Methodist Southlake Medical Center
421 E State Hwy 114, Souhtlake, TX · Methodisthealthsystem · · NPI 1568818417
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 |
|---|---|---|---|---|
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $150.00 | $300.00 | $8.29 – $61.07 | 71 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $71.50 | $143.00 | $7.56 – $55.73 | 71 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $8.50 | $17.00 | $6.94 – $51.12 | 71 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $16.50 | $33.00 | $7.45 – $54.87 | 71 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $310.00 | $620.00 | $68.36 – $503.91 | 71 |
| Mayo chromium CPT 82495 | $14.00 | $28.00 | $11.90 – $87.75 | 71 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $100.50 | $201.00 | $0.06 – $183.09 | 44 |
| Mayo coccidioides antibody CPT 86635 | $33.50 | $67.00 | $6.73 – $49.60 | 71 |
| Mayo cocou cortisone urine CPT 82542 | $251.50 | $503.00 | $10.60 – $104.18 | 71 |
| Mayo cortisol free CPT 82530 | $56.50 | $113.00 | $9.81 – $72.32 | 71 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $108.50 | $217.00 | $17.69 – $303.76 | 71 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $54.00 | $108.00 | $7.11 – $52.42 | 71 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $105.50 | $211.00 | $0.06 – $250.54 | 44 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $105.50 | $211.00 | $0.06 – $183.09 | 34 |
| Mayo cyanide CPT 82600 | $40.50 | $81.00 | $11.39 – $83.92 | 71 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $17.50 | $35.00 | $7.77 – $57.32 | 71 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $23.00 | $46.00 | $14.83 – $109.30 | 71 |
| Mayo dihydrotestosterone CPT 82642 | $28.00 | $56.00 | $13.66 – $126.68 | 71 |
| Mayo efpo chloride stool CPT 82438 | $9.50 | $19.00 | $2.87 – $21.63 | 71 |
| Mayo estriol CPT 82677 | $25.00 | $50.00 | $14.19 – $104.62 | 71 |
| Mayo estrone CPT 82679 | $22.50 | $45.00 | $14.65 – $107.93 | 71 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $9.00 | $18.00 | $9.59 – $70.66 | 71 |
| Mayo everolimus therapeutic drug level CPT 80169 | $116.50 | $233.00 | $7.87 – $59.41 | 71 |
| Mayo factor ii CPT 85210 | $79.00 | $158.00 | $7.62 – $56.17 | 71 |
| Mayo factor v CPT 85220 | $67.50 | $135.00 | $10.36 – $76.35 | 71 |
| Mayo factor vii CPT 85230 | $79.00 | $158.00 | $10.51 – $77.44 | 71 |
| Mayo factor viii vw factor antigen CPT 85246 | $21.00 | $42.00 | $13.47 – $99.21 | 71 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $150.00 | $300.00 | $13.47 – $99.21 | 71 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $44.50 | $89.00 | $13.47 – $99.21 | 71 |
| Mayo factor x CPT 85260 | $34.00 | $68.00 | $10.51 – $77.44 | 71 |
| Mayo factor xi CPT 85270 | $34.00 | $68.00 | $10.51 – $77.44 | 71 |
| Mayo fat/lipids feces quantitative CPT 82710 | $42.50 | $85.00 | $9.86 – $72.68 | 71 |
| Mayo fbl culture fungi blood CPT 87103 | $245.00 | $490.00 | $5.29 – $88.54 | 71 |
| Mayo fibrinogen antigen CPT 85385 | $63.00 | $126.00 | $4.99 – $62.58 | 71 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $14.00 | $28.00 | $7.60 – $93.73 | 71 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $1,800.00 | $3,600.00 | $40.53 – $40.53 | 1 |
| Mayo hemosiderin qualitative urine CPT 83070 | $8.50 | $17.00 | $2.79 – $20.55 | 71 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $100.50 | $201.00 | $20.60 – $151.77 | 71 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $152.00 | $304.00 | $20.60 – $151.77 | 71 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $12.00 | $24.00 | $7.33 – $59.63 | 71 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $242.50 | $485.00 | $15.15 – $111.68 | 71 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $355.50 | $711.00 | $5.21 – $38.43 | 71 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $355.50 | $711.00 | $7.93 – $58.47 | 71 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $54.00 | $108.00 | $15.94 – $117.52 | 71 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $450.00 | $900.00 | $7.60 – $74.70 | 71 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $50.50 | $101.00 | $8.80 – $64.82 | 71 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $14.50 | $29.00 | $12.21 – $90.05 | 71 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $201.00 | $402.00 | $12.21 – $90.05 | 71 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $292.50 | $585.00 | $7.04 – $69.50 | 71 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $63.00 | $126.00 | $7.04 – $51.84 | 71 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $112.50 | $225.00 | $20.60 – $151.77 | 71 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $91.50 | $183.00 | $14.74 – $151.77 | 71 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $113.50 | $227.00 | $20.60 – $151.77 | 71 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $150.00 | $300.00 | $28.01 – $151.77 | 62 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $82.50 | $165.00 | $25.14 – $185.30 | 71 |
| Mayo infliximab therapeutic drug level CPT 80230 | $244.00 | $488.00 | $16.20 – $166.84 | 71 |
| Mayo inhab inhibin a CPT 86336 | $42.00 | $84.00 | $9.14 – $67.41 | 71 |
| Mayo insft insulin free CPT 83527 | $9.00 | $18.00 | $7.60 – $56.02 | 71 |
| Mayo insulin antibodies CPT 86337 | $29.50 | $59.00 | $12.57 – $92.65 | 71 |
| Mayo iodine CPT 83789 | $157.00 | $314.00 | $10.60 – $104.33 | 71 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $48.50 | $97.00 | $11.39 – $117.31 | 71 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $75.00 | $150.00 | $11.39 – $117.31 | 71 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $16.00 | $32.00 | $7.60 – $57.32 | 71 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $9.50 | $19.00 | $7.51 – $55.30 | 71 |
| Mayo legionella antibody CPT 86713 | $10.50 | $21.00 | $8.98 – $66.19 | 71 |
| Mayo leptospira antibody igm CPT 86720 | $31.50 | $63.00 | $7.74 – $70.08 | 71 |
| Mayo lipoprotein electrophoresis CPT 83700 | $39.00 | $78.00 | $6.61 – $48.74 | 71 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $16.00 | $32.00 | $9.09 – $66.98 | 71 |
| Mayo manganese CPT 83785 | $17.00 | $34.00 | $14.43 – $115.29 | 71 |
| Mayo metanephrines plasma CPT 83835 | $56.50 | $113.00 | $9.94 – $73.25 | 71 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $46.00 | $92.00 | $0.06 – $183.09 | 44 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $107.50 | $215.00 | $7.73 – $79.60 | 71 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $205.00 | $410.00 | $7.73 – $79.60 | 71 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $11.00 | $22.00 | $8.54 – $62.94 | 71 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $206.00 | $412.00 | $8.03 – $80.61 | 71 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $435.00 | $870.00 | $57.54 – $592.66 | 71 |
| Mayo muramidase CPT 85549 | $12.00 | $24.00 | $11.01 – $81.11 | 71 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $535.50 | $1,071.00 | $7.73 – $79.60 | 71 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $22.50 | $45.00 | $10.34 – $78.08 | 71 |
| Mayo myoglobin CPT 83874 | $10.00 | $20.00 | $7.58 – $55.88 | 71 |
| Mayo nickel CPT 83885 | $53.00 | $106.00 | $14.38 – $106.06 | 71 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $100.50 | $201.00 | $0.06 – $183.09 | 44 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $42.50 | $85.00 | $0.06 – $183.09 | 44 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $146.50 | $293.00 | $9.66 – $91.78 | 71 |
| Mayo organic acids qualitative each specimen CPT 83919 | $90.00 | $180.00 | $9.66 – $71.16 | 71 |
| Mayo oxalate 24 hour urine CPT 83945 | $84.00 | $168.00 | $7.56 – $62.51 | 71 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $12.50 | $25.00 | $8.82 – $65.03 | 71 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $620.50 | $1,241.00 | $7.07 – $52.13 | 71 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $72.00 | $144.00 | $20.60 – $151.77 | 71 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $51.00 | $102.00 | $10.63 – $77.80 | 71 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $9.50 | $19.00 | $8.08 – $59.55 | 71 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $23.50 | $47.00 | $4.96 – $36.48 | 71 |
| Mayo pregnenolone CPT 84140 | $23.00 | $46.00 | $12.13 – $89.40 | 71 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $28.50 | $57.00 | $9.74 – $71.74 | 71 |
| Mayo proinsulin CPT 84206 | $18.00 | $36.00 | $10.45 – $115.43 | 71 |
| Mayo psaft prostate specific antigen free CPT 84154 | $12.50 | $25.00 | $10.79 – $79.53 | 71 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $309.50 | $619.00 | $7.93 – $79.60 | 71 |
| Mayo receptor assay transferrin soluble CPT 84238 | $17.00 | $34.00 | $21.46 – $158.19 | 71 |
| Mayo renin CPT 84244 | $15.00 | $30.00 | $12.91 – $95.10 | 71 |
| Mayo repu protein electrophoresis urine CPT 84166 | $331.00 | $662.00 | $10.47 – $77.15 | 71 |
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.