Methodist Mansfield Medical Center
2700 E Broad Street, Mansfield, TX · Methodisthealthsystem · · NPI 1689629941
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 |
|---|---|---|---|---|
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $21.56 | $43.13 | $125.01 – $338.09 | 68 |
| Granisetron hcl injection HCPCS J1626 | $19.00 | $38.00 | $12.67 – $12.67 | 1 |
| Growth hormone antibody CPT 86277 | $103.50 | $207.00 | $12.56 – $56.50 | 61 |
| Growth stimulation gene 2 CPT 83006 | $180.50 | $361.00 | $60.33 – $271.37 | 61 |
| Gu dilat ureter/urethra s&i CPT 74485 | $730.00 | $1,460.00 | $113.65 – $5,679.10 | 60 |
| Guid loc target vol rad tx CPT 77387 | $371.00 | $742.00 | $291.09 – $291.09 | 1 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $2.25 | $4.50 | $9.49 – $9.49 | 1 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $12.00 | $24.00 | $19.36 – $19.36 | 1 |
| Hand X-ray CPT 73130 | $283.50 | $567.00 | $35.56 – $236.43 | 74 |
| Haptoglobin quantitative CPT 83010 | $192.00 | $384.00 | $10.04 – $45.17 | 75 |
| Hba1/hba2 full gene sequence CPT 81259 | $450.00 | $900.00 | $478.80 – $2,153.84 | 75 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $337.50 | $675.00 | $161.52 – $726.58 | 75 |
| Hbb full gene sequence CPT 81364 | $675.00 | $1,350.00 | $259.02 – $1,165.17 | 75 |
| Hbb gene com variants CPT 81361 | $161.00 | $322.00 | $139.50 – $627.52 | 61 |
| Hbb gene dup/del variants CPT 81363 | $401.50 | $803.00 | $161.52 – $726.58 | 61 |
| Hbot, full body chamber, 30m HCPCS G0277 | $626.50 | $1,253.00 | $138.46 – $373.85 | 70 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $584.00 | $1,168.00 | $166.31 – $748.12 | 60 |
| Hcg qualitative CPT 84703 | $264.50 | $529.00 | $6.00 – $27.01 | 75 |
| Hcg quantitative CPT 84702 | $289.00 | $578.00 | $12.01 – $54.02 | 75 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $310.12 | $620.25 | $670.97 – $670.97 | 1 |
| Hc nm kidney imaging with flow CPT 78701 | $657.50 | $1,315.00 | $200.62 – $1,086.09 | 60 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $930.50 | $1,861.00 | $317.31 – $1,475.12 | 57 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $2,759.00 | $5,518.00 | $575.04 – $1,892.16 | 57 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $2,759.00 | $5,518.00 | $699.65 – $1,892.16 | 71 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $2,754.00 | $5,508.00 | $700.80 – $1,892.16 | 57 |
| Hdr rdncl skn surf brachytx CPT 77767 | $2,754.00 | $5,508.00 | $388.09 – $1,047.85 | 57 |
| Hdr rdncl skn surf brachytx CPT 77768 | $2,754.00 | $5,508.00 | $388.09 – $1,047.85 | 57 |
| Head CT scan (with and without contrast) CPT 70470 | $2,325.50 | $4,651.00 | $166.31 – $748.12 | 73 |
| Head CT scan (with contrast) CPT 70460 | $2,057.50 | $4,115.00 | $144.74 – $654.17 | 73 |
| Head CT scan (without contrast) CPT 70450 | $1,789.00 | $3,578.00 | $99.51 – $447.65 | 73 |
| Heart first pass add-on CPT 78496 | $1,108.00 | $2,216.00 | $34.10 – $34.10 | 1 |
| Heart infarct image CPT 78466 | $980.00 | $1,960.00 | $165.39 – $1,086.09 | 60 |
| Heinz bodies direct CPT 85441 | $134.50 | $269.00 | $3.35 – $15.09 | 61 |
| Helicobacter pylori antibody igm CPT 86677 | $76.00 | $152.00 | $13.44 – $60.47 | 75 |
| Hematocrit CPT 85014 | $47.00 | $94.00 | $1.89 – $8.50 | 75 |
| Hematopoietic nuclear tx CPT 79403 | $1,565.00 | $3,130.00 | $141.91 – $633.92 | 57 |
| Hemodialysis one evaluation CPT 90935 | $3,026.50 | $6,053.00 | $690.58 – $1,864.56 | 70 |
| Hemoglobin CPT 85018 | $47.00 | $94.00 | $1.89 – $8.50 | 75 |
| Hemoglobin plasma CPT 83051 | $11.50 | $23.00 | $5.83 – $26.24 | 61 |
| Hemolysin acid CPT 85475 | $34.00 | $68.00 | $7.08 – $31.84 | 61 |
| Hemolysins/agglutinins auto CPT 86940 | $47.50 | $95.00 | $7.00 – $31.50 | 61 |
| Hemolysins and agglutinins incubated CPT 86941 | $206.50 | $413.00 | $9.66 – $43.46 | 61 |
| Heparin assay CPT 85520 | $332.00 | $664.00 | $10.45 – $47.01 | 75 |
| Heparin bolus from bag HCPCS J1644 | $34.12 | $68.25 | $0.33 – $0.33 | 1 |
| Heparin neutralization CPT 85525 | $26.50 | $53.00 | $9.45 – $42.52 | 75 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $5.50 | $11.00 | $0.04 – $0.04 | 1 |
| Hepatitis a antibody igm CPT 86709 | $173.50 | $347.00 | $8.99 – $40.43 | 75 |
| Hepatitis b core antibody igm CPT 86705 | $263.00 | $526.00 | $9.40 – $42.26 | 75 |
| Hepatitis b core antibody total CPT 86704 | $263.00 | $526.00 | $9.61 – $43.25 | 75 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $1,038.62 | $2,077.25 | $137.83 – $372.14 | 55 |
| Hepatitis b surface antibody CPT 86706 | $173.50 | $347.00 | $8.57 – $38.55 | 75 |
| Hepatitis d quantification CPT 87523 | $169.00 | $338.00 | $34.19 – $153.80 | 74 |
| Hepatobiliary system imaging CPT 78226 | $1,162.50 | $2,325.00 | $287.91 – $1,295.13 | 74 |
| Herpes simplex type 1 antibody igg CPT 86695 | $15.50 | $31.00 | $10.53 – $47.35 | 75 |
| Herpes simplex type 2 antibody igg CPT 86696 | $15.50 | $31.00 | $15.44 – $69.44 | 75 |
| Herpes simplex virus isolation CPT 87255 | $21.50 | $43.00 | $27.02 – $121.54 | 75 |
| Heterophile antibodies screening CPT 86308 | $84.00 | $168.00 | $4.13 – $18.59 | 75 |
| Hexa gene CPT 81255 | $47.50 | $95.00 | $41.06 – $184.70 | 61 |
| Hhv-6 dna quant CPT 87533 | $148.50 | $297.00 | $33.33 – $149.91 | 75 |
| Hip X-ray CPT 73502 | $418.00 | $836.00 | $45.39 – $236.43 | 74 |
| Histamine CPT 83088 | $19.00 | $38.00 | $23.57 – $106.03 | 75 |
| Histochemical stains add-on CPT 88314 | $61.50 | $123.00 | $65.27 – $293.59 | 5 |
| Hla class i high defin qual CPT 86832 | $968.00 | $1,936.00 | $258.35 – $1,162.18 | 75 |
| Hla class ii high defin qual CPT 86833 | $919.00 | $1,838.00 | $259.99 – $1,169.53 | 75 |
| Hla class i/ii antibody qual CPT 86829 | $919.00 | $1,838.00 | $51.22 – $230.43 | 75 |
| Hla class ii phenotype qual CPT 86831 | $112.50 | $225.00 | $65.34 – $293.93 | 75 |
| Hla class ii semiquant panel CPT 86835 | $4,846.50 | $9,693.00 | $257.73 – $1,159.36 | 75 |
| Hla class i semiquant panel CPT 86834 | $4,846.50 | $9,693.00 | $285.33 – $1,283.55 | 75 |
| Hla i & ii typing lr CPT 81370 | $3,863.00 | $7,726.00 | $320.89 – $1,443.50 | 75 |
| Hla ii typing 1 loc hr CPT 81382 | $779.50 | $1,559.00 | $98.70 – $443.97 | 61 |
| Hla ii typing ag equiv lr CPT 81375 | $1,559.00 | $3,118.00 | $176.15 – $792.39 | 61 |
| Hla i typing 1 locus hr CPT 81380 | $184.00 | $368.00 | $141.45 – $636.28 | 75 |
| Hla i typing complete hr CPT 81379 | $465.00 | $930.00 | $267.63 – $1,203.93 | 61 |
| Hla i typing complete lr CPT 81372 | $3,788.50 | $7,577.00 | $322.07 – $1,448.80 | 61 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $195.00 | $390.00 | $135.58 – $609.91 | 61 |
| Hla i typing low res one locus ea CPT 81373 | $415.00 | $830.00 | $101.69 – $457.44 | 61 |
| Hla typing a b or c CPT 86813 | $238.50 | $477.00 | $46.28 – $208.20 | 61 |
| Hla x-math non-cytotoxic CPT 86825 | $1,207.50 | $2,415.00 | $87.37 – $393.03 | 75 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | $25.75 | $51.50 | $31.07 – $31.07 | 1 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $34.75 | $69.50 | $13.62 – $13.62 | 1 |
| Homocysteine CPT 83090 | $452.00 | $904.00 | $14.30 – $64.32 | 75 |
| Homogenization tissue CPT 87176 | $103.50 | $207.00 | $4.69 – $21.11 | 75 |
| Homovanillic acid (hva) CPT 83150 | $9.50 | $19.00 | $17.88 – $80.43 | 61 |
| Hpa-15 genotyping CPT 81112 | $71.50 | $143.00 | $97.53 – $438.72 | 61 |
| Hpa-1 genotyping CPT 81105 | $71.50 | $143.00 | $97.53 – $438.72 | 61 |
| Hpa-3 genotyping CPT 81107 | $71.50 | $143.00 | $97.53 – $438.72 | 61 |
| Hpa-4 genotyping CPT 81108 | $71.50 | $143.00 | $97.53 – $438.72 | 61 |
| Hpa-5 genotyping CPT 81109 | $71.50 | $143.00 | $97.53 – $438.72 | 61 |
| Hpa-6 genotyping CPT 81110 | $71.50 | $143.00 | $97.53 – $438.72 | 61 |
| Hpv types 16 & 18 only CPT 87625 | $44.00 | $88.00 | $32.36 – $145.56 | 61 |
| H pylori (c-13) breath CPT 83013 | $56.50 | $113.00 | $53.75 – $241.79 | 75 |
| Hrdtry perph neurphy panel CPT 81448 | $1,800.00 | $3,600.00 | $584.90 – $1,579.23 | 57 |
| Htt gene detc abnor alleles CPT 81271 | $112.50 | $225.00 | $137.00 – $369.90 | 57 |
| Human epididymis protein 4 (he4) CPT 86305 | $135.00 | $270.00 | $16.61 – $74.70 | 61 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $3,969.00 | $7,938.00 | $1.71 – $3,800.10 | 55 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $103.87 | $207.75 | $132.65 – $132.65 | 1 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $35.87 | $71.75 | $15.49 – $15.49 | 1 |
| Hydration IV infusion each additional hour CPT 96361 | $171.50 | $343.00 | $47.04 – $127.21 | 71 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $434.50 | $869.00 | $14.03 – $577.87 | 71 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $53.12 | $106.25 | $23.76 – $23.76 | 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.