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 |
|---|---|---|---|---|
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $201.55 – $403.10 | 2 |
| Unlisted surgical path px CPT 88399 | $682.26 | $682.26 | $10.01 – $104.70 | 4 |
| Unlisted transfusion med px CPT 86999 | $313.82 | $313.82 | $22.13 – $58.11 | 4 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $87.42 – $174.84 | 2 |
| Unlisted urinalysis px CPT 81099 | not published | not published | $10.01 – $10.01 | 1 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $630.16 – $2,265.00 | 3 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $401.59 – $803.19 | 2 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $6,073.08 – $13,172.00 | 3 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $6,073.08 – $13,172.00 | 3 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $2,605.24 | $2,605.24 | $689.44 – $1,378.88 | 2 |
| Upgrade pm system CPT 33214 | $30,861.36 | $30,861.36 | $10,499.62 – $20,999.25 | 3 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $7,256.12 | $7,256.12 | $350.46 – $700.93 | 2 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $4,561.11 | $4,561.11 | $350.46 – $700.93 | 2 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $4,251.74 | $4,251.74 | $239.69 – $479.38 | 2 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $7,273.38 | $7,273.38 | $911.12 – $2,761.00 | 3 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $8,408.35 | $8,408.35 | $911.12 – $2,761.00 | 3 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $642.11 – $9,124.00 | 2 |
| Uppr gi scope w/submuc inj CPT 43236 | $8,421.06 | $8,421.06 | $911.12 – $2,761.00 | 3 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $6,073.08 – $12,146.15 | 3 |
| Urea nitrogen CPT 84520 | $152.54 | $152.54 | $3.95 – $17.53 | 5 |
| Urea nitrogen 24 hour urine CPT 84540 | $157.86 | $157.86 | $5.56 – $21.10 | 5 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $7.20 – $29.36 | 5 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $5.13 – $16.74 | 5 |
| Ureteral embolization/occl CPT 50705 | $8,461.32 | $8,461.32 | $1,187.00 – $1,187.00 | 1 |
| Ureteral reflux study CPT 78740 | $4,070.67 | $4,070.67 | $401.59 – $803.19 | 2 |
| Ureter endoscopy CPT 50970 | not published | not published | $2,265.00 – $7,082.09 | 3 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $4,781.00 – $10,772.46 | 3 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $2,761.00 – $10,772.46 | 3 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $2,265.00 – $7,082.09 | 3 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $4,781.00 – $10,772.46 | 3 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $4,781.00 – $10,772.46 | 3 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $2,761.00 – $10,772.46 | 3 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $4,781.00 – $10,772.46 | 3 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $2,763.77 – $4,781.00 | 2 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $2,820.82 – $9,124.00 | 2 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $1,387.82 | $1,387.82 | $239.69 – $479.38 | 2 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $3,541.04 – $9,098.00 | 3 |
| Urethrocystography void s&i CPT 74455 | $854.70 | $854.70 | $239.69 – $479.38 | 2 |
| Uric acid blood CPT 84550 | $174.82 | $174.82 | $4.52 – $20.06 | 5 |
| Uric acid urine CPT 84560 | $135.95 | $135.95 | $5.08 – $21.10 | 5 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.70 – $16.39 | 5 |
| Urinalysis microscopic only CPT 81015 | $89.60 | $89.60 | $3.05 – $13.49 | 5 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $73.31 | $73.31 | $2.17 – $9.59 | 5 |
| Urinalysis (with microscopy) CPT 81001 | $223.25 | $223.25 | $3.17 – $14.09 | 5 |
| Urinalysis (without microscopy) CPT 81003 | $194.74 | $194.74 | $2.25 – $9.98 | 5 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $209.35 – $209.35 | 1 |
| Urinary reflex study CPT 51792 | not published | not published | $59.26 – $1,187.00 | 3 |
| Urine Culture Test CPT 87086 | $311.53 | $311.53 | $8.07 – $35.90 | 5 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $133.65 – $1,187.00 | 3 |
| Urine pregnancy test CPT 81025 | $334.69 | $334.69 | $8.61 – $28.11 | 5 |
| Urine screen for bacteria CPT 81007 | not published | not published | $10.80 – $59.96 | 5 |
| Urine shunt to intestine CPT 50815 | not published | not published | $3,056.73 – $9,124.00 | 2 |
| Urine specimen collect mult HCPCS P9615 | $47.69 | $47.69 | $3.00 – $9.07 | 3 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $253.18 – $253.18 | 1 |
| Urography, antegrade CPT 74425 | $1,629.05 | $1,629.05 | $350.46 – $700.93 | 2 |
| Urography inf drip &/or bolus CPT 74410 | $1,225.29 | $1,225.29 | $176.20 – $352.40 | 2 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $870.07 – $870.07 | 1 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $17.40 – $17.40 | 1 |
| Use 1st target lesion CPT 76982 | not published | not published | $105.02 – $210.04 | 2 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $28,690.98 | $28,690.98 | $11.36 – $24.56 | 3 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $299.95 – $480.28 | 2 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $4,781.00 – $25,794.37 | 3 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $145.92 – $286.88 | 2 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $145.92 – $286.88 | 2 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $131.10 – $257.74 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $87.78 – $172.58 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $65.36 – $128.87 | 2 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $55.96 – $55.96 | 1 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $187.35 – $187.35 | 1 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $123.36 – $123.36 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $227.55 – $227.55 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $59.31 – $59.31 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $25.67 – $25.67 | 1 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $227.96 | $227.96 | $135.86 – $135.86 | 1 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $640.71 | $640.71 | $203.01 – $203.01 | 1 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $77.30 – $77.30 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $118.81 – $147.74 | 2 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $332.28 | $332.28 | $115.11 – $138.37 | 2 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $231.71 – $315.11 | 2 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $46.19 – $60.49 | 2 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $984.74 | $984.74 | $412.53 – $412.53 | 1 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $322.47 – $322.47 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $447.81 | $447.81 | $87.25 – $144.30 | 2 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $202.96 | $202.96 | $89.38 – $89.38 | 1 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $31.64 – $31.64 | 1 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $136.43 | $136.43 | $25.54 – $34.41 | 2 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $116.44 | $116.44 | $31.90 – $41.05 | 2 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $34.03 – $152.09 | 2 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $37.87 – $37.87 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $34.03 – $43.94 | 2 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $16.81 – $20.53 | 2 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $46.43 – $54.64 | 2 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $92.55 – $144.30 | 2 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $222.88 | $222.88 | $53.23 – $53.23 | 1 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $26.19 – $32.08 | 2 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $563.38 | $563.38 | $404.15 – $404.15 | 1 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $330.23 – $330.23 | 1 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $172.12 – $172.12 | 1 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $544.09 | $544.09 | $172.12 – $172.12 | 1 |
| Vaccine mmr live subcutaneous CPT 90707 | not published | not published | $142.14 – $142.14 | 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.