Supplies, drugs & other prices at Methodist Charlton Medical Center

Dallas, TX · every code in this section with a posted price and a Medicare benchmark.

61 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $1,778.50 $3,557 0.9×
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) $6,135 $12,270 0.7×
Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) $1,778.50 $3,557 0.9×
Adm tocilizu covid-19 1st (M0249) $414 $828 0.9×
Adm tocilizu covid-19 2nd (M0250) $414 $828 0.9×
Autolog prp not diab ulcer (G0460) $1,776.50 $3,553 0.9×
Diab manage trn per indiv (G0108) $148.50 $297 2.7×
Diab manage trn ind/group (G0109) $87.50 $175 5.5×
Direct refer hospital observ (G0379) $126.50 $253 0.2×
Elec stim other than wound (G0283) $138 $276 10.9×
Esd endoscopy or colonoscopy (C9779) $3,730 $7,460 1.0×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $14,311.50 $28,623 1.2×
Fecal microbiota prep instil (G0455) $2,182 $4,364 2.3×
Hbot, full body chamber, 30m (G0277) $626.50 $1,253 4.5×
Instlj fecal microbiota ssp (0780T) $125.50 $251 0.9×
Mri w/cont, breast, bi (C8906) $2,499.50 $4,999 7.1×
Mri w/cont, breast, uni (C8903) $2,167 $4,334 12.3×
Mri w/o fol w/cont, breast, (C8908) $3,248 $6,496 9.3×
Mri w/o fol w/cont, brst, un (C8905) $2,817.50 $5,635 8.0×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $445 $890 0.8×
Onc Merkel Cll Carc Srm Quan (0058U) $248.50 $497 0.8×
Opps service,sched team conf (G0175) $101 $202 0.2×
Oth resp proc, group (G0239) $38 $76 1.0×
Oth resp proc, indiv (G0238) $110.50 $221 3.8×
Pathogen test for platelets (P9100) $45 $90 0.8×
Perq Sacral Augmt Bilat Inj (0201T) $5,387 $10,774 0.7×
Perq Sacral Augmt Unilat Inj (0200T) $4,299.50 $8,599 0.6×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T)
unusually low: confirm this is the full procedure
$5,511.50 $11,023 0.5×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $34.50 $69 0.9×
Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) $34.50 $69 0.9×
Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) $972 $1,944 1.0×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $972 $1,944 1.0×
Rbc DNA gnotyp 10 bld groups (0084U) $662.50 $1,325 0.9×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $323 $646 0.4×
Revasc intra lithotrip-stent (C9765) $10,862.50 $21,725 0.6×
Revasc lith-sten-ath tib/per (C9775) $18,233.50 $36,467 1.0×
Revasc lithotr-ather tib/per (C9774) $18,233.50 $36,467 1.0×
Revasc lithotr-stent tib/per (C9773) $18,233.50 $36,467 1.0×
Revasc lithotrip tibi/perone (C9772) $11,399.50 $22,799 1.0×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $17,545.50 $35,091 0.9×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $17,545.50 $35,091 0.9×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $17,545.50 $35,091 0.9×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $17,545.50 $35,091 0.9×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $2,895.50 $5,791 0.9×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $2,895.50 $5,791 0.9×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $2,895.50 $5,791 0.9×
Tcat rmvl perm dual chamber ldls pm compl sys (0798T) $2,895.50 $5,791 0.9×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $17,545.50 $35,091 0.9×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) $17,545.50 $35,091 0.9×
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) $17,545.50 $35,091 0.9×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) $17,545.50 $35,091 0.9×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $5,349.50 $10,699 0.9×
Therapeutic procd strg endur (G0237) $124 $248 4.3×
Transcatheter Renal Sympath Denervation Bilat (0339T) $5,511.50 $11,023 1.0×
Transcatheter renal sympath denervation unilat (0338T) $5,511.50 $11,023 1.0×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $6,317.50 $12,635 0.5×
Trauma respons w/hosp criti (G0390) $1,994.75 $3,989.50 1.5×
Trluml Perip Athrc Renal Art (0234T) $8,831.50 $17,663 0.8×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $7,626.50 $15,253 0.7×
Trluml peripheral atherectomy iliac artery ea (0238T) $12,951 $25,902 0.7×
Unsched dialysis esrd pt hos (G0257) $3,329.50 $6,659 4.8×