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 |
|---|---|---|---|---|
| Chemo ia push tecnique CPT 96420 | $772.62 | $772.62 | $145.76 – $663.62 | 2 |
| Chemo intralesional over 7 CPT 96406 | $581.06 | $581.06 | $64.72 – $427.34 | 2 |
| Chemo intralesional up to 7 96405 CPT 96405 | $1,594.10 | $1,594.10 | $82.90 – $144.66 | 2 |
| Chemotaxis assay CPT 86155 | not published | not published | $15.99 – $64.85 | 5 |
| Chemotherapy injection 96542 CPT 96542 | $476.84 | $476.84 | $58.80 – $663.62 | 2 |
| Chemotx admn pertl cav impl CPT 96446 | $485.57 | $485.57 | $39.03 – $663.62 | 2 |
| Chest 2 vws w oblique CPT 71048 | $827.91 | $827.91 | $210.04 – $258.01 | 2 |
| Chest apical lordotic proj CPT 71047 | $821.94 | $821.94 | $174.84 – $183.72 | 2 |
| Chest CT scan (with and without contrast) CPT 71270 | $5,227.64 | $5,227.64 | $352.40 – $614.99 | 2 |
| Chest CT scan (with contrast) CPT 71260 | $4,698.57 | $4,698.57 | $352.40 – $614.99 | 2 |
| Chest CT scan (without contrast) CPT 71250 | $3,003.94 | $3,003.94 | $210.04 – $378.27 | 2 |
| Chest X-ray CPT 71046 | $810.40 | $810.40 | $174.84 – $183.72 | 2 |
| Chest X-ray (single view) CPT 71045 | $601.47 | $601.47 | $174.84 – $183.72 | 2 |
| Chg pr pul rehab for copd patients CPT 94626 | $618.60 | $618.60 | $39.03 – $118.52 | 2 |
| Chg radiologic exam esophagus double contrast CPT 74221 | not published | not published | $352.40 – $419.47 | 2 |
| Chimerism anal no cell selec CPT 81267 | $3,661.68 | $3,661.68 | $207.46 – $588.36 | 4 |
| Chimerism anal w/cell select CPT 81268 | $4,583.64 | $4,583.64 | $260.79 – $739.58 | 4 |
| Chlamydia culture CPT 87110 | $783.03 | $783.03 | $19.60 – $78.60 | 5 |
| Chlamydia trachomatis ag if CPT 87270 | $190.48 | $190.48 | $11.98 – $48.14 | 5 |
| Chlamydia type CPT 87140 | $160.99 | $160.99 | $5.57 – $22.60 | 5 |
| Chlnggrphy intraop addl s&i CPT 74301 | $729.48 | $729.48 | $24.88 – $24.88 | 1 |
| Chloramphenicol sodium injec HCPCS J0720 | not published | not published | $35.59 – $100.52 | 2 |
| Chloride CPT 82435 | $126.81 | $126.81 | $4.60 – $18.68 | 5 |
| Chloride 24 hour urine CPT 82436 | $138.76 | $138.76 | $5.75 – $20.62 | 5 |
| Chloroprocaine hcl injection HCPCS J2401 | $50.82 | $50.82 | $0.05 – $0.08 | 2 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $1.17 – $29.87 | 3 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $94.84 | $94.84 | $190.13 – $190.13 | 1 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $176.63 | $176.63 | $27.54 – $27.54 | 1 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | not published | not published | $0.13 – $0.13 | 1 |
| Chmotx admn plrl cav thrcnts CPT 96440 | $563.40 | $563.40 | $176.39 – $663.62 | 2 |
| Cholangiogram percutaneous compl CPT 47532 | $10,468.01 | $10,468.01 | $3,283.46 – $9,098.00 | 3 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $1,334.96 | $1,334.96 | $43.14 – $43.14 | 1 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $1,395.94 – $9,124.00 | 2 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $1,240.66 – $9,124.00 | 2 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $1,272.26 – $9,124.00 | 2 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $5,028.18 | $5,028.18 | $3,283.46 – $9,098.00 | 3 |
| Cholesterol CPT 82465 | $106.64 | $106.64 | $4.35 – $17.69 | 5 |
| Cholesterol body fluid CPT 84999 | $558.79 | $558.79 | $10.01 – $10.01 | 1 |
| Cholesterol (Lipid) Test CPT 80061 | $502.90 | $502.90 | $13.39 – $64.85 | 5 |
| Choline c-11 HCPCS A9515 | not published | not published | $5,032.86 – $6,588.54 | 2 |
| Cholinesterase CPT 82480 | $103.78 | $103.78 | $7.87 – $31.45 | 5 |
| Cholinesterase challenge CPT 95857 | not published | not published | $41.99 – $433.81 | 2 |
| Chorion biopsy CPT 59015 | $4,018.10 | $4,018.10 | $65.17 – $2,265.00 | 3 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $28.55 – $28.55 | 1 |
| Chrom analysis CPT 88273 | $399.10 | $399.10 | $34.81 – $129.66 | 5 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $39.00 – $78.60 | 5 |
| Chromatography CPT 83021 | $159.88 | $159.88 | $18.06 – $72.69 | 5 |
| Chromogenic substrate assay CPT 85130 | $150.26 | $150.26 | $11.89 – $48.14 | 5 |
| Chromo high res and frag x - sendout CPT 81243 | $538.67 | $538.67 | $57.04 – $156.06 | 4 |
| Chromosome analys amniotic CPT 88269 | $1,444.18 | $1,444.18 | $173.66 – $669.96 | 5 |
| Chromosome analysis 100 CPT 88249 | $1,420.85 | $1,420.85 | $173.17 – $697.42 | 5 |
| Chromosome analysis 15-20 cell count CPT 88262 | $975.56 | $975.56 | $125.49 – $501.97 | 5 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $173.17 – $599.20 | 5 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $150.29 – $605.11 | 5 |
| Chromosome analysis 5 CPT 88261 | $1,398.81 | $1,398.81 | $264.34 – $712.18 | 5 |
| Chromosome analysis 50-100 CPT 88248 | $1,420.85 | $1,420.85 | $173.17 – $697.42 | 5 |
| Chromosome analys placenta CPT 88267 | $1,618.67 | $1,618.67 | $188.57 – $723.95 | 5 |
| Chromosome banding study CPT 88283 | not published | not published | $68.60 – $276.04 | 5 |
| Chromosome count additional CPT 88285 | $483.51 | $483.51 | $26.91 – $76.62 | 5 |
| Chromosome karyotype study CPT 88280 | $187.45 | $187.45 | $33.47 – $101.19 | 5 |
| Chromosome study additional CPT 88289 | $485.59 | $485.59 | $34.43 – $138.49 | 5 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $12.46 – $50.10 | 5 |
| Chylomicron screen, bf - sendout CPT 82664 | $507.15 | $507.15 | $61.50 – $138.49 | 5 |
| Cidofovir injection HCPCS J0740 | not published | not published | $676.70 – $1,142.36 | 3 |
| Cilastatin sodium injection HCPCS J0743 | not published | not published | $4.56 – $4.56 | 1 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $2,043.57 – $4,781.00 | 3 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $612,734.22 – $1,131,737.89 | 3 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $0.78 – $0.78 | 1 |
| Cine/video x-rays CPT 76120 | $1,385.29 | $1,385.29 | $210.04 – $258.01 | 2 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $33.19 – $33.19 | 1 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $91.62 | $91.62 | $2.08 – $2.08 | 1 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $37.47 – $59.02 | 2 |
| Circum 28 days or older CPT 54161 | $13,147.33 | $13,147.33 | $1,870.76 – $4,781.00 | 3 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $6,150.14 | $6,150.14 | $587.70 – $4,781.00 | 3 |
| Circumcision (newborn) CPT 54150 | $10,263.24 | $10,263.24 | $1,870.76 – $4,781.00 | 3 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $422.96 | $422.96 | $3.24 – $3.24 | 1 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $2,700.57 | $2,700.57 | $329.51 – $686.03 | 4 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $3,333.89 | $3,333.89 | $21.36 – $32.64 | 3 |
| Claviculectomy partial CPT 23120 | not published | not published | $2,890.75 – $9,098.00 | 3 |
| Claviculectomy total CPT 23125 | not published | not published | $2,890.75 – $9,098.00 | 3 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $166.16 – $1,187.00 | 3 |
| Clearance of airways CPT 31720 | not published | not published | $194.26 – $1,187.00 | 3 |
| Clearance of tear duct CPT 68530 | not published | not published | $144.33 – $1,187.00 | 3 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $149.48 – $267.31 | 2 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $149.48 – $267.31 | 2 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $75.42 – $267.31 | 2 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $45.83 – $75.04 | 2 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $122.77 | $122.77 | $2.37 – $4.46 | 2 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $2,637.99 – $6,503.75 | 3 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $8.38 – $106.16 | 3 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $31.76 | $31.76 | $17.93 – $17.93 | 1 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $3,084.54 – $9,124.00 | 2 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $1,320.65 | $1,320.65 | $115.06 – $1,187.00 | 3 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $8,627.31 | $8,627.31 | $1,187.00 – $3,230.64 | 3 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $6,752.82 | $6,752.82 | $815.95 – $3,230.64 | 3 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $1,365.94 | $1,365.94 | $227.72 – $1,187.00 | 3 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $8,627.31 | $8,627.31 | $1,431.29 – $4,781.00 | 3 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $1,320.65 | $1,320.65 | $115.06 – $1,187.00 | 3 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $8,546.69 | $8,546.69 | $1,187.00 – $3,230.64 | 3 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $2,524.04 | $2,524.04 | $94.13 – $1,187.00 | 3 |
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.