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 |
|---|---|---|---|---|
| Established Patient Office Visit (level 5) CPT 99215 | $367.50 | $735.00 | $133.74 – $338.39 | 56 |
| Estradiol total CPT 82670 | $25.00 | $50.00 | $22.30 – $96.04 | 60 |
| Ethylene glycol -sendout CPT 82693 | $24.50 | $49.00 | $11.89 – $51.23 | 60 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $433.00 | $866.00 | $123.13 – $332.45 | 56 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $325.00 | $650.00 | $78.29 – $337.22 | 60 |
| Evaluation of speech fluency 92521 CPT 92521 | $433.00 | $866.00 | $134.33 – $362.69 | 56 |
| Evaluation psychiatric diagnostic CPT 90791 | $197.00 | $394.00 | not published | 0 |
| Event monitor CPT 93270 | $43.00 | $86.00 | $6.10 – $101.23 | 60 |
| Evoked oa emissions ltd CPT 92587 | $193.00 | $386.00 | $216.91 – $585.65 | 56 |
| Evoked potentials upper limbs CPT 95925 | $1,439.50 | $2,879.00 | $216.91 – $585.65 | 56 |
| Evoked potential visual not glaucoma CPT 95930 | $942.50 | $1,885.00 | $216.91 – $585.65 | 56 |
| 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 | $306.12 – $826.52 | 56 |
| Exome sequence analysis CPT 81415 | $2,456.50 | $4,913.00 | $4,780.00 – $12,906.00 | 56 |
| Exome sequence analysis CPT 81416 | $6,600.00 | $13,200.00 | $12,000.00 – $32,400.00 | 56 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | $131.00 | $262.00 | $133.65 – $360.87 | 56 |
| External chromosome analysis 20-25 cells CPT 88264 | $288.50 | $577.00 | $115.40 – $497.06 | 60 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $169.00 | $338.00 | $114.71 – $494.11 | 60 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $60.50 | $121.00 | $14.31 – $61.63 | 60 |
| Facial bones <3 CPT 70140 | $353.00 | $706.00 | $30.48 – $236.04 | 59 |
| Factor ix CPT 85250 | $30.00 | $60.00 | $15.19 – $65.43 | 60 |
| Factor viii CPT 85240 | $34.00 | $68.00 | $14.29 – $61.54 | 60 |
| Factor viii recombinant nos HCPCS J7192 | $1,237.25 | $2,474.50 | $1.59 – $4.30 | 54 |
| Fancc gene CPT 81242 | $33.50 | $67.00 | $29.22 – $125.87 | 60 |
| Fat/lipids feces qualitative CPT 82705 | $9.00 | $18.00 | $4.07 – $17.51 | 60 |
| Fatty acids nonesterified CPT 82725 | $39.50 | $79.00 | $14.98 – $64.53 | 60 |
| Fecal microbiota prep instil HCPCS G0455 | $2,182.00 | $4,364.00 | $934.20 – $2,522.33 | 56 |
| #fecal-sodium CPT 84302 | $9.50 | $19.00 | $3.88 – $16.70 | 60 |
| Fees w/laryngeal sense test CPT 92616 | $432.00 | $864.00 | $79.98 – $215.95 | 56 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $14.50 | $29.00 | $14.88 – $64.08 | 60 |
| Feno poc CPT 95012 | $105.50 | $211.00 | $37.52 – $101.31 | 56 |
| Ferritin CPT 82728 | $182.00 | $364.00 | $10.88 – $46.85 | 60 |
| Fetal aneuploidy trisom risk CPT 81507 | $698.50 | $1,397.00 | $634.41 – $2,732.64 | 60 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $754.00 | $1,508.00 | $99.51 – $428.64 | 59 |
| Fetal chrmoml microdeltj CPT 81422 | $698.50 | $1,397.00 | $759.05 – $2,049.44 | 56 |
| Fetal fibronectin CPT 82731 | $1,187.00 | $2,374.00 | $51.40 – $221.38 | 60 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $124.00 | $248.00 | $6.17 – $26.56 | 60 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $13.50 | $27.00 | $15.42 – $66.41 | 60 |
| Fetal non stress test CPT 59025 | $750.00 | $1,500.00 | $203.09 – $548.35 | 56 |
| #_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 – $34.99 | 60 |
| Fibrin degradation products CPT 85362 | $147.00 | $294.00 | $5.50 – $23.69 | 60 |
| Fibrinogen activity CPT 85384 | $147.00 | $294.00 | $7.75 – $33.39 | 60 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $83.50 | $167.00 | $12.35 – $53.20 | 60 |
| Fibrinolytic antiplasmin CPT 85410 | $30.00 | $60.00 | $6.16 – $26.52 | 60 |
| Fibrinolytic plasminogen CPT 85415 | $40.50 | $81.00 | $13.72 – $59.09 | 60 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $16.00 | $32.00 | $5.22 – $22.47 | 60 |
| Flecainide (tambocor)-sendout CPT 80181 | $14.50 | $29.00 | $14.88 – $64.08 | 60 |
| Flow cytometry interp 16 or more CPT 88189 | $90.00 | $180.00 | $79.24 – $213.95 | 56 |
| Flow cytometry one marker technical component CPT 88184 | $331.00 | $662.00 | $360.08 – $972.22 | 56 |
| #flow interp 9 - 15 markers CPT 88188 | $56.50 | $113.00 | $58.45 – $157.82 | 56 |
| Flt3 gene CPT 81245 | $172.50 | $345.00 | $132.08 – $568.91 | 60 |
| Flt3 gene analysis CPT 81246 | $172.50 | $345.00 | $66.23 – $285.29 | 60 |
| Fluidotherapy charges pt CPT 97022 | $112.00 | $224.00 | $15.74 – $42.50 | 56 |
| Fluorescent antibody titer dna CPT 86256 | $461.50 | $923.00 | $9.61 – $41.41 | 60 |
| Fluoroscopy up to 1 hour CPT 76000 | $216.50 | $433.00 | $40.64 – $647.16 | 59 |
| Folic acid CPT 82746 | $208.00 | $416.00 | $11.73 – $50.54 | 60 |
| Follow-up angiography CPT 75898 | $1,265.00 | $2,530.00 | $127.02 – $8,564.05 | 59 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $1,293.87 | $2,587.75 | $6.43 – $17.37 | 54 |
| Foot X-ray CPT 73630 | $324.00 | $648.00 | $32.69 – $236.04 | 59 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $225.62 | $451.25 | $1.34 – $3.62 | 54 |
| _fragile x methylation-sendout CPT 81244 | $356.50 | $713.00 | $35.82 – $154.31 | 60 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $52.00 | $104.00 | $73.77 – $199.18 | 56 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $192.50 | $385.00 | $85.98 – $232.15 | 56 |
| Fresh frozen plasma thawing ea un CPT 86927 | $165.50 | $331.00 | $171.15 – $462.09 | 56 |
| Frozen blood thaw CPT 86931 | $116.50 | $233.00 | $171.15 – $462.09 | 56 |
| Frozen plasma, pooled, sd HCPCS P9023 | $159.00 | $318.00 | $55.96 – $151.09 | 56 |
| Fructosamine glycated protein CPT 82985 | $13.00 | $26.00 | $13.38 – $57.62 | 60 |
| Ftl cgen abnor four anal CPT 81511 | $94.00 | $188.00 | $153.50 – $414.45 | 56 |
| Ftl cgen abnor two proteins CPT 81508 | $64.00 | $128.00 | $54.30 – $146.61 | 56 |
| G6pc gene CPT 81250 | $35.50 | $71.00 | $46.67 – $201.04 | 60 |
| G6pd full gene sequence CPT 81249 | $675.00 | $1,350.00 | $478.80 – $2,062.37 | 60 |
| Gabapentin non-blood CPT 80355 | $105.50 | $211.00 | $7.32 – $250.54 | 31 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $220.50 | $441.00 | $16.82 – $72.43 | 60 |
| Galectin-3 CPT 82777 | $157.00 | $314.00 | $44.25 – $119.48 | 56 |
| Gammaglobulin iga CPT 82784 | $15.00 | $30.00 | $7.42 – $31.96 | 60 |
| Gammaglobulin ige CPT 82785 | $11.50 | $23.00 | $13.14 – $56.59 | 60 |
| Gamma glutamyltransferase CPT 82977 | $188.00 | $376.00 | $5.75 – $24.76 | 60 |
| Gastroesophageal reflux test CPT 91034 | $2,012.00 | $4,024.00 | $374.86 – $1,012.12 | 56 |
| Gba gene CPT 81251 | $238.00 | $476.00 | $37.71 – $162.41 | 60 |
| Genetic tstg severe inh cond CPT 81443 | $4,050.00 | $8,100.00 | $1,953.95 – $8,416.38 | 59 |
| Genome sequence analysis CPT 81425 | $2,516.50 | $5,033.00 | $4,014.90 – $17,293.65 | 59 |
| Genome sequence analysis CPT 81426 | $2,100.00 | $4,200.00 | $2,162.54 – $9,314.87 | 59 |
| Gentamicin peak therapeutic drug level CPT 80170 | $275.00 | $550.00 | $13.07 – $56.31 | 60 |
| G-esoph reflx tst w/electrod CPT 91035 | $2,104.50 | $4,209.00 | $862.65 – $2,329.16 | 56 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $115.00 | $230.00 | $13.65 – $58.80 | 60 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $94.00 | $188.00 | $81.61 – $351.50 | 60 |
| Ghs antibodies (torch) igm CPT 86694 | $14.00 | $28.00 | $11.49 – $49.47 | 60 |
| Ghs bladder cath - complex-foley CPT 51703 | $291.50 | $583.00 | $57.79 – $349.00 | 59 |
| Ghs chemo >8 hrs CPT 96416 | $547.50 | $1,095.00 | $331.81 – $895.89 | 56 |
| Ghs chemo IV push, ea addtl CPT 96411 | $211.00 | $422.00 | $72.33 – $195.29 | 56 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $200.00 | $400.00 | $28.01 – $120.63 | 60 |
| Ghs community re-entry 15 minutes CPT 97537 | $112.00 | $224.00 | $32.26 – $87.10 | 56 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $80.50 | $161.00 | $12.14 – $52.30 | 60 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $335.00 | $670.00 | $216.91 – $585.65 | 56 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $22.50 | $45.00 | $5.57 – $23.98 | 60 |
| Ghs fish cytogen CPT 88271 | $167.00 | $334.00 | $17.09 – $73.62 | 60 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $140.50 | $281.00 | $40.85 – $175.96 | 60 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $263.00 | $526.00 | $12.36 – $53.24 | 60 |
| Ghs hgb stability-thal CPT 83068 | $62.50 | $125.00 | $7.55 – $32.53 | 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.