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 |
|---|---|---|---|---|
| Prq trluml revsc ch occ ant CPT 92943 | $15,296.00 | $30,592.00 | $11,615.90 – $31,362.93 | 71 |
| PSA (Prostate) Test CPT 84153 | $166.00 | $332.00 | $14.68 – $66.03 | 75 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $156.00 | $312.00 | not published | 0 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $172.50 | $345.00 | not published | 0 |
| Psytx pt w/e&m 16-37 min CPT 90833 | $84.50 | $169.00 | not published | 0 |
| Psytx pt w/e&m 38-52 min CPT 90836 | $112.50 | $225.00 | not published | 0 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $127.00 | $254.00 | $14.77 – $39.88 | 71 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $127.00 | $254.00 | $7.37 – $51.62 | 71 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $112.00 | $224.00 | $14.42 – $38.93 | 71 |
| Pt application of modality traction mechanical CPT 97012 | $112.00 | $224.00 | $4.76 – $38.96 | 71 |
| Pten gene dup/delet variant CPT 81323 | $401.50 | $803.00 | $239.40 – $1,076.92 | 61 |
| Pten gene full sequence CPT 81321 | $552.00 | $1,104.00 | $478.80 – $2,153.84 | 61 |
| Pt evaluation high complexity patient/family CPT 97163 | $481.50 | $963.00 | $42.10 – $266.19 | 71 |
| Pt evaluation low complexity patient/family CPT 97161 | $445.50 | $891.00 | $61.37 – $266.19 | 71 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $463.50 | $927.00 | $61.37 – $266.19 | 71 |
| Pt re-evaluation patient/family CPT 97164 | $427.50 | $855.00 | $34.02 – $183.36 | 71 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $201.50 | $403.00 | $29.83 – $80.54 | 71 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $138.00 | $276.00 | $12.74 – $320.50 | 71 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $112.00 | $224.00 | $18.79 – $78.95 | 71 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $112.00 | $224.00 | $12.37 – $80.62 | 71 |
| Pt wheelchair management each 15 minutes CPT 97542 | $112.00 | $224.00 | $14.98 – $84.40 | 71 |
| Pul art balloon repr percut CPT 92997 | $3,453.00 | $6,906.00 | $11,615.90 – $31,362.93 | 56 |
| Pul art balloon repr percut CPT 92998 | $1,823.50 | $3,647.00 | $167.05 – $167.05 | 1 |
| Pulmonary vent imaging CPT 78579 | $1,108.00 | $2,216.00 | $167.61 – $1,086.09 | 60 |
| Pulse ox continuous overnight monitoring CPT 94762 | $261.00 | $522.00 | $5.71 – $349.58 | 57 |
| Pulse ox multiple CPT 94761 | $44.50 | $89.00 | $22.06 – $22.06 | 1 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $85.00 | $170.00 | $133.87 – $361.46 | 70 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $52.12 | $104.25 | $18.47 – $18.47 | 1 |
| Pyruvate kinase CPT 84220 | $39.00 | $78.00 | $7.53 – $33.89 | 61 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,890.00 | $3,780.00 | $267.91 – $1,475.12 | 74 |
| Quant diff pulm perf w/imaging CPT 78597 | $824.50 | $1,649.00 | $178.70 – $1,086.09 | 74 |
| Quest t3 uptake CPT 84479 | $5.50 | $11.00 | $5.16 – $23.21 | 75 |
| Rabies ig ht&sol human im/sc CPT 90377 | $4,288.12 | $8,576.25 | $240.13 – $9,066.23 | 55 |
| Radiation physics consult CPT 77336 | $3,679.50 | $7,359.00 | $135.02 – $365.16 | 71 |
| Radiation therapy dose plan CPT 77300 | $3,679.50 | $7,359.00 | $85.46 – $365.16 | 71 |
| Radiation treatment aid(s) CPT 77332 | $820.00 | $1,640.00 | $72.10 – $365.16 | 57 |
| Radiation treatment aid(s) CPT 77333 | $1,226.50 | $2,453.00 | $135.24 – $365.16 | 57 |
| Radiation treatment aid(s) CPT 77334 | $3,679.50 | $7,359.00 | $170.92 – $1,017.24 | 71 |
| Radiation treatment delivery CPT 77402 | $775.00 | $1,550.00 | $102.50 – $348.05 | 71 |
| Radiation treatment delivery CPT 77412 | $3,679.50 | $7,359.00 | $555.06 – $1,501.13 | 71 |
| Radiology port images(s) CPT 77417 | $175.00 | $350.00 | $28.48 – $28.48 | 1 |
| Radiotherapy dose plan imrt CPT 77301 | $5,117.00 | $10,234.00 | $1,390.44 – $3,839.29 | 71 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $415.12 | $830.25 | $171.92 – $464.18 | 69 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,717.50 | $3,435.00 | $274.26 – $1,475.12 | 74 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,632.50 | $3,265.00 | $545.44 – $2,574.53 | 74 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $1,717.50 | $3,435.00 | $619.62 – $3,517.27 | 60 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,717.50 | $3,435.00 | $337.43 – $1,517.90 | 74 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,181.50 | $2,363.00 | $223.78 – $1,086.09 | 74 |
| Radphm quant measure sgl area add-on CPT 78835 | $334.00 | $668.00 | $84.75 – $381.24 | 4 |
| Range of motion measurements CPT 95852 | $73.50 | $147.00 | $4.99 – $95.62 | 71 |
| Rapid Strep Test CPT 87880 | $93.00 | $186.00 | $13.20 – $59.36 | 75 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $1,408.87 | $2,817.75 | $383.37 – $1,920.63 | 55 |
| Rbc count only automated CPT 85041 | $69.50 | $139.00 | $2.41 – $10.85 | 61 |
| Rbc osmotic fragility CPT 85555 | $74.50 | $149.00 | $5.96 – $26.79 | 61 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $461.00 | $922.00 | $422.69 – $1,141.26 | 70 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $2,466.00 | $4,932.00 | $184.91 – $499.26 | 70 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $943.00 | $1,886.00 | $265.41 – $716.61 | 70 |
| Red blood cells washed each unit HCPCS P9022 | $341.50 | $683.00 | $368.58 – $995.17 | 56 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $63.00 | $126.00 | $580.67 – $580.67 | 1 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $892.87 | $1,785.75 | $6.90 – $1,242.80 | 55 |
| Remote 30 day ecg tech supp CPT 93229 | $161.50 | $323.00 | $23.93 – $1,013.78 | 57 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $358.00 | $716.00 | $115.32 – $545.08 | 71 |
| Remove cva lumen obstruct CPT 75902 | $422.00 | $844.00 | $102.33 – $102.33 | 1 |
| Renal cyst study s&i CPT 74470 | $534.50 | $1,069.00 | $77.28 – $1,484.49 | 60 |
| Renal function panel CPT 80069 | $387.00 | $774.00 | $6.93 – $31.15 | 75 |
| Renal venogram bil s&i CPT 75833 | $1,917.00 | $3,834.00 | $140.93 – $8,578.16 | 60 |
| Reptilase test CPT 85635 | $21.00 | $42.00 | $7.86 – $35.34 | 61 |
| Respirator motion mgmt simul CPT 77293 | $3,867.00 | $7,734.00 | $896.39 – $896.39 | 1 |
| #resp virpnl dfa-adenovirus CPT 87260 | $96.50 | $193.00 | $11.51 – $51.79 | 61 |
| Resp virus 6-11 targets CPT 87632 | $422.50 | $845.00 | $174.01 – $782.78 | 75 |
| Resuscitation cardiopulmonary CPT 92950 | $962.00 | $1,924.00 | $216.91 – $586.61 | 71 |
| Reticulated platelet assay CPT 85055 | $108.00 | $216.00 | $28.52 – $128.29 | 61 |
| Reticulocyte automated CPT 85045 | $101.00 | $202.00 | $3.18 – $14.32 | 75 |
| Reticulocyte direct measurement automated CPT 85046 | $47.00 | $94.00 | $4.45 – $20.00 | 61 |
| Revasc intra lithotrip-stent HCPCS C9765 | $10,862.50 | $21,725.00 | $12,682.85 – $49,802.88 | 71 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $18,233.50 | $36,467.00 | $8,618.37 – $49,802.88 | 60 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $11,399.50 | $22,799.00 | $4,750.24 – $31,362.93 | 74 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $18,233.50 | $36,467.00 | $8,497.34 – $49,802.88 | 60 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $18,233.50 | $36,467.00 | $8,648.20 – $49,802.88 | 60 |
| Revita, per sq cm HCPCS Q4180 | $109.37 | $218.75 | $125.01 – $338.09 | 68 |
| Rheumatoid factor qualitative CPT 86430 | $101.00 | $202.00 | $4.90 – $22.05 | 75 |
| Rheumatoid factor quantitative CPT 86431 | $250.50 | $501.00 | $4.52 – $20.34 | 75 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $6.40 | $12.80 | $23.23 – $23.23 | 1 |
| Rho d immune globulin inj HCPCS J2790 | $307.37 | $614.75 | $180.49 – $180.49 | 1 |
| Right ventric recording CPT 93603 | $2,345.00 | $4,690.00 | $1,225.10 – $3,307.78 | 57 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $4,566.87 | $9,133.75 | $13.27 – $9,821.71 | 69 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $47.75 | $95.50 | $1.43 – $1.43 | 1 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $816.00 | $1,632.00 | $242.83 – $1,092.35 | 60 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $1,717.50 | $3,435.00 | $414.24 – $3,517.27 | 74 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $1,831.50 | $3,663.00 | $782.76 – $3,884.84 | 74 |
| Rsv assay w/optic CPT 87807 | $74.00 | $148.00 | $10.45 – $47.01 | 75 |
| Rubella antibody igg CPT 86762 | $159.50 | $319.00 | $11.49 – $51.67 | 75 |
| Rubeola antibody igg CPT 86765 | $63.50 | $127.00 | $10.28 – $46.24 | 75 |
| Russell viper venom diluted CPT 85613 | $29.50 | $59.00 | $7.65 – $34.40 | 75 |
| Salivary gland function exam CPT 78232 | $780.00 | $1,560.00 | $96.81 – $1,086.09 | 60 |
| Salmonella antibody CPT 86768 | $8.00 | $16.00 | $10.53 – $47.35 | 61 |
| Sars-cov-2 antb quantitative CPT 86413 | $185.00 | $370.00 | $41.04 – $184.62 | 61 |
| Sarscov coronavirus ag ia CPT 87426 | $61.50 | $123.00 | $28.20 – $126.84 | 75 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $95.00 | $190.00 | $48.89 – $252.31 | 75 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $2,256.50 | $4,513.00 | $36.39 – $1,032.99 | 74 |
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.