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 |
|---|---|---|---|---|
| CT uppr extremity w/o&w/dye CPT 73202 | $2,177.00 | $4,354.00 | $166.31 – $748.12 | 73 |
| Culture aerobic additional method definitive id each CPT 87077 | $188.00 | $376.00 | $6.45 – $29.02 | 75 |
| Culture afb any source CPT 87116 | $33.50 | $67.00 | $8.62 – $38.76 | 75 |
| Culture anaerobic additional method definitive id each CPT 87076 | $188.00 | $376.00 | $6.45 – $29.02 | 75 |
| Culture anaerobic except blood CPT 87075 | $333.50 | $667.00 | $7.55 – $33.97 | 75 |
| Culture bact stool aero addl path ea CPT 87046 | $101.00 | $202.00 | $7.53 – $33.89 | 75 |
| Culture body fluid CPT 87070 | $195.50 | $391.00 | $6.88 – $30.94 | 75 |
| Culture fungi definitive id mold CPT 87107 | $195.50 | $391.00 | $8.24 – $37.05 | 75 |
| Culture fungi definitive id yeast CPT 87106 | $188.00 | $376.00 | $8.24 – $37.05 | 75 |
| Culture fungi other (except blood) CPT 87102 | $186.00 | $372.00 | $6.71 – $30.17 | 75 |
| Culture fungi skin/hair/nail CPT 87101 | $186.00 | $372.00 | $6.16 – $27.69 | 75 |
| Culture mycoplasma any source CPT 87109 | $18.00 | $36.00 | $12.28 – $55.26 | 61 |
| Culture quantitative aerobic other source CPT 87071 | $201.00 | $402.00 | $7.89 – $35.51 | 75 |
| Culture screening strep group a CPT 87081 | $101.00 | $202.00 | $5.29 – $23.80 | 75 |
| Culture typing added method CPT 87158 | $54.00 | $108.00 | $6.18 – $27.78 | 61 |
| Culture typing immunologic CPT 87147 | $195.50 | $391.00 | $4.13 – $18.59 | 75 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $165.00 | $330.00 | $28.01 – $125.98 | 61 |
| Culture urine each isolate CPT 87088 | $43.00 | $86.00 | $6.46 – $29.06 | 75 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $13.12 | $26.25 | $8.25 – $8.25 | 1 |
| Cyclic citrullinated peptide antibody CPT 86200 | $12.00 | $24.00 | $10.34 – $46.50 | 75 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $739.25 | $1,478.50 | $0.59 – $245.36 | 69 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $14.62 | $29.25 | $11.59 – $11.59 | 1 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $135.12 | $270.25 | $64.60 – $64.60 | 1 |
| Cyclosporine 2 hour CPT 80158 | $711.00 | $1,422.00 | $14.40 – $64.79 | 75 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $8.87 | $17.75 | $1.89 – $1.89 | 1 |
| Cyclosporine oral 100 mg HCPCS J7502 | $775.00 | $1,550.00 | $7.58 – $7.58 | 1 |
| Cygnus matrix, per sq cm HCPCS Q4199 | $60.94 | $121.88 | $6.04 – $338.09 | 55 |
| Cyp2c19 gene com variants CPT 81225 | $169.00 | $338.00 | $232.50 – $1,045.90 | 61 |
| Cyp2c9 gene com variants CPT 81227 | $60.00 | $120.00 | $139.50 – $627.52 | 61 |
| Cyp3a4 gene common variants CPT 81230 | $240.00 | $480.00 | $174.81 – $471.99 | 57 |
| Cystatin c CPT 82610 | $55.50 | $111.00 | $14.78 – $66.50 | 75 |
| Cystic fibrosis cftr CPT 81223 | $900.00 | $1,800.00 | $398.20 – $1,791.28 | 75 |
| Cystine urine quantitative CPT 82131 | $12.50 | $25.00 | $18.34 – $82.48 | 75 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $536.00 | $1,072.00 | $39.37 – $947.81 | 74 |
| Cystometrogram w/up 51727 CPT 51727 | $774.00 | $1,548.00 | $701.63 – $1,894.40 | 56 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $63.25 | $126.50 | $1.58 – $1.58 | 1 |
| Cytogenetics 25-99 CPT 88274 | $78.00 | $156.00 | $33.82 – $152.14 | 61 |
| Cytogenomic neo microra alys CPT 81277 | $1,050.00 | $2,100.00 | $1,160.00 – $3,132.00 | 57 |
| Cytogenom microarray copy nmbr var CPT 81228 | $971.50 | $1,943.00 | $900.00 – $2,430.00 | 57 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $103.00 | $206.00 | $11.49 – $51.67 | 75 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $84.50 | $169.00 | $13.44 – $60.47 | 75 |
| Cyto/molecular report CPT 88291 | $346.00 | $692.00 | $25.91 – $116.54 | 75 |
| Cytopath c/v auto in fluid CPT 88174 | $24.50 | $49.00 | $20.24 – $91.07 | 61 |
| Cytopath c/v thin layer redo CPT 88143 | $32.50 | $65.00 | $18.38 – $82.69 | 61 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $99.00 | $198.00 | $51.55 – $231.88 | 61 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $66.00 | $132.00 | $21.23 – $95.51 | 61 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $32.50 | $65.00 | $16.17 – $72.73 | 75 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $247.50 | $495.00 | $37.58 – $239.87 | 75 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $117.50 | $235.00 | $37.52 – $274.15 | 75 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $447.50 | $895.00 | $11.39 – $101.67 | 5 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $447.50 | $895.00 | $42.77 – $462.86 | 75 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $406.00 | $812.00 | $52.44 – $587.14 | 75 |
| Cytopath smear oth prep screen & interp CPT 88161 | $124.00 | $248.00 | $29.10 – $287.86 | 61 |
| Cytopath tbs c/v manual CPT 88164 | $9.50 | $19.00 | $12.73 – $63.76 | 61 |
| Cytotoxic antibody screening CPT 86807 | $166.50 | $333.00 | $62.77 – $282.35 | 61 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $345.00 | $690.00 | $171.15 – $1,389.06 | 75 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $76.25 | $152.50 | $27.10 – $27.10 | 1 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $111.62 | $223.25 | $669.20 – $669.20 | 1 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $975.25 | $1,950.50 | $3.02 – $444.54 | 69 |
| Dch pulmonary stress test CPT 94621 | $984.50 | $1,969.00 | $71.96 – $1,013.78 | 71 |
| Dch validity tests CPT 81002 | $43.00 | $86.00 | $2.77 – $12.48 | 75 |
| Deamidated gliadin antibody iga CPT 86258 | $10.50 | $21.00 | $9.61 – $43.25 | 74 |
| Debridement (>20 cm) charge pt CPT 97598 | $483.50 | $967.00 | $17.36 – $17.36 | 1 |
| Decalcification CPT 88311 | $292.00 | $584.00 | $14.24 – $69.70 | 5 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $82.62 | $165.25 | $34.03 – $34.03 | 1 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $148.50 | $297.00 | $167.05 – $594.91 | 71 |
| Dermapure 1 square cm HCPCS Q4152 | $185.62 | $371.25 | $125.22 – $338.09 | 68 |
| Design mlc device for imrt CPT 77338 | $3,679.50 | $7,359.00 | $376.14 – $1,017.24 | 71 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $734.75 | $1,469.50 | $206.50 – $206.50 | 1 |
| Desoxycorticosterone CPT 82633 | $80.00 | $160.00 | $24.72 – $111.20 | 61 |
| Detect agent nos dna dir CPT 87797 | $153.00 | $306.00 | $23.97 – $107.82 | 61 |
| Developmental screen/score/document 96110 CPT 96110 | $411.50 | $823.00 | $22.06 – $22.06 | 1 |
| Devel tst phys/qhp 1st hr CPT 96112 | $432.50 | $865.00 | $91.31 – $91.31 | 1 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $1,521.00 | $3,042.00 | $7.07 – $7.07 | 1 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $217.00 | $434.00 | $56.13 – $56.13 | 1 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $42.00 | $84.00 | $4.78 – $4.78 | 1 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $14.00 | $28.00 | $0.19 – $0.19 | 1 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $16.50 | $33.00 | $17.74 – $79.79 | 75 |
| Diabetes (HbA1c) Test CPT 83036 | $79.00 | $158.00 | $7.75 – $34.87 | 75 |
| Diab manage trn ind/group HCPCS G0109 | $87.50 | $175.00 | $16.03 – $66.15 | 71 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $135.00 | $270.00 | $12.64 – $158.96 | 28 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $74.00 | $148.00 | $40.37 – $158.96 | 28 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $580.00 | $1,160.00 | $110.02 – $297.05 | 71 |
| Diagnostic Mammogram (one breast) CPT 77065 | $469.00 | $938.00 | $85.78 – $231.61 | 71 |
| Dialysis one evaluation CPT 90945 | $3,632.50 | $7,265.00 | $419.16 – $1,133.61 | 70 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $84.00 | $168.00 | $29.64 – $29.64 | 1 |
| Dicyclomine injection HCPCS J0500 | $82.00 | $164.00 | $67.11 – $67.11 | 1 |
| Diffusing capacity CPT 94729 | $415.50 | $831.00 | $91.31 – $91.31 | 1 |
| Digital analysis of eeg CPT 95957 | $521.50 | $1,043.00 | $145.33 – $145.33 | 1 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $10.25 | $20.50 | $9.08 – $9.08 | 1 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $6,267.25 | $12,534.50 | $5,166.99 – $13,950.88 | 55 |
| Digoxin total therapeutic drug level CPT 80162 | $292.00 | $584.00 | $10.60 – $47.69 | 75 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $919.50 | $1,839.00 | $749.23 – $2,022.93 | 69 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $5.62 | $11.25 | $1.65 – $1.65 | 1 |
| Disaccharidases CPT 82657 | $499.50 | $999.00 | $17.69 – $79.57 | 75 |
| Discography cerv/thor spine CPT 72285 | $1,718.00 | $3,436.00 | $125.69 – $5,305.11 | 60 |
| Dmpk gene detc abnor allele CPT 81234 | $292.50 | $585.00 | $137.00 – $369.90 | 57 |
| Dna antibody native/double stranded CPT 86225 | $63.50 | $127.00 | $10.96 – $49.32 | 75 |
| Dna gardnerella CPT 87510 | $16.00 | $32.00 | $16.00 – $71.97 | 61 |
| Dna trichomonas CPT 87660 | $16.00 | $32.00 | $16.00 – $71.97 | 61 |
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.