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 |
|---|---|---|---|---|
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,200.50 | $2,401.00 | $122.21 – $1,086.09 | 60 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $89.62 | $179.25 | $16.01 – $16.01 | 1 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $33.62 | $67.25 | $0.88 – $0.88 | 1 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,943.00 | $5,886.00 | $166.31 – $748.12 | 73 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,602.00 | $5,204.00 | $165.06 – $1,370.84 | 73 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,263.00 | $4,526.00 | $99.51 – $447.65 | 73 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,191.50 | $6,383.00 | $312.67 – $1,406.54 | 73 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,824.00 | $5,648.00 | $265.05 – $1,370.84 | 73 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,455.00 | $4,910.00 | $187.28 – $842.48 | 73 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $467.00 | $934.00 | $38.10 – $284.03 | 74 |
| L/s ratio fetal lung CPT 83661 | $76.50 | $153.00 | $17.55 – $78.93 | 61 |
| Lumbar diskogram s&i CPT 72295 | $1,718.00 | $3,436.00 | $106.02 – $5,305.11 | 74 |
| Lumizyme injection HCPCS J0221 | $1,276.75 | $2,553.50 | $207.39 – $1,893.24 | 55 |
| Lung function test (mbc/mvv) CPT 94200 | $127.50 | $255.00 | $59.36 – $160.27 | 57 |
| Lung Function Test (Spirometry) CPT 94010 | $189.50 | $379.00 | $167.05 – $586.61 | 71 |
| Lung perfusion imaging CPT 78580 | $825.50 | $1,651.00 | $210.14 – $1,086.09 | 74 |
| Lymphatics/lymph node imaging CPT 78195 | $2,071.50 | $4,143.00 | $313.30 – $1,475.12 | 74 |
| Lymphocyte transformation mitogen CPT 86353 | $272.50 | $545.00 | $39.13 – $176.03 | 75 |
| Lymphocytotoxicity assay CPT 86805 | $624.50 | $1,249.00 | $151.23 – $680.30 | 61 |
| Lymph vessel x-ray arm/leg CPT 75801 | $800.50 | $1,601.00 | $270.42 – $1,704.24 | 60 |
| Lymph vessel x-ray arms/legs CPT 75803 | $946.00 | $1,892.00 | $284.62 – $4,276.62 | 60 |
| Lymph vessel x-ray trunk CPT 75805 | $849.00 | $1,698.00 | $297.72 – $8,578.16 | 74 |
| Lymph vessel x-ray trunk CPT 75807 | $2,516.50 | $5,033.00 | $139.21 – $8,578.16 | 74 |
| Macro exam dissect molec study ea CPT 88387 | $37.50 | $75.00 | $10.82 – $114.23 | 5 |
| Macroscopic exam arthropod CPT 87168 | $12.50 | $25.00 | $3.41 – $15.34 | 61 |
| Macroscopic exam parasite CPT 87169 | $12.50 | $25.00 | $3.44 – $15.47 | 61 |
| Magnesium CPT 83735 | $169.50 | $339.00 | $5.35 – $24.06 | 75 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $19.25 | $38.50 | $0.33 – $0.33 | 1 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $59.50 | $119.00 | $133.87 – $361.46 | 71 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $86.00 | $172.00 | $22.06 – $361.46 | 71 |
| Map tachycard site(s) CPT 93609 | $4,127.00 | $8,254.00 | $651.79 – $651.79 | 1 |
| Mastoids complete CPT 70130 | $524.50 | $1,049.00 | $59.04 – $284.03 | 60 |
| Matrion 1 sq cm HCPCS Q4201 | $98.12 | $196.25 | $4.22 – $338.09 | 69 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $26.17 | $52.35 | $122.27 – $338.09 | 68 |
| M.avium-intra dna amp prob CPT 87561 | $141.00 | $282.00 | $28.01 – $125.98 | 75 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $11.50 | $23.00 | $11.54 – $51.92 | 75 |
| Mayo aathr protein s free CPT 85306 | $45.50 | $91.00 | $12.23 – $55.00 | 61 |
| Mayo activated protein c resistance assay CPT 85307 | $16.00 | $32.00 | $12.23 – $55.00 | 75 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $244.00 | $488.00 | $30.78 – $138.46 | 61 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $57.50 | $115.00 | $10.74 – $183.09 | 31 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $132.50 | $265.00 | $8.95 – $183.09 | 31 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $13.00 | $26.00 | $11.80 – $53.08 | 75 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $102.00 | $204.00 | $16.24 – $183.09 | 31 |
| Mayo alpha 1 antitrypsin CPT 82103 | $21.00 | $42.00 | $10.73 – $48.25 | 75 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $292.00 | $584.00 | $12.04 – $54.15 | 75 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $29.50 | $59.00 | $10.37 – $183.09 | 31 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $38.50 | $77.00 | $8.08 – $183.09 | 31 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $217.50 | $435.00 | $97.06 – $436.62 | 75 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $225.00 | $450.00 | $73.14 – $329.02 | 75 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $292.50 | $585.00 | $109.33 – $491.79 | 61 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,472.00 | $2,944.00 | $925.68 – $4,164.10 | 74 |
| Mayo androstenedione CPT 82157 | $51.00 | $102.00 | $23.37 – $105.13 | 61 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $12.50 | $25.00 | $11.65 – $52.39 | 75 |
| Mayo antithrombin iii antigen CPT 85301 | $203.00 | $406.00 | $8.63 – $38.80 | 75 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $9.00 | $18.00 | $12.01 – $54.02 | 75 |
| Mayo avwpr vw factor activity CPT 85397 | $120.00 | $240.00 | $24.62 – $110.77 | 75 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $54.50 | $109.00 | $28.01 – $125.98 | 60 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $101.50 | $203.00 | $8.70 – $183.09 | 31 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $24.50 | $49.00 | $8.12 – $36.54 | 75 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $195.00 | $390.00 | $115.59 – $519.96 | 75 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $161.00 | $322.00 | $171.27 – $770.43 | 75 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $10.00 | $20.00 | $10.30 – $46.32 | 75 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $48.50 | $97.00 | $8.38 – $183.09 | 31 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $23.50 | $47.00 | $10.53 – $47.35 | 61 |
| Mayo brcmg brucella antibody igm CPT 86622 | $33.50 | $67.00 | $7.13 – $32.05 | 75 |
| Mayo c1 esterase inhibitor CPT 83883 | $97.50 | $195.00 | $10.85 – $48.80 | 75 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $105.50 | $211.00 | $10.71 – $183.09 | 31 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $23.50 | $47.00 | $13.46 – $60.56 | 75 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $73.00 | $146.00 | $21.38 – $96.15 | 75 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $779.50 | $1,559.00 | $97.53 – $438.72 | 61 |
| Mayo ceruloplasmin CPT 82390 | $53.50 | $107.00 | $8.57 – $38.55 | 75 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $150.00 | $300.00 | $11.27 – $50.68 | 75 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $71.50 | $143.00 | $10.28 – $46.24 | 75 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $8.50 | $17.00 | $9.43 – $42.44 | 75 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $16.50 | $33.00 | $10.12 – $45.51 | 75 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $310.00 | $620.00 | $92.96 – $418.16 | 61 |
| Mayo chromium CPT 82495 | $14.00 | $28.00 | $16.19 – $72.82 | 61 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $100.50 | $201.00 | $9.74 – $183.09 | 31 |
| Mayo coccidioides antibody CPT 86635 | $33.50 | $67.00 | $9.15 – $41.15 | 75 |
| Mayo cocou cortisone urine CPT 82542 | $251.50 | $503.00 | $19.23 – $86.50 | 75 |
| Mayo cortisol free CPT 82530 | $56.50 | $113.00 | $13.34 – $60.00 | 75 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $108.50 | $217.00 | $33.62 – $151.24 | 61 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $54.00 | $108.00 | $9.67 – $43.50 | 75 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $105.50 | $211.00 | $18.38 – $250.54 | 31 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $105.50 | $211.00 | $12.71 – $183.09 | 31 |
| Mayo cyanide CPT 82600 | $40.50 | $81.00 | $15.49 – $69.66 | 61 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $17.50 | $35.00 | $10.57 – $47.56 | 61 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $23.00 | $46.00 | $20.17 – $90.73 | 61 |
| Mayo dihydrotestosterone CPT 82642 | $28.00 | $56.00 | $23.37 – $105.13 | 75 |
| Mayo efpo chloride stool CPT 82438 | $9.50 | $19.00 | $3.99 – $17.95 | 61 |
| Mayo estriol CPT 82677 | $25.00 | $50.00 | $19.29 – $86.79 | 61 |
| Mayo estrone CPT 82679 | $22.50 | $45.00 | $19.91 – $89.57 | 61 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $9.00 | $18.00 | $13.04 – $58.68 | 61 |
| Mayo everolimus therapeutic drug level CPT 80169 | $116.50 | $233.00 | $10.95 – $49.27 | 75 |
| Mayo factor ii CPT 85210 | $79.00 | $158.00 | $10.36 – $46.58 | 75 |
| Mayo factor v CPT 85220 | $67.50 | $135.00 | $14.09 – $63.38 | 75 |
| Mayo factor vii CPT 85230 | $79.00 | $158.00 | $14.29 – $64.27 | 75 |
| Mayo factor viii vw factor antigen CPT 85246 | $21.00 | $42.00 | $18.31 – $82.35 | 75 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $150.00 | $300.00 | $18.31 – $82.35 | 75 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $44.50 | $89.00 | $18.31 – $82.35 | 75 |
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.