Methodist Midlothian Medical Center
1201 E US-287, Midlothian, TX · Methodisthealthsystem · · NPI 1487271375
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $65.50 | $131.00 | $23.37 – $100.66 | 60 |
| 17-hydroxypregnenolone CPT 84143 | $51.50 | $103.00 | $18.20 – $78.40 | 60 |
| 17-ketosteroids CPT 83586 | $16.00 | $32.00 | $10.21 – $43.99 | 60 |
| 24 hr ambulatory b/p monitor CPT 93786 | $131.00 | $262.00 | $133.65 – $360.87 | 56 |
| 3d ech img cgen car anomal CPT 93319 | $490.50 | $981.00 | $23.00 – $99.07 | 3 |
| 3-d radiotherapy plan CPT 77295 | $3,679.50 | $7,359.00 | $1,390.44 – $3,754.18 | 56 |
| 5' nucleotidase - sendout CPT 83915 | $14.50 | $29.00 | $8.90 – $38.34 | 60 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $57.00 | $114.00 | $9.59 – $41.29 | 60 |
| Abd aorta w/runoff s&i CPT 75630 | $3,583.00 | $7,166.00 | $149.19 – $8,564.05 | 59 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,569.00 | $5,138.00 | $166.31 – $716.35 | 58 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,273.00 | $4,546.00 | $166.31 – $716.35 | 58 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,977.00 | $3,954.00 | $99.51 – $428.64 | 58 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,967.00 | $5,934.00 | $331.08 – $1,426.06 | 58 |
| Abdominal MRI (with contrast) CPT 74182 | $2,625.00 | $5,250.00 | $296.16 – $1,275.68 | 58 |
| Abdominal MRI (without contrast) CPT 74181 | $2,282.50 | $4,565.00 | $191.72 – $825.81 | 58 |
| Abdominal Ultrasound (complete) CPT 76700 | $783.00 | $1,566.00 | $99.51 – $428.64 | 59 |
| Abdominal Ultrasound (limited) CPT 76705 | $506.50 | $1,013.00 | $82.85 – $356.86 | 59 |
| Abl1 gene CPT 81170 | $589.00 | $1,178.00 | $239.40 – $1,031.18 | 60 |
| Ablate heart dysrhythm focus CPT 93650 | $4,596.50 | $9,193.00 | $7,835.21 – $21,155.06 | 56 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $9,795.50 | $19,591.00 | $129.26 – $349.00 | 56 |
| Acetaminophen level CPT 80143 | $238.50 | $477.00 | $14.88 – $64.08 | 60 |
| Acetone qualitative CPT 82009 | $72.00 | $144.00 | $3.61 – $15.55 | 60 |
| Acetylcholine receptor modulating antibody CPT 86043 | $206.00 | $412.00 | $9.61 – $41.41 | 59 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $503.50 | $1,007.00 | $133.74 – $361.11 | 56 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $87.50 | $175.00 | $12.37 – $33.40 | 56 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | $53.50 | $107.00 | $29.06 – $78.45 | 56 |
| Acute hepatitis panel CPT 80074 | $33.00 | $66.00 | $38.01 – $163.72 | 60 |
| #acylcarnitineprfl CPT 82017 | $105.00 | $210.00 | $13.46 – $57.98 | 60 |
| Adh-sendout CPT 84588 | $34.00 | $68.00 | $27.08 – $116.66 | 60 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $211.00 | $422.00 | $72.33 – $195.29 | 56 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $211.00 | $422.00 | $72.33 – $195.29 | 56 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $611.00 | $1,222.00 | $331.81 – $895.89 | 56 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $219.50 | $439.00 | $331.81 – $895.89 | 56 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $219.50 | $439.00 | $72.33 – $195.29 | 56 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $219.50 | $439.00 | $72.33 – $195.29 | 56 |
| Administration immunization 1 vaccine CPT 90471 | $55.00 | $110.00 | $47.04 – $195.29 | 56 |
| Aep neurodiagnostic i&r CPT 92653 | $300.50 | $601.00 | $216.91 – $585.65 | 56 |
| _afb id by dna probe rflx ast CPT 87149 | $104.50 | $209.00 | $16.00 – $68.91 | 60 |
| #afb mycobacteria suscep. #1 CPT 87190 | $17.50 | $35.00 | $5.83 – $25.12 | 60 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $111.50 | $223.00 | $92.06 – $396.51 | 60 |
| Albumin body fluid quantitative each specimen CPT 82042 | $75.00 | $150.00 | $6.21 – $26.76 | 60 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $107.75 | $215.50 | $53.08 – $143.31 | 54 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $107.75 | $215.50 | $53.08 – $143.31 | 54 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $128.00 | $256.00 | $4.62 – $19.89 | 60 |
| Albumin serum plasma or whole blood CPT 82040 | $75.00 | $150.00 | $3.95 – $17.02 | 60 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $29.50 | $59.00 | $13.78 – $59.37 | 60 |
| Alkaline phosphatase CPT 84075 | $134.50 | $269.00 | $4.13 – $17.80 | 60 |
| Allergen alpha lactalbumin ige CPT 86008 | $17.00 | $34.00 | $14.31 – $61.63 | 60 |
| Allergen egg white ige CPT 86003 | $88.50 | $177.00 | $4.16 – $17.92 | 60 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $21.00 | $42.00 | $6.36 – $27.38 | 60 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $150.00 | $300.00 | $125.01 – $337.53 | 54 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $189.69 | $379.38 | $125.01 – $337.53 | 54 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $74.53 | $149.06 | $125.01 – $337.53 | 54 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $178.13 | $356.27 | $125.01 – $337.53 | 54 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $122.34 | $244.69 | $125.01 – $337.53 | 54 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $66.75 | $133.50 | $125.01 – $337.53 | 54 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $112.50 | $225.00 | $51.40 – $221.38 | 60 |
| Alpha-fetoprotein amniotic CPT 82106 | $10.00 | $20.00 | $13.57 – $58.43 | 60 |
| Alpha-fetoprotein tumor marker CPT 82105 | $199.00 | $398.00 | $13.39 – $57.66 | 60 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $361.75 | $723.50 | $93.83 – $253.35 | 54 |
| Alt/sgpt CPT 84460 | $169.50 | $339.00 | $4.23 – $18.21 | 60 |
| Aluminum - quest CPT 82108 | $18.50 | $37.00 | $20.33 – $87.57 | 60 |
| Amantadine (symmetrel)-sendout CPT 80375 | $227.50 | $455.00 | $17.19 – $183.09 | 31 |
| Ambl bp mntr w/sw a/r CPT 93788 | $131.00 | $262.00 | $133.65 – $360.87 | 56 |
| Amino acid screen, urine CPT 82128 | $120.00 | $240.00 | $11.07 – $47.67 | 60 |
| Aminolevulinic acid delta CPT 82135 | $26.50 | $53.00 | $13.13 – $56.55 | 60 |
| Amitriptyline (elavil) -sendout CPT 80335 | $21.00 | $42.00 | $3.99 – $183.09 | 31 |
| Ammonia CPT 82140 | $188.00 | $376.00 | $11.63 – $50.09 | 60 |
| Amniotic fluid scan CPT 82143 | $17.50 | $35.00 | $7.46 – $32.12 | 60 |
| Amphetamine confirm urine -sendout CPT 80324 | $66.50 | $133.00 | $12.09 – $183.09 | 31 |
| Amphetamines 5 or more CPT 80326 | $130.00 | $260.00 | $7.36 – $183.09 | 31 |
| Amylase CPT 82150 | $134.00 | $268.00 | $5.17 – $22.26 | 60 |
| Ana ds-dna CPT 86226 | $7.50 | $15.00 | $9.66 – $41.62 | 60 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $276.00 | $552.00 | $9.15 – $183.09 | 31 |
| Anal/urinary muscle study CPT 51785 | $458.00 | $916.00 | $110.15 – $677.66 | 59 |
| Analysis gene f2 20210g>a variant CPT 81240 | $67.50 | $135.00 | $52.42 – $225.80 | 60 |
| Analysis gene f5 leiden variant CPT 81241 | $67.50 | $135.00 | $58.55 – $252.19 | 60 |
| Analysis tumor CPT 88358 | $312.00 | $624.00 | $102.59 – $462.09 | 60 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $33.50 | $67.00 | $28.01 – $120.63 | 59 |
| Anca screen with reflex to titer -quest CPT 86021 | $52.00 | $104.00 | $12.01 – $51.72 | 60 |
| Ankle X-ray CPT 73610 | $377.50 | $755.00 | $34.91 – $236.04 | 59 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $75.00 | $150.00 | $10.28 – $44.28 | 60 |
| Antibody elution rbc reference CPT 86860 | $157.50 | $315.00 | $19.60 – $462.09 | 60 |
| Antibody htlv/hiv confirm test CPT 86689 | $330.00 | $660.00 | $15.44 – $66.50 | 60 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $395.00 | $790.00 | $14.66 – $63.14 | 60 |
| Antibody id rbc panel CPT 86870 | $347.50 | $695.00 | $7.29 – $972.22 | 60 |
| Antibody influenza virus CPT 86710 | $6.00 | $12.00 | $10.81 – $46.57 | 60 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $13.50 | $27.00 | $10.27 – $44.23 | 60 |
| Antibody screen rbc CPT 86850 | $135.00 | $270.00 | $7.86 – $141.34 | 60 |
| Antibody tetanus CPT 86774 | $66.00 | $132.00 | $11.81 – $50.86 | 60 |
| Antidepressant not specified CPT 80338 | $178.50 | $357.00 | $10.17 – $183.09 | 31 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $2,343.62 | $4,687.25 | $1.49 – $4.03 | 54 |
| Anti mog serum - sendout CPT 86362 | $133.50 | $267.00 | $9.61 – $41.41 | 59 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $30.00 | $60.00 | $9.61 – $41.41 | 59 |
| Antinuclear antibodies CPT 86038 | $61.00 | $122.00 | $9.65 – $41.57 | 60 |
| Antinuclear antibodies titer CPT 86039 | $48.50 | $97.00 | $8.90 – $38.34 | 60 |
| Antiphosphatidylserine antibody CPT 86148 | $14.50 | $29.00 | $12.83 – $55.24 | 60 |
| Antipsychotics nos 1-3 CPT 80342 | $77.50 | $155.00 | $11.17 – $183.09 | 31 |
| Antistreptolysin o screen CPT 86063 | $84.00 | $168.00 | $4.61 – $19.85 | 60 |
| Antistreptolysin o titer CPT 86060 | $146.00 | $292.00 | $5.82 – $25.08 | 60 |
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.