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 |
|---|---|---|---|---|
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $22.37 | $44.75 | $28.01 – $330.14 | 55 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $11.75 | $23.50 | $122.27 – $330.14 | 54 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | $122.50 | $245.00 | $7.85 – $330.14 | 55 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $174.00 | $348.00 | $96.13 – $330.14 | 55 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $122.25 | $244.50 | $5.59 – $330.14 | 55 |
| Drug assay caffeine CPT 80155 | $21.50 | $43.00 | $30.78 – $132.58 | 61 |
| Drug assay posaconazole CPT 80187 | $48.00 | $96.00 | $21.63 – $93.17 | 61 |
| Drug assay rufinamide CPT 80210 | $118.00 | $236.00 | $21.63 – $93.17 | 61 |
| Drug assay voriconazole CPT 80285 | $48.50 | $97.00 | $21.63 – $93.17 | 61 |
| Drug of abuse screen urine CPT 80305 | $64.50 | $129.00 | $10.05 – $43.29 | 61 |
| Drug screen quant tiagabine CPT 80199 | $65.50 | $131.00 | $21.63 – $93.17 | 61 |
| Drug test prsmv instrmnt CPT 80306 | $28.50 | $57.00 | $13.68 – $58.92 | 61 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $722.00 | $1,444.00 | $49.59 – $213.60 | 61 |
| Drvvt confirm - quest CPT 85597 | $105.50 | $211.00 | $14.35 – $61.79 | 61 |
| Ductogram sgl duct CPT 77053 | $534.00 | $1,068.00 | $51.42 – $632.98 | 60 |
| Duplex scan bilateral study 93985 CPT 93985 | $1,635.50 | $3,271.00 | $234.44 – $632.98 | 57 |
| Duplex scan unilateral study 93986 CPT 93986 | $1,307.50 | $2,615.00 | $102.72 – $277.35 | 57 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $925.00 | $1,850.00 | $62.08 – $435.14 | 60 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $307.00 | $614.00 | $107.99 – $640.23 | 60 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,587.50 | $3,175.00 | $74.21 – $806.70 | 60 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | $35.71 | $71.43 | $6.04 – $330.14 | 55 |
| Ecg 12 lead tracing only CPT 93005 | $315.50 | $631.00 | $9.99 – $156.50 | 57 |
| Ecg external < 48 hours recording CPT 93225 | $131.00 | $262.00 | $23.93 – $352.96 | 57 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $1,112.50 | $2,225.00 | $23.93 – $156.50 | 57 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $64.50 | $129.00 | $36.70 – $99.09 | 57 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $64.50 | $129.00 | $36.70 – $99.09 | 57 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,564.00 | $5,128.00 | $98.00 – $1,449.58 | 57 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $1,088.00 | $2,176.00 | $18.79 – $632.98 | 60 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $690.50 | $1,381.00 | $156.27 – $156.27 | 1 |
| Echo exam uterus 76831- CPT 76831 | $705.50 | $1,411.00 | $110.78 – $632.98 | 60 |
| Echo guidance radiotherapy CPT 76965 | $1,319.00 | $2,638.00 | $42.64 – $42.64 | 1 |
| Echo guide for amniocentesis CPT 76946 | $328.00 | $656.00 | $22.53 – $22.53 | 1 |
| Echo guide for artery repair CPT 76936 | $825.00 | $1,650.00 | $212.16 – $1,067.85 | 60 |
| Echo stress CPT 93350 | $1,959.00 | $3,918.00 | $67.08 – $1,449.58 | 60 |
| Echo tee guidance CPT 93355 | $1,929.00 | $3,858.00 | $208.87 – $899.67 | 3 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $2,059.50 | $4,119.00 | $62.79 – $1,449.58 | 60 |
| Echo transesophageal CPT 93313 | $490.50 | $981.00 | $10.48 – $1,449.58 | 60 |
| Echo transesophageal intraop CPT 93318 | $1,578.00 | $3,156.00 | $98.71 – $1,449.58 | 60 |
| Echo transthoracic CPT 93303 | $1,834.00 | $3,668.00 | $91.81 – $1,449.58 | 60 |
| Echo transthoracic CPT 93304 | $1,834.00 | $3,668.00 | $7.85 – $1,449.58 | 60 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,088.00 | $2,176.00 | $128.56 – $632.98 | 60 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $8,270.00 | $16,540.00 | $45.03 – $3,576.40 | 55 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $994.50 | $1,989.00 | $26.88 – $572.82 | 57 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $660.00 | $1,320.00 | $4.05 – $989.94 | 57 |
| Eeg during surgery CPT 95955 | $628.50 | $1,257.00 | $287.09 – $287.09 | 1 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $660.00 | $1,320.00 | $62.79 – $572.82 | 57 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $1,680.00 | $3,360.00 | $212.16 – $1,045.86 | 57 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $660.00 | $1,320.00 | $5.23 – $572.82 | 57 |
| Eeg recording awake and asleep CPT 95819 | $660.00 | $1,320.00 | $23.93 – $572.82 | 57 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $335.00 | $670.00 | $212.16 – $572.82 | 57 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $643.00 | $1,286.00 | $320.50 – $989.94 | 57 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $643.00 | $1,286.00 | $320.50 – $989.94 | 57 |
| E equine encephalitis igg CPT 86652 | $34.00 | $68.00 | $10.53 – $45.34 | 61 |
| Egfr gene com variants CPT 81235 | $345.00 | $690.00 | $259.02 – $1,115.68 | 61 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $33.50 | $67.00 | $28.01 – $120.63 | 60 |
| EKG (Electrocardiogram) CPT 93000 | $334.50 | $669.00 | $16.35 – $41.26 | 22 |
| Electroconvulsive therapy 90870 CPT 90870 | $1,427.00 | $2,854.00 | $843.76 – $2,278.14 | 56 |
| Electrode stimulation brain CPT 95961 | $751.50 | $1,503.00 | $71.96 – $2,278.14 | 57 |
| Electrolyte panel CPT 80051 | $247.00 | $494.00 | $5.60 – $24.10 | 61 |
| Electron microscopy diagnostic CPT 88348 | $2,110.50 | $4,221.00 | $348.03 – $2,137.38 | 61 |
| Electrophysiology evaluation CPT 93619 | $4,419.00 | $8,838.00 | $3,884.57 – $20,691.62 | 57 |
| Electrophysiology evaluation CPT 93620 | $6,805.50 | $13,611.00 | $7,062.85 – $20,691.62 | 57 |
| Electrophysiology evaluation CPT 93621 | $6,540.00 | $13,080.00 | $123.68 – $123.68 | 1 |
| Electrophysiology evaluation CPT 93622 | $4,861.00 | $9,722.00 | $216.45 – $216.45 | 1 |
| Electrophysiology evaluation CPT 93641 | $3,076.00 | $6,152.00 | $13,487.28 – $13,487.28 | 1 |
| Electrophysiology evaluation CPT 93642 | $4,065.50 | $8,131.00 | $294.94 – $3,229.99 | 57 |
| Electrophysiology evaluation CPT 93644 | $4,065.50 | $8,131.00 | $13,487.28 – $13,487.28 | 1 |
| Electrophys map 3d add-on CPT 93613 | $9,071.00 | $18,142.00 | $3,884.57 – $3,884.57 | 1 |
| Embolization s&i CPT 75894 | $2,447.00 | $4,894.00 | $125.47 – $125.47 | 1 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $258.50 | $517.00 | $42.58 – $352.96 | 57 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $308.50 | $617.00 | $50.42 – $341.35 | 57 |
| Emg cranial nerve bilateral CPT 95868 | $258.50 | $517.00 | $38.29 – $572.82 | 57 |
| Emg needle test 1-extremity CPT 95860 | $236.00 | $472.00 | $91.31 – $352.96 | 57 |
| Emg needle test 4-extremities CPT 95864 | $458.00 | $916.00 | $91.31 – $341.35 | 57 |
| Emg thor paraspinal without t1/t2 CPT 95869 | $239.00 | $478.00 | $49.00 – $572.82 | 57 |
| Encephalitis, california igg/igm CPT 86651 | $33.50 | $67.00 | $10.53 – $45.34 | 61 |
| Encephalitis, st louis igg/igm CPT 86653 | $75.00 | $150.00 | $10.53 – $45.34 | 61 |
| Encephalitis, western equine igg/igm CPT 86654 | $34.00 | $68.00 | $10.53 – $45.34 | 61 |
| Endo cath bile duct s&i CPT 74328 | $895.00 | $1,790.00 | $61.52 – $61.52 | 1 |
| Endo cath panc duct s&i CPT 74329 | $895.00 | $1,790.00 | $61.52 – $61.52 | 1 |
| Endoluminl ivus oct c 1st CPT 92978 | $2,988.50 | $5,977.00 | $47.81 – $47.81 | 1 |
| Endoluminl ivus oct c ea CPT 92979 | $755.50 | $1,511.00 | $14.98 – $14.98 | 1 |
| Endoscopy swallow (fees) vid CPT 92612 | $433.00 | $866.00 | $28.07 – $146.34 | 57 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $119.37 | $238.75 | $8.75 – $8.75 | 1 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $14.50 | $29.00 | $9.56 – $41.17 | 61 |
| Enzyme cell activity ra CPT 82658 | $112.50 | $225.00 | $35.14 – $151.36 | 61 |
| Enzyme histochemistry CPT 88319 | $379.50 | $759.00 | $103.10 – $2,137.38 | 61 |
| Ep & ablate supravent arrhyt CPT 93653 | $20,958.50 | $41,917.00 | $24,522.32 – $69,340.76 | 57 |
| Ep & ablate ventric tachy CPT 93654 | $26,706.50 | $53,413.00 | $24,522.32 – $69,340.76 | 57 |
| Ep induct arrhy by elect pacing CPT 93618 | $4,034.00 | $8,068.00 | $109.65 – $3,229.99 | 57 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $31.75 | $63.50 | $57.84 – $57.84 | 1 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $15.37 | $30.75 | $60.47 – $60.47 | 1 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $30.62 | $61.25 | $60.71 – $60.71 | 1 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $1,347.00 | $2,694.00 | $382.40 – $382.40 | 1 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $87.50 | $175.00 | $64.60 – $64.60 | 1 |
| Epstein barr early antigen antibody CPT 86663 | $9.00 | $18.00 | $10.47 – $45.09 | 61 |
| Epstein barr nuclear antigen antibody CPT 86664 | $10.50 | $21.00 | $12.20 – $52.54 | 61 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $77.00 | $154.00 | $14.48 – $62.36 | 61 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $726.75 | $1,453.50 | $3.52 – $145.31 | 55 |
| Ercp biliary & pancreas CPT 74330 | $895.00 | $1,790.00 | $78.57 – $78.57 | 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.