Methodist Dallas Medical Center
1441 N Beckley Ave, Dallas, TX · Methodisthealthsystem · · NPI 1528027786
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 |
|---|---|---|---|---|
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $126.00 | $252.00 | $28.01 – $159.56 | 65 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $296.00 | $592.00 | $33.26 – $189.58 | 65 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $133.00 | $266.00 | $28.01 – $159.56 | 65 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $450.00 | $900.00 | $40.95 – $388.93 | 65 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $197.00 | $394.00 | $113.82 – $1,081.14 | 65 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $227.00 | $454.00 | $113.82 – $1,081.14 | 65 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $80.50 | $161.00 | $28.01 – $159.56 | 65 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $86.50 | $173.00 | $28.01 – $159.56 | 65 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $16.50 | $33.00 | $70.18 – $189.49 | 57 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $138.00 | $276.00 | $61.27 – $349.13 | 64 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $654.00 | $1,308.00 | $332.60 – $1,895.53 | 65 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $397.50 | $795.00 | $209.86 – $1,196.05 | 65 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $171.50 | $343.00 | $34.19 – $194.81 | 65 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $102.00 | $204.00 | $34.19 – $194.81 | 65 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $79.00 | $158.00 | $34.19 – $194.81 | 65 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $60.00 | $120.00 | $67.91 – $387.03 | 65 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $1,192.37 | $2,384.75 | $24.22 – $2,142.16 | 60 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $157.00 | $314.00 | $71.96 – $593.93 | 57 |
| Initiation & management bipap/cpap initial day CPT 94660 | $1,581.50 | $3,163.00 | $91.31 – $593.93 | 57 |
| Inj acetaminophen -fresenius HCPCS J0134 | $20.12 | $40.25 | $10.20 – $35.85 | 7 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $4,788.00 | $9,576.00 | $39.83 – $9,082.00 | 60 |
| Inj, bupivacaine liposome HCPCS J0666 | $471.25 | $942.50 | $1.44 – $510.12 | 60 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $605.25 | $1,210.50 | $299.20 – $554.48 | 7 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $459.12 | $918.25 | $2.42 – $492.88 | 60 |
| Inj ceftolozane tazobactam HCPCS J0695 | $356.50 | $713.00 | $8.95 – $365.22 | 60 |
| Injection, daratumumab 10 mg HCPCS J9145 | $4,206.50 | $8,413.00 | $70.79 – $5,777.20 | 60 |
| Injection during cath supravalvular aortography CPT 93567 | $151.00 | $302.00 | $3,884.57 – $3,884.57 | 1 |
| Injection, fulvestrant HCPCS J9395 | $237.00 | $474.00 | $98.26 – $1,969.36 | 7 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $4,701.37 | $9,402.75 | $12.69 – $7,737.86 | 60 |
| Injection,onabotulinumtoxina HCPCS J0585 | $820.37 | $1,640.75 | $6.51 – $1,395.76 | 60 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $445.50 | $891.00 | $23.54 – $7,513.00 | 64 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $230.50 | $461.00 | $26.40 – $127.01 | 57 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $230.50 | $461.00 | $39.91 – $39.91 | 1 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $230.50 | $461.00 | $26.40 – $576.92 | 57 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $168.50 | $337.00 | $25.15 – $195.29 | 57 |
| Inject sacroiliac joint CPT 27096 | $1,107.50 | $2,215.00 | $709.10 – $1,134.56 | 27 |
| Inj., eravacycline, 1 mg HCPCS J0122 | $135.62 | $271.25 | $1.29 – $131.30 | 60 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $185.00 | $370.00 | $3,884.57 – $3,884.57 | 1 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $1,320.50 | $2,641.00 | $5.44 – $2,332.64 | 60 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | $60,899.25 | $121,798.50 | $495.55 – $107,495.03 | 60 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | $3.75 | $7.50 | $1.57 – $1,605.90 | 60 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $81.75 | $163.50 | $21.89 – $79.16 | 8 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $36.25 | $72.50 | $6.31 – $15.31 | 7 |
| Inj, micafungin (par pharm) HCPCS J2247 | $278.37 | $556.75 | $9.35 – $16.13 | 7 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | $87.50 | $175.00 | $62.90 – $105.35 | 7 |
| Inj., plazomicin, 5 mg HCPCS J0291 | $643.37 | $1,286.75 | $3.51 – $752.85 | 60 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | $775.00 | $1,550.00 | $25.84 – $51.15 | 7 |
| Inj secretin synthetic human HCPCS J2850 | $775.00 | $1,550.00 | $40.44 – $1,281.81 | 60 |
| Inj secukinumab intrav 1mg HCPCS J3247 | $2,828.37 | $5,656.75 | $18.07 – $5,840.56 | 60 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | $270.25 | $540.50 | $155.98 – $346.55 | 7 |
| Inj testosterone cypionate HCPCS J1071 | $50.00 | $100.00 | $9.56 – $12.12 | 7 |
| Insertion catheter bladder temporary simple CPT 51702 | $190.50 | $381.00 | $130.84 – $7,513.00 | 61 |
| Insert swan-ganz cath CPT 93503 | $1,855.50 | $3,711.00 | $1,581.33 – $19,324.00 | 61 |
| Insitu hybridization auto CPT 88367 | $155.50 | $311.00 | $83.04 – $972.22 | 65 |
| Insitu hybridization (fish) CPT 88366 | $366.00 | $732.00 | $171.15 – $1,061.05 | 65 |
| Insitu hybridization manual CPT 88368 | $325.50 | $651.00 | $110.30 – $972.22 | 65 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $154.50 | $309.00 | $98.28 – $493.38 | 11 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $401.50 | $803.00 | $132.55 – $647.64 | 65 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $358.00 | $716.00 | $44.85 – $7,513.00 | 64 |
| Insulin total CPT 83525 | $8.00 | $16.00 | $9.12 – $52.00 | 65 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $1,698.00 | $3,396.00 | $3,917.16 – $3,917.16 | 1 |
| Interrog dev eval icpms ip CPT 93290 | $83.50 | $167.00 | $29.97 – $115.85 | 61 |
| Interrog evl pm/ldls pm ip CPT 93288 | $383.00 | $766.00 | $23.93 – $126.00 | 61 |
| Intra-atrial pacing CPT 93610 | $122.00 | $244.00 | $7,062.85 – $21,155.06 | 57 |
| Intra-atrial recording CPT 93602 | $2,345.00 | $4,690.00 | $7,062.85 – $21,155.06 | 57 |
| Intracard echo interv w/s&i CPT 93662 | $5,801.50 | $11,603.00 | $91.31 – $91.31 | 1 |
| Intracranial complete study CPT 93886 | $1,122.00 | $2,244.00 | $92.59 – $989.12 | 64 |
| Intracranial limited study CPT 93888 | $819.00 | $1,638.00 | $101.02 – $435.14 | 64 |
| Intrapul surf admin endo tube CPT 94610 | $95.50 | $191.00 | $18.79 – $593.93 | 57 |
| Intraventricular pacing CPT 93612 | $4,127.00 | $8,254.00 | $7,062.85 – $21,155.06 | 57 |
| Intrinsic factor antibody CPT 86340 | $12.50 | $25.00 | $12.04 – $68.60 | 65 |
| Intro long gi tube w/mult fluo CPT 74340 | $608.50 | $1,217.00 | $46.90 – $376.12 | 7 |
| Iodine i-123 sod iodide mil HCPCS A9509 | $1,871.00 | $3,742.00 | $21,525.18 – $21,525.18 | 1 |
| Ionm in operatng room 15 min CPT 95940 | $231.00 | $462.00 | $234.53 – $234.53 | 1 |
| Ionm remote/>1 pt or per hr CPT 95941 | $923.00 | $1,846.00 | $96.33 – $96.33 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $120.25 | $240.50 | $6.69 – $6.69 | 1 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $159.75 | $319.50 | $11.47 – $11.47 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $46,599.62 | $93,199.25 | $186.91 – $76,267.12 | 60 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $115.50 | $231.00 | $6.15 – $13.67 | 7 |
| Iron CPT 83540 | $176.00 | $352.00 | $5.16 – $29.41 | 65 |
| Iron binding capacity CPT 83550 | $176.00 | $352.00 | $6.97 – $39.72 | 65 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $82.25 | $164.50 | $18.08 – $73.77 | 60 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $142.37 | $284.75 | $81.60 – $167.30 | 7 |
| Irradiation of blood product each unit reference CPT 86945 | $47.50 | $95.00 | $37.52 – $137.27 | 61 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $263.00 | $526.00 | $59.26 – $160.00 | 61 |
| Ivc venogram s&i CPT 75825 | $3,066.00 | $6,132.00 | $108.57 – $8,564.05 | 64 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $171.50 | $343.00 | $39.91 – $195.29 | 57 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $171.50 | $343.00 | $12.61 – $12.61 | 1 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $171.50 | $343.00 | $39.91 – $127.01 | 57 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $434.50 | $869.00 | $10.47 – $576.92 | 57 |
| IV inj ra drug dx study CPT 78808 | $2,071.50 | $4,143.00 | $167.31 – $1,084.30 | 61 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $756.50 | $1,513.00 | $128.56 – $574.87 | 64 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $7,666.12 | $15,332.25 | $139.98 – $571.18 | 60 |
| Jak2 targeted sequence analysis CPT 81279 | $131.50 | $263.00 | $147.79 – $842.29 | 64 |
| John cunningham antibody CPT 86711 | $184.00 | $368.00 | $13.95 – $76.79 | 65 |
| Ketamine and metabolite screen - quest CPT 80357 | $82.50 | $165.00 | $0.06 – $183.09 | 37 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $70.00 | $140.00 | $6.52 – $37.14 | 65 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $6.12 | $12.25 | $0.33 – $1.37 | 60 |
| Kidney function study CPT 78725 | $863.00 | $1,726.00 | $107.29 – $1,084.30 | 64 |
| Kidney imaging morphology CPT 78700 | $602.50 | $1,205.00 | $152.67 – $1,084.30 | 64 |
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.