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 |
|---|---|---|---|---|
| Collection of venous blood by venipuncture CPT 36415 | $8.50 | $17.00 | $9.34 – $25.22 | 70 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $116.50 | $233.00 | $203.43 – $549.25 | 56 |
| Colposcopy vulva 56820 CPT 56820 | $93.00 | $186.00 | $203.43 – $549.25 | 56 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $157.50 | $315.00 | $10.55 – $462.86 | 75 |
| Compatibility test each unit electronic CPT 86923 | $115.50 | $231.00 | $10.30 – $462.86 | 75 |
| Compatibility test each unit immediate spin technique CPT 86920 | $121.00 | $242.00 | $9.04 – $462.86 | 75 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | $762.50 | $1,525.00 | $701.63 – $1,894.40 | 56 |
| Complement antigen each component c3 CPT 86160 | $159.50 | $319.00 | $9.58 – $43.08 | 75 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $49.50 | $99.00 | $217.26 – $586.61 | 56 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $1,783.00 | $3,566.00 | $350.46 – $1,279.58 | 70 |
| Concentration infection agents any type CPT 87015 | $28.50 | $57.00 | $5.33 – $23.97 | 75 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $720.00 | $1,440.00 | $391.76 – $1,057.75 | 69 |
| Consultation pathology during surgery CPT 88329 | $124.00 | $248.00 | $52.82 – $160.27 | 71 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $124.00 | $248.00 | $809.35 – $2,188.85 | 71 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $211.00 | $422.00 | $34.73 – $187.35 | 5 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $1,046.00 | $2,092.00 | $76.69 – $462.86 | 75 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $531.50 | $1,063.00 | $52.44 – $141.57 | 71 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $531.50 | $1,063.00 | $37.58 – $101.47 | 71 |
| Consult comp w/report rfrd material CPT 88325 | $531.50 | $1,063.00 | $78.16 – $462.86 | 71 |
| Contrast baths charges CPT 97034 | $112.00 | $224.00 | $14.09 – $38.04 | 71 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $3,583.00 | $7,166.00 | $120.31 – $8,578.16 | 74 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $3,490.00 | $6,980.00 | $114.90 – $15,117.44 | 74 |
| Contrast x-ray of ankle CPT 73615 | $452.00 | $904.00 | $121.89 – $947.81 | 60 |
| Contrast x-ray of brain CPT 70015 | $564.00 | $1,128.00 | $158.08 – $2,129.73 | 60 |
| Contrast x-ray of elbow CPT 73085 | $415.50 | $831.00 | $95.23 – $947.81 | 60 |
| Contrast x-ray of hip CPT 73525 | $416.00 | $832.00 | $122.84 – $947.81 | 74 |
| Contrast x-ray of knee joint CPT 73580 | $526.00 | $1,052.00 | $105.39 – $947.81 | 74 |
| Contrast x-ray of wrist CPT 73115 | $375.50 | $751.00 | $128.56 – $947.81 | 60 |
| Coombs direct CPT 86880 | $135.50 | $271.00 | $4.30 – $160.27 | 75 |
| Coombs indirect titer reference CPT 86886 | $453.50 | $907.00 | $4.13 – $462.86 | 75 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $11,191.50 | $22,383.00 | $3,262.07 – $8,807.59 | 71 |
| Coronary angio/lv gram/lt heart CPT 93458 | $10,693.00 | $21,386.00 | $3,262.07 – $8,807.59 | 71 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $11,402.50 | $22,805.00 | $3,262.07 – $8,807.59 | 71 |
| Coronary art/grft angio s&i CPT 93455 | $8,649.00 | $17,298.00 | $3,262.07 – $8,807.59 | 71 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $8,149.00 | $16,298.00 | $3,262.07 – $8,807.59 | 71 |
| Cortisol total am CPT 82533 | $156.50 | $313.00 | $13.01 – $58.50 | 75 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $198.25 | $396.50 | $145.67 – $145.67 | 1 |
| Co-treatment - group 15 mins, st CPT 92508 | $110.50 | $221.00 | $24.17 – $76.36 | 71 |
| Counseling smoke cess interm >10mins CPT 99407 | $38.50 | $77.00 | $6.66 – $101.79 | 71 |
| Covid-19 convalescent plasma HCPCS C9507 | $421.00 | $842.00 | $680.03 – $1,836.08 | 56 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $414.00 | $828.00 | $443.69 – $1,197.96 | 56 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $414.00 | $828.00 | $443.69 – $1,197.96 | 56 |
| #covid19rsv-rsv CPT 87634 | $34.00 | $68.00 | $56.02 – $252.01 | 61 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $29.00 | $58.00 | $10.40 – $46.79 | 75 |
| C-peptide CPT 84681 | $71.00 | $142.00 | $16.61 – $74.70 | 75 |
| Crbrospnl fld flw imag cistern CPT 78630 | $878.00 | $1,756.00 | $298.39 – $1,475.12 | 60 |
| C-reactive protein CPT 86140 | $247.50 | $495.00 | $4.13 – $18.59 | 75 |
| C-reactive protein high sensitivity CPT 86141 | $18.00 | $36.00 | $10.34 – $46.50 | 75 |
| C-reactive protein, quantitative CPT 86406 | $53.50 | $107.00 | $8.49 – $38.21 | 61 |
| Creatine kinase CPT 82550 | $176.00 | $352.00 | $5.20 – $23.38 | 75 |
| Creatine kinase isoenzymes CPT 82552 | $9.50 | $19.00 | $10.69 – $48.08 | 75 |
| Creatine kinase mb CPT 82553 | $151.00 | $302.00 | $9.22 – $41.45 | 75 |
| Creatinine CPT 82565 | $117.00 | $234.00 | $4.09 – $18.38 | 75 |
| Creatinine 24 hour urine CPT 82570 | $117.00 | $234.00 | $4.13 – $18.59 | 75 |
| Creatinine clearance urine CPT 82575 | $211.50 | $423.00 | $7.55 – $33.97 | 75 |
| #creutz-prot.,western blot CPT 84182 | $110.00 | $220.00 | $23.31 – $104.87 | 75 |
| Critical care 30-74 minutes CPT 99291 | $2,327.00 | $4,654.00 | $198.11 – $2,244.13 | 70 |
| Crotalidae poly immune fab HCPCS J0840 | $4,029.50 | $8,059.00 | $1,826.52 – $7,643.22 | 55 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $27.50 | $55.00 | $11.29 – $50.77 | 75 |
| Cryoprecipitate each unit HCPCS P9012 | $442.00 | $884.00 | $71.95 – $194.27 | 70 |
| Crystal identification light microscopy CPT 89060 | $60.00 | $120.00 | $5.85 – $26.32 | 75 |
| Csf leakage imaging CPT 78650 | $850.00 | $1,700.00 | $239.97 – $3,517.27 | 60 |
| Csf ventriculography CPT 78635 | $877.00 | $1,754.00 | $299.01 – $1,475.12 | 60 |
| CT 3d report other modality w/workstation CPT 76377 | $1,908.50 | $3,817.00 | $53.59 – $53.59 | 1 |
| Cta abdomen without & /or w/contrast CPT 74175 | $3,111.50 | $6,223.00 | $166.31 – $748.12 | 73 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $2,431.00 | $4,862.00 | $166.31 – $748.12 | 73 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $3,210.00 | $6,420.00 | $166.31 – $748.12 | 73 |
| Cta neck without &/or w/contrast CPT 70498 | $2,883.00 | $5,766.00 | $166.31 – $748.12 | 73 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $4,607.50 | $9,215.00 | $348.10 – $1,565.90 | 73 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,835.50 | $5,671.00 | $166.31 – $748.12 | 73 |
| CT Angiogram of the Head CPT 70496 | $2,824.50 | $5,649.00 | $166.31 – $748.12 | 73 |
| CT angio hrt w/3d image CPT 75574 | $1,130.00 | $2,260.00 | $166.31 – $947.81 | 73 |
| CT angio pelvis CPT 72191 | $2,808.50 | $5,617.00 | $166.31 – $748.12 | 73 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $3,730.50 | $7,461.00 | $166.31 – $748.12 | 73 |
| CT cerebral perf w cont & prcssng CPT 70473 | $1,783.00 | $3,566.00 | $176.49 – $643.33 | 56 |
| CT guidance for needle placement CPT 77012 | $1,664.50 | $3,329.00 | $132.16 – $132.16 | 1 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $869.50 | $1,739.00 | $107.81 – $107.81 | 1 |
| CT guid parench tis ablat CPT 77013 | $1,783.50 | $3,567.00 | $332.54 – $332.54 | 1 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $129.00 | $258.00 | $82.25 – $370.00 | 73 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $1,130.00 | $2,260.00 | $166.31 – $947.81 | 59 |
| CT hrt w/3d image CPT 75572 | $1,130.00 | $2,260.00 | $166.31 – $947.81 | 73 |
| CT limited or localized follow-up study CPT 76380 | $1,422.50 | $2,845.00 | $82.25 – $370.00 | 73 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $2,092.50 | $4,185.00 | $162.84 – $732.52 | 73 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,819.50 | $3,639.00 | $99.51 – $447.65 | 73 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,365.00 | $4,730.00 | $166.31 – $748.12 | 73 |
| CT neck soft tissue w/contrast CPT 70491 | $2,257.00 | $4,514.00 | $166.31 – $748.12 | 73 |
| CT neck soft tissue without contrast CPT 70490 | $1,962.50 | $3,925.00 | $99.51 – $447.65 | 73 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,552.00 | $5,104.00 | $166.31 – $748.12 | 73 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $2,316.50 | $4,633.00 | $166.31 – $748.12 | 59 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $2,049.50 | $4,099.00 | $166.31 – $748.12 | 73 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,782.00 | $3,564.00 | $99.51 – $447.65 | 73 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $5,006.00 | $10,012.00 | $332.67 – $1,496.49 | 73 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $4,335.00 | $8,670.00 | $296.48 – $1,370.84 | 73 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $3,769.50 | $7,539.00 | $178.70 – $836.61 | 73 |
| CT thoracic spine w/contrast CPT 72129 | $2,577.00 | $5,154.00 | $166.01 – $746.79 | 73 |
| CT thoracic spine without contrast CPT 72128 | $2,240.50 | $4,481.00 | $99.51 – $447.65 | 73 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $170.50 | $341.00 | $99.51 – $447.65 | 73 |
| CT t-spine w /wo contrast CPT 72130 | $2,912.50 | $5,825.00 | $166.31 – $748.12 | 73 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,925.50 | $3,851.00 | $196.17 – $1,370.84 | 73 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,675.00 | $3,350.00 | $99.51 – $447.65 | 73 |
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.