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 |
|---|---|---|---|---|
| Bilirubin total CPT 82247 | $134.50 | $269.00 | $4.01 – $18.03 | 75 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $10.55 | $21.10 | $40.36 – $108.97 | 68 |
| Biofeedback, pt CPT 90901 | $222.00 | $444.00 | $16.43 – $116.07 | 57 |
| Biopsy of heart lining CPT 93505 | $1,970.00 | $3,940.00 | $3,177.09 – $8,578.16 | 57 |
| Biotinidase - quest CPT 82261 | $25.00 | $50.00 | $13.46 – $60.56 | 61 |
| Bis xtracell fluid analysis CPT 93702 | $228.00 | $456.00 | $5.47 – $349.58 | 71 |
| Bivalirudin HCPCS J0583 | $269.75 | $539.50 | $824.55 – $824.55 | 1 |
| Bld prd mix CPT 86965 | $157.50 | $315.00 | $171.43 – $462.86 | 57 |
| Blm gene CPT 81209 | $36.00 | $72.00 | $31.37 – $141.11 | 61 |
| Blood Clotting (PT/INR) Test CPT 85610 | $117.00 | $234.00 | $3.42 – $15.38 | 75 |
| Blood Clotting (PTT) Test CPT 85730 | $117.00 | $234.00 | $4.80 – $21.58 | 75 |
| Blood Count (CBC) Test CPT 85025 | $156.50 | $313.00 | $6.20 – $27.91 | 75 |
| Blood count spun microhematocrit CPT 85013 | $67.50 | $135.00 | $5.59 – $25.13 | 61 |
| Blood Culture Test CPT 87040 | $259.50 | $519.00 | $8.24 – $37.05 | 75 |
| Blood gases o2 saturation direct measurement CPT 82805 | $513.50 | $1,027.00 | $62.86 – $282.78 | 61 |
| Blood gases ph venous CPT 82800 | $81.50 | $163.00 | $8.78 – $39.49 | 75 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $63.50 | $127.00 | $12.70 – $57.14 | 75 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $55.00 | $110.00 | $3.37 – $15.17 | 75 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $19.00 | $38.00 | $3.50 – $15.73 | 75 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $63.50 | $127.00 | $4.25 – $19.10 | 61 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $82.50 | $165.00 | $3.03 – $13.63 | 61 |
| Blood split unit HCPCS P9011 | $737.50 | $1,475.00 | $155.84 – $420.77 | 56 |
| Blood typing abo CPT 86900 | $118.50 | $237.00 | $2.38 – $361.46 | 75 |
| Blood typing ag donor ea ag CPT 86902 | $331.00 | $662.00 | $5.06 – $973.82 | 75 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $331.00 | $662.00 | $3.06 – $973.82 | 75 |
| Blood typing rh (d) CPT 86901 | $67.50 | $135.00 | $2.38 – $101.47 | 75 |
| Blood typing rh phenotype complete reference CPT 86906 | $64.50 | $129.00 | $6.18 – $101.47 | 75 |
| Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm HCPCS Q4433 | $2,249.25 | $4,498.50 | $6.04 – $338.09 | 69 |
| Bone Density Scan (DEXA) CPT 77080 | $757.00 | $1,514.00 | $37.14 – $284.03 | 74 |
| Bone filler cerament 10cc HCPCS C1602 | $5,019.97 | $10,039.95 | $754.33 – $754.33 | 67 |
| Bone/joint imaging ltd area CPT 78300 | $255.50 | $511.00 | $201.57 – $1,086.09 | 74 |
| Bone marrow imaging body CPT 78104 | $703.00 | $1,406.00 | $222.83 – $1,086.09 | 60 |
| Bone marrow imaging ltd CPT 78102 | $460.50 | $921.00 | $154.27 – $1,086.09 | 74 |
| Bone marrow interpretation CPT 85097 | $451.50 | $903.00 | $52.82 – $2,188.85 | 75 |
| Bone survey-lead poisoning CPT 77074 | $1,203.50 | $2,407.00 | $62.22 – $284.03 | 74 |
| Boot j walker l HCPCS L4386 | $15.44 | $30.88 | $195.88 – $528.88 | 68 |
| Boot mlti podous univ xlg HCPCS L4396 | $28.15 | $56.30 | $207.40 – $559.98 | 68 |
| Borrelia antibody CPT 86619 | $69.00 | $138.00 | $10.68 – $48.03 | 61 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $19.00 | $38.00 | $13.59 – $61.15 | 75 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $2,070.87 | $4,141.75 | $3,770.94 – $3,770.94 | 1 |
| (both sides) smear without diff wbc count CPT 85008 | $63.50 | $127.00 | $2.74 – $12.31 | 61 |
| Bowel imaging CPT 78290 | $888.50 | $1,777.00 | $292.35 – $1,315.13 | 60 |
| Brace afo lg left 6607 HCPCS L1930 | $16.42 | $32.85 | $362.45 – $978.62 | 54 |
| Brace back epic lso 637 HCPCS L0650 | $196.66 | $393.33 | $870.15 – $2,349.41 | 68 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $39.46 | $78.93 | $413.94 – $1,117.64 | 54 |
| Brace knee extender plus 22-30in HCPCS L1832 | $67.61 | $135.23 | $698.63 – $1,886.30 | 68 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $83.35 | $166.70 | $455.16 – $1,228.93 | 68 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $241.50 | $483.00 | $281.17 – $759.16 | 68 |
| Brace wrist classic lft sm HCPCS L3908 | $80.50 | $161.00 | $67.37 – $181.90 | 68 |
| Brachy source yttrium-90 HCPCS C2616 | $32,551.87 | $65,103.75 | $17,771.01 – $47,981.73 | 68 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $478.50 | $957.00 | $357.49 – $965.22 | 68 |
| Brachy src stranded c-131 HCPCS C2642 | $131.50 | $263.00 | $119.11 – $321.60 | 69 |
| Braf gene CPT 81210 | $675.00 | $1,350.00 | $139.97 – $629.66 | 75 |
| Brain image 4+ views CPT 78605 | $651.00 | $1,302.00 | $179.65 – $1,475.12 | 60 |
| Brain image w/flow < 4 views CPT 78601 | $603.00 | $1,206.00 | $192.67 – $1,086.09 | 60 |
| Brain image w/flow 4 + views CPT 78606 | $780.00 | $1,560.00 | $289.49 – $1,475.12 | 60 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,644.00 | $5,288.00 | $323.14 – $1,453.63 | 73 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,273.50 | $4,547.00 | $222.52 – $1,370.84 | 59 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,977.50 | $3,955.00 | $211.09 – $949.57 | 73 |
| Brain MRI (with and without contrast) CPT 70553 | $3,021.00 | $6,042.00 | $311.70 – $1,402.18 | 73 |
| Brain MRI (with contrast) CPT 70552 | $2,672.50 | $5,345.00 | $264.73 – $1,370.84 | 73 |
| Brain MRI (without contrast) CPT 70551 | $2,324.00 | $4,648.00 | $192.04 – $863.89 | 73 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $17.44 | $34.88 | $45.92 – $123.98 | 68 |
| Brca1 gene full dup/del alys CPT 81166 | $371.50 | $743.00 | $240.47 – $1,081.75 | 61 |
| Brca2 dna gene analy full seq analy CPT 81216 | $57.50 | $115.00 | $147.73 – $664.53 | 61 |
| Brca2 gene full dup/del alys CPT 81167 | $371.50 | $743.00 | $225.74 – $1,015.47 | 61 |
| Brcassure ashkenazi panel-sendout CPT 81212 | $244.00 | $488.00 | $351.12 – $1,579.49 | 61 |
| Brcassure comprehensive panel-sendout CPT 81162 | $1,252.00 | $2,504.00 | $1,456.26 – $6,550.85 | 61 |
| Bronchial challenge CPT 94070 | $1,482.50 | $2,965.00 | $71.96 – $1,013.78 | 71 |
| Brst prsth bra & bilat form HCPCS L8002 | $17.44 | $34.88 | $204.23 – $551.42 | 68 |
| Bundled special stain group 1 microorganisms CPT 88312 | $250.50 | $501.00 | $52.44 – $382.69 | 75 |
| Bundled special stain group 2 CPT 88313 | $291.50 | $583.00 | $52.82 – $361.46 | 75 |
| Bundle his recording CPT 93600 | $3,001.50 | $6,003.00 | $7,533.71 – $21,189.91 | 57 |
| Buprenorphine and metabolite - sendout CPT 80348 | $54.50 | $109.00 | $13.05 – $183.09 | 31 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $43.50 | $87.00 | $2.17 – $2.17 | 1 |
| C-1 esterase, cinryze HCPCS J0598 | $4,130.50 | $8,261.00 | $65.63 – $6,567.72 | 55 |
| C1 esterase inhibitor func - sendout CPT 86161 | $105.00 | $210.00 | $9.58 – $43.08 | 61 |
| Cad breast MRI w/r&i HCPCS C8937 | $94.00 | $188.00 | $31.67 – $31.67 | 1 |
| Cadd pump refill CPT 96521 | $315.50 | $631.00 | $18.79 – $577.87 | 71 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $9.87 | $19.75 | $39.58 – $39.58 | 1 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $1,260.00 | $2,520.00 | $6,460.34 – $6,460.34 | 1 |
| Calcium 24 hour urine CPT 82340 | $118.00 | $236.00 | $4.82 – $21.67 | 75 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $24.00 | $48.00 | $11.95 – $11.95 | 1 |
| Calcium ionized CPT 82330 | $279.50 | $559.00 | $10.92 – $49.10 | 75 |
| Calcium total CPT 82310 | $117.00 | $234.00 | $4.11 – $18.50 | 75 |
| Calculi urinary-sendout CPT 82360 | $20.00 | $40.00 | $10.27 – $46.20 | 75 |
| Calprotectin fecal CPT 83993 | $134.50 | $269.00 | $15.67 – $70.47 | 75 |
| Campylobacter antibody CPT 86625 | $85.50 | $171.00 | $10.47 – $47.09 | 61 |
| Candida dna CPT 87480 | $16.00 | $32.00 | $16.00 – $71.97 | 61 |
| Cannabinoid synthetic 7/more CPT 80352 | $57.50 | $115.00 | $12.84 – $183.09 | 31 |
| Carbamazepine free CPT 80157 | $10.50 | $21.00 | $10.57 – $47.56 | 61 |
| Carbamazepine free -sendout CPT 80161 | $16.00 | $32.00 | $14.88 – $66.92 | 61 |
| Carbamazepine total therapeutic drug level CPT 80156 | $275.00 | $550.00 | $11.63 – $52.31 | 61 |
| Carbohydrate deficient transf - sendout CPT 82373 | $81.50 | $163.00 | $14.41 – $64.83 | 61 |
| Carbohydrate urine - sendout CPT 84377 | $38.00 | $76.00 | $4.39 – $19.74 | 61 |
| Carbon dioxide CPT 82374 | $146.00 | $292.00 | $3.90 – $17.52 | 75 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $63.87 | $127.75 | $6.41 – $6.41 | 1 |
| Carboxyhemoglobin quantitative CPT 82375 | $72.00 | $144.00 | $9.83 – $44.23 | 75 |
| Carcinoembryonic ag (cea) CPT 82378 | $199.00 | $398.00 | $15.13 – $68.08 | 75 |
| Cardiac MRI w/stress img CPT 75559 | $1,436.50 | $2,873.00 | $366.31 – $1,647.82 | 59 |
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.