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 |
|---|---|---|---|---|
| Mayo factor x CPT 85260 | $34.00 | $68.00 | $14.29 – $64.27 | 75 |
| Mayo factor xi CPT 85270 | $34.00 | $68.00 | $14.29 – $64.27 | 75 |
| Mayo fat/lipids feces quantitative CPT 82710 | $42.50 | $85.00 | $13.40 – $60.30 | 61 |
| Mayo fbl culture fungi blood CPT 87103 | $245.00 | $490.00 | $16.33 – $73.46 | 61 |
| Mayo fibrinogen antigen CPT 85385 | $63.00 | $126.00 | $11.54 – $51.92 | 61 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $14.00 | $28.00 | $17.29 – $77.78 | 61 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $1,800.00 | $3,600.00 | $40.53 – $40.53 | 1 |
| Mayo hemosiderin qualitative urine CPT 83070 | $8.50 | $17.00 | $3.79 – $17.05 | 61 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $100.50 | $201.00 | $28.01 – $125.98 | 75 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $152.00 | $304.00 | $28.01 – $125.98 | 75 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $12.00 | $24.00 | $11.00 – $49.49 | 75 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $242.50 | $485.00 | $20.60 – $92.65 | 75 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $355.50 | $711.00 | $7.10 – $31.92 | 75 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $355.50 | $711.00 | $10.79 – $48.55 | 75 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $54.00 | $108.00 | $21.68 – $97.52 | 75 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $450.00 | $900.00 | $13.78 – $62.01 | 75 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $50.50 | $101.00 | $11.96 – $53.80 | 75 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $14.50 | $29.00 | $16.61 – $74.70 | 75 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $201.00 | $402.00 | $16.61 – $74.70 | 75 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $292.50 | $585.00 | $12.83 – $57.69 | 75 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $63.00 | $126.00 | $9.56 – $42.99 | 75 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $112.50 | $225.00 | $28.01 – $125.98 | 75 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $91.50 | $183.00 | $28.01 – $125.98 | 61 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $113.50 | $227.00 | $28.01 – $125.98 | 61 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $150.00 | $300.00 | $28.01 – $125.98 | 60 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $82.50 | $165.00 | $34.19 – $153.80 | 75 |
| Mayo infliximab therapeutic drug level CPT 80230 | $244.00 | $488.00 | $30.78 – $138.46 | 61 |
| Mayo inhab inhibin a CPT 86336 | $42.00 | $84.00 | $12.45 – $55.98 | 75 |
| Mayo insft insulin free CPT 83527 | $9.00 | $18.00 | $10.34 – $46.50 | 75 |
| Mayo insulin antibodies CPT 86337 | $29.50 | $59.00 | $17.08 – $76.84 | 75 |
| Mayo iodine CPT 83789 | $157.00 | $314.00 | $19.24 – $86.54 | 75 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $48.50 | $97.00 | $21.63 – $97.31 | 75 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $75.00 | $150.00 | $21.63 – $97.31 | 61 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $16.00 | $32.00 | $10.57 – $47.56 | 75 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $9.50 | $19.00 | $10.20 – $45.90 | 61 |
| Mayo legionella antibody CPT 86713 | $10.50 | $21.00 | $12.21 – $54.91 | 61 |
| Mayo leptospira antibody igm CPT 86720 | $31.50 | $63.00 | $12.93 – $58.16 | 61 |
| Mayo lipoprotein electrophoresis CPT 83700 | $39.00 | $78.00 | $8.99 – $40.43 | 75 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $16.00 | $32.00 | $12.36 – $55.60 | 75 |
| Mayo manganese CPT 83785 | $17.00 | $34.00 | $21.27 – $95.68 | 61 |
| Mayo metanephrines plasma CPT 83835 | $56.50 | $113.00 | $13.52 – $60.81 | 75 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $46.00 | $92.00 | $10.47 – $183.09 | 31 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $107.50 | $215.00 | $9.61 – $43.25 | 60 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $205.00 | $410.00 | $14.69 – $66.07 | 74 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $11.00 | $22.00 | $11.61 – $52.22 | 75 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $206.00 | $412.00 | $14.88 – $66.92 | 61 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $435.00 | $870.00 | $109.33 – $491.79 | 61 |
| Mayo muramidase CPT 85549 | $12.00 | $24.00 | $14.96 – $67.31 | 75 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $535.50 | $1,071.00 | $14.69 – $66.07 | 74 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $22.50 | $45.00 | $14.40 – $64.79 | 61 |
| Mayo myoglobin CPT 83874 | $10.00 | $20.00 | $10.31 – $46.37 | 75 |
| Mayo nickel CPT 83885 | $53.00 | $106.00 | $19.56 – $87.99 | 61 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $100.50 | $201.00 | $13.57 – $183.09 | 31 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $42.50 | $85.00 | $11.31 – $183.09 | 31 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $146.50 | $293.00 | $16.93 – $76.15 | 75 |
| Mayo organic acids qualitative each specimen CPT 83919 | $90.00 | $180.00 | $13.13 – $59.06 | 75 |
| Mayo oxalate 24 hour urine CPT 83945 | $84.00 | $168.00 | $11.53 – $51.88 | 75 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $12.50 | $25.00 | $12.00 – $53.97 | 61 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $620.50 | $1,241.00 | $9.61 – $43.25 | 75 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $72.00 | $144.00 | $28.01 – $125.98 | 61 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $51.00 | $102.00 | $14.35 – $64.53 | 75 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $9.50 | $19.00 | $10.98 – $49.40 | 61 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $23.50 | $47.00 | $6.74 – $30.30 | 61 |
| Mayo pregnenolone CPT 84140 | $23.00 | $46.00 | $16.49 – $74.19 | 75 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $28.50 | $57.00 | $13.24 – $59.57 | 61 |
| Mayo proinsulin CPT 84206 | $18.00 | $36.00 | $21.30 – $95.81 | 61 |
| Mayo psaft prostate specific antigen free CPT 84154 | $12.50 | $25.00 | $14.68 – $66.03 | 75 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $309.50 | $619.00 | $14.69 – $66.07 | 75 |
| Mayo receptor assay transferrin soluble CPT 84238 | $17.00 | $34.00 | $29.18 – $131.28 | 75 |
| Mayo renin CPT 84244 | $15.00 | $30.00 | $17.55 – $78.93 | 75 |
| Mayo repu protein electrophoresis urine CPT 84166 | $331.00 | $662.00 | $14.23 – $64.02 | 75 |
| Mayo selenium CPT 84255 | $33.00 | $66.00 | $20.38 – $91.67 | 75 |
| Mayo serotonin CPT 84260 | $28.00 | $56.00 | $24.72 – $111.20 | 61 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $13.50 | $27.00 | $15.44 – $69.44 | 61 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $107.50 | $215.00 | $10.95 – $49.27 | 75 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $27.00 | $54.00 | $23.68 – $248.48 | 60 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $97.00 | $194.00 | $3.41 – $15.34 | 75 |
| Mayo tau phosphorylated 217 each CPT 84393 | $249.00 | $498.00 | $27.29 – $1,081.75 | 74 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $1,255.00 | $2,510.00 | $166.72 – $749.96 | 75 |
| Mayo tgrp testosterone free CPT 84402 | $8.00 | $16.00 | $20.32 – $91.41 | 61 |
| Mayo tgrp testosterone total CPT 84403 | $26.50 | $53.00 | $20.60 – $92.65 | 75 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $98.00 | $196.00 | $17.69 – $79.57 | 74 |
| Mayo thyroglobulin CPT 84432 | $52.00 | $104.00 | $12.82 – $57.65 | 75 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $68.50 | $137.00 | $8.12 – $36.54 | 75 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $13.50 | $27.00 | $9.89 – $44.49 | 75 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $75.00 | $150.00 | $9.81 – $183.09 | 31 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $19.00 | $38.00 | $11.30 – $50.81 | 61 |
| Mayo vasoactive intestinal peptide CPT 84586 | $21.50 | $43.00 | $28.20 – $126.84 | 61 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $132.00 | $264.00 | $16.15 – $72.65 | 75 |
| Mayo vitamin b3 (niacin) CPT 84591 | $79.00 | $158.00 | $13.61 – $61.24 | 75 |
| Mayo vitamin k CPT 84597 | $41.50 | $83.00 | $10.94 – $49.23 | 75 |
| Mcoln1 gene CPT 81290 | $36.00 | $72.00 | $31.37 – $141.11 | 61 |
| #mec-opiates CPT 80356 | $82.50 | $165.00 | $12.69 – $57.09 | 4 |
| Mecp2 gene dup/delet variant CPT 81304 | $431.50 | $863.00 | $119.70 – $538.46 | 61 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $163.78 | $327.57 | $125.01 – $338.09 | 68 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | $103.12 | $206.25 | $54.56 – $338.09 | 69 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | $128.43 | $256.86 | $125.22 – $338.09 | 68 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $58.87 | $117.75 | $4.35 – $4.35 | 1 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $47.50 | $95.00 | $26.41 – $26.41 | 1 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $42.00 | $84.00 | $84.61 – $84.61 | 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.