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 |
|---|---|---|---|---|
| Histamine CPT 83088 | $19.00 | $38.00 | $23.57 – $101.52 | 60 |
| Histochemical stains add-on CPT 88314 | $61.50 | $123.00 | $65.27 – $281.12 | 4 |
| Hla class i high defin qual CPT 86832 | $968.00 | $1,936.00 | $258.35 – $1,112.82 | 60 |
| Hla class ii high defin qual CPT 86833 | $919.00 | $1,838.00 | $259.99 – $1,119.86 | 60 |
| Hla class i/ii antibody qual CPT 86829 | $919.00 | $1,838.00 | $51.22 – $220.64 | 60 |
| Hla class ii phenotype qual CPT 86831 | $112.50 | $225.00 | $65.34 – $281.45 | 60 |
| Hla class ii semiquant panel CPT 86835 | $4,846.50 | $9,693.00 | $257.73 – $1,110.12 | 60 |
| Hla class i semiquant panel CPT 86834 | $4,846.50 | $9,693.00 | $285.33 – $1,229.03 | 60 |
| Hla i & ii typing lr CPT 81370 | $3,863.00 | $7,726.00 | $320.89 – $1,382.20 | 60 |
| Hla ii typing 1 loc hr CPT 81382 | $779.50 | $1,559.00 | $98.70 – $425.12 | 60 |
| Hla ii typing ag equiv lr CPT 81375 | $1,559.00 | $3,118.00 | $176.15 – $758.74 | 60 |
| Hla i typing 1 locus hr CPT 81380 | $184.00 | $368.00 | $141.45 – $609.26 | 60 |
| Hla i typing complete hr CPT 81379 | $465.00 | $930.00 | $267.63 – $1,152.80 | 60 |
| Hla i typing complete lr CPT 81372 | $3,788.50 | $7,577.00 | $322.07 – $1,387.27 | 60 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $195.00 | $390.00 | $135.58 – $584.01 | 60 |
| Hla i typing low res one locus ea CPT 81373 | $415.00 | $830.00 | $101.69 – $438.01 | 60 |
| Hla typing a b or c CPT 86813 | $238.50 | $477.00 | $46.28 – $199.36 | 60 |
| Hla x-math non-cytotoxic CPT 86825 | $1,207.50 | $2,415.00 | $87.37 – $376.34 | 60 |
| Homocysteine CPT 83090 | $452.00 | $904.00 | $14.30 – $61.58 | 60 |
| Homogenization tissue CPT 87176 | $103.50 | $207.00 | $4.69 – $20.21 | 60 |
| Homovanillic acid (hva) CPT 83150 | $9.50 | $19.00 | $17.88 – $77.01 | 60 |
| Hpa-15 genotyping CPT 81112 | $71.50 | $143.00 | $97.53 – $420.08 | 60 |
| Hpa-1 genotyping CPT 81105 | $71.50 | $143.00 | $97.53 – $420.08 | 60 |
| Hpa-3 genotyping CPT 81107 | $71.50 | $143.00 | $97.53 – $420.08 | 60 |
| Hpa-4 genotyping CPT 81108 | $71.50 | $143.00 | $97.53 – $420.08 | 60 |
| Hpa-5 genotyping CPT 81109 | $71.50 | $143.00 | $97.53 – $420.08 | 60 |
| Hpa-6 genotyping CPT 81110 | $71.50 | $143.00 | $97.53 – $420.08 | 60 |
| Hpv types 16 & 18 only CPT 87625 | $44.00 | $88.00 | $32.36 – $139.37 | 60 |
| H pylori (c-13) breath CPT 83013 | $56.50 | $113.00 | $53.75 – $231.53 | 60 |
| Hrdtry perph neurphy panel CPT 81448 | $1,800.00 | $3,600.00 | $584.90 – $1,579.23 | 56 |
| Htt gene detc abnor alleles CPT 81271 | $112.50 | $225.00 | $137.00 – $369.90 | 56 |
| Human epididymis protein 4 (he4) CPT 86305 | $135.00 | $270.00 | $16.61 – $71.53 | 60 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $3,969.00 | $7,938.00 | $1.71 – $4.60 | 54 |
| Hydration IV infusion each additional hour CPT 96361 | $171.50 | $343.00 | $47.04 – $127.01 | 56 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $434.50 | $869.00 | $213.67 – $576.92 | 56 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $33.50 | $67.00 | $14.29 – $61.54 | 60 |
| Hysterosalpingography s&i CPT 74740 | $673.00 | $1,346.00 | $63.49 – $647.16 | 59 |
| Iaadi respiratory synctial virus CPT 87280 | $96.50 | $193.00 | $10.71 – $46.12 | 60 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $73.00 | $146.00 | $28.01 – $120.63 | 60 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $60.50 | $121.00 | $36.14 – $155.66 | 60 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $578.00 | $1,156.00 | $198.51 – $535.97 | 54 |
| Idh1 common variants CPT 81120 | $285.00 | $570.00 | $154.21 – $664.25 | 60 |
| Idh2 common variants CPT 81121 | $427.50 | $855.00 | $236.04 – $1,016.70 | 60 |
| Igh gene rearrang dir probe CPT 81262 | $111.50 | $223.00 | $54.70 – $235.62 | 60 |
| Igh gene rearrange amp meth CPT 81261 | $282.00 | $564.00 | $157.99 – $680.54 | 60 |
| Igh@ var region somatic mutation analy CPT 81263 | $371.50 | $743.00 | $235.03 – $1,012.36 | 60 |
| Igk rearrangeabn clonal pop CPT 81264 | $250.00 | $500.00 | $137.84 – $593.71 | 60 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $67.50 | $135.00 | $73.39 – $316.11 | 4 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $56.50 | $113.00 | $131.29 – $972.22 | 60 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $168.50 | $337.00 | $85.32 – $462.09 | 60 |
| Ikbkap gene CPT 81260 | $36.00 | $72.00 | $31.37 – $135.12 | 60 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | $36.00 | $72.00 | $37.52 – $101.31 | 56 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $62.39 | $124.79 | $132.02 – $356.45 | 54 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $14.80 | $29.61 | $63.18 – $170.59 | 54 |
| Immune complex assay CPT 86332 | $16.50 | $33.00 | $19.45 – $83.76 | 60 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $6,600.25 | $13,200.50 | $47.29 – $127.68 | 54 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $173.50 | $347.00 | $16.61 – $71.53 | 60 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $263.00 | $526.00 | $16.61 – $71.53 | 60 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $8.50 | $17.00 | $9.56 – $41.17 | 60 |
| Immunofixation electrophoresis serum CPT 86334 | $407.00 | $814.00 | $17.83 – $76.81 | 60 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $315.50 | $631.00 | $84.06 – $362.06 | 4 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $557.50 | $1,115.00 | $109.95 – $473.61 | 60 |
| Immunoglobulin assay CPT 86023 | $516.00 | $1,032.00 | $9.95 – $42.84 | 60 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | $744.00 | $1,488.00 | $9.30 – $25.11 | 54 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $41.50 | $83.00 | $56.02 – $241.31 | 59 |
| Infect ag drug suscept pheno predict CPT 87900 | $264.50 | $529.00 | $104.02 – $448.03 | 60 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $544.00 | $1,088.00 | $205.45 – $884.94 | 60 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $278.00 | $556.00 | $205.45 – $884.94 | 60 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $427.50 | $855.00 | $102.72 – $442.47 | 60 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $262.50 | $525.00 | $205.45 – $884.94 | 60 |
| Infect ag ia optc obs influenza CPT 87804 | $193.50 | $387.00 | $13.21 – $56.88 | 60 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $96.50 | $193.00 | $9.56 – $41.17 | 60 |
| Infect ag if hep delta agent CPT 87380 | $94.00 | $188.00 | $14.65 – $63.10 | 60 |
| Infect ag if influenza a CPT 87276 | $96.50 | $193.00 | $12.83 – $55.24 | 60 |
| Infect ag if influenza b CPT 87275 | $96.50 | $193.00 | $9.78 – $42.11 | 60 |
| Infect ag if legionella pneumophila CPT 87278 | $28.00 | $56.00 | $12.45 – $53.61 | 60 |
| Infect ag if nos ea CPT 87299 | $96.50 | $193.00 | $12.84 – $55.32 | 60 |
| Infect ag if pneumocystis carinii CPT 87281 | $65.50 | $131.00 | $9.56 – $41.17 | 60 |
| Infect ag na herpes simplex quant CPT 87530 | $105.00 | $210.00 | $34.19 – $147.27 | 60 |
| Infect ag na hpv high-risk types CPT 87624 | $65.50 | $131.00 | $28.01 – $120.63 | 60 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $205.00 | $410.00 | $76.45 – $329.28 | 60 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $32.00 | $64.00 | $40.95 – $176.37 | 59 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $612.00 | $1,224.00 | $332.60 – $1,432.61 | 60 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $58.50 | $117.00 | $9.56 – $41.17 | 60 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $13.50 | $27.00 | $11.03 – $47.51 | 60 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $74.00 | $148.00 | $9.56 – $41.17 | 60 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $231.00 | $462.00 | $11.48 – $49.43 | 60 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $202.50 | $405.00 | $8.25 – $35.52 | 60 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $64.00 | $128.00 | $8.25 – $35.52 | 60 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $79.00 | $158.00 | $19.22 – $82.78 | 60 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $124.00 | $248.00 | $9.56 – $41.17 | 60 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $11.00 | $22.00 | $9.56 – $41.17 | 60 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $45.00 | $90.00 | $9.56 – $41.17 | 60 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $433.50 | $867.00 | $28.01 – $120.63 | 60 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $133.00 | $266.00 | $28.01 – $120.63 | 60 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $292.50 | $585.00 | $29.74 – $128.12 | 60 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $274.00 | $548.00 | $416.78 – $1,125.31 | 56 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $82.50 | $165.00 | $28.01 – $120.63 | 60 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $126.00 | $252.00 | $28.01 – $120.63 | 60 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $296.00 | $592.00 | $33.26 – $143.26 | 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.