Methodist Hospital for Surgery
17101 Dallas Parkway, Addison, TX 75001 · 79 Priced Procedures · 83% Patient Recommendation
Typical commercial prices here are 15% below the fair benchmark (0.85×) after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 0.85× fair market pricing.
Uniform Value Leader · Low-Cost Across Departments
Methodist Hospital for Surgery maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 0.98× Fair BaseRate) and emergency/ancillary services (1.1× Medicare, p75 1.02× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 15% below peer Fair BaseRate (0.85×)
- Self-pay cash beats commercial insurance on 4% of shoppable procedures (99/100 Cash Honesty)
- 4-Star CMS clinical rating with 83% patient recommendation (71/100 safety score)
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
- Captive ER (1.4×) & laboratory (3.2×) services average 1.10× higher multiples than routine shoppable care (1.0×)
- Specialty infusion drugs (J-codes) average 1.2× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 17.3× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Methodist Hospital for Surgery
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 79 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $23,666 | 0.8× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $14,231 | 0.7× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $14,131 | 0.7× |
| Blood transfusion CPT Code: 36430 | $459 | 0.9× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $368 | 0.8× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $368 | 0.7× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $231 | 1.1× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $251 | 0.9× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $252 | 0.8× |
| MRI, lower back (no contrast) CPT Code: 72148 | $252 | 0.7× |
| MRI, brain (no contrast) CPT Code: 70551 | $252 | 0.7× |
| MRI, knee or other leg joint CPT Code: 73721 | $252 | 0.7× |
| CT scan, head (with contrast) CPT Code: 70460 | $185 | 0.8× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $185 | 0.7× |
| New patient office visit (30-44 min) CPT Code: 99203 | $131 | 1.2× |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $137 | 1.1× |
| X-ray, pelvis CPT Code: 72170 | $110 | 1.0× |
| X-ray, chest (single view) CPT Code: 71045 | $91 | 1.0× |
| X-ray, shoulder CPT Code: 73030 | $91 | 1.0× |
| X-ray, foot CPT Code: 73630 | $91 | 1.0× |
| X-ray, lower back CPT Code: 72110 | $110 | 1.0× |
| X-ray, chest (two views) CPT Code: 71046 | $91 | 1.0× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $91 | 1.0× |
| X-ray, hand CPT Code: 73130 | $91 | 1.0× |
| X-ray, hip CPT Code: 73502 | $91 | 1.0× |
Audit a Bill or Quote at Methodist Hospital for Surgery (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Self-Pay Cash Rate ($52,597) Beats Your Bill
Methodist Hospital for Surgery's published 45 CFR § 180 self-pay cash rate is $52,597 (vs. $23,666 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($87,662) is $56,887 above the denoised Fair BaseRate ($30,775) and 3.7× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Methodist Hospital for Surgery as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Methodist Hospital for Surgery. Prior administrative notices do not necessarily reflect current compliance status.
- 2022-03-02·administrative_or_closure
Closure Notice
Recorded - 2021-10-27·cap_corrective_action
CAP Request
Recorded - 2021-05-18·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (376 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Methodist Hospital for Surgery.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.