Methodist Mansfield Medical Center — price list
← Hospital overviewVerified from Methodist Mansfield Medical Center’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
21 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Aftercare, musculoskeletal system and connective tissue without cc/mcc Inpatient | 561 MS-DRG | $47,280 | $23,640 | $7,051 – $9,747 | — | |
| Absolute Cd19 Inpatient & outpatient | PX-3028635612 CDM | $28.00 | $14.00 | $14.00 – $28.00 | — | |
| Absolute Natural Killer Cells Inpatient & outpatient | PX-3028635613 CDM | $28.00 | $14.00 | $14.00 – $28.00 | — | |
| Anti Neuronal Ab Type 3 Inpatient & outpatient | PX-3028625618 CDM | $193 | $96.50 | $96.50 – $193 | — | |
| Anti Neuronal Nuc Ab Type Inpatient & outpatient | PX-3028625619 CDM | $193 | $96.50 | $96.50 – $193 | — | |
| Crmp 5 Igg Inpatient & outpatient | PX-3028625617 CDM | $193 | $96.50 | $96.50 – $193 | — | |
| Dilute Venom Time Inpatient & outpatient | PX-3058561300 CDM | $59.00 | $29.50 | $29.50 – $59.00 | — | |
| Dvvrt 1:1 Mix Inpatient & outpatient | PX-3058561301 CDM | $17.00 | $8.50 | $8.50 – $17.00 | — | |
| Dvvrt 1:1 Mix Confirm Inpatient & outpatient | PX-3058561302 CDM | $35.00 | $17.50 | $17.50 – $35.00 | — | |
| Enceph Agna 1 Inpatient & outpatient | PX-3028625610 CDM | $186 | $93.00 | $93.00 – $186 | — | |
| Enceph Amphiphysin Inpatient & outpatient | PX-3028625611 CDM | $186 | $93.00 | $93.00 – $186 | — | |
| Enceph Crmp 5 Igg Inpatient & outpatient | PX-3028625612 CDM | $186 | $93.00 | $93.00 – $186 | — | |
| Enceph Pca Inpatient & outpatient | PX-3028625613 CDM | $186 | $93.00 | $93.00 – $186 | — | |
| Factor Substitution Inpatient & outpatient | PX-3058561100 CDM | $63.00 | $31.50 | $31.50 – $63.00 | — | |
| Lupus Anticoag Dvvrt Inpatient & outpatient | PX-3058561303 CDM | $18.00 | $9.00 | $9.00 – $18.00 | — | |
| Lupus Anticoagulant Inr Protim Inpatient & outpatient | PX-3058561003 CDM | $17.00 | $8.50 | $8.50 – $17.00 | — | |
| Prothrombin Time Inpatient & outpatient | PX-3058561001 CDM | $234 | $117 | $117 – $234 | — | |
| PT W Inr Inpatient & outpatient | PX-3058561000 CDM | $64.00 | $32.00 | $32.00 – $64.00 | — | |
| Purkinje Cell Ab Type Tr Inpatient & outpatient | PX-3028625616 CDM | $193 | $96.50 | $96.50 – $193 | — | |
| Reflx Aquaporin 4 Rec Ab Titer Inpatient & outpatient | PX-3028625614 CDM | $255 | $128 | $128 – $255 | — | |
| Rflx Phosphlipse A2 Rec Igg Ti Inpatient & outpatient | PX-3028625615 CDM | $375 | $188 | $188 – $375 | — |