MRI
Published cash priceTypical insured rateLowest insured rate
Methodist Southlake Medical Center — MRI| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| Brain MRICPT 70551 · 53 plans in file | Published cash price$1,394 | Typical insured rate$60033 plans | Lowest insured rate$257 |
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| Brain MRI with contrastCPT 70553 · 53 plans in file | Published cash price$1,813 | Typical insured rate$85033 plans | Lowest insured rate$376 |
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| Neck MRICPT 72141 · 53 plans in file | Published cash price$1,451 | Typical insured rate$60033 plans | Lowest insured rate$257 |
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| Lower back MRICPT 72148 · 53 plans in file | Published cash price$1,473 | Typical insured rate$60033 plans | Lowest insured rate$257 |
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| Knee MRICPT 73721 · 53 plans in file | Published cash price$1,463 | Typical insured rate$60033 plans | Lowest insured rate$257 |
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| Shoulder MRICPT 73221 · 53 plans in file | Published cash price$1,435 | Typical insured rate$60033 plans | Lowest insured rate$257 |
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| Abdominal MRICPT 74183 · 53 plans in file | Published cash price$1,780 | Typical insured rate$85033 plans | Lowest insured rate$376 |
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| Pelvic MRICPT 72195 · 53 plans in file | Published cash price$1,220 | Typical insured rate$60033 plans | Lowest insured rate$257 |
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| Breast MRICPT 77049 · 52 plans in file | Published cash price$1,128 | Typical insured rate$84633 plans | Lowest insured rate$362 |
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CT scan
Published cash priceTypical insured rateLowest insured rate
Methodist Southlake Medical Center — CT scan| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| Head CTCPT 70450 · 53 plans in file | Published cash price$1,073 | Typical insured rate$26333 plans | Lowest insured rate$113 |
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| Chest CTCPT 71250 · 53 plans in file | Published cash price$1,176 | Typical insured rate$26333 plans | Lowest insured rate$113 |
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| Chest CT with contrastCPT 71260 · 53 plans in file | Published cash price$1,352 | Typical insured rate$44133 plans | Lowest insured rate$189 |
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| Abdomen and pelvis CTCPT 74176 · 53 plans in file | Published cash price$2,262 | Typical insured rate$50033 plans | Lowest insured rate$257 |
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| Abdomen and pelvis CT with contrastCPT 74177 · 53 plans in file | Published cash price$2,601 | Typical insured rate$70233 plans | Lowest insured rate$376 |
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X-ray
Published cash priceTypical insured rateLowest insured rate
Methodist Southlake Medical Center — X-ray| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| Chest X-rayCPT 71046 · 53 plans in file | Published cash price$195 | Typical insured rate$15033 plans | Lowest insured rate$82.54 |
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| Knee X-rayCPT 73562 · 53 plans in file | Published cash price$122 | Typical insured rate$15033 plans | Lowest insured rate$93.70 |
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| Lower back X-rayCPT 72100 · 53 plans in file | Published cash price$224–$280 | Typical insured rate$18933 plans | Lowest insured rate$104 |
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| Shoulder X-rayCPT 73030 · 53 plans in file | Published cash price$204 | Typical insured rate$15033 plans | Lowest insured rate$90.97 |
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Ultrasound
Published cash priceTypical insured rateLowest insured rate
Methodist Southlake Medical Center — Ultrasound| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| Abdominal ultrasoundCPT 76700 · 53 plans in file | Published cash price$470 | Typical insured rate$21033 plans | Lowest insured rate$113 |
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| Pelvic ultrasoundCPT 76856 · 53 plans in file | Published cash price$378 | Typical insured rate$21033 plans | Lowest insured rate$113 |
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| Transvaginal ultrasoundCPT 76830 · 53 plans in file | Published cash price$397 | Typical insured rate$21033 plans | Lowest insured rate$113 |
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| Thyroid ultrasoundCPT 76536 · 53 plans in file | Published cash price$298 | Typical insured rate$21033 plans | Lowest insured rate$113 |
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| Breast ultrasoundCPT 76641 · 53 plans in file | Published cash price$167 | Typical insured rate$21033 plans | Lowest insured rate$113 |
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Mammogram
Published cash priceTypical insured rateLowest insured rate
Methodist Southlake Medical Center — Mammogram| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| Screening mammogramCPT 77067 · 52 plans in file | Published cash price$201–$229 | Typical insured rate$25233 plans | Lowest insured rate$135 |
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| Diagnostic mammogramCPT 77066 · 52 plans in file | Published cash price$348 | Typical insured rate$31333 plans | Lowest insured rate$167 |
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Bone density test (DEXA)
Published cash priceTypical insured rateLowest insured rate
Methodist Southlake Medical Center — Bone density test (DEXA)| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| DEXA scanCPT 77080 · 53 plans in file | Published cash price$454 | Typical insured rate$16333 plans | Lowest insured rate$51.76 |
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Lab tests
Published cash priceTypical insured rateLowest insured rate
Methodist Southlake Medical Center — Lab tests| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| CMPCPT 80053 · 52 plans in file | Published cash price$243 | Typical insured rate$21.1233 plans | Lowest insured rate$6.20 |
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| BMPCPT 80048 · 52 plans in file | Published cash price$210 | Typical insured rate$16.9233 plans | Lowest insured rate$4.97 |
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| CBCCPT 85025 · 52 plans in file | Published cash price$93.90 | Typical insured rate$15.5433 plans | Lowest insured rate$4.56 |
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| Lipid panelCPT 80061 · 52 plans in file | Published cash price$148 | Typical insured rate$26.7833 plans | Lowest insured rate$7.86 |
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| TSH testCPT 84443 · 52 plans in file | Published cash price$207 | Typical insured rate$33.6033 plans | Lowest insured rate$9.86 |
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| A1c testCPT 83036 · 52 plans in file | Published cash price$30.60–$47.40 | Typical insured rate$19.4233 plans | Lowest insured rate$5.70 |
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| UrinalysisCPT 81001 · 52 plans in file | Published cash price$70.20 | Typical insured rate$6.3433 plans | Lowest insured rate$1.86 |
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| Vitamin D testCPT 82306 · 52 plans in file | Published cash price$17.70–$87.60 | Typical insured rate$54.7633 plans | Lowest insured rate$17.37 |
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| PSA testCPT 84153 · 52 plans in file | Published cash price$7.50–$99.60 | Typical insured rate$34.0233 plans | Lowest insured rate$10.79 |
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| Urine cultureCPT 87086 · 52 plans in file | Published cash price$121 | Typical insured rate$16.1433 plans | Lowest insured rate$4.74 |
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ER visit
Published cash priceTypical insured rateLowest insured rate
Methodist Southlake Medical Center — ER visit| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| ER visit level 3CPT 99283 · 53 plans in file | Published cash price$587 | Typical insured rate$54933 plans | Lowest insured rate$294 |
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| ER visit level 4CPT 99284 · 53 plans in file | Published cash price$775 | Typical insured rate$84033 plans | Lowest insured rate$449 |
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| ER visit level 5CPT 99285 · 53 plans in file | Published cash price$1,065 | Typical insured rate$1,19833 plans | Lowest insured rate$641 |
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About this price file
- File:
750800661_MethodistSouthlakeMedicalCenter_standardcharges, last updated March 23, 2026 (hospital's price transparency page). - The same file covers these locations: Methodist Southlake Medical Center. Their prices are the ones on this page.
- Financial assistance: we have not yet verified a link to this hospital's policy — ask the hospital's billing office.
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