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 |
|---|---|---|---|---|
| Ep & ablate ventric tachy CPT 93654 | $26,706.50 | $53,413.00 | $25,681.76 – $71,010.61 | 71 |
| Ep induct arrhy by elect pacing CPT 93618 | $4,034.00 | $8,068.00 | $109.65 – $3,307.78 | 57 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $30.62 | $61.25 | $60.71 – $60.71 | 1 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $87.50 | $175.00 | $21.53 – $21.53 | 1 |
| Epstein barr early antigen antibody CPT 86663 | $9.00 | $18.00 | $10.47 – $47.09 | 75 |
| Epstein barr nuclear antigen antibody CPT 86664 | $10.50 | $21.00 | $12.20 – $54.87 | 75 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $77.00 | $154.00 | $14.48 – $65.13 | 75 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $726.75 | $1,453.50 | $3.52 – $145.31 | 55 |
| Ercp biliary & pancreas CPT 74330 | $895.00 | $1,790.00 | $78.57 – $78.57 | 1 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $1,827.62 | $3,655.25 | $72.61 – $2,771.92 | 69 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $84.00 | $168.00 | $161.18 – $161.18 | 1 |
| ER Visit (level 1, minor) CPT 99281 | $262.00 | $524.00 | $84.71 – $229.09 | 70 |
| ER Visit (level 2) CPT 99282 | $463.00 | $926.00 | $154.50 – $417.14 | 70 |
| ER Visit (level 3) CPT 99283 | $978.00 | $1,956.00 | $268.21 – $741.62 | 70 |
| ER Visit (level 4) CPT 99284 | $1,291.00 | $2,582.00 | $419.16 – $1,133.61 | 70 |
| ER Visit (level 5, high severity) CPT 99285 | $1,774.50 | $3,549.00 | $598.24 – $1,617.92 | 70 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $157.25 | $314.50 | $177.82 – $177.82 | 1 |
| Esophageal dilat s&i CPT 74360 | $1,015.00 | $2,030.00 | $48.72 – $48.72 | 1 |
| Esophagus motility study CPT 91010 | $1,043.00 | $2,086.00 | $93.71 – $1,013.78 | 71 |
| Esoph balloon distension tst CPT 91040 | $773.50 | $1,547.00 | $94.19 – $1,013.78 | 71 |
| Esoph imped funct test > 1hr CPT 91038 | $674.00 | $1,348.00 | $375.48 – $1,013.78 | 71 |
| Established Patient Office Visit (level 1) CPT 99211 | $184.50 | $369.00 | $7.68 – $214.34 | 71 |
| Established Patient Office Visit (level 2) CPT 99212 | $195.00 | $390.00 | $30.97 – $214.34 | 71 |
| Established Patient Office Visit (level 3) CPT 99213 | $211.00 | $422.00 | $57.37 – $214.34 | 71 |
| Established Patient Office Visit (level 4) CPT 99214 | $321.00 | $642.00 | $26.40 – $227.75 | 71 |
| Established Patient Office Visit (level 5) CPT 99215 | $367.50 | $735.00 | $48.76 – $338.39 | 71 |
| Estradiol total CPT 82670 | $25.00 | $50.00 | $22.30 – $100.30 | 75 |
| Ethylene glycol -sendout CPT 82693 | $24.50 | $49.00 | $11.89 – $53.50 | 61 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $77.25 | $154.50 | $15.54 – $15.54 | 1 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $433.00 | $866.00 | $46.15 – $332.45 | 71 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $325.00 | $650.00 | $78.29 – $352.18 | 75 |
| Evaluation heart device CPT 93640 | $887.50 | $1,775.00 | $13,487.28 – $13,487.28 | 1 |
| Evaluation of speech fluency 92521 CPT 92521 | $433.00 | $866.00 | $7.13 – $362.69 | 71 |
| Evaluation psychiatric diagnostic CPT 90791 | $197.00 | $394.00 | not published | 0 |
| Event monitor CPT 93270 | $43.00 | $86.00 | $6.10 – $101.39 | 61 |
| Evoked oa emissions ltd CPT 92587 | $193.00 | $386.00 | $82.54 – $586.61 | 57 |
| Evoked potentials upper limbs CPT 95925 | $1,439.50 | $2,879.00 | $33.30 – $586.61 | 71 |
| Evoked potential visual not glaucoma CPT 95930 | $942.50 | $1,885.00 | $22.12 – $586.61 | 57 |
| Ewho w/joint(s) cf HCPCS L3764 | $107.50 | $215.00 | $855.35 – $2,309.45 | 54 |
| Exam of vagina w/scope 57420 CPT 57420 | $144.00 | $288.00 | $306.62 – $827.88 | 56 |
| Exome sequence analysis CPT 81415 | $2,456.50 | $4,913.00 | $4,780.00 – $12,906.00 | 57 |
| Exome sequence analysis CPT 81416 | $6,600.00 | $13,200.00 | $12,000.00 – $32,400.00 | 57 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | $131.00 | $262.00 | $87.94 – $361.46 | 57 |
| External chromosome analysis 20-25 cells CPT 88264 | $288.50 | $577.00 | $115.40 – $519.10 | 75 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $169.00 | $338.00 | $114.71 – $516.03 | 75 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $60.50 | $121.00 | $14.31 – $64.36 | 75 |
| F-18 fdg pet diag HCPCS A9552 | $550.37 | $1,100.75 | $466.05 – $466.05 | 1 |
| Facial bones <3 CPT 70140 | $353.00 | $706.00 | $30.48 – $236.43 | 60 |
| Factor ix CPT 85250 | $30.00 | $60.00 | $15.19 – $68.33 | 75 |
| Factor ix complex HCPCS J7194 | $3.00 | $6.00 | $1.70 – $1,123.30 | 55 |
| Factor ix recombinant nos HCPCS J7195 | $5,178.62 | $10,357.25 | $1.83 – $1,541.55 | 69 |
| Factor viii CPT 85240 | $34.00 | $68.00 | $14.29 – $64.27 | 75 |
| Fancc gene CPT 81242 | $33.50 | $67.00 | $29.22 – $131.45 | 61 |
| Fat/lipids feces qualitative CPT 82705 | $9.00 | $18.00 | $4.07 – $18.29 | 75 |
| Fatty acids nonesterified CPT 82725 | $39.50 | $79.00 | $14.98 – $67.39 | 61 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | $11,858.12 | $23,716.25 | $64.63 – $21,423.96 | 69 |
| Fecal microbiota prep instil HCPCS G0455 | $2,182.00 | $4,364.00 | $934.20 – $2,526.48 | 71 |
| #fecal-sodium CPT 84302 | $9.50 | $19.00 | $3.88 – $17.44 | 75 |
| Fees w/laryngeal sense test CPT 92616 | $432.00 | $864.00 | $79.98 – $215.95 | 57 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $14.50 | $29.00 | $14.88 – $66.92 | 61 |
| Feno poc CPT 95012 | $105.50 | $211.00 | $22.06 – $101.47 | 71 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $60.37 | $120.75 | $0.93 – $0.93 | 1 |
| Ferritin CPT 82728 | $182.00 | $364.00 | $10.88 – $48.93 | 75 |
| Fetal aneuploidy trisom risk CPT 81507 | $698.50 | $1,397.00 | $634.41 – $2,853.84 | 61 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $754.00 | $1,508.00 | $99.51 – $447.65 | 74 |
| Fetal chrmoml microdeltj CPT 81422 | $698.50 | $1,397.00 | $759.05 – $2,049.44 | 57 |
| Fetal fibronectin CPT 82731 | $1,187.00 | $2,374.00 | $51.40 – $231.20 | 75 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $124.00 | $248.00 | $6.17 – $27.74 | 75 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $13.50 | $27.00 | $15.42 – $69.36 | 61 |
| Fetal non stress test CPT 59025 | $750.00 | $1,500.00 | $29.61 – $549.25 | 71 |
| #_fet/norfentcnfrmur CPT 80354 | $57.50 | $115.00 | $12.17 – $183.09 | 31 |
| Fibrin degradation d dimer quantitative CPT 85379 | $235.00 | $470.00 | $8.12 – $36.54 | 75 |
| Fibrin degradation products CPT 85362 | $147.00 | $294.00 | $5.50 – $24.74 | 61 |
| Fibrinogen activity CPT 85384 | $147.00 | $294.00 | $7.75 – $34.87 | 75 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $83.50 | $167.00 | $12.35 – $55.56 | 75 |
| Fibrinolytic antiplasmin CPT 85410 | $30.00 | $60.00 | $6.16 – $27.69 | 75 |
| Fibrinolytic plasminogen CPT 85415 | $40.50 | $81.00 | $13.72 – $61.71 | 75 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $16.00 | $32.00 | $5.22 – $23.46 | 61 |
| Flecainide (tambocor)-sendout CPT 80181 | $14.50 | $29.00 | $14.88 – $66.92 | 61 |
| Flow cytometry interp 16 or more CPT 88189 | $90.00 | $180.00 | $79.24 – $213.95 | 71 |
| Flow cytometry marker each additional CPT 88185 | $122.00 | $244.00 | $39.29 – $39.29 | 1 |
| Flow cytometry one marker technical component CPT 88184 | $331.00 | $662.00 | $360.08 – $973.82 | 71 |
| #flow interp 9 - 15 markers CPT 88188 | $56.50 | $113.00 | $58.45 – $157.82 | 71 |
| Flt3 gene CPT 81245 | $172.50 | $345.00 | $132.08 – $594.14 | 61 |
| Flt3 gene analysis CPT 81246 | $172.50 | $345.00 | $66.23 – $297.95 | 61 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $255.62 | $511.25 | $156.11 – $156.11 | 1 |
| Fluidotherapy charges pt CPT 97022 | $112.00 | $224.00 | $14.03 – $42.50 | 71 |
| Fluorescent antibody titer dna CPT 86256 | $461.50 | $923.00 | $9.61 – $43.25 | 75 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $333.50 | $667.00 | $116.32 – $116.32 | 1 |
| Fluoroguide needle placement CPT 77002 | $310.00 | $620.00 | $126.07 – $126.07 | 1 |
| Fluoroscopy up to 1 hour CPT 76000 | $216.50 | $433.00 | $40.64 – $648.23 | 74 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $61.37 | $122.75 | $10.32 – $10.32 | 1 |
| Folic acid CPT 82746 | $208.00 | $416.00 | $11.73 – $52.78 | 75 |
| Follow-up angiography CPT 75898 | $1,265.00 | $2,530.00 | $127.02 – $8,578.16 | 74 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $2,181.87 | $4,363.75 | $6.43 – $2,478.43 | 55 |
| Fondaparinux sodium HCPCS J1652 | $210.50 | $421.00 | $27.84 – $27.84 | 1 |
| Foot X-ray CPT 73630 | $324.00 | $648.00 | $32.69 – $236.43 | 74 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $498.75 | $997.50 | $516.24 – $516.24 | 1 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $9.00 | $18.00 | $1.34 – $15.68 | 55 |
| _fragile x methylation-sendout CPT 81244 | $356.50 | $713.00 | $35.82 – $161.15 | 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.