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 |
|---|---|---|---|---|
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $1,222.69 | $1,222.69 | $239.69 – $479.38 | 2 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $530.35 | $530.35 | $105.02 – $210.04 | 2 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $601.19 | $601.19 | $105.02 – $210.04 | 2 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $704.72 | $704.72 | $105.02 – $210.04 | 2 |
| Ultrasound prostate/transrectal CPT 76872 | $608.56 | $608.56 | $105.02 – $210.04 | 2 |
| Ultrasound retroperitoneal limited CPT 76775 | $1,121.05 | $1,121.05 | $105.02 – $210.04 | 2 |
| Ultrasound scrotum and contents CPT 76870 | $1,145.83 | $1,145.83 | $105.02 – $210.04 | 2 |
| Ultrasound spinal canal and contents CPT 76800 | $2,101.59 | $2,101.59 | $105.02 – $210.04 | 2 |
| Ultrasound transabd ea addl gest CPT 76812 | $646.13 | $646.13 | $326.11 – $326.11 | 1 |
| Ultrasound transvaginal non obstetric CPT 76830 | $1,266.72 | $1,266.72 | $105.02 – $210.04 | 2 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $350.46 – $700.93 | 2 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $528.11 – $528.11 | 1 |
| Ultraviolet therapy CPT 97028 | not published | not published | $8.26 – $16.52 | 2 |
| Umbilical artery cath newborn 36660 CPT 36660 | $970.51 | $970.51 | $171.12 – $9,124.00 | 2 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $306.12 – $1,187.00 | 3 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Unlistd noninvas vasc dx std CPT 93998 | $377.90 | $377.90 | $29.06 – $58.11 | 2 |
| Unlisted chemotherapy px CPT 96549 | $393.70 | $393.70 | $47.04 – $94.08 | 2 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $237.93 – $1,187.00 | 3 |
| Unlisted CT procedure CPT 76497 | not published | not published | $87.42 – $174.84 | 2 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $401.59 – $803.19 | 2 |
| Unlisted cytogenetic study CPT 88299 | $2,088.89 | $2,088.89 | $10.01 – $104.70 | 4 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $10.01 – $104.70 | 4 |
| Unlisted dialysis procedure CPT 90999 | $2,050.48 | $2,050.48 | not published | 0 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $129.26 – $1,187.00 | 3 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $401.59 – $803.19 | 2 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $203.09 – $1,187.00 | 3 |
| Unlisted fluoroscopic px CPT 76496 | $1,016.39 | $1,016.39 | $87.42 – $174.84 | 2 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $401.59 – $803.19 | 2 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $401.59 – $803.19 | 2 |
| Unlisted hematology&coagj px CPT 85999 | not published | not published | $10.01 – $10.01 | 1 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $203.09 – $1,187.00 | 3 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $6,073.08 – $13,172.00 | 3 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $6,073.08 – $13,172.00 | 3 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $6,073.08 – $13,172.00 | 3 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $6,073.08 – $13,172.00 | 3 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $6,073.08 – $13,172.00 | 3 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $6,073.08 – $13,172.00 | 3 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $6,073.08 – $13,172.00 | 3 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $6,073.08 – $13,172.00 | 3 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $6,073.08 – $13,172.00 | 3 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $6,073.08 – $13,172.00 | 3 |
| Unlisted laps px renal CPT 50549 | not published | not published | $6,073.08 – $13,172.00 | 3 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $6,073.08 – $13,172.00 | 3 |
| Unlisted laps px testis CPT 54699 | not published | not published | $6,073.08 – $13,172.00 | 3 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $6,073.08 – $13,172.00 | 3 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $6,073.08 – $13,172.00 | 3 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $237.93 – $1,187.00 | 3 |
| Unlisted misc path test CPT 89240 | not published | not published | $10.01 – $104.70 | 4 |
| Unlisted mr procedure CPT 76498 | $7,981.67 | $7,981.67 | $87.42 – $174.84 | 2 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $401.59 – $803.19 | 2 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $237.93 – $1,187.00 | 3 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $129.26 – $258.52 | 2 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $401.59 – $803.19 | 2 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $29.06 – $58.11 | 2 |
| Unlisted orl service/px CPT 92700 | not published | not published | $29.06 – $58.11 | 2 |
| Unlisted procedure colon CPT 45399 | not published | not published | $934.20 – $2,761.00 | 3 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $911.12 – $2,761.00 | 3 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $318.85 – $1,187.00 | 3 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $237.93 – $1,187.00 | 3 |
| Unlisted procedure liver CPT 47399 | not published | not published | $711.36 – $2,265.00 | 3 |
| Unlisted procedure microbiology CPT 87999 | $510.45 | $510.45 | $10.01 – $10.01 | 1 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $318.85 – $1,187.00 | 3 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $711.36 – $2,265.00 | 3 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $934.20 – $2,265.00 | 3 |
| Unlisted procedure spine CPT 22899 | not published | not published | $247.79 – $1,187.00 | 3 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $2,203.76 – $9,098.00 | 2 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $247.79 – $1,187.00 | 3 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $237.93 – $1,187.00 | 3 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $2,318.34 – $4,636.68 | 3 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $247.79 – $1,187.00 | 3 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $911.12 – $2,761.00 | 3 |
| Unlisted px casting/strpg CPT 29799 | $906.69 | $906.69 | $163.24 – $1,187.00 | 3 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $318.85 – $1,187.00 | 3 |
| Unlisted px diaphragm CPT 39599 | not published | not published | $2,592.33 – $9,124.00 | 2 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $711.36 – $2,265.00 | 3 |
| Unlisted px external ear CPT 69399 | not published | not published | $237.93 – $1,187.00 | 3 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $318.85 – $1,187.00 | 3 |
| Unlisted px foot/toes CPT 28899 | $4,937.65 | $4,937.65 | $247.79 – $1,187.00 | 3 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $247.79 – $1,187.00 | 3 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $247.79 – $1,187.00 | 3 |
| Unlisted px inner ear CPT 69949 | not published | not published | $237.93 – $1,187.00 | 3 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $318.85 – $1,187.00 | 3 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $247.79 – $1,187.00 | 3 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $250.99 – $1,187.00 | 3 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $2,592.33 – $9,124.00 | 2 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $135.02 – $270.04 | 2 |
| Unlisted px middle ear CPT 69799 | not published | not published | $237.93 – $1,187.00 | 3 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $237.93 – $1,187.00 | 3 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $237.93 – $1,187.00 | 3 |
| Unlisted px pelvis/hip joint CPT 27299 | $2,613.05 | $2,613.05 | $247.79 – $1,187.00 | 3 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $2,318.34 – $4,636.68 | 3 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $237.93 – $1,187.00 | 3 |
| Unlisted px small intestine CPT 44799 | not published | not published | $911.12 – $2,761.00 | 3 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $237.93 – $1,187.00 | 3 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $135.02 – $270.04 | 2 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $237.93 – $1,187.00 | 3 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $237.93 – $1,187.00 | 3 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $49.47 – $104.70 | 3 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $401.59 – $803.19 | 2 |
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.