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 |
|---|---|---|---|---|
| Metabolic Blood Panel (Basic) CPT 80048 | $349.50 | $699.00 | $6.75 – $30.38 | 75 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $405.00 | $810.00 | $8.43 – $37.91 | 75 |
| Metabolic panel ionized ca CPT 80047 | $137.00 | $274.00 | $10.95 – $49.27 | 61 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $18.50 | $37.00 | $30.09 – $30.09 | 1 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $6.37 | $12.75 | $4.90 – $4.90 | 1 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $64.62 | $129.25 | $2.84 – $2.84 | 1 |
| Methotrexate therapeutic drug level CPT 80204 | $60.00 | $120.00 | $30.78 – $138.46 | 61 |
| Methyldopate hcl injection HCPCS J0210 | $84.00 | $168.00 | $95.60 – $95.60 | 1 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $792.62 | $1,585.25 | $2.77 – $26.48 | 69 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $66.75 | $133.50 | $32.65 – $32.65 | 1 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $347.37 | $694.75 | $275.33 – $275.33 | 1 |
| Methylphenidate CPT 80360 | $75.00 | $150.00 | $8.65 – $183.09 | 31 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $20.25 | $40.50 | $14.67 – $14.67 | 1 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $87.50 | $175.00 | $5.87 – $5.87 | 1 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $6.25 | $12.50 | $3.63 – $3.63 | 1 |
| Mgmt promoter methylation analysis CPT 81287 | $240.00 | $480.00 | $99.47 – $447.44 | 61 |
| Microalbumin urine screen CPT 82044 | $55.00 | $110.00 | $4.97 – $22.35 | 61 |
| Microbe susceptible mlc CPT 87187 | $90.00 | $180.00 | $32.05 – $144.19 | 61 |
| Microdissection laser CPT 88380 | $911.00 | $1,822.00 | $124.71 – $124.71 | 1 |
| Microdissection manual CPT 88381 | $213.00 | $426.00 | $205.56 – $205.56 | 1 |
| Microsatellite instability CPT 81301 | $480.00 | $960.00 | $278.15 – $1,251.24 | 75 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $12.00 | $24.00 | $0.96 – $0.96 | 1 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $56.75 | $113.50 | $81.26 – $81.26 | 1 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $70.75 | $141.50 | $16.83 – $16.83 | 1 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $1,537.50 | $3,075.00 | $26.10 – $1,624.05 | 69 |
| Mlh1 gene CPT 81288 | $210.50 | $421.00 | $153.47 – $690.38 | 61 |
| Mlh1 gene dup/delete variant CPT 81294 | $186.00 | $372.00 | $161.52 – $726.58 | 61 |
| Mlh1 gene full seq CPT 81292 | $621.50 | $1,243.00 | $538.97 – $2,424.53 | 61 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $350.00 | $700.00 | $19.04 – $135.43 | 60 |
| Mopath procedure level 1 CPT 81400 | $174.00 | $348.00 | $51.04 – $229.62 | 61 |
| Mopath procedure level 3 CPT 81402 | $265.00 | $530.00 | $119.97 – $539.66 | 61 |
| Mopath procedure level 5 CPT 81404 | $747.50 | $1,495.00 | $219.32 – $986.58 | 75 |
| Mopath procedure level 6 CPT 81405 | $1,840.00 | $3,680.00 | $240.47 – $1,081.75 | 75 |
| Mopath procedure level 7 CPT 81406 | $1,050.00 | $2,100.00 | $225.74 – $1,015.47 | 75 |
| Mopath procedure level 8 CPT 81407 | $900.00 | $1,800.00 | $675.33 – $3,037.90 | 75 |
| Mopath procedure level 9 CPT 81408 | $1,840.00 | $3,680.00 | $1,596.00 – $7,179.48 | 61 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $29.50 | $59.00 | $0.03 – $0.03 | 1 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $87.50 | $175.00 | $11.14 – $11.14 | 1 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $137.00 | $274.00 | $88.11 – $973.82 | 75 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $378.00 | $756.00 | $90.66 – $462.86 | 75 |
| Motor &/ sens nrve cndj test CPT 95905 | $141.50 | $283.00 | $66.36 – $1,213.65 | 57 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $115.00 | $230.00 | $50.03 – $225.04 | 5 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $1,126.00 | $2,252.00 | $171.43 – $1,328.55 | 75 |
| M/phmtrc alysishquant/semiq CPT 88369 | $199.00 | $398.00 | $95.15 – $447.78 | 5 |
| MRA abdomen post contrast CPT 74185 | $2,793.50 | $5,587.00 | $240.08 – $1,111.39 | 70 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $2,523.50 | $5,047.00 | $240.08 – $1,098.43 | 56 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $3,325.50 | $6,651.00 | $240.08 – $1,106.19 | 70 |
| MRA pelvis CPT 72198 | $2,444.50 | $4,889.00 | $240.08 – $1,107.48 | 56 |
| MRA upper extremity post contrast-bil CPT 73225 | $2,444.50 | $4,889.00 | $240.08 – $1,104.89 | 70 |
| Mr elastography CPT 76391 | $604.00 | $1,208.00 | $196.80 – $885.30 | 73 |
| MRI breast c- unilateral CPT 77046 | $1,880.00 | $3,760.00 | $240.08 – $836.61 | 56 |
| MRI breast c-+ w/cad uni CPT 77048 | $1,880.00 | $3,760.00 | $332.87 – $1,057.04 | 70 |
| MRI breast without cont bi CPT 77047 | $1,880.00 | $3,760.00 | $239.69 – $836.61 | 70 |
| MRI breast w IV cont bi CPT 77049 | $1,880.00 | $3,760.00 | $338.56 – $1,051.87 | 70 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $1,880.00 | $3,760.00 | $221.80 – $997.73 | 73 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $2,683.00 | $5,366.00 | $348.10 – $1,565.90 | 73 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $2,193.00 | $4,386.00 | $414.87 – $2,129.73 | 59 |
| MRI chest without contrast CPT 71550 | $2,095.00 | $4,190.00 | $221.80 – $997.73 | 59 |
| MRI chest without & w/contrast CPT 71552 | $2,723.50 | $5,447.00 | $348.10 – $1,565.90 | 73 |
| MRI chest w IV cont CPT 71551 | $2,408.50 | $4,817.00 | $365.99 – $2,444.14 | 73 |
| MRI compatible system HCPCS L0859 | $937.50 | $1,875.00 | $1,866.53 – $5,039.63 | 53 |
| MRI guid ndl plc s&i CPT 77021 | $1,880.00 | $3,760.00 | $691.89 – $691.89 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | $2,645.50 | $5,291.00 | $257.74 – $1,370.84 | 73 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,300.50 | $4,601.00 | $218.70 – $983.80 | 73 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,753.50 | $5,507.00 | $330.13 – $1,485.04 | 73 |
| MRI orbit/face/neck without contrast CPT 70540 | $2,091.00 | $4,182.00 | $221.57 – $996.71 | 73 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $2,717.50 | $5,435.00 | $331.70 – $1,492.14 | 73 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,404.00 | $4,808.00 | $262.83 – $1,370.84 | 73 |
| MRI tmj CPT 70336 | $1,890.00 | $3,780.00 | $221.80 – $997.73 | 73 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,906.00 | $3,812.00 | $221.80 – $997.73 | 73 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,478.50 | $4,957.00 | $348.10 – $1,565.90 | 73 |
| MRI upper extremity w/dye CPT 73219 | $2,192.00 | $4,384.00 | $324.72 – $1,460.73 | 73 |
| MRI w/cont, breast, bi HCPCS C8906 | $2,499.50 | $4,999.00 | $351.04 – $947.81 | 56 |
| MRI w/cont, breast, uni HCPCS C8903 | $2,167.00 | $4,334.00 | $176.20 – $476.52 | 70 |
| MRI without fol w/cont, breast HCPCS C8908 | $3,248.00 | $6,496.00 | $351.04 – $947.81 | 70 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $2,817.50 | $5,635.00 | $350.46 – $947.81 | 70 |
| Mr safety determination physician/other qhp CPT 76016 | $81.00 | $162.00 | $87.57 – $236.43 | 57 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $22.50 | $45.00 | $91.06 – $91.06 | 1 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $22.50 | $45.00 | $29.10 – $78.58 | 57 |
| Mr spectroscopy CPT 76390 | $1,880.00 | $3,760.00 | $87.57 – $1,336.49 | 56 |
| Msh2 gene dup/delete variant CPT 81297 | $200.50 | $401.00 | $170.21 – $765.68 | 61 |
| Msh2 gene full seq CPT 81295 | $351.00 | $702.00 | $304.60 – $1,370.21 | 61 |
| Msh6 gene dup/delete variant CPT 81300 | $401.50 | $803.00 | $189.92 – $854.36 | 61 |
| Msh6 gene full seq CPT 81298 | $590.50 | $1,181.00 | $512.19 – $2,304.06 | 61 |
| Mthfr gene analy common variants CPT 81291 | $94.00 | $188.00 | $52.15 – $234.57 | 75 |
| Mucin synovial fluid CPT 83872 | $12.50 | $25.00 | $4.67 – $21.03 | 61 |
| Multiple sleep latency test CPT 95805 | $2,061.50 | $4,123.00 | $347.51 – $2,333.00 | 71 |
| Mumps antibody igg CPT 86735 | $54.50 | $109.00 | $10.41 – $46.84 | 75 |
| Muscle test cran nerv unilat CPT 95867 | $236.00 | $472.00 | $37.11 – $586.61 | 71 |
| Muscle test larynx CPT 95865 | $258.50 | $517.00 | $36.31 – $361.46 | 57 |
| Mycobacteria dna amp probe CPT 87551 | $213.50 | $427.00 | $38.49 – $173.16 | 61 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $12.37 | $24.75 | $1.36 – $1.36 | 1 |
| Mycophenolic acid HCPCS J7518 | $15.50 | $31.00 | $4.71 – $4.71 | 1 |
| Mycoplasma antibody igm CPT 86738 | $66.00 | $132.00 | $10.56 – $47.52 | 75 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $240.00 | $480.00 | $139.97 – $629.66 | 74 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $121.50 | $243.00 | $9.21 – $41.41 | 75 |
| Myocrd img pet 1std rst/strs CPT 78491 | $1,680.00 | $3,360.00 | $1,438.83 – $3,884.84 | 57 |
| Myocrd img pet mlt rst&strs CPT 78492 | $1,680.00 | $3,360.00 | $1,438.83 – $3,884.84 | 57 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $22.62 | $45.25 | $4.30 – $4.30 | 1 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $69.37 | $138.75 | $6.69 – $6.69 | 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.