,600.47 | 57 |
| Cath plc art/grft/angio right hrt CPT 93457 | $12,358.00 | $24,716.00 | $3,185.36 – $8,600.47 | 57 |
| Cath ptca pcltxl agent 3x20mm HCPCS C9610 | $3,814.00 | $7,628.00 | $1,029.71 – $1,029.71 | 53 |
| Cath right heart w/o2 sat & card CPT 93451 | $3,709.00 | $7,418.00 | $3,185.36 – $8,600.47 | 57 |
| Cath stripping venous s&i CPT 75901 | $446.50 | $893.00 | $301.48 – $301.48 | 1 |
| Cath symplicity spyral HCPCS C1735 | $10,584.00 | $21,168.00 | $2,857.68 – $2,857.68 | 55 |
| Cdna analysis for variants CPT 81403 | $300.00 | $600.00 | $147.79 – $636.59 | 61 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $93.00 | $186.00 | $1.82 – $1.82 | 1 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $70.62 | $141.25 | $8.22 – $8.22 | 1 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $21.00 | $42.00 | $10.54 – $10.54 | 1 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $502.87 | $1,005.75 | $4.24 – $460.31 | 55 |
| Ceftazidime and avibactam HCPCS J0714 | $775.00 | $1,550.00 | $104.71 – $857.53 | 55 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $141.75 | $283.50 | $12.09 – $12.09 | 1 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $10.87 | $21.75 | $6.60 – $6.60 | 1 |
| Cell count w differential body fluid CPT 89051 | $69.00 | $138.00 | $4.47 – $19.23 | 61 |
| Cell enumeration & id CPT 86152 | $395.50 | $791.00 | $250.78 – $677.11 | 57 |
| Cell function assay w/stim CPT 86352 | $161.50 | $323.00 | $108.41 – $466.98 | 61 |
| Cell marker study CPT 88182 | $79.00 | $158.00 | $51.20 – $526.11 | 61 |
| Cerebrospinal fld flw imag CPT 78645 | $692.00 | $1,384.00 | $285.37 – $1,440.44 | 60 |
| #cf-97variants CPT 81220 | $512.00 | $1,024.00 | $444.16 – $1,913.17 | 61 |
| Cftr gene dup/delet variants CPT 81222 | $401.50 | $803.00 | $347.19 – $1,495.46 | 61 |
| Chemo adm cns w/lmbr punct CPT 96450 | $729.00 | $1,458.00 | $18.79 – $876.26 | 57 |
| Chemo ia push tecnique CPT 96420 | $2,179.00 | $4,358.00 | $18.79 – $876.26 | 57 |
| Chemotherapy injection 96542 CPT 96542 | $367.00 | $734.00 | $35.20 – $876.26 | 57 |
| Chest 2 vws w oblique CPT 71048 | $373.00 | $746.00 | $43.49 – $277.35 | 60 |
| Chest apical lordotic proj CPT 71047 | $348.50 | $697.00 | $40.32 – $230.87 | 60 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,547.50 | $5,095.00 | $166.31 – $716.35 | 59 |
| Chest CT scan (with contrast) CPT 71260 | $2,252.50 | $4,505.00 | $163.15 – $702.76 | 59 |
| Chest CT scan (without contrast) CPT 71250 | $1,959.50 | $3,919.00 | $99.51 – $428.64 | 59 |
| Chest X-ray CPT 71046 | $324.50 | $649.00 | $32.06 – $230.87 | 60 |
| Chest X-ray (single view) CPT 71045 | $300.50 | $601.00 | $24.44 – $230.87 | 60 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $442.50 | $885.00 | $104.43 – $465.32 | 60 |
| Chimerism anal no cell selec CPT 81267 | $516.50 | $1,033.00 | $165.56 – $713.11 | 61 |
| Chimerism anal w/cell select CPT 81268 | $649.00 | $1,298.00 | $208.11 – $896.39 | 61 |
| Chlamydia culture CPT 87110 | $43.50 | $87.00 | $15.64 – $67.35 | 61 |
| Chlamydia type CPT 87140 | $43.50 | $87.00 | $4.45 – $19.15 | 61 |
| Chloride CPT 82435 | $117.00 | $234.00 | $3.67 – $15.80 | 61 |
| Chloride 24 hour urine CPT 82436 | $105.50 | $211.00 | $4.59 – $19.76 | 61 |
| Chloroprocaine hcl injection HCPCS J2401 | $44.87 | $89.75 | $38.24 – $38.24 | 1 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $69.62 | $139.25 | $49.76 – $49.76 | 1 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $338.50 | $677.00 | $31.67 – $31.67 | 1 |
| Cholesterol CPT 82465 | $134.00 | $268.00 | $3.47 – $14.94 | 61 |
| Cholesterol (Lipid) Test CPT 80061 | $247.00 | $494.00 | $10.69 – $46.04 | 61 |
| Cholinesterase CPT 82480 | $8.00 | $16.00 | $6.28 – $27.05 | 61 |
| Chrom analysis CPT 88273 | $102.00 | $204.00 | $27.78 – $119.65 | 61 |
| Chromatography CPT 83021 | $21.50 | $43.00 | $14.41 – $62.08 | 61 |
| Chromo high res and frag x - sendout CPT 81243 | $79.00 | $158.00 | $45.51 – $196.05 | 61 |
| Chromosome analys amniotic CPT 88269 | $222.00 | $444.00 | $138.58 – $596.90 | 61 |
| Chromosome analysis 100 CPT 88249 | $397.00 | $794.00 | $138.19 – $595.22 | 61 |
| Chromosome analysis 15-20 cell count CPT 88262 | $169.00 | $338.00 | $100.14 – $431.34 | 61 |
| Chromosome analysis 20-25 CPT 88245 | $203.50 | $407.00 | $138.19 – $595.22 | 61 |
| Chromosome analysis 45 CPT 88263 | $222.00 | $444.00 | $119.93 – $516.57 | 61 |
| Chylomicron screen, bf - sendout CPT 82664 | $34.00 | $68.00 | $49.08 – $211.39 | 61 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $15.00 | $30.00 | $7.50 – $7.50 | 1 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $114.00 | $228.00 | $29.28 – $29.28 | 1 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $450.00 | $900.00 | $262.95 – $1,132.62 | 61 |
| Cllr miami j sm HCPCS L0174 | $21.50 | $43.01 | $315.67 – $852.31 | 54 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $65.87 | $131.75 | $32.38 – $32.38 | 1 |
| Clot factor fletcher fact CPT 85292 | $115.00 | $230.00 | $15.11 – $65.06 | 61 |
| Clot factor wght kininogen CPT 85293 | $94.50 | $189.00 | $15.11 – $65.06 | 61 |
| Clot factor xii hageman CPT 85280 | $34.00 | $68.00 | $15.44 – $66.50 | 61 |
| Clot factor xiii fibrin scrn CPT 85291 | $25.00 | $50.00 | $7.27 – $31.30 | 61 |
| Clot factor xiii fibrin stab CPT 85290 | $139.00 | $278.00 | $13.04 – $56.18 | 61 |
| C motor evoked lwr limbs CPT 95929 | $1,439.50 | $2,879.00 | $264.74 – $989.94 | 57 |
| C motor evoked uppr limbs CPT 95928 | $1,439.50 | $2,879.00 | $201.47 – $2,278.14 | 57 |
| C motor evoked upr&lwr limbs CPT 95939 | $2,880.00 | $5,760.00 | $111.08 – $2,278.14 | 57 |
| #cmvcul-virus inoculation shell CPT 87254 | $49.50 | $99.00 | $15.61 – $67.23 | 61 |
| Cmv pcr-sendout CPT 87496 | $90.00 | $180.00 | $28.01 – $120.63 | 61 |
| Co2 monitor per day CPT 94681 | $789.00 | $1,578.00 | $30.92 – $989.94 | 57 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $18,585.00 | $37,170.00 | $2.62 – $3,895.70 | 55 |
| Coagulation time activated teg CPT 85347 | $144.00 | $288.00 | $3.42 – $14.73 | 61 |
| Cold agglutinin screen (arc) CPT 86156 | $45.00 | $90.00 | $6.44 – $27.74 | 61 |
| Cold agglutinin titer CPT 86157 | $100.00 | $200.00 | $6.43 – $27.70 | 61 |
| Colistimethate sodium inj HCPCS J0770 | $58.87 | $117.75 | $38.55 – $38.55 | 1 |
| Collagen based wound filler HCPCS A6010 | $975.00 | $1,950.00 | $21.23 – $21.23 | 1 |
| Collar cerv ascend 172 reg HCPCS L0172 | $42.85 | $85.71 | $161.96 – $437.29 | 54 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $283.50 | $567.00 | $130.73 – $352.96 | 57 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $283.50 | $567.00 | $130.73 – $352.96 | 57 |
| Collection of venous blood by venipuncture CPT 36415 | $8.50 | $17.00 | $9.34 – $25.22 | 56 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $116.50 | $233.00 | $198.64 – $536.34 | 56 |
| Colposcopy vulva 56820 CPT 56820 | $93.00 | $186.00 | $198.64 – $536.34 | 56 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $157.50 | $315.00 | $10.55 – $451.97 | 61 |
| Compatibility test each unit electronic CPT 86923 | $115.50 | $231.00 | $10.30 – $451.97 | 61 |
| Compatibility test each unit immediate spin technique CPT 86920 | $121.00 | $242.00 | $9.04 – $451.97 | 61 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | $762.50 | $1,525.00 | $685.13 – $1,849.85 | 56 |
| Complement antigen each component c3 CPT 86160 | $159.50 | $319.00 | $9.58 – $41.25 | 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.