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Hospital Profile Acute Care Hospitals Proprietary

Methodist Southlake Medical Center

421 E STATE HIGHWAY 114, Southlake, TX 76092

CMS Overall Rating No CMS Rating
Factual Overview

Methodist Southlake Medical Center is a Acute Care Hospitals (Proprietary) operating in Southlake, TX. Mapped commercial insurance prices across 85 procedures average 1.57x the Medicare baseline. CMS has not published a quality star rating for this facility.

Facility Overview

Setting: urban Bed Count: 22 Beds Teaching Status: Non-Teaching Annual Discharges: 423

Patient Experience

Recommendation Rate: 90% High Patient Rating: 91% ER Wait Time (Med): 136 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 85 codes Avg Markup vs Medicare: 1.57x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Heart stent placement (inpatient stay)
MS-DRG Code: 322
 $43,300 Calc
Blood transfusion
CPT Code: 36430
 $1,275 Calc
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
 $16,875 Calc
Spinal fusion, single level (inpatient stay)
MS-DRG Code: 451
 $49,021 Calc
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
 $30,056 Calc
CT scan, head (no contrast)
CPT Code: 70450
 $1,789 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $2,058 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $2,326 Calc
CT scan, sinuses
CPT Code: 70486
 $1,698 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $2,324 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $3,021 Calc
X-ray, chest (single view)
CPT Code: 71045
 $300 Calc
X-ray, chest (two views)
CPT Code: 71046
 $324 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $1,960 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $420 Calc
X-ray, lower back
CPT Code: 72110
 $531 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $2,112 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $2,263 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $2,455 Calc
X-ray, pelvis
CPT Code: 72170
 $334 Calc
CT scan, pelvis
CPT Code: 72192
 $1,958 Calc
X-ray, shoulder
CPT Code: 73030
 $340 Calc
X-ray, hand
CPT Code: 73130
 $284 Calc
X-ray, hip
CPT Code: 73502
 $418 Calc
X-ray, ankle
CPT Code: 73610
 $378 Calc
X-ray, foot
CPT Code: 73630
 $324 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $2,439 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $3,770 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $4,335 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $497 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $783 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $506 Calc
Ultrasound, pelvis
CPT Code: 76856
 $630 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $580 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $358 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $350 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $405 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $247 Calc
Blood test, liver function panel
CPT Code: 80076
 $288 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $117 Calc
Blood test, amylase
CPT Code: 82150
 $130 Calc
Blood test, vitamin D
CPT Code: 82306
 $88 Calc
Blood test, calcium
CPT Code: 82310
 $117 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $63 Calc
Blood test, vitamin B12
CPT Code: 82607
 $179 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $107 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $64 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $65 Calc
Blood test, lipase
CPT Code: 83690
 $84 Calc
Blood test, magnesium
CPT Code: 83735
 $17 Calc
Blood test, potassium
CPT Code: 84132
 $134 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $17 Calc
Blood test, sodium
CPT Code: 84295
 $134 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $345 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $25 Calc
Blood test, hemoglobin
CPT Code: 85018
 $47 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $156 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $32 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $19 Calc
Blood antibody screen
CPT Code: 86850
 $90 Calc
Culture, blood
CPT Code: 87040
 $260 Calc
Culture, bacterial
CPT Code: 87070
 $36 Calc
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
 $39,454 Calc
Psychiatric evaluation (first visit)
CPT Code: 90791
 $197 Calc
Psychotherapy session (60 minutes)
CPT Code: 90837
 $172 Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $216 Calc
Speech therapy (group session)
CPT Code: 92508
 $110 Calc
Electrocardiogram (ECG/EKG)
CPT Code: 93000
 $334 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $316 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $2,455 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $1,714 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $108 Calc
Sleep study (overnight, in lab)
CPT Code: 95810
 $3,734 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $112 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $112 Calc
Physical therapy (gait training)
CPT Code: 97116
 $112 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $112 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $112 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $112 Calc
Physical therapy (functional capacity test)
CPT Code: 97750
 $112 Calc
Orthotic fitting and training
CPT Code: 97760
 $112 Calc
Prosthetic fitting and training
CPT Code: 97761
 $112 Calc
New patient office visit (30-44 min)
CPT Code: 99203
 $211 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $211 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 $321 Calc