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 |
|---|---|---|---|---|
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $18.00 | $36.00 | $10.57 – $45.54 | 60 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $76.50 | $153.00 | $18.33 – $78.93 | 59 |
| Warde protein c antigen CPT 85302 | $11.50 | $23.00 | $9.59 – $41.29 | 60 |
| Warde sex hormone binding globulin CPT 84270 | $15.00 | $30.00 | $17.34 – $74.68 | 60 |
| Warde somatomedin CPT 84305 | $14.50 | $29.00 | $16.97 – $73.08 | 60 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $15.00 | $30.00 | $4.39 – $18.91 | 60 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $83.50 | $167.00 | $12.58 – $54.18 | 60 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $91.00 | $182.00 | $40.58 – $174.81 | 60 |
| Warde topiramate therapeutic drug level CPT 80201 | $40.00 | $80.00 | $9.51 – $40.96 | 60 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $77.50 | $155.00 | $20.81 – $89.61 | 60 |
| Warde viscosity CPT 85810 | $20.50 | $41.00 | $9.31 – $40.10 | 60 |
| Warde vitamin a CPT 84590 | $12.00 | $24.00 | $9.26 – $39.90 | 60 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $17.50 | $35.00 | $16.94 – $72.96 | 60 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $20.50 | $41.00 | $22.42 – $96.57 | 60 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $19.50 | $39.00 | $7.89 – $34.00 | 60 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $27.50 | $55.00 | $30.72 – $132.34 | 60 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $11.50 | $23.00 | $11.31 – $48.74 | 60 |
| Warde zinc CPT 84630 | $16.00 | $32.00 | $9.09 – $39.16 | 60 |
| Wbc automated CPT 85048 | $60.00 | $120.00 | $2.02 – $8.72 | 60 |
| Western blot test CPT 84181 | $160.50 | $321.00 | $13.59 – $58.56 | 60 |
| Whole blood for transfusion HCPCS P9010 | $550.00 | $1,100.00 | $189.84 – $512.57 | 56 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | $394.00 | $788.00 | $265.19 – $716.01 | 56 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $452.00 | $904.00 | $408.37 – $1,102.59 | 56 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $562.00 | $1,124.00 | $408.37 – $1,102.59 | 56 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $483.50 | $967.00 | $201.55 – $544.18 | 56 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $483.50 | $967.00 | $408.37 – $1,102.59 | 56 |
| Wrist X-ray CPT 73110 | $311.00 | $622.00 | $39.37 – $236.04 | 59 |
| Xm archive tissue molec anal CPT 88363 | $447.50 | $895.00 | $29.06 – $78.45 | 56 |
| X-ray abdomen 1 view CPT 74018 | $303.50 | $607.00 | $28.88 – $236.04 | 59 |
| X-ray abdomen 2 views CPT 74019 | $391.00 | $782.00 | $34.91 – $283.56 | 59 |
| X-ray abdomen >=3 views CPT 74021 | $478.50 | $957.00 | $40.95 – $283.56 | 59 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $478.50 | $957.00 | $47.62 – $283.56 | 59 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $351.50 | $703.00 | $27.63 – $236.04 | 59 |
| X-ray ankle 2 views (both sides) CPT 73600 | $282.50 | $565.00 | $30.79 – $236.04 | 59 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $416.00 | $832.00 | $125.39 – $946.25 | 59 |
| X-ray bone age studies CPT 77072 | $269.00 | $538.00 | $24.76 – $283.56 | 59 |
| X-ray bone length studies CPT 77073 | $491.00 | $982.00 | $43.17 – $283.56 | 59 |
| X-ray bone survey complete CPT 77075 | $1,170.50 | $2,341.00 | $94.91 – $408.79 | 59 |
| X-ray bone survey infant CPT 77076 | $629.50 | $1,259.00 | $99.51 – $428.64 | 59 |
| X-ray cervical spine 2-3 views CPT 72040 | $467.00 | $934.00 | $37.77 – $236.04 | 59 |
| X-ray cervical spine 4-5 views CPT 72050 | $706.00 | $1,412.00 | $51.11 – $283.56 | 59 |
| X-ray cervical spine >= 6 views CPT 72052 | $1,080.00 | $2,160.00 | $59.67 – $283.56 | 59 |
| X-ray clavicle complete (both sides) CPT 73000 | $269.00 | $538.00 | $31.11 – $236.04 | 59 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $588.50 | $1,177.00 | $146.02 – $628.94 | 59 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $814.00 | $1,628.00 | $166.31 – $716.35 | 59 |
| X-ray elbow 2 views (both sides) CPT 73070 | $324.00 | $648.00 | $27.93 – $236.04 | 59 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $154.50 | $309.00 | $31.43 – $236.04 | 59 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $442.50 | $885.00 | $92.68 – $475.74 | 59 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $531.00 | $1,062.00 | $75.55 – $325.44 | 59 |
| X-ray exam entire spi 6/> vw CPT 72084 | $706.00 | $1,412.00 | $93.96 – $404.70 | 59 |
| X-ray exam of arm infant CPT 73092 | $324.00 | $648.00 | $99.51 – $428.64 | 59 |
| X-ray exam of eye sockets CPT 70200 | $442.00 | $884.00 | $45.70 – $283.56 | 59 |
| X-ray exam of femur 1 CPT 73551 | $251.00 | $502.00 | $27.93 – $236.04 | 59 |
| X-ray exam of jaw joint CPT 70332 | $452.00 | $904.00 | $78.72 – $647.16 | 59 |
| X-ray exam of penis CPT 74445 | $386.00 | $772.00 | $99.51 – $428.64 | 59 |
| X-ray exam of sinuses CPT 70210 | $263.00 | $526.00 | $30.79 – $236.04 | 59 |
| X-ray exam of tear duct CPT 70170 | $181.00 | $362.00 | $54.70 – $647.16 | 59 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $293.50 | $587.00 | $31.11 – $236.04 | 59 |
| X-ray facial bones complete > 3 views CPT 70150 | $442.00 | $884.00 | $45.08 – $283.56 | 59 |
| X-ray femur >=2 views (both sides) CPT 73552 | $355.50 | $711.00 | $33.96 – $236.04 | 59 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $214.00 | $428.00 | $36.51 – $236.04 | 59 |
| X-ray foot 2 views (both sides) CPT 73620 | $243.00 | $486.00 | $27.30 – $236.04 | 59 |
| X-ray forearm 2 views (both sides) CPT 73090 | $324.00 | $648.00 | $27.93 – $236.04 | 59 |
| X-ray hand 2 views (both sides) CPT 73120 | $277.00 | $554.00 | $30.15 – $283.56 | 59 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $258.50 | $517.00 | $27.30 – $236.04 | 59 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $574.00 | $1,148.00 | $57.13 – $283.56 | 59 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $501.50 | $1,003.00 | $39.37 – $283.56 | 59 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $574.00 | $1,148.00 | $51.42 – $283.56 | 59 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $752.00 | $1,504.00 | $59.04 – $283.56 | 59 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $250.50 | $501.00 | $31.43 – $236.04 | 59 |
| X-ray humerus >= 2 views left CPT 73060 | $283.50 | $567.00 | $30.48 – $236.04 | 59 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $135.00 | $270.00 | $32.69 – $236.04 | 59 |
| X-ray knee 3 views (both sides) CPT 73562 | $204.00 | $408.00 | $39.05 – $236.04 | 59 |
| X-ray knee ap standing bilateral CPT 73565 | $204.00 | $408.00 | $38.10 – $236.04 | 59 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $410.00 | $820.00 | $82.25 – $354.29 | 59 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $467.00 | $934.00 | $38.72 – $283.56 | 59 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $531.00 | $1,062.00 | $49.52 – $283.56 | 59 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $428.50 | $857.00 | $58.41 – $283.56 | 59 |
| X-ray mandible complete > 4 views CPT 70110 | $364.00 | $728.00 | $41.59 – $283.56 | 59 |
| X-ray nasal bones complete > 3 views CPT 70160 | $283.50 | $567.00 | $35.87 – $236.04 | 59 |
| X-ray neck soft tissue CPT 70360 | $187.00 | $374.00 | $29.84 – $236.04 | 59 |
| X-ray nose to rectum for foreign body child CPT 76010 | $60.50 | $121.00 | $82.25 – $354.29 | 59 |
| X-ray pelvis 1-2 views CPT 72170 | $334.00 | $668.00 | $26.66 – $283.56 | 59 |
| X-ray pelvis complete > 3 views CPT 72190 | $574.00 | $1,148.00 | $40.32 – $283.56 | 59 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $505.00 | $1,010.00 | $74.28 – $946.25 | 59 |
| X-ray ribs 2 views left CPT 71100 | $334.50 | $669.00 | $34.91 – $236.04 | 59 |
| X-ray ribs 3 views bilateral CPT 71110 | $493.50 | $987.00 | $41.90 – $283.56 | 59 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $300.50 | $601.00 | $40.32 – $283.56 | 59 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $589.50 | $1,179.00 | $50.15 – $283.56 | 59 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $353.00 | $706.00 | $37.46 – $283.56 | 59 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $353.00 | $706.00 | $31.11 – $236.04 | 59 |
| X-ray scapula complete (both sides) CPT 73010 | $263.50 | $527.00 | $22.86 – $283.56 | 59 |
| X-ray sella turcica CPT 70240 | $501.50 | $1,003.00 | $31.43 – $236.04 | 59 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $324.00 | $648.00 | $20.62 – $236.04 | 59 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $422.00 | $844.00 | $35.87 – $236.04 | 59 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $442.50 | $885.00 | $56.82 – $1,482.04 | 59 |
| X-ray skull < 4 views CPT 70250 | $501.50 | $1,003.00 | $34.29 – $283.56 | 59 |
| X-ray skull > 4 views complete CPT 70260 | $547.50 | $1,095.00 | $42.54 – $283.56 | 59 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $584.00 | $1,168.00 | $115.86 – $499.06 | 59 |
| X-ray small intestine follow-through study CPT 74248 | $332.50 | $665.00 | $78.40 – $337.71 | 3 |
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.