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▸ Hospital · TX · CCN 670073

Methodist Hospital For Surgery

17101 DALLAS PARKWAY, ADDISON, TX, 75001

32 bedsAcute Care Hospitals4
Compliance grade
A
100/100
Rates published
23,535
last crawl 2026-05-24
Procedures tracked
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Payers
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▸ Compare with other hospitalsAll TX hospitalsJSON
Source MRF: https://methodistsite.s3.us-east-1.amazonaws.com/263195791_Methodist-Hospital-for-Surgery_standardcharges.csv · CSV

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Procedures tracked
85
of 209 target codes
Payers
30
with negotiated rates

Procedures & rates

ProcedureTypeCodePayersGrossCashNeg minNeg medianNeg max
emergency
ED visit level 1CPT9928132$524$314.4$82.85$88.24$366
ED visit level 2CPT9928232$926$555.6$150.87$160.68$588
ED visit level 3CPT9928332$1,956$1,173.6$266.29$285.65$2,268
ED visit level 4CPT9928432$2,582$1,549.2$409.52$436.63$3,660
ED visit level 5CPT9928532$3,549$2,129.4$585.14$623.18$5,800
Critical care, first hourCPT9929132$4,654$2,792.4$810.35$864.37$5,800
imaging
CT head without contrastCPT7045032$3,578$2,146.8$102.27$109.4$500
CT head with contrastCPT7046032$4,115$2,469$171.21$183.54$512.04
CT head with and without contrastCPT7047032$4,651$2,790.6$171.21$183.54$512.04
CT neck with contrastCPT7049132$4,514$2,708.4$171.21$183.54$512.04
MRI brain without contrastCPT7055132$4,648$2,788.8$232.47$249.68$850
MRI brain with contrastCPT7055232$5,345$3,207$342.79$365.07$1,073
MRI brain with and without contrastCPT7055332$6,042$3,625.2$342.79$365.07$1,073
Chest X-ray single viewCPT7104532$601$360.6$84.68$90.64$171.01
Chest X-ray 2 viewsCPT7104632$649$389.4$84.68$90.64$171.01
Chest X-ray 3 viewsCPT7104732$697$418.2$84.68$90.64$171.01
CT chest without contrastCPT7125032$3,919$2,351.4$102.27$109.4$500
CT chest with contrastCPT7126032$4,505$2,703$171.21$183.54$512.04
CT chest with and without contrastCPT7127032$5,095$3,057$171.21$183.54$512.04
MRI chest without contrastCPT7155032$4,190$2,514$232.47$249.68$850
Lumbosacral spine X-rayCPT7210032$746$447.6$102.27$109.4$229.76
CT cervical spine without contrastCPT7212532$4,225$2,535$102.27$109.4$500
CT thoracic spine without contrastCPT7212832$4,481$2,688.6$102.27$109.4$500
CT lumbar spine without contrastCPT7213132$4,526$2,715.6$102.27$109.4$500
MRI cervical spine without contrastCPT7214132$4,838$2,902.8$232.47$249.68$850
MRI thoracic spine without contrastCPT7214632$4,614$2,768.4$232.47$249.68$850
MRI lumbar spine without contrastCPT7214832$4,910$2,946$232.47$249.68$850
MRI lumbar spine with and without contrastCPT7214932$5,648$3,388.8$342.79$365.07$1,073
MRI cervical spine with and without contrastCPT7215632$6,292$3,775.2$342.79$365.07$1,073
MRI lumbar spine with contrastCPT7215832$6,383$3,829.8$342.79$365.07$1,073
CT pelvis without contrastCPT7219232$3,916$2,349.6$102.27$109.4$500
CT pelvis with contrastCPT7219332$4,503$2,701.8$171.21$183.54$512.04
Shoulder X-rayCPT7303032$679$407.4$84.68$90.64$171.01
Humerus X-rayCPT7306032$567$340.2$84.68$90.64$171.01
Hand X-ray 3 viewsCPT7313032$567$340.2$84.68$90.64$171.01
MRI upper extremity joint without contrastCPT7322132$4,784$2,870.4$232.47$249.68$850
MRI upper extremity joint with and without contrastCPT7322332$6,220$3,732$342.79$365.07$1,073
Knee X-ray 1-2 viewsCPT7356032$270$162$84.68$90.64$171.01
Ankle X-ray 3 viewsCPT7361032$755$453$84.68$90.64$171.01
MRI lower extremity joint without contrastCPT7372132$4,878$2,926.8$232.47$249.68$850
MRI lower extremity joint with and without contrastCPT7372332$6,343$3,805.8$342.79$365.07$1,073
CT abdomen without contrastCPT7415032$3,954$2,372.4$102.27$109.4$500
CT abdomen with contrastCPT7416032$4,546$2,727.6$171.21$183.54$512.04
CT abdomen with and without contrastCPT7417032$5,138$3,082.8$171.21$183.54$512.04
CT abdomen and pelvis without contrastCPT7417632$7,539$4,523.4$232.47$249.68$654.84
CT abdomen and pelvis with contrastCPT7417732$8,670$5,202$342.79$365.07$1,073
CT abdomen and pelvis with and without contrastCPT7417832$10,012$6,007.2$342.79$365.07$1,073
MRI abdomen without contrastCPT7418132$4,565$2,739$232.47$249.68$850
MRI abdomen with and without contrastCPT7418332$5,934$3,560.4$342.79$365.07$1,073
Abdominal ultrasound completeCPT7670032$1,566$939.6$102.27$109.4$229.76
Abdominal ultrasound limitedCPT7670532$1,013$607.8$102.27$109.4$229.76
Retroperitoneal ultrasound completeCPT7677032$1,416$849.6$102.27$109.4$229.76
Obstetric ultrasound first trimesterCPT7680132$1,063$637.8$79.4$108.88$205.44
Obstetric ultrasound after first trimesterCPT7680532$1,134$680.4$98.86$108.88$205.44
Transvaginal ultrasoundCPT7683032$1,323$793.8$95.36$108.88$205.44
Pelvic ultrasound completeCPT7685632$1,259$755.4$102.27$109.4$229.76
Scrotal ultrasoundCPT7687032$1,147$688.2$102.27$109.4$229.76
EKG tracing onlyCPT9300532$631$378.6$24.53$61.15$115.93
inpatient
Septicemia or severe sepsis w MV 96+ hrsMS-DRG87134$132,305$79,383$2.97$14,365$33,563
lab
Basic metabolic panel (BMP)CPT8004828$626$375.6$5.5$9.05$16.92
Electrolyte panelCPT8005128$494$296.4$4.56$7.5$14.02
Comprehensive metabolic panelCPT8005328$723$433.8$6.86$11.3$21.12
Lipid panelCPT8006128$441$264.6$8.7$14.33$26.78
Renal function panelCPT8006928$774$464.4$5.64$9.29$17.36
Hepatic function panelCPT8007628$576$345.6$5.31$8.74$16.34
Urinalysis automatedCPT8100328$94$56.4$1.46$2.41$4.5
Glucose quantitativeCPT8294728$212$127.2$2.55$4.21$7.86
Hemoglobin A1cCPT8303628$158$94.8$6.31$10.39$19.42
Thyroid stimulating hormone (TSH)CPT8444328$690$414$10.92$17.98$33.6
Complete blood count with automated differentialCPT8502528$313$187.8$5.05$8.31$15.54
Urine culture bacterialCPT8708628$402$241.2$5.25$8.63$16.14
Tissue exam by pathologist level IVCPT8830532$370$222$32.16$54.27$102.4
office
Office visit, new patient, 15-29 minCPT9920232$390$234$43.87$130.81$141.28
Office visit, new patient, 30-44 minutesCPT9920332$422$253.2$76.13$130.81$142.3
Office visit, new patient, 45-59 minCPT9920432$642$385.2$123.94$137.35$232.92
Office visit, new patient, 60-74 minCPT9920532$735$441$123.94$138.66$319.08
Office visit, established patient, 5 minCPT9921132$369$221.4$8.22$130.81$141.28
Office visit, established patient, 10-19 minCPT9921232$390$234$33.14$130.81$141.28
Office visit, established patient, 20-29 minutesCPT9921332$422$253.2$61.39$130.81$141.28
Office visit, established patient, 30-39 minutesCPT9921432$642$385.2$90.25$137.35$168.7
Office visit, established patient, 40-54 minCPT9921532$735$441$123.94$137.35$250.66
surgery
Spinal fusion (non-cervical) w MCCMS-DRG4591$128,955$64,478$99,044$153,070$170,077
Spinal fusion (non-cervical) w/o MCCMS-DRG4601$105,894$52,947$56,234$86,908$96,564
Major joint replacement w MCCMS-DRG46934$141,311$84,787$4.64$22,431$52,408
Major joint replacement w/o MCCMS-DRG47034$55,980$33,588$2.95$14,264$33,328
Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 30)

PayerCodes coveredMedian rate
Blue Cross Blue Shield85$229.76
Aetna83$130.81
allied national [2031]83$169.49
alternative service concepts [8005]83$128.4
Ambetter83$175.65
american health advantage of texas [7099]83$137.35
Bright Health83$143.81
90 degree benefit [3057]83$169.49
southwestern health resources swhr [7015]83$138.66
UnitedHealthcare83$130.81
ust health proof [1005]83$130.81
velocity [3070]83$205.44
WellCare83$130.81
wellpoint marketplace exchange [3071]83$159.22
Cigna83$137.35
entrust/90 degree [2058]83$169.49
evry health [1013]83$205.44
friday health plan [2061]83$271.22
globalhealth [1003]83$137.35
Humana83$138.66
imperial insurance companies [2032]83$109.91
imperial insurance companies [3045]83$109.91
Medicare83$130.81
Molina83$148.95
Oscar Health83$133.54
procare advantage [7018]83$137.35
provider partners health plan [7025]83$141.28
sana benefits [3069]83$205.44
CHAMPVA71$123.94
VA Health71$123.94