Texas Health Hospital Mansfield
2300 Lone Star Road, Mansfield, TX · AdventHealth · · NPI 1356960132
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Triamcinolone hexacetonl inj HCPCS J3303 | not published | not published | $7.16 – $7.16 | 1 |
| Trichinella antibody CPT 86784 | $173.47 | $173.47 | $12.56 – $51.09 | 5 |
| Trichomonas assay w/optic CPT 87808 | not published | not published | $15.29 – $53.29 | 5 |
| #tricyclicantidprssnt CPT 80337 | $126.30 | $126.30 | not published | 0 |
| Triglycerides CPT 84478 | $149.84 | $149.84 | $5.74 – $25.57 | 5 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | not published | not published | $5.46 – $10.93 | 3 |
| Trimethobenzamide hcl inj HCPCS J3250 | $329.87 | $329.87 | $66.84 – $66.84 | 1 |
| Trim nail(s) HCPCS G0127 | not published | not published | $59.26 – $1,187.00 | 3 |
| Trim nondyst nails CPT 11719 | $354.15 | $354.15 | $59.26 – $1,187.00 | 3 |
| Triptorelin pamoate HCPCS J3315 | not published | not published | $466.36 – $932.73 | 3 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $4,152.26 – $13,172.00 | 3 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $5,345.55 – $13,172.00 | 3 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | not published | not published | $12,897.19 – $25,794.37 | 3 |
| Trml dstrj ios bvn ea addl CPT 64629 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $1,320.65 | $1,320.65 | $247.79 – $1,187.00 | 3 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $21,617.06 | $21,617.06 | $2,531.30 – $9,124.00 | 2 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $20,458.74 | $20,458.74 | $2,524.37 – $9,124.00 | 2 |
| Trnscath plc stnt ante carotid art CPT 37218 | $20,409.80 | $20,409.80 | $2,051.66 – $9,124.00 | 2 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $16,096.60 | $16,096.60 | $16,164.00 – $16,164.00 | 1 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $16,096.83 | $16,096.83 | $16,164.00 – $16,164.00 | 1 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $15,330.11 | $15,330.11 | $11,596.79 – $23,193.59 | 3 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $3,569.11 | $3,569.11 | $3,171.87 – $9,098.00 | 3 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $11,064.59 | $11,064.59 | $5,589.84 – $16,164.00 | 3 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $11,365.26 | $11,365.26 | $2,265.00 – $6,343.74 | 3 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $11,365.63 | $11,365.63 | $2,265.00 – $6,343.74 | 3 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $11,004.47 | $11,004.47 | $3,171.87 – $9,098.00 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $3,559.87 – $9,098.00 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $2,072.68 – $4,145.37 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $2,072.68 – $4,145.37 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $2,072.68 – $4,145.37 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $2,072.68 – $4,145.37 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $2,072.68 – $4,145.37 | 3 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $640.73 – $2,562.92 | 4 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $3,240.00 – $6,480.00 | 2 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $2,628.95 – $9,124.00 | 2 |
| Troponin quantitative CPT 84484 | $302.67 | $302.67 | $12.47 – $43.74 | 5 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $552.50 – $2,265.00 | 3 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $3,541.04 – $7,082.09 | 3 |
| Tte w or without contr, cont ecg HCPCS C8930 | not published | not published | $787.49 – $1,574.99 | 2 |
| Tte w or without fol w/con,stres HCPCS C8928 | $7,528.72 | $7,528.72 | $787.49 – $1,574.99 | 2 |
| Tte w or without fol w/cont, com HCPCS C8921 | not published | not published | $787.49 – $1,574.99 | 2 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | not published | not published | $787.49 – $1,574.99 | 2 |
| Tubal Ligation (Laparoscopic) CPT 58670 | $29,691.18 | $29,691.18 | $6,073.08 – $16,164.00 | 3 |
| Tumor cell deplete of harvst CPT 38211 | $4,636.03 | $4,636.03 | $443.18 – $1,187.00 | 3 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $7,449.23 – $14,898.45 | 3 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $2,579.70 – $9,098.00 | 2 |
| Tx atrial fib pulm vein isol CPT 93656 | $94,818.16 | $94,818.16 | $14,075.00 – $52,513.93 | 3 |
| Tx closed distal humerus fx CPT 24999 | $1,417.66 | $1,417.66 | $247.79 – $1,187.00 | 3 |
| Tx closed hip disl traumatic without anes CPT 27250 | $2,256.73 | $2,256.73 | $247.79 – $1,187.00 | 3 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $16,720.23 | $16,720.23 | $2,761.00 – $6,573.82 | 3 |
| Tx closed tib shaft fx without manip CPT 27750 | $1,366.45 | $1,366.45 | $247.79 – $1,187.00 | 3 |
| Tx contour defects >10.0 cc CPT 11954 | $1,585.38 | $1,585.38 | $205.10 – $2,265.00 | 3 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | $1,585.38 | $1,585.38 | $143.66 – $1,484.88 | 3 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $2,323.88 – $9,124.00 | 2 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $2,201.17 – $9,124.00 | 2 |
| Tx l/r atrial fib addl CPT 93657 | $38,661.30 | $38,661.30 | $1,187.00 – $1,217.12 | 2 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $3,286.91 – $6,573.82 | 3 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $20,157.72 | $20,157.72 | $3,286.91 – $6,573.82 | 3 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $3,286.91 – $6,573.82 | 3 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $3,330.57 – $6,661.13 | 3 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $3,286.91 – $6,573.82 | 3 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $20,556.96 | $20,556.96 | $3,286.91 – $6,573.82 | 3 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $1,102.74 – $9,124.00 | 2 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $1,320.65 | $1,320.65 | $247.79 – $1,187.00 | 3 |
| Tympanic membrane repair CPT 69610 | not published | not published | $489.84 – $4,781.00 | 3 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $3,330.57 – $13,172.00 | 3 |
| Tympanometry & reflex thresh CPT 92550 | $1,001.60 | $1,001.60 | $216.91 – $433.81 | 2 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $2,375.01 | $2,375.01 | $331.45 – $1,187.00 | 3 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $5,946.81 – $13,172.00 | 3 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $5,946.81 – $13,172.00 | 3 |
| Tyms gene com variants CPT 81346 | not published | not published | $174.81 – $699.24 | 4 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $84.38 – $84.38 | 1 |
| U2af1 gene common variants CPT 81357 | not published | not published | $193.25 – $773.00 | 4 |
| Ua w/micro/comp poc CPT 81000 | $63.33 | $63.33 | $4.02 – $14.09 | 5 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $72.24 – $144.48 | 3 |
| Ugt1a1 gene analy common variants CPT 81350 | $1,727.37 | $1,727.37 | $234.00 – $936.00 | 4 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $1,155.07 | $1,155.07 | $105.02 – $210.04 | 2 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $13.69 – $210.04 | 2 |
| Ultrasound breast complete CPT 76641 | $1,011.61 | $1,011.61 | $105.02 – $210.04 | 2 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $1,011.61 | $1,011.61 | $87.42 – $174.84 | 2 |
| Ultrasound chest CPT 76604 | $587.53 | $587.53 | $105.02 – $210.04 | 2 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $1,765.39 | $1,765.39 | $105.02 – $210.04 | 2 |
| Ultrasound dx ophth b-scan CPT 76512 | $854.18 | $854.18 | $105.02 – $210.04 | 2 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $99.95 – $99.95 | 1 |
| Ultrasound elastography parenchyma CPT 76981 | $841.74 | $841.74 | $105.02 – $210.04 | 2 |
| Ultrasound encephalogram CPT 76506 | $1,271.15 | $1,271.15 | $105.02 – $210.04 | 2 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $1,283.70 | $1,283.70 | $105.02 – $210.04 | 2 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $1,151.36 | $1,151.36 | $105.02 – $210.04 | 2 |
| Ultrasound guidance for vascular access CPT 76937 | $1,712.27 | $1,712.27 | $57.85 – $57.85 | 1 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $1,643.70 | $1,643.70 | $73.65 – $73.65 | 1 |
| Ultrasound guide intraoperative CPT 76998 | $994.43 | $994.43 | $190.41 – $190.41 | 1 |
| Ultrasound guide tissue ablation CPT 76940 | $1,265.94 | $1,265.94 | $308.22 – $308.22 | 1 |
| Ultrasound hips infant dynamic CPT 76885 | $1,246.59 | $1,246.59 | $87.42 – $174.84 | 2 |
| Ultrasound infant hips ltd without stress CPT 76886 | not published | not published | $87.42 – $174.84 | 2 |
| Ultrasound joint complete left CPT 76881 | $783.47 | $783.47 | $105.02 – $210.04 | 2 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $506.54 | $506.54 | $105.02 – $210.04 | 2 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $105.02 – $210.04 | 2 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $2,101.59 | $2,101.59 | $126.25 – $126.25 | 1 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $1,374.33 | $1,374.33 | $64.16 – $64.16 | 1 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.