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 |
|---|---|---|---|---|
| X-ray bone survey complete CPT 77075 | $1,170.50 | $2,341.00 | $94.91 – $426.92 | 74 |
| X-ray bone survey infant CPT 77076 | $629.50 | $1,259.00 | $99.51 – $447.65 | 60 |
| X-ray cervical spine 2-3 views CPT 72040 | $467.00 | $934.00 | $37.77 – $236.43 | 74 |
| X-ray cervical spine 4-5 views CPT 72050 | $706.00 | $1,412.00 | $51.11 – $284.03 | 74 |
| X-ray cervical spine >= 6 views CPT 72052 | $1,080.00 | $2,160.00 | $59.67 – $284.03 | 74 |
| X-ray clavicle complete (both sides) CPT 73000 | $269.00 | $538.00 | $31.11 – $236.43 | 74 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $588.50 | $1,177.00 | $146.02 – $656.84 | 74 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $814.00 | $1,628.00 | $166.31 – $748.12 | 74 |
| X-ray elbow 2 views (both sides) CPT 73070 | $324.00 | $648.00 | $27.93 – $236.43 | 74 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $154.50 | $309.00 | $31.43 – $236.43 | 74 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $442.50 | $885.00 | $92.68 – $476.52 | 74 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $531.00 | $1,062.00 | $75.55 – $339.87 | 74 |
| X-ray exam entire spi 6/> vw CPT 72084 | $706.00 | $1,412.00 | $93.96 – $422.65 | 74 |
| X-ray exam of arm infant CPT 73092 | $324.00 | $648.00 | $99.51 – $447.65 | 74 |
| X-ray exam of eye sockets CPT 70200 | $442.00 | $884.00 | $45.70 – $284.03 | 74 |
| X-ray exam of femur 1 CPT 73551 | $251.00 | $502.00 | $27.93 – $236.43 | 74 |
| X-ray exam of jaw joint CPT 70332 | $452.00 | $904.00 | $78.72 – $648.23 | 60 |
| X-ray exam of penis CPT 74445 | $386.00 | $772.00 | $99.51 – $447.65 | 60 |
| X-ray exam of sinuses CPT 70210 | $263.00 | $526.00 | $30.79 – $236.43 | 60 |
| X-ray exam of tear duct CPT 70170 | $181.00 | $362.00 | $54.70 – $648.23 | 60 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $293.50 | $587.00 | $31.11 – $236.43 | 60 |
| X-ray facial bones complete > 3 views CPT 70150 | $442.00 | $884.00 | $45.08 – $284.03 | 74 |
| X-ray femur >=2 views (both sides) CPT 73552 | $355.50 | $711.00 | $33.96 – $236.43 | 74 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $214.00 | $428.00 | $36.51 – $236.43 | 74 |
| X-ray foot 2 views (both sides) CPT 73620 | $243.00 | $486.00 | $27.30 – $236.43 | 74 |
| X-ray forearm 2 views (both sides) CPT 73090 | $324.00 | $648.00 | $27.93 – $236.43 | 74 |
| X-ray hand 2 views (both sides) CPT 73120 | $277.00 | $554.00 | $30.15 – $284.03 | 74 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $258.50 | $517.00 | $27.30 – $236.43 | 74 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $574.00 | $1,148.00 | $57.13 – $284.03 | 60 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $501.50 | $1,003.00 | $39.37 – $284.03 | 74 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $574.00 | $1,148.00 | $51.42 – $284.03 | 74 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $752.00 | $1,504.00 | $59.04 – $284.03 | 60 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $250.50 | $501.00 | $31.43 – $236.43 | 74 |
| X-ray humerus >= 2 views left CPT 73060 | $283.50 | $567.00 | $30.48 – $236.43 | 74 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $135.00 | $270.00 | $32.69 – $236.43 | 74 |
| X-ray knee 3 views (both sides) CPT 73562 | $204.00 | $408.00 | $39.05 – $236.43 | 74 |
| X-ray knee ap standing bilateral CPT 73565 | $204.00 | $408.00 | $38.10 – $236.43 | 74 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $410.00 | $820.00 | $82.25 – $370.00 | 74 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $467.00 | $934.00 | $38.72 – $284.03 | 74 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $531.00 | $1,062.00 | $49.52 – $284.03 | 74 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $428.50 | $857.00 | $58.41 – $284.03 | 74 |
| X-ray mandible complete > 4 views CPT 70110 | $364.00 | $728.00 | $41.59 – $284.03 | 74 |
| X-ray nasal bones complete > 3 views CPT 70160 | $283.50 | $567.00 | $35.87 – $236.43 | 74 |
| X-ray neck soft tissue CPT 70360 | $187.00 | $374.00 | $29.84 – $236.43 | 74 |
| X-ray nose to rectum for foreign body child CPT 76010 | $60.50 | $121.00 | $82.25 – $370.00 | 60 |
| X-ray pelvis 1-2 views CPT 72170 | $334.00 | $668.00 | $26.66 – $284.03 | 74 |
| X-ray pelvis complete > 3 views CPT 72190 | $574.00 | $1,148.00 | $40.32 – $284.03 | 74 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $505.00 | $1,010.00 | $74.28 – $947.81 | 74 |
| X-ray ribs 2 views left CPT 71100 | $334.50 | $669.00 | $34.91 – $236.43 | 74 |
| X-ray ribs 3 views bilateral CPT 71110 | $493.50 | $987.00 | $41.90 – $284.03 | 74 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $300.50 | $601.00 | $40.32 – $284.03 | 74 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $589.50 | $1,179.00 | $50.15 – $284.03 | 74 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $353.00 | $706.00 | $37.46 – $284.03 | 74 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $353.00 | $706.00 | $31.11 – $236.43 | 74 |
| X-ray scapula complete (both sides) CPT 73010 | $263.50 | $527.00 | $22.86 – $284.03 | 74 |
| X-ray sella turcica CPT 70240 | $501.50 | $1,003.00 | $31.43 – $236.43 | 60 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $324.00 | $648.00 | $20.62 – $236.43 | 74 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $422.00 | $844.00 | $35.87 – $236.43 | 74 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $442.50 | $885.00 | $56.82 – $1,484.49 | 74 |
| X-ray skull < 4 views CPT 70250 | $501.50 | $1,003.00 | $34.29 – $284.03 | 74 |
| X-ray skull > 4 views complete CPT 70260 | $547.50 | $1,095.00 | $42.54 – $284.03 | 74 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $584.00 | $1,168.00 | $115.86 – $521.20 | 74 |
| X-ray small intestine follow-through study CPT 74248 | $332.50 | $665.00 | $78.40 – $352.69 | 4 |
| X-ray spine single view CPT 72020 | $251.00 | $502.00 | $23.17 – $236.43 | 74 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $347.50 | $695.00 | $39.37 – $236.43 | 60 |
| X-ray sternum > 2 views CPT 71120 | $334.50 | $669.00 | $32.06 – $236.43 | 74 |
| X-ray surgical specimen CPT 76098 | $434.50 | $869.00 | $40.64 – $1,484.49 | 74 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $524.50 | $1,049.00 | $118.71 – $534.02 | 74 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $442.00 | $884.00 | $50.47 – $236.43 | 60 |
| X-ray thoracic spine 2 views CPT 72070 | $373.00 | $746.00 | $31.43 – $284.03 | 74 |
| X-ray thoracic spine 3 views CPT 72072 | $467.00 | $934.00 | $37.77 – $284.03 | 74 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $373.00 | $746.00 | $33.01 – $236.43 | 74 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $251.00 | $502.00 | $40.64 – $236.43 | 60 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $467.00 | $934.00 | $66.98 – $301.28 | 74 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $410.00 | $820.00 | $30.15 – $236.43 | 74 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $258.50 | $517.00 | $27.93 – $236.43 | 74 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $707.50 | $1,415.00 | $132.37 – $595.47 | 74 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $707.50 | $1,415.00 | $116.81 – $525.47 | 74 |
| X-ray wrist 2 views (both sides) CPT 73100 | $318.50 | $637.00 | $32.39 – $236.43 | 74 |
| Xyntha inj HCPCS J7185 | $2,406.62 | $4,813.25 | $1.59 – $1,206.95 | 55 |
| Yersinia antibody CPT 86793 | $27.50 | $55.00 | $10.53 – $47.35 | 61 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $136,372.87 | $272,745.75 | $56,824.55 – $153,426.28 | 55 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $61.37 | $122.75 | $1.51 – $67.88 | 55 |
| Zika virus dna/rna amp probe CPT 87662 | $112.50 | $225.00 | $40.95 – $184.19 | 61 |
| Zika virus igm antibody CPT 86794 | $65.50 | $131.00 | $13.44 – $60.47 | 61 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $2,067.00 | $4,134.00 | $7.22 – $3,797.71 | 55 |
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.