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 |
|---|---|---|---|---|
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $139.00 | $278.00 | $49.46 – $213.03 | 60 |
| Tcd emboli detect w/inj CPT 93893 | $122.00 | $244.00 | $101.02 – $435.14 | 59 |
| Tcd emboli detect without inj CPT 93892 | $122.00 | $244.00 | $101.02 – $435.14 | 59 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $75.00 | $150.00 | $37.49 – $161.47 | 60 |
| T cells absolute cd 4 count CPT 86361 | $26.50 | $53.00 | $21.38 – $92.07 | 60 |
| T cells total count CPT 86359 | $45.00 | $90.00 | $30.11 – $129.68 | 60 |
| Telethx isodose plan cplx CPT 77307 | $2,335.50 | $4,671.00 | $376.14 – $1,015.57 | 56 |
| Telethx isodose plan simple CPT 77306 | $1,606.50 | $3,213.00 | $376.14 – $1,015.57 | 56 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $10,454.62 | $20,909.25 | $186.97 – $504.82 | 54 |
| Tert gene targeted seq alys CPT 81345 | $186.00 | $372.00 | $147.79 – $636.59 | 59 |
| Test for urine cystines CPT 82615 | $17.00 | $34.00 | $7.62 – $32.82 | 60 |
| Testicular imaging w/vasc flow CPT 78761 | $837.50 | $1,675.00 | $190.14 – $1,084.30 | 59 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $45.00 | $90.00 | $59.26 – $160.00 | 56 |
| Test stress cardiovascular tracing only CPT 93017 | $1,439.00 | $2,878.00 | $216.91 – $585.65 | 56 |
| Tetanus immune globulin inj HCPCS J1670 | $826.25 | $1,652.50 | $588.54 – $1,589.06 | 54 |
| Theophylline therapeutic drug level CPT 80198 | $9.50 | $19.00 | $11.29 – $48.61 | 60 |
| Therapeutic procd strg endur HCPCS G0237 | $124.00 | $248.00 | $29.06 – $78.45 | 56 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $58.50 | $117.00 | $26.47 – $71.47 | 56 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $58.50 | $117.00 | $22.11 – $59.70 | 56 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $981.50 | $1,963.00 | $166.31 – $716.35 | 59 |
| Thrombin time CPT 85670 | $104.50 | $209.00 | $4.61 – $19.85 | 60 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $37.50 | $75.00 | $5.16 – $22.22 | 60 |
| Thyroglobulin antibody CPT 86800 | $14.00 | $28.00 | $12.69 – $54.67 | 60 |
| Thyroid imaging CPT 78013 | $816.00 | $1,632.00 | $163.15 – $1,084.30 | 59 |
| Thyroid mets imag whole body CPT 78018 | $816.00 | $1,632.00 | $276.17 – $1,472.70 | 59 |
| Thyroid (TSH) Test CPT 84443 | $345.00 | $690.00 | $13.40 – $57.74 | 60 |
| Thyroid Ultrasound CPT 76536 | $497.00 | $994.00 | $99.51 – $428.64 | 59 |
| Thyroid uptake measurement CPT 78012 | $816.00 | $1,632.00 | $77.14 – $1,084.30 | 59 |
| Thyrotropin releasing hormone CPT 80438 | $36.00 | $72.00 | $40.22 – $173.26 | 60 |
| Thyroxine binding globulin (tbg) CPT 84442 | $12.50 | $25.00 | $11.80 – $50.82 | 60 |
| Tilt table study CPT 93660 | $2,001.50 | $4,003.00 | $374.86 – $1,012.12 | 56 |
| Tissue culture skin/biopsy CPT 88233 | $169.00 | $338.00 | $112.30 – $483.72 | 60 |
| Tissue culture tumor CPT 88239 | $288.50 | $577.00 | $117.72 – $507.08 | 60 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $89.58 | $179.17 | $125.01 – $337.53 | 54 |
| Tissue transglutaminase iga CPT 86364 | $16.00 | $32.00 | $9.21 – $39.65 | 59 |
| Tlso r fram soft pre ots HCPCS L0467 | $215.39 | $430.79 | $284.88 – $769.18 | 54 |
| Tobramycin peak therapeutic drug level CPT 80200 | $47.00 | $94.00 | $12.87 – $55.45 | 60 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $3,346.37 | $6,692.75 | $5.61 – $15.14 | 54 |
| Tomosynthesis breast screen bilateral CPT 77063 | $135.00 | $270.00 | $50.15 – $216.02 | 59 |
| Total tau CPT 84394 | $347.50 | $695.00 | $128.92 – $1,035.81 | 59 |
| Toxoplasma antibody igg CPT 86777 | $150.00 | $300.00 | $11.49 – $49.47 | 60 |
| Toxoplasma antibody igm CPT 86778 | $72.00 | $144.00 | $11.50 – $49.51 | 60 |
| Tp53 gene full gene sequence CPT 81351 | $1,050.00 | $2,100.00 | $512.19 – $2,206.20 | 60 |
| Tp53 gene trgt sequence alys CPT 81352 | $485.00 | $970.00 | $262.95 – $1,132.62 | 60 |
| Tpmt gene com vrnts CPT 81335 | $296.50 | $593.00 | $174.81 – $471.99 | 56 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $148.50 | $297.00 | $55.76 – $150.55 | 56 |
| Transcath closure of asd CPT 93580 | $15,698.00 | $31,396.00 | $18,415.17 – $49,720.96 | 56 |
| Transcath closure of vsd CPT 93581 | $16,520.00 | $33,040.00 | $18,415.17 – $49,720.96 | 56 |
| Transcutaneous hgb 88738 CPT 88738 | $12.50 | $25.00 | $5.02 – $13.55 | 56 |
| Transferrin CPT 84466 | $211.00 | $422.00 | $10.18 – $43.87 | 60 |
| Transfusion blood/blood component(s) CPT 36430 | $1,275.00 | $2,550.00 | $443.18 – $1,196.60 | 56 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $10,995.50 | $21,991.00 | $1,338.98 – $3,615.26 | 56 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $250.50 | $501.00 | $133.65 – $360.87 | 56 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $151.00 | $302.00 | $219.97 – $593.93 | 56 |
| Treatment radiation delivery level 2 CPT 77407 | $1,052.50 | $2,105.00 | $387.45 – $1,046.12 | 56 |
| Treponema pallidum antibody CPT 86780 | $180.00 | $360.00 | $10.56 – $45.50 | 60 |
| Trg gene rearrangement anal CPT 81342 | $281.50 | $563.00 | $160.80 – $692.61 | 60 |
| Trichinella antibody CPT 86784 | $33.50 | $67.00 | $10.02 – $43.17 | 60 |
| #tricyclicantidprssnt CPT 80337 | $63.00 | $126.00 | $8.26 – $183.09 | 31 |
| Triglycerides CPT 84478 | $239.00 | $478.00 | $4.58 – $19.72 | 60 |
| Troponin quantitative CPT 84484 | $222.00 | $444.00 | $9.95 – $42.84 | 60 |
| Tx atrial fib pulm vein isol CPT 93656 | $27,791.00 | $55,582.00 | $26,256.97 – $70,893.81 | 56 |
| Ugt1a1 gene analy common variants CPT 81350 | $658.00 | $1,316.00 | $186.73 – $804.32 | 60 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $506.50 | $1,013.00 | $99.51 – $428.64 | 59 |
| Ultrasound breast complete CPT 76641 | $499.50 | $999.00 | $97.76 – $421.11 | 59 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $288.50 | $577.00 | $80.94 – $348.64 | 59 |
| Ultrasound chest CPT 76604 | $188.00 | $376.00 | $54.28 – $283.56 | 59 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $357.00 | $714.00 | $42.54 – $283.56 | 59 |
| Ultrasound dx ophth b-scan CPT 76512 | $145.50 | $291.00 | $45.70 – $283.56 | 59 |
| Ultrasound elastography ea l target les CPT 76983 | $310.50 | $621.00 | $58.72 – $252.93 | 3 |
| Ultrasound elastography parenchyma CPT 76981 | $387.00 | $774.00 | $99.36 – $427.98 | 59 |
| Ultrasound encephalogram CPT 76506 | $715.50 | $1,431.00 | $99.51 – $428.64 | 59 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $595.50 | $1,191.00 | $99.51 – $428.64 | 59 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $426.50 | $853.00 | $81.59 – $351.42 | 59 |
| Ultrasound hips infant dynamic CPT 76885 | $406.00 | $812.00 | $82.25 – $354.29 | 59 |
| Ultrasound infant hips ltd without stress CPT 76886 | $364.00 | $728.00 | $82.25 – $354.29 | 59 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $506.50 | $1,013.00 | $28.83 – $283.56 | 59 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $567.00 | $1,134.00 | $83.16 – $358.21 | 3 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $531.50 | $1,063.00 | $57.13 – $246.09 | 3 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $1,023.00 | $2,046.00 | $168.87 – $727.39 | 59 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $363.00 | $726.00 | $99.51 – $428.64 | 59 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $478.50 | $957.00 | $77.14 – $332.27 | 59 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $414.50 | $829.00 | $88.25 – $380.11 | 59 |
| Ultrasound prostate/transrectal CPT 76872 | $661.50 | $1,323.00 | $99.51 – $428.64 | 59 |
| Ultrasound retroperitoneal limited CPT 76775 | $549.50 | $1,099.00 | $56.82 – $283.56 | 59 |
| Ultrasound scrotum and contents CPT 76870 | $573.50 | $1,147.00 | $95.23 – $410.18 | 59 |
| Ultrasound spinal canal and contents CPT 76800 | $463.00 | $926.00 | $99.51 – $428.64 | 59 |
| Ultrasound transabd ea addl gest CPT 76812 | $612.00 | $1,224.00 | $182.52 – $786.20 | 3 |
| Ultrasound transvaginal non obstetric CPT 76830 | $661.50 | $1,323.00 | $99.51 – $428.64 | 59 |
| Unlisted misc path test CPT 89240 | $69.00 | $138.00 | $52.35 – $141.34 | 56 |
| Unlisted surgical path px CPT 88399 | $360.00 | $720.00 | $52.35 – $141.34 | 56 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $3,632.50 | $7,265.00 | $689.44 – $1,861.49 | 56 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,998.00 | $5,996.00 | $313.93 – $1,352.20 | 58 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,652.50 | $5,305.00 | $267.27 – $1,151.24 | 58 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,307.00 | $4,614.00 | $186.33 – $802.60 | 58 |
| Urea nitrogen CPT 84520 | $117.00 | $234.00 | $3.15 – $13.59 | 60 |
| Urea nitrogen 24 hour urine CPT 84540 | $101.00 | $202.00 | $4.44 – $19.11 | 60 |
| Ureteral reflux study CPT 78740 | $475.50 | $951.00 | $193.64 – $1,084.30 | 59 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $442.50 | $885.00 | $77.31 – $647.16 | 59 |
| Urethrocystography void s&i CPT 74455 | $547.50 | $1,095.00 | $99.04 – $647.16 | 59 |
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.