Visits & medical services prices at Methodist Mansfield Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $4,596.50 $9,193 0.6×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $53.50 $107 1.8×
Aep Neurodiagnostic I&R (92653) $300.50 $601 1.4×
Airway inhalation treatment (94640) $151 $302 0.7×
Ambulatory Bp Analysis (93788) $131 $262 1.0×
Ambulatory Bp Recording (93786) $131 $262 1.0×
Anorectal manometry (91125) $350.50 $701 0.9×
Appl on-body injector for timed subq injection (96377) $168.50 $337 3.6×
Arrhythmia induction (93618) $4,034 $8,068 3.3×
Assessment of aphasia (96105) $411.50 $823 4.2×
Assmt & care planning pt w/cognitive impairment (99483) $88.50 $177 0.9×
Behavioral and qualitative analysis of voice and resonance (92524) $433 $866 4.0×
Bfb training 1st 15 min (90912) $101 $202 1.2×
Bfb training ea addl 15 min (90913) $101 $202 3.1×
Biofeedback training any modality (90901) $222 $444 5.4×
Bis extracellular fluid alys lymphedema assmnt (93702) $228 $456 1.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $525.50 $1,051 1.4×
Bundle of his recording (93600)
unusually low: confirm this is the full procedure
$3,001.50 $6,003 0.4×
C motor evoked uppr limbs (95928) $1,439.50 $2,879 1.7×
C motor evoked upr&lwr limbs (95939) $2,880 $5,760 3.3×
Canalith Repositioning (95992) $201.50 $403 4.9×
Capsule endoscopy (91110) $2,989 $5,978 3.3×
Car seat/bed test 60 min (94780) $95 $190 2.5×
Cardiac Stress Tst,Tracing Only (93017) $1,439 $2,878 6.6×
Cardiopulmonary exercise testing (94621) $984.50 $1,969 2.6×
Cardiopulmonary resuscitation (92950) $962 $1,924 4.4×
Cardioversion (92960) $1,249.50 $2,499 1.9×
Cardioversion internal (92961) $1,249.50 $2,499 1.9×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $8,649 $17,298 2.7×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $11,858 $23,716 3.6×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $15,698 $31,396 0.9×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $11,191.50 $22,383 3.4×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $10,693 $21,386 3.3×
Cbt 1st hour (94644) $250.50 $501 1.9×
Chemo Hormon Antineopl Sq/Im (96402) $219.50 $439 3.0×
Chemo inj subarach/intravent (96542) $367 $734 1.1×
Chemo IV push addl drug (96411) $211 $422 2.9×
Chemo Iv Push Sngl Drug (96409) $219.50 $439 0.7×
Chemo prolong 8+ hrs infuse w/pump (96416) $547.50 $1,095 1.6×
Chemother, IV infusion, 1 hr (96413) $611 $1,222 1.8×
Chemother, IV infusion, ea add hr (96415) $211 $422 2.9×
Chemother,Ia Push Technique (96420) $2,179 $4,358 6.6×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $219.50 $439 3.0×
Chemotx Admn Cns Req Spinal Puncture (96450) $729 $1,458 2.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $211 $422 2.9×
Color/duplex Doppler, complete (93975) $2,256.50 $4,513 9.4×
Color/duplex Doppler, limited (93976) $1,509 $3,018 14.3×
Continuous Glucose Monitoring (95250) $503.50 $1,007 3.8×
Coronary artery angio s&i (93454) $8,149 $16,298 2.5×
Cortical mapping 1st hr (95961) $751.50 $1,503 0.9×
Cpap initiation and management (94660) $1,264.25 $2,528.50 5.7×
Cpt initial (94667) $86 $172 0.6×
Critical care (99291) $2,327 $4,654 2.8×
Ctr motor ep std transcrnl motor stimj lwr limbs (95929) $1,439.50 $2,879 3.8×
Debridement Open Wound 20 Sq Cm< (97597) $483.50 $967 2.4×
Demo &/or eval,pt use,aerosol device (94664) $148.50 $297 0.7×
Developmental tst admin phys/qhp 1st hour (96112) $432.50 $865 3.3×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $3,632.50 $7,265 8.7×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $591 $1,182 2.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,074.50 $2,149 10.2×
Dup-scan artl infl&ven o/f pen vsl f-up/lmtd std (93981) $1,147 $2,294 10.9×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,809 $3,618 7.5×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $1,035 $2,070 9.8×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,587.50 $3,175 6.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,061 $2,122 10.1×
Dup-scan xtr veins unilateral/limited study (93971) $1,147 $2,294 10.9×
Duplex hemodialysis access (93990) $925 $1,850 8.8×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $1,635.50 $3,271 6.8×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $1,307.50 $2,615 12.4×
Duplex scan extracranial art compl bi study (93880) $1,476 $2,952 6.1×
Echo Heart Xthoracic,Limited (93308) $869.50 $1,739 3.6×
Echo r-t 2d w/probe placement only (93313) $490.50 $981 0.9×
Echo transesophageal (93312) $1,950 $3,900 3.5×
Echo Transthoracic - Congenital Tte Complete (93303) $1,724.50 $3,449 3.1×
Echo Transthoracic - Congenital Tte Limited (93304) $1,724.50 $3,449 3.1×
EEG awake asleep (95819) $660 $1,320 3.0×
EEG awake drowsy (95816) $660 $1,320 3.0×
EEG cerebral death evaluation (95824) $660 $1,320 1.8×
EEG coma or sleep only (95822) $660 $1,320 3.0×
EEG cont rec w/video by tech min 8 channels (95700) $335 $670 1.5×
Eeg Extended Monitoring 61-119 Minutes (95813) $1,680 $3,360 7.7×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $335 $670 1.5×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $643 $1,286 1.7×
EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) $643 $1,286 1.7×
EKG (93005) $315.50 $631 5.3×
Electroconvulsive Therapy (90870) $1,427 $2,854 1.7×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $994.50 $1,989 4.6×
EMG cranial nerve bilat (95868) $258.50 $517 1.2×
EMG cranial nerve unilat (95867) $236 $472 1.1×
EMG four extremities (95864) $458 $916 3.5×
EMG one extremity (95860) $236 $472 1.8×
EMG thoracic paraspinal (95869) $239 $478 1.1×
EMG three extremities (95863) $308.50 $617 2.4×
EMG two extremities (95861) $258.50 $517 1.9×
Endomyocardial biopsy (93505) $1,970 $3,940 0.6×
Ep & ablate supravent arrhyt (93653) $20,958.50 $41,917 0.8×
Ep & ablate ventric tachy (93654) $26,706.50 $53,413 1.0×
Ep Analyze Pacer Sys (93724) $199.50 $399 0.6×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $6,805.50 $13,611 0.9×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $4,419 $8,838 0.6×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $4,065.50 $8,131 3.3×
Ep Right Ventricular Recording (93603) $2,345 $4,690 1.9×
Er level 1 (99281) $262 $524 3.1×
Er level ii (99282) $463 $926 3.0×
Er level iii (99283) $978 $1,956 3.6×
Er level IV (99284) $1,291 $2,582 3.1×
Er level v (99285) $1,774.50 $3,549 3.0×
Esoph imped funct test > 1hr - esophageal ph monitoring 24-hour (91038) $674 $1,348 1.8×
Esophgl balo distension dx std w/provocation (91040) $773.50 $1,547 2.1×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $433 $866 6.1×
Evaluation of speech fluency (92521) $433 $866 3.2×
Evaluation of speech sound production (92522) $433 $866 3.9×
Evaluation of swallowing function (92610) $324 $648 3.8×
Evaluation with prescription of speech-generating alternative (92607) $433 $866 3.5×
Evoked auditory test,limited (92587) $193 $386 0.9×
External ECG rec>48hr<7d recording (93242) $64.50 $129 1.7×
External ECG rec>48hr<7d scanning alys w/report (93243) $131 $262 1.0×
External ECG rec>7d<15d recording (93246) $64.50 $129 1.7×
External Ecg Scanning Analysis Report (93226) $1,112.50 $2,225 18.7×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $433 $866 2.2×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $432 $864 1.9×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $2,012 $4,024 5.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,104.50 $4,209 2.4×
Group Therapeutic Procedures (97150) $112 $224 6.2×
Hemodialysis (90935) $3,026.50 $6,053 4.4×
Holter Monitor Recording (93225) $131 $262 1.0×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $36 $72 1.0×
Immunization Admin (90471) $55 $110 0.8×
Ins swan ganz bedside (93503) $1,855.50 $3,711 1.2×
Interrog dev eval icpms phys/qhp in person (93290) $83.50 $167 2.2×
Intra Atrial Recording (93602)
likely a partial charge, not the full procedure
$2,345 $4,690 0.3×
Intra-atrial pacing (93610)
likely a partial charge, not the full procedure
$122 $244 0.0×
Intraventricular pacing (93612) $4,127 $8,254 0.5×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $263 $526 4.4×
IV infusion hydration each additional hour (96361) $171.50 $343 3.6×
IV infusion hydration initial 31 min-1 hour (96360) $434.50 $869 2.0×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $171.50 $343 2.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $434.50 $869 2.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $171.50 $343 3.6×
IV push initial (96374) $230.50 $461 1.1×
Laryngeal Function Studies (92520) $431 $862 3.2×
Laryngoscopic Sensory Test (92614) $432 $864 2.8×
Manual therapy 15 min (97140) $112 $224 4.0×
Massage 15 min (97124) $112 $224 3.8×
Maximum voluntary ventilation (94200) $127.50 $255 2.1×
Mchnl sclp cool cap sply head meas fitg&educaj (97007) $1,334.50 $2,669 0.9×
Mechanical chest wall oscillation (94669) $234.50 $469 1.1×
Mechanical traction (97012) $112 $224 7.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $58.50 $117 1.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $58.50 $117 1.6×
Methacholine challenge (94070) $1,482.50 $2,965 3.9×
Mnt Group Ea 30 Min (97804) $87.50 $175 5.1×
Motility study esophagus (91010) $1,043 $2,086 2.8×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $433 $866 4.7×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $141.50 $283 0.3×
Multiple sleep latency test (95805) $2,061.50 $4,123 2.4×
Needle electromyography larynx (95865) $258.50 $517 1.9×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $141.50 $283 1.1×
Neg press wnd tx </=50 sq cm (97607) $452 $904 1.1×
Neg press wound tx >50 cm (97608) $562 $1,124 1.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $483.50 $967 2.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $483.50 $967 1.2×
Nerve Conduction Studies 3-4 Studies (95908) $369.50 $739 1.7×
Nerve conduction studies; 5-6 studies (95909) $389 $778 1.8×
Neuromuscular junction test (95937) $226 $452 1.7×
Nitric oxide expired gas determination (95012) $105.50 $211 2.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $606 $1,212 4.5×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $670.75 $1,341.50 3.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $261 $522 2.0×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $789 $1,578 2.1×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $71 $142 1.2×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $112 $224 2.4×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $112 $224 3.5×
Ot Contrast Bath Ea 15 Min (97034) $112 $224 8.0×
Ot eval high complex 60 min (97167) $481.50 $963 4.8×
Ot eval low complex 30 min (97165) $445.50 $891 4.4×
Ot eval mod complex 45 min (97166) $463.50 $927 4.6×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $112 $224 2.2×
Ot Prosthetic Training, Each 15 Min (97761) $112 $224 2.8×
Ot Range Motion Measure,Each Extrem (95851) $73.50 $147 2.8×
Ot re-eval est plan care (97168) $427.50 $855 6.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $431.50 $863 3.3×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $214.50 $429 1.7×
Paraffin bath (97018) $112 $224 18.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $157 $314 0.7×
Phy/qhp op pulm rhb w/o mntr (94625) $64.50 $129 1.1×
Plethysmography (94726) $381.50 $763 1.0×
Pm device eval in person (93288) $383 $766 10.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,178 $8,356 4.8×
Prq balloon valvuloplasty aortic valve (92986) $9,161 $18,322 1.6×
Prq card revasc chronic 1vsl (92943) $10,623.75 $21,247.50 0.9×
Prq Card Stent W/Angio 1 Vsl (92928) $10,623.75 $21,247.50 0.9×
Prq Card Stent/Ath/Angio (92933) $14,537.50 $29,075 0.8×
Prq revasc byp graft 1 vsl (92937) $11,314 $22,628 1.0×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $16,520 $33,040 0.9×
Prq tcat plmt ntrac st 2+les (92930) $17,230.50 $34,461 0.9×
Prq trluml coronary angio/atherect one art/brnch (92924)
unusually low: confirm this is the full procedure
$3,915 $7,830 0.3×
Prq trluml coronary angioplasty one art/branch (92920) $5,191.50 $10,383 0.9×
Prq trluml pulmonary art balloon angiop 1 vsl (92997)
likely a partial charge, not the full procedure
$3,453 $6,906 0.3×
Psych diag eval w/med srvcs (90792) $253.50 $507 1.4×
Psychiatric diagnostic evaluation (90791) $197 $394 1.1×
Pt Electric Current Therapy (97033) $127 $254 6.7×
Pt Electrical Stimulation (97032) $127 $254 8.6×
Pt eval high complex 45 min (97163) $481.50 $963 4.9×
Pt eval low complex 20 min (97161) $445.50 $891 4.6×
Pt Gait Training Therapy (97116) $112 $224 3.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $112 $224 3.4×
Pt Physical Performance Test (97750) $112 $224 3.3×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $463.50 $927 4.7×
Pt re-evaluation (97164) $427.50 $855 6.3×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $112 $224 3.5×
Pt Ultrasound Therapy (97035) $112 $224 7.8×
Pt Whirlpool Therapy (97022) $112 $224 7.1×
Pulmonary stress testing (94618) $166 $332 1.2×
R & l hrt cath w/njx l ventriculog img s&i (93453) $9,405.50 $18,811 2.9×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $11,402.50 $22,805 3.5×
R hrt art/grft angio (93457) $12,358 $24,716 3.8×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $11,902.50 $23,805 3.6×
Refill/maint, portable pump (96521) $315.50 $631 1.5×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $43 $86 1.1×
Right heart cath (93451) $3,709 $7,418 1.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $358 $716 1.8×
Rom meas&reprt hand w/wo comparison normal sid (95852) $73.50 $147 3.4×
Rt Chest Wall Manipulation,Subsequent (94668) $59.50 $119 0.4×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $323 $646 6.8×
Sensory Integration Ea 15 Min (97533) $112 $224 1.8×
Short-latency somatosens ep std lwr limbs (95926) $1,439.50 $2,879 6.6×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $1,439.50 $2,879 6.6×
Short-latency somatosens ep std upr limbs (95925) $1,439.50 $2,879 6.6×
Sleep study unattended (95806) $359 $718 1.7×
Smoking cessation > 10 min (99407) $38.50 $77 1.0×
Somatosensory testing (95938) $2,880 $5,760 3.3×
Speech group therapy (92508) $110.50 $221 4.6×
Speech sound lang comprehen (92523) $433 $866 1.9×
Spirometry (94010) $176 $352 0.8×
Standardized Cognitive Performance Testing (96125) $425 $850 4.1×
Stress echo (93350) $1,849.50 $3,699 3.4×
Stress Tte Complete (93351) $3,013.50 $6,027 5.5×
Surfactant Admin Thru Tube (94610) $66.75 $133.50 0.3×
Tcd Emboli Detect W/O Inj - Us Tc Dplr Ic Art Emb Det Wo Iv Mb Inj (93892) $122 $244 1.2×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $122 $244 1.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $112 $224 5.0×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $112 $224 5.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $324 $648 3.2×
Ther/Proph/Diag Inj Sc/Im (96372) $168.50 $337 2.3×
Therapeutic Activities (97530) $112 $224 3.2×
Therapeutic phlebotomy (99195) $134 $268 1.0×
Tilt Table Eval (93660) $1,423.25 $2,846.50 3.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $25.50 $51 0.7×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $1,122 $2,244 4.7×
Transcranial Doppler Limited (93888) $819 $1,638 7.8×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,454.75 $4,909.50 4.5×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $978.75 $1,957.50 4.1×
Tx atrial fib pulm vein isol (93656) $27,791 $55,582 1.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $216.50 $433 2.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $216.50 $433 2.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $230.50 $461 4.9×
Tympanometry (92567) $33 $66 0.9×
Ultrasound of heart with probe in esophagus to assess heart pump function (93318) $1,578 $3,156 2.9×
Unlisted Cardiovascular Service/Procedure (93799) $2,263 $4,526 17.5×
Unlisted pulmonary service/procedure (94799) $80 $160 0.6×
Vasc Duplex Extrem Venous,Bilat (93970) $1,714 $3,428 7.1×
Vasc Duplex Scan Extracranial,Limited (93882) $851.50 $1,703 8.1×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $307 $614 1.4×
Veeg by tech 2-12 hours unmonitored (95711) $300.50 $601 1.4×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $553.50 $1,107 1.5×
Veeg by tech 2-12 hr intermittent monitoring (95712) $300.50 $601 0.8×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $963 $1,926 1.1×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $553.50 $1,107 1.5×
Veeg Ea 12-26 Hr Unmntr (95714) $553.50 $1,107 1.5×
Ventilation assist & mgmt inpatient 1st day (94002) $1,885 $3,770 3.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,581.50 $3,163 2.5×
Visual Evoked Potential Test (95930) $942.50 $1,885 4.3×
Vital capacity total (94150) $176 $352 1.4×
Wheelchair Mgmt Ea 15 Min (97542) $112 $224 3.6×
Xtrnl mobile cv telemetry w/technical support (93229) $161.50 $323 0.4×