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 |
|---|---|---|---|---|
| Nuclear rx intra-articular CPT 79440 | $1,669.00 | $3,338.00 | $112.05 – $632.88 | 59 |
| Nuclear rx intracav admin CPT 79200 | $1,669.00 | $3,338.00 | $124.43 – $632.88 | 59 |
| Nuclear rx IV admin CPT 79101 | $1,672.50 | $3,345.00 | $139.03 – $632.88 | 59 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,548.50 | $9,097.00 | $416.15 – $3,511.48 | 59 |
| Nuclr rx interstit colloid CPT 79300 | $1,669.00 | $3,338.00 | $234.40 – $632.88 | 56 |
| Nudt15 gene common variants CPT 81306 | $304.50 | $609.00 | $291.36 – $786.67 | 56 |
| Observation direct referral from physician office for admission HCPCS G0379 | $126.50 | $253.00 | $598.24 – $1,615.26 | 56 |
| Oncoprotein dcp CPT 83951 | $129.00 | $258.00 | $51.40 – $221.38 | 60 |
| Opps service,sched team conf HCPCS G0175 | $101.00 | $202.00 | $419.16 – $1,131.74 | 56 |
| Opscpy extnd rta draw uni/bi CPT 92201 | $71.00 | $142.00 | $59.26 – $160.00 | 56 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $202.50 | $405.00 | $324.71 – $876.72 | 54 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $676.00 | $1,352.00 | $787.21 – $2,125.47 | 53 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $261.50 | $523.00 | $304.55 – $822.29 | 53 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $310.00 | $620.00 | $361.14 – $975.08 | 53 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $261.50 | $523.00 | $304.55 – $822.29 | 53 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $322.50 | $645.00 | $375.75 – $1,014.53 | 53 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $957.50 | $1,915.00 | $1,115.05 – $3,010.64 | 53 |
| Oscillation chest wall mechanical per session CPT 94669 | $234.50 | $469.00 | $219.97 – $593.93 | 56 |
| Osmolality blood CPT 83930 | $184.00 | $368.00 | $5.27 – $22.71 | 60 |
| Osmolality urine CPT 83935 | $184.00 | $368.00 | $5.44 – $23.45 | 60 |
| Ot evaluation high complexity patient/family CPT 97167 | $481.50 | $963.00 | $101.26 – $273.40 | 56 |
| Ot evaluation low complexity patient/family CPT 97165 | $445.50 | $891.00 | $101.26 – $273.40 | 56 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $463.50 | $927.00 | $101.26 – $273.40 | 56 |
| Oth resp proc, group HCPCS G0239 | $38.00 | $76.00 | $37.52 – $101.31 | 56 |
| Oth resp proc, indiv HCPCS G0238 | $110.50 | $221.00 | $29.06 – $78.45 | 56 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $112.00 | $224.00 | $50.31 – $135.84 | 56 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $112.00 | $224.00 | $46.31 – $125.04 | 56 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $112.00 | $224.00 | $27.89 – $75.30 | 56 |
| Ot re-evaluation patient/family CPT 97168 | $427.50 | $855.00 | $68.91 – $186.06 | 56 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $112.00 | $224.00 | $35.25 – $95.18 | 56 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $112.00 | $224.00 | $18.51 – $49.98 | 56 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $112.00 | $224.00 | $19.80 – $53.46 | 56 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $112.00 | $224.00 | $29.24 – $78.95 | 56 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $112.00 | $224.00 | $32.94 – $88.94 | 56 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $112.00 | $224.00 | $32.58 – $87.97 | 56 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $17,381.25 | $34,762.50 | $5,979.15 – $5,979.15 | 53 |
| Parathormone (pth) intact CPT 83970 | $174.50 | $349.00 | $32.95 – $141.91 | 60 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,317.50 | $2,635.00 | $545.44 – $1,472.70 | 56 |
| Parathyroid planar imaging CPT 78070 | $1,400.50 | $2,801.00 | $259.97 – $1,119.78 | 59 |
| Parathyroid planar img w/tomo spect CPT 78071 | $2,100.00 | $4,200.00 | $310.44 – $1,337.18 | 59 |
| Passy muir valve metal trach HCPCS L8501 | $85.51 | $171.02 | $147.88 – $399.28 | 54 |
| Path clin consltj sf 5-20 CPT 80503 | $129.50 | $259.00 | $52.35 – $141.34 | 56 |
| Pdgfra gene CPT 81314 | $343.00 | $686.00 | $262.95 – $1,132.62 | 60 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,545.00 | $5,090.00 | $166.31 – $716.35 | 58 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,251.50 | $4,503.00 | $166.31 – $716.35 | 58 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,958.00 | $3,916.00 | $99.51 – $428.64 | 58 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,642.00 | $5,284.00 | $329.80 – $1,420.58 | 58 |
| Pelvic MRI (with contrast) CPT 72196 | $2,337.50 | $4,675.00 | $262.83 – $1,132.09 | 58 |
| Pelvic MRI (without contrast) CPT 72195 | $2,032.50 | $4,065.00 | $221.80 – $955.36 | 58 |
| Pelvic Ultrasound (complete) CPT 76856 | $629.50 | $1,259.00 | $91.47 – $393.98 | 59 |
| Pelvic Ultrasound (limited) CPT 76857 | $330.50 | $661.00 | $48.25 – $283.56 | 59 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $30.62 | $61.25 | $31.97 – $86.31 | 54 |
| Penile vascular study CPT 93981 | $1,147.00 | $2,294.00 | $66.98 – $288.49 | 59 |
| Peritoneogram rs&i CPT 74190 | $600.50 | $1,201.00 | $76.99 – $1,482.04 | 59 |
| Perit-vens shunt pat tst CPT 78291 | $703.00 | $1,406.00 | $233.63 – $1,084.30 | 59 |
| Pet CT skull-mid thgh initial CPT 78815 | $7,898.00 | $15,796.00 | $1,414.88 – $6,094.42 | 59 |
| Pet CT whole body initial CPT 78816 | $7,898.00 | $15,796.00 | $1,414.88 – $6,094.42 | 59 |
| Pet fdg brain metoblic eval sb CPT 78608 | $7,898.00 | $15,796.00 | $1,391.28 – $5,992.73 | 59 |
| Pet image w/ct lmtd CPT 78814 | $1,410.00 | $2,820.00 | $1,414.88 – $6,094.42 | 59 |
| Ph body fluid CPT 83986 | $81.50 | $163.00 | $2.86 – $12.32 | 60 |
| Phencyclidine (pcp) CPT 83992 | $97.50 | $195.00 | $13.40 – $183.09 | 31 |
| Phenobarbital therapeutic drug level CPT 80184 | $64.50 | $129.00 | $12.21 – $52.58 | 60 |
| Phentolaine mesylate inj HCPCS J2760 | $775.00 | $1,550.00 | $420.56 – $1,135.51 | 54 |
| Phenytoin total therapeutic drug level CPT 80185 | $25.00 | $50.00 | $10.57 – $45.54 | 60 |
| Phlebotomy therapeutic CPT 99195 | $134.00 | $268.00 | $133.65 – $360.87 | 56 |
| Phosphorus CPT 84100 | $108.00 | $216.00 | $3.78 – $16.29 | 60 |
| Phosphorus 24 hour urine CPT 84105 | $17.00 | $34.00 | $4.62 – $19.89 | 60 |
| Photopheresis CPT 36522 | $8,204.00 | $16,408.00 | $1,674.15 – $11,813.44 | 59 |
| Placental lactogen CPT 83632 | $109.50 | $219.00 | $16.13 – $69.48 | 60 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $52.00 | $104.00 | $132.05 – $356.54 | 56 |
| Platelet aggregation each agent teg CPT 85576 | $852.00 | $1,704.00 | $19.87 – $85.60 | 60 |
| Platelet automated CPT 85049 | $108.00 | $216.00 | $3.57 – $15.39 | 60 |
| Platelet pheresis each unit HCPCS P9034 | $655.50 | $1,311.00 | $308.96 – $834.19 | 56 |
| Platelets each unit HCPCS P9019 | $68.00 | $136.00 | $53.17 – $143.56 | 56 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $1,121.50 | $2,243.00 | $708.06 – $1,911.76 | 56 |
| Platelets irradiated ea unit HCPCS P9032 | $253.50 | $507.00 | $392.97 – $1,061.02 | 56 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $568.00 | $1,136.00 | $144.26 – $389.50 | 56 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $323.00 | $646.00 | $189.59 – $511.89 | 56 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $317.00 | $634.00 | $503.45 – $1,359.32 | 56 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $655.50 | $1,311.00 | $511.59 – $1,381.29 | 56 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $832.00 | $1,664.00 | $680.61 – $1,837.65 | 56 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $762.00 | $1,524.00 | $374.86 – $1,012.12 | 56 |
| Pms2 gene dup/delet variants CPT 81319 | $401.50 | $803.00 | $162.39 – $699.49 | 60 |
| Pms2 gene full seq analysis CPT 81317 | $622.50 | $1,245.00 | $539.85 – $2,325.32 | 60 |
| #pnh-flow cytometry interp CPT 88187 | $75.00 | $150.00 | $35.11 – $94.80 | 56 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $570.50 | $1,141.00 | $20.81 – $89.61 | 60 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,178.00 | $8,356.00 | $862.65 – $2,329.16 | 56 |
| Potassium 24 hour urine CPT 84133 | $134.00 | $268.00 | $3.77 – $16.25 | 60 |
| Potassium serum/plasma/whole blood CPT 84132 | $134.00 | $268.00 | $3.80 – $16.37 | 60 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $25.50 | $51.00 | $37.64 – $101.63 | 56 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $483.50 | $967.00 | $201.55 – $544.18 | 56 |
| Prealbumin CPT 84134 | $122.00 | $244.00 | $11.65 – $50.17 | 60 |
| Pregabalin - sendout CPT 80366 | $79.50 | $159.00 | $6.58 – $183.09 | 31 |
| Pregnancy associated plasma protein-a CPT 84163 | $37.50 | $75.00 | $12.01 – $51.72 | 60 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $567.00 | $1,134.00 | $99.51 – $428.64 | 59 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $531.50 | $1,063.00 | $99.51 – $428.64 | 59 |
| Pressure max expiratory/inspiratory CPT 94799 | $80.00 | $160.00 | $37.52 – $349.00 | 56 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $459.50 | $919.00 | $171.15 – $462.09 | 56 |
| Pretreat rbc absorption reference CPT 86978 | $158.50 | $317.00 | $59.26 – $160.00 | 56 |
| Pretreat rbc density gradient separation reference CPT 86972 | $157.50 | $315.00 | $171.15 – $462.09 | 56 |
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.