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 |
|---|---|---|---|---|
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $260.87 – $409.46 | 2 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $385.73 | $385.73 | $237.14 – $262.40 | 2 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $373.85 – $507.21 | 2 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $498.50 – $501.46 | 2 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $792.00 | $792.00 | $501.46 – $585.95 | 2 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $64.15 – $64.15 | 1 |
| Vaccine rabies im CPT 90675 | not published | not published | $331.98 – $663.95 | 3 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $439.98 – $439.98 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $1,001.39 – $1,001.39 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $1,001.39 – $1,001.39 | 1 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $439.98 – $439.98 | 1 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $244.68 – $244.68 | 1 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $200.07 – $200.07 | 1 |
| Vaccine tdap >=7 years im CPT 90715 | $313.00 | $313.00 | $79.95 – $79.95 | 1 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $259.07 | $259.07 | $37.51 – $37.51 | 1 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $132.85 – $132.85 | 1 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $321.25 – $321.25 | 1 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $227.65 – $227.65 | 1 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.02 | 3 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $5,025.25 – $10,050.49 | 3 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $5,025.25 – $13,172.00 | 3 |
| Vag hyst including t/o CPT 58262 | not published | not published | $5,025.25 – $10,050.49 | 3 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $7,449.23 – $14,898.45 | 3 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $5,025.25 – $13,172.00 | 3 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $5,025.25 – $10,050.49 | 3 |
| Vaginal bx CPT 58999 | not published | not published | $203.09 – $1,187.00 | 3 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $3,251.88 – $6,503.75 | 3 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $5,222.46 – $5,222.46 | 1 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $5,025.25 – $10,050.49 | 3 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $3,251.88 – $6,503.75 | 3 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $4,405.77 – $9,098.00 | 2 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $2,194.24 – $9,124.00 | 2 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $281.74 – $9,124.00 | 2 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $2,993.64 – $9,124.00 | 2 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $2,954.77 – $9,124.00 | 2 |
| Valproic acid total therapeutic drug level CPT 80164 | $379.91 | $379.91 | $13.54 – $60.20 | 5 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,247.05 – $2,649.56 | 3 |
| Valvuloplasty aortic CPT 92986 | $21,782.79 | $21,782.79 | $5,717.50 – $16,164.00 | 3 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $4,829.24 – $9,124.00 | 2 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $5,715.08 – $9,124.00 | 2 |
| Valvuloplasty mitral CPT 92987 | $46,667.28 | $46,667.28 | $11,596.79 – $23,193.59 | 3 |
| Valvuloplasty pulmonary CPT 92990 | $40,952.74 | $40,952.74 | $11,596.79 – $23,193.59 | 3 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $7,735.61 – $9,124.00 | 2 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $6,110.87 – $9,124.00 | 2 |
| Vancomycin hcl injection HCPCS J3370 | $384.63 | $384.63 | $2.87 – $2.87 | 1 |
| Vancomycin peak therapeutic drug level CPT 80202 | $278.80 | $278.80 | $13.54 – $60.20 | 5 |
| Vanomycin dna amp probe CPT 87500 | $264.74 | $264.74 | $35.09 – $156.00 | 5 |
| Vantas implant HCPCS J9225 | not published | not published | $9,067.41 – $10,156.93 | 2 |
| Varicella zoster antibody igg CPT 86787 | $91.67 | $91.67 | $12.88 – $52.04 | 5 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $2,497.73 – $4,995.47 | 3 |
| Vasc emb/occ w/prs cath HCPCS C9797 | not published | not published | $18,415.17 – $36,830.34 | 2 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $3,286.91 – $13,172.00 | 3 |
| Vasectomy CPT 55250 | $10,159.54 | $10,159.54 | $2,099.91 – $4,781.00 | 3 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $492.08 | $492.08 | $3.70 – $6.57 | 2 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $5,480.01 – $5,480.01 | 1 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $2,822.54 – $2,822.54 | 1 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | not published | not published | $21.62 – $43.24 | 3 |
| Veeg cont 2-12 hrs CPT 95713 | $2,128.09 | $2,128.09 | $374.86 – $749.72 | 2 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $12,193.76 | $12,193.76 | $862.65 – $1,725.31 | 2 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $1,024.85 | $1,024.85 | $374.86 – $749.72 | 2 |
| Veeg unmon 12-26 hrs CPT 95714 | $3,838.00 | $3,838.00 | $374.86 – $749.72 | 2 |
| Veeg unmon 2-12 hrs CPT 95711 | $2,192.05 | $2,192.05 | $216.91 – $433.81 | 2 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $3,615.90 – $9,124.00 | 2 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $4,188.87 – $9,124.00 | 2 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $3,414.51 – $9,124.00 | 2 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $4,179.35 – $9,124.00 | 2 |
| Vein x-ray adrenal gland CPT 75840 | $27,662.85 | $27,662.85 | $3,171.87 – $6,343.74 | 2 |
| Vein x-ray adrenal glands CPT 75842 | $25,721.36 | $25,721.36 | $13,416.28 – $13,416.28 | 1 |
| Vein x-ray eye socket CPT 75880 | $6,507.96 | $6,507.96 | $630.16 – $1,260.32 | 2 |
| Vein x-ray kidney CPT 75831 | $16,940.83 | $16,940.83 | $3,171.87 – $6,343.74 | 2 |
| Vein x-ray liver CPT 75891 | $27,662.85 | $27,662.85 | $3,171.87 – $6,343.74 | 2 |
| Vein x-ray liver w/hemodynam CPT 75885 | $15,039.68 | $15,039.68 | $3,171.87 – $6,343.74 | 2 |
| Vein x-ray liver w/hemodynam CPT 75889 | $9,430.02 | $9,430.02 | $3,171.87 – $6,343.74 | 2 |
| Vein x-ray liver without hemodyn CPT 75887 | $13,122.29 | $13,122.29 | $250.36 – $6,343.74 | 2 |
| Vein x-ray skull CPT 75870 | $15,039.68 | $15,039.68 | $365.05 – $6,343.74 | 2 |
| Vein x-ray skull epidural CPT 75872 | $6,507.96 | $6,507.96 | $630.16 – $1,260.32 | 2 |
| Vein x-ray spleen/liver CPT 75810 | $27,662.85 | $27,662.85 | $3,171.87 – $6,343.74 | 2 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $392.84 – $785.69 | 3 |
| Vemp test i&r cervical CPT 92517 | $1,200.52 | $1,200.52 | $97.58 – $258.52 | 2 |
| Vemp test i&r ocular CPT 92518 | not published | not published | $97.58 – $258.52 | 2 |
| Vemp tst i&r cervical&ocular CPT 92519 | $2,325.67 | $2,325.67 | $145.97 – $433.81 | 2 |
| Ven blood coll snf/hha HCPCS G0471 | not published | not published | $10.83 – $42.28 | 3 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | not published | not published | $21.30 – $21.30 | 1 |
| Venogram ext bil s&i CPT 75822 | $9,794.73 | $9,794.73 | $232.50 – $3,162.66 | 2 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $8,594.29 | $8,594.29 | $1,581.33 – $3,162.66 | 2 |
| Venous mech thrombectomy CPT 37187 | $39,743.66 | $39,743.66 | $11,596.79 – $23,193.59 | 3 |
| Venous m-thrombectomy add-on CPT 37188 | $20,193.37 | $20,193.37 | $3,171.87 – $9,098.00 | 3 |
| Venous sampling s&i CPT 75893 | $24,511.96 | $24,511.96 | $5,589.84 – $11,179.69 | 2 |
| Venous thrombosis imaging CPT 78457 | not published | not published | $463.92 – $1,090.89 | 2 |
| Ven thrombosis images bilat CPT 78458 | not published | not published | $401.59 – $803.19 | 2 |
| Ventilator each subsequent day CPT 94003 | $3,817.38 | $3,817.38 | $620.60 – $1,241.21 | 2 |
| Ventilator initial day CPT 94002 | $4,507.11 | $4,507.11 | $620.60 – $1,241.21 | 2 |
| Vent mgmt nf per day CPT 94004 | not published | not published | $137.63 – $137.63 | 1 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | not published | not published | $888.50 – $2,265.00 | 3 |
| Ventriculomyotomy/ihss 33416 CPT 33416 | not published | not published | $5,064.31 – $9,124.00 | 2 |
| Version cephalic external CPT 59412 | $2,005.39 | $2,005.39 | $3,251.88 – $6,503.75 | 3 |
| Vertebral corpectomy partial/complete 63082 CPT 63082 | not published | not published | $671.49 – $9,124.00 | 2 |
| Verteporfin injection HCPCS J3396 | not published | not published | $11.37 – $22.75 | 3 |
| Very long chain fatty acids CPT 82726 | $262.35 | $262.35 | $19.75 – $80.22 | 5 |
| Vesiculotomy complicated CPT 55605 | not published | not published | $1,304.97 – $2,265.00 | 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.