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 |
|---|---|---|---|---|
| Ghs histoplasma antigen CPT 87385 | $85.50 | $171.00 | $10.57 – $45.54 | 60 |
| Ghs HIV antibody CPT 86703 | $172.00 | $344.00 | $10.94 – $47.14 | 60 |
| Ghs inhibitor screen CPT 85335 | $146.50 | $293.00 | $10.27 – $44.23 | 60 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $168.50 | $337.00 | $47.04 – $127.01 | 56 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $45.00 | $90.00 | $6.86 – $29.54 | 60 |
| Ghs mbp CPT 83873 | $14.50 | $29.00 | $13.73 – $59.13 | 60 |
| Ghs o2 saturation CPT 82810 | $224.50 | $449.00 | $7.80 – $33.60 | 60 |
| Ghs ot dds rom CPT 95851 | $73.50 | $147.00 | $6.68 – $18.04 | 56 |
| Ghs ot prosthetic training/15 min CPT 97761 | $112.00 | $224.00 | $40.63 – $109.70 | 56 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $112.00 | $224.00 | $61.01 – $164.73 | 56 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $16.00 | $32.00 | $16.84 – $82.04 | 4 |
| Ghs ppd (tb intradermal) CPT 86580 | $21.00 | $42.00 | $7.62 – $78.45 | 60 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $10.00 | $20.00 | $7.70 – $33.19 | 60 |
| Ghs protein, misc fluid CPT 84160 | $7.00 | $14.00 | $4.47 – $19.27 | 60 |
| Ghs pr without cont pulse ox CPT 94625 | $64.50 | $129.00 | $59.26 – $160.00 | 56 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $8.00 | $16.00 | $9.78 – $42.11 | 60 |
| Ghs sedimentation rate CPT 85651 | $72.00 | $144.00 | $3.41 – $14.69 | 60 |
| Ghs semen analysis fert CPT 89320 | $10.00 | $20.00 | $12.31 – $33.24 | 56 |
| Ghs sensitivity (per antimicro) CPT 87184 | $28.00 | $56.00 | $5.97 – $25.70 | 60 |
| Ghs somatosensory testing lower extremit CPT 95926 | $1,439.50 | $2,879.00 | $216.91 – $585.65 | 56 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $2,880.00 | $5,760.00 | $862.65 – $2,329.16 | 56 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $323.00 | $646.00 | $47.88 – $129.28 | 56 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $324.00 | $648.00 | $103.25 – $278.78 | 56 |
| Ghs st - eval for alt comm CPT 92567 | $33.00 | $66.00 | $37.52 – $101.31 | 56 |
| Ghs st - re-eval for alt comm CPT 92597 | $433.00 | $866.00 | $71.66 – $193.48 | 56 |
| Ghs urine, porphyrins quant CPT 84120 | $22.00 | $44.00 | $11.74 – $50.58 | 60 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $553.50 | $1,107.00 | $374.86 – $1,012.12 | 56 |
| Giardia ag if CPT 87269 | $35.50 | $71.00 | $10.86 – $46.77 | 60 |
| Giardia lamblia antibody CPT 86674 | $32.50 | $65.00 | $11.74 – $50.58 | 60 |
| Gi inhouse confirmation CPT 87045 | $204.00 | $408.00 | $7.53 – $32.45 | 60 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,989.00 | $5,978.00 | $696.26 – $2,999.03 | 59 |
| Gjb2 gene full sequence CPT 81252 | $755.00 | $1,510.00 | $80.69 – $347.57 | 60 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $470.00 | $940.00 | $143.25 – $386.79 | 54 |
| Glucagon plasma - sendout CPT 82943 | $48.50 | $97.00 | $11.40 – $49.10 | 60 |
| Glucose 1 hr post dose CPT 82950 | $150.50 | $301.00 | $3.79 – $16.33 | 60 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $21.00 | $42.00 | $3.28 – $8.86 | 56 |
| Glucose blood quantitative CPT 82947 | $106.00 | $212.00 | $3.14 – $13.50 | 60 |
| Glucose body fluid CPT 82945 | $117.00 | $234.00 | $3.14 – $13.50 | 60 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $380.00 | $760.00 | $10.27 – $44.23 | 60 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $6.50 | $13.00 | $14.83 – $63.88 | 60 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $41.50 | $83.00 | $14.78 – $63.67 | 60 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $22.92 | $45.85 | $125.01 – $337.53 | 54 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $187.50 | $375.00 | $125.01 – $337.53 | 54 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $25.21 | $50.42 | $125.01 – $337.53 | 54 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $143.57 | $287.14 | $125.01 – $337.53 | 54 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $98.44 | $196.88 | $125.01 – $337.53 | 54 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $167.06 | $334.13 | $125.01 – $337.53 | 54 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $242.70 | $485.40 | $125.01 – $337.53 | 54 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $21.56 | $43.13 | $125.01 – $337.53 | 54 |
| Growth hormone antibody CPT 86277 | $103.50 | $207.00 | $12.56 – $54.10 | 60 |
| Growth stimulation gene 2 CPT 83006 | $180.50 | $361.00 | $60.33 – $259.84 | 60 |
| Gu dilat ureter/urethra s&i CPT 74485 | $730.00 | $1,460.00 | $113.65 – $5,669.75 | 59 |
| Hand X-ray CPT 73130 | $283.50 | $567.00 | $35.56 – $236.04 | 59 |
| Haptoglobin quantitative CPT 83010 | $192.00 | $384.00 | $10.04 – $43.25 | 60 |
| Hba1/hba2 full gene sequence CPT 81259 | $450.00 | $900.00 | $478.80 – $2,062.37 | 60 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $337.50 | $675.00 | $161.52 – $695.72 | 60 |
| Hbb full gene sequence CPT 81364 | $675.00 | $1,350.00 | $259.02 – $1,115.68 | 60 |
| Hbb gene com variants CPT 81361 | $161.00 | $322.00 | $139.50 – $600.87 | 60 |
| Hbb gene dup/del variants CPT 81363 | $401.50 | $803.00 | $161.52 – $695.72 | 60 |
| Hbot, full body chamber, 30m HCPCS G0277 | $626.50 | $1,253.00 | $138.24 – $373.24 | 56 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $584.00 | $1,168.00 | $166.31 – $716.35 | 59 |
| Hcg qualitative CPT 84703 | $264.50 | $529.00 | $6.00 – $25.86 | 60 |
| Hcg quantitative CPT 84702 | $289.00 | $578.00 | $12.01 – $51.72 | 60 |
| Hc nm kidney imaging with flow CPT 78701 | $657.50 | $1,315.00 | $200.62 – $1,084.30 | 59 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $930.50 | $1,861.00 | $545.44 – $1,472.70 | 56 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $2,759.00 | $5,518.00 | $699.65 – $1,889.05 | 56 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $2,759.00 | $5,518.00 | $699.65 – $1,889.05 | 56 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $2,754.00 | $5,508.00 | $699.65 – $1,889.05 | 56 |
| Hdr rdncl skn surf brachytx CPT 77767 | $2,754.00 | $5,508.00 | $387.45 – $1,046.12 | 56 |
| Hdr rdncl skn surf brachytx CPT 77768 | $2,754.00 | $5,508.00 | $387.45 – $1,046.12 | 56 |
| Head CT scan (with and without contrast) CPT 70470 | $2,325.50 | $4,651.00 | $166.31 – $716.35 | 58 |
| Head CT scan (with contrast) CPT 70460 | $2,057.50 | $4,115.00 | $144.74 – $623.46 | 58 |
| Head CT scan (without contrast) CPT 70450 | $1,789.00 | $3,578.00 | $99.51 – $428.64 | 58 |
| Heart infarct image CPT 78466 | $980.00 | $1,960.00 | $165.39 – $1,084.30 | 59 |
| Heinz bodies direct CPT 85441 | $134.50 | $269.00 | $3.35 – $14.44 | 60 |
| Helicobacter pylori antibody igm CPT 86677 | $76.00 | $152.00 | $13.44 – $57.90 | 60 |
| Hematocrit CPT 85014 | $47.00 | $94.00 | $1.89 – $8.14 | 60 |
| Hematopoietic nuclear tx CPT 79403 | $1,565.00 | $3,130.00 | $234.40 – $632.88 | 56 |
| Hemodialysis one evaluation CPT 90935 | $3,026.50 | $6,053.00 | $689.44 – $1,861.49 | 56 |
| Hemoglobin CPT 85018 | $47.00 | $94.00 | $1.89 – $8.14 | 60 |
| Hemoglobin plasma CPT 83051 | $11.50 | $23.00 | $5.83 – $25.12 | 60 |
| Hemolysin acid CPT 85475 | $34.00 | $68.00 | $7.08 – $30.49 | 60 |
| Hemolysins/agglutinins auto CPT 86940 | $47.50 | $95.00 | $7.00 – $30.16 | 60 |
| Hemolysins and agglutinins incubated CPT 86941 | $206.50 | $413.00 | $9.66 – $41.62 | 60 |
| Heparin assay CPT 85520 | $332.00 | $664.00 | $10.45 – $45.01 | 60 |
| Heparin neutralization CPT 85525 | $26.50 | $53.00 | $9.45 – $40.72 | 60 |
| Hepatitis a antibody igm CPT 86709 | $173.50 | $347.00 | $8.99 – $38.71 | 60 |
| Hepatitis b core antibody igm CPT 86705 | $263.00 | $526.00 | $9.40 – $40.47 | 60 |
| Hepatitis b core antibody total CPT 86704 | $263.00 | $526.00 | $9.61 – $41.41 | 60 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $169.50 | $339.00 | $137.83 – $372.14 | 54 |
| Hepatitis b surface antibody CPT 86706 | $173.50 | $347.00 | $8.57 – $36.91 | 60 |
| Hepatitis d quantification CPT 87523 | $169.00 | $338.00 | $34.19 – $147.27 | 59 |
| Hepatobiliary system imaging CPT 78226 | $1,162.50 | $2,325.00 | $287.91 – $1,240.12 | 59 |
| Herpes simplex type 1 antibody igg CPT 86695 | $15.50 | $31.00 | $10.53 – $45.34 | 60 |
| Herpes simplex type 2 antibody igg CPT 86696 | $15.50 | $31.00 | $15.44 – $66.50 | 60 |
| Herpes simplex virus isolation CPT 87255 | $21.50 | $43.00 | $27.02 – $116.38 | 60 |
| Heterophile antibodies screening CPT 86308 | $84.00 | $168.00 | $4.13 – $17.80 | 60 |
| Hexa gene CPT 81255 | $47.50 | $95.00 | $41.06 – $176.86 | 60 |
| Hhv-6 dna quant CPT 87533 | $148.50 | $297.00 | $33.33 – $143.55 | 60 |
| Hip X-ray CPT 73502 | $418.00 | $836.00 | $45.39 – $236.04 | 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.