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 |
|---|---|---|---|---|
| Pelvic MRI (with contrast) CPT 72196 | $2,337.50 | $4,675.00 | $262.83 – $1,370.84 | 59 |
| Pelvic MRI (without contrast) CPT 72195 | $2,032.50 | $4,065.00 | $221.80 – $997.73 | 73 |
| Pelvic Ultrasound (complete) CPT 76856 | $629.50 | $1,259.00 | $91.47 – $411.45 | 74 |
| Pelvic Ultrasound (limited) CPT 76857 | $330.50 | $661.00 | $48.25 – $284.03 | 74 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $7,630.87 | $15,261.75 | $59.73 – $11,472.00 | 69 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $5,145.25 | $10,290.50 | $3.59 – $8,422.36 | 69 |
| Peng benzathine/procaine inj HCPCS J0558 | $452.25 | $904.50 | $19.52 – $131.93 | 55 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $755.12 | $1,510.25 | $31.97 – $180.68 | 69 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $94.75 | $189.50 | $31.83 – $31.83 | 1 |
| Penile vascular study CPT 93981 | $1,147.00 | $2,294.00 | $33.30 – $301.28 | 60 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $697.62 | $1,395.25 | $455.73 – $455.73 | 1 |
| Peri-proc device eval icd CPT 93287 | $508.00 | $1,016.00 | $23.93 – $23.93 | 1 |
| Peri-proc device eval pm CPT 93286 | $508.00 | $1,016.00 | $15.17 – $15.17 | 1 |
| Peritoneogram rs&i CPT 74190 | $600.50 | $1,201.00 | $76.99 – $1,484.49 | 74 |
| Perit-vens shunt pat tst CPT 78291 | $703.00 | $1,406.00 | $233.63 – $1,086.09 | 74 |
| Pet CT skull-mid thgh initial CPT 78815 | $7,898.00 | $15,796.00 | $1,405.00 – $6,364.74 | 74 |
| Pet CT whole body initial CPT 78816 | $7,898.00 | $15,796.00 | $1,414.88 – $6,364.74 | 74 |
| Pet fdg brain metoblic eval sb CPT 78608 | $7,898.00 | $15,796.00 | $1,391.28 – $6,258.54 | 74 |
| Pet image w/ct lmtd CPT 78814 | $1,410.00 | $2,820.00 | $1,405.00 – $6,364.74 | 74 |
| Ph body fluid CPT 83986 | $81.50 | $163.00 | $2.86 – $12.86 | 75 |
| Phencyclidine (pcp) CPT 83992 | $97.50 | $195.00 | $13.40 – $183.09 | 32 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $42.00 | $84.00 | $66.75 – $66.75 | 1 |
| Phenobarbital therapeutic drug level CPT 80184 | $64.50 | $129.00 | $12.21 – $54.91 | 75 |
| Phentolaine mesylate inj HCPCS J2760 | $775.00 | $1,550.00 | $420.56 – $1,135.51 | 55 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $42.00 | $84.00 | $1.20 – $1.20 | 1 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $2.62 | $5.25 | $1.58 – $1.58 | 1 |
| Phenytoin total therapeutic drug level CPT 80185 | $25.00 | $50.00 | $10.57 – $47.56 | 75 |
| Phlebotomy therapeutic CPT 99195 | $134.00 | $268.00 | $6.18 – $361.46 | 71 |
| Phosphorus CPT 84100 | $108.00 | $216.00 | $3.78 – $17.01 | 75 |
| Phosphorus 24 hour urine CPT 84105 | $17.00 | $34.00 | $4.62 – $20.77 | 75 |
| Photopheresis CPT 36522 | $8,204.00 | $16,408.00 | $1,674.15 – $11,832.91 | 60 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $87.50 | $175.00 | $7.53 – $7.53 | 1 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $42.62 | $85.25 | $16.56 – $16.56 | 1 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $85.00 | $170.00 | $9.52 – $9.52 | 1 |
| Placental lactogen CPT 83632 | $109.50 | $219.00 | $16.13 – $72.56 | 61 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $52.00 | $104.00 | $132.05 – $356.54 | 56 |
| Platelet aggregation each agent teg CPT 85576 | $852.00 | $1,704.00 | $19.87 – $89.40 | 75 |
| Platelet automated CPT 85049 | $108.00 | $216.00 | $3.57 – $16.07 | 75 |
| Platelet pheresis each unit HCPCS P9034 | $655.50 | $1,311.00 | $308.96 – $834.19 | 56 |
| Platelets each unit HCPCS P9019 | $68.00 | $136.00 | $53.17 – $143.56 | 56 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $1,121.50 | $2,243.00 | $708.06 – $1,911.76 | 56 |
| Platelets irradiated ea unit HCPCS P9032 | $253.50 | $507.00 | $392.97 – $1,061.02 | 56 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $568.00 | $1,136.00 | $144.26 – $389.50 | 70 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $323.00 | $646.00 | $189.59 – $511.89 | 56 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $317.00 | $634.00 | $503.45 – $1,359.32 | 56 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $655.50 | $1,311.00 | $511.59 – $1,381.29 | 70 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $832.00 | $1,664.00 | $680.61 – $1,837.65 | 70 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $762.00 | $1,524.00 | $2.85 – $1,013.78 | 71 |
| Pms2 gene dup/delet variants CPT 81319 | $401.50 | $803.00 | $162.39 – $730.51 | 61 |
| Pms2 gene full seq analysis CPT 81317 | $622.50 | $1,245.00 | $539.85 – $2,428.46 | 61 |
| #pnh-flow cytometry interp CPT 88187 | $75.00 | $150.00 | $35.11 – $94.80 | 57 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $570.50 | $1,141.00 | $20.81 – $93.59 | 75 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,178.00 | $8,356.00 | $219.78 – $2,333.00 | 71 |
| Potassium 24 hour urine CPT 84133 | $134.00 | $268.00 | $3.77 – $16.97 | 75 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $22.75 | $45.50 | $0.84 – $0.84 | 1 |
| Potassium serum/plasma/whole blood CPT 84132 | $134.00 | $268.00 | $3.80 – $17.09 | 75 |
| Pq dr cath chg w cont s&i CPT 75984 | $396.50 | $793.00 | $115.71 – $115.71 | 1 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $161.37 | $322.75 | $207.21 – $207.21 | 1 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $25.50 | $51.00 | $8.56 – $101.79 | 71 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $483.50 | $967.00 | $15.46 – $545.08 | 71 |
| Prealbumin CPT 84134 | $122.00 | $244.00 | $11.65 – $52.39 | 75 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $12.87 | $25.75 | $1.36 – $1.36 | 1 |
| Pregabalin - sendout CPT 80366 | $79.50 | $159.00 | $6.58 – $183.09 | 31 |
| Pregnancy associated plasma protein-a CPT 84163 | $37.50 | $75.00 | $12.01 – $54.02 | 75 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $567.00 | $1,134.00 | $99.51 – $447.65 | 74 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $531.50 | $1,063.00 | $99.51 – $447.65 | 74 |
| Pressure max expiratory/inspiratory CPT 94799 | $80.00 | $160.00 | $36.31 – $349.58 | 71 |
| Pressure velocity wire add ves CPT 93572 | $450.00 | $900.00 | $192.67 – $192.67 | 1 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $459.50 | $919.00 | $171.15 – $462.86 | 71 |
| Pretreat rbc absorption reference CPT 86978 | $158.50 | $317.00 | $52.82 – $160.27 | 71 |
| Pretreat rbc density gradient separation reference CPT 86972 | $157.50 | $315.00 | $171.15 – $462.86 | 71 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $387.50 | $775.00 | $52.82 – $160.27 | 71 |
| Pretreat rbc w enzyme reference CPT 86971 | $176.50 | $353.00 | $171.43 – $462.86 | 71 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $253.50 | $507.00 | not published | 0 |
| Prgr stim/pace a/iv drug CPT 93623 | $750.00 | $1,500.00 | $651.79 – $651.79 | 1 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $775.00 | $1,550.00 | $231.90 – $930.23 | 55 |
| Procalcitonin CPT 84145 | $170.50 | $341.00 | $21.72 – $97.69 | 75 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $38.87 | $77.75 | $29.73 – $29.73 | 1 |
| Progesterone CPT 84144 | $40.50 | $81.00 | $16.64 – $74.87 | 75 |
| Prolactin CPT 84146 | $13.50 | $27.00 | $15.47 – $69.57 | 75 |
| Promethazine hcl injection HCPCS J2550 | $6.75 | $13.50 | $0.72 – $0.72 | 1 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $45.37 | $90.75 | $40.63 – $40.63 | 1 |
| _propoxygc/msur CPT 80367 | $121.00 | $242.00 | $9.98 – $183.09 | 31 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $15.00 | $30.00 | $16.63 – $16.63 | 1 |
| Prosthetic sock multi ply bk HCPCS L8420 | $30.25 | $60.51 | $25.45 – $68.72 | 54 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $37.12 | $74.25 | $14.34 – $14.34 | 1 |
| Protein c activity CPT 85303 | $203.00 | $406.00 | $11.05 – $49.70 | 75 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $231.50 | $463.00 | $8.57 – $38.55 | 75 |
| Protein s total CPT 85305 | $203.00 | $406.00 | $9.26 – $41.67 | 75 |
| Protein total 24 hour urine CPT 84156 | $105.50 | $211.00 | $2.93 – $13.16 | 75 |
| Protein total body fluid CPT 84157 | $105.50 | $211.00 | $3.19 – $14.36 | 75 |
| Protein total serum plasma whole blood CPT 84155 | $105.50 | $211.00 | $2.93 – $13.16 | 75 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $31.50 | $63.00 | $3.14 – $14.15 | 61 |
| Prq card revasc mi 1 vsl CPT 92941 | $15,296.00 | $30,592.00 | $579.18 – $1,563.79 | 71 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $15,296.00 | $30,592.00 | $11,615.90 – $31,362.93 | 71 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $11,381.00 | $22,762.00 | $11,615.90 – $31,362.93 | 71 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | $17,230.50 | $34,461.00 | $18,445.51 – $49,802.88 | 57 |
| Prq trlml c athrc st angiop1 CPT 92933 | $15,296.00 | $30,592.00 | $18,445.51 – $49,802.88 | 71 |
| Prq trluml c angiop 1art&/br CPT 92920 | $5,191.50 | $10,383.00 | $5,726.92 – $15,462.68 | 71 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $3,915.00 | $7,830.00 | $11,596.79 – $31,362.93 | 71 |
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.