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 |
|---|---|---|---|---|
| Closed tx nose/jaw fx CPT 21345 | $8,243.52 | $8,243.52 | $1,424.90 – $3,117.31 | 3 |
| Closed tx orbit without manipulj CPT 21400 | $2,880.26 | $2,880.26 | $466.46 – $1,187.00 | 3 |
| Closed tx orbit w/manipulj CPT 21401 | $8,243.52 | $8,243.52 | $1,424.90 – $3,117.31 | 3 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $8,723.57 | $8,723.57 | $1,431.29 – $3,230.64 | 3 |
| Closed tx septal&nose fx CPT 21337 | $16,435.01 | $16,435.01 | $2,761.00 – $6,661.13 | 3 |
| Closed tx sesamoid fx 28530 CPT 28530 | $1,320.65 | $1,320.65 | $79.27 – $1,187.00 | 3 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $1,320.65 | $1,320.65 | $115.06 – $1,187.00 | 3 |
| Closed tx vert fx w/manj CPT 22315 | $16,720.23 | $16,720.23 | $2,761.00 – $6,573.82 | 3 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $1,324.69 | $1,324.69 | $215.04 – $1,187.00 | 3 |
| Close mastoid fistula CPT 69700 | not published | not published | $1,424.90 – $3,117.31 | 3 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $750.11 – $16,164.00 | 3 |
| Close tear duct opening CPT 68760 | not published | not published | $144.33 – $1,187.00 | 3 |
| Close tear duct opening CPT 68761 | not published | not published | $102.90 – $1,187.00 | 3 |
| Close tear system fistula CPT 68770 | not published | not published | $2,043.57 – $4,776.64 | 3 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $16.00 – $48.14 | 5 |
| Clos txnose fx without stablz 21315 CPT 21315 | $8,243.52 | $8,243.52 | $1,424.90 – $3,117.31 | 3 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $956.76 – $9,124.00 | 2 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $1,767.00 – $9,124.00 | 2 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $1,120.03 – $9,124.00 | 2 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $1,547.03 – $9,124.00 | 2 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $2,880.26 | $2,880.26 | $466.46 – $1,187.00 | 3 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $852.16 – $2,761.00 | 3 |
| Closure of salivary fistula CPT 42600 | not published | not published | $2,761.00 – $6,661.13 | 3 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $2,765.97 – $6,661.13 | 3 |
| Closure paravalvlr leak pq CPT 33999 | $6,507.96 | $6,507.96 | $665.82 – $2,265.00 | 3 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $18.93 – $76.62 | 5 |
| Clot factor viii reltd antgn CPT 85244 | $237.68 | $237.68 | $20.42 – $82.52 | 5 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $18.93 – $76.62 | 5 |
| Clot factor xii hageman CPT 85280 | $497.49 | $497.49 | $19.35 – $77.61 | 5 |
| Clot factor xiii fibrin scrn CPT 85291 | $113.35 | $113.35 | $9.11 – $35.35 | 5 |
| Clot factor xiii fibrin stab CPT 85290 | $133.89 | $133.89 | $16.34 – $65.82 | 5 |
| Clotting assay whole blood CPT 85396 | $510.84 | $510.84 | $20.93 – $48.53 | 4 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $0.62 – $0.62 | 1 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $2,256.73 | $2,256.73 | $227.72 – $1,187.00 | 3 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $1,320.65 | $1,320.65 | $227.72 – $1,187.00 | 3 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $1,320.65 | $1,320.65 | $115.06 – $1,187.00 | 3 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $8,627.31 | $8,627.31 | $1,431.29 – $3,230.64 | 3 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $2,256.73 | $2,256.73 | $227.72 – $1,187.00 | 3 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $8,627.31 | $8,627.31 | $1,431.29 – $3,230.64 | 3 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $1,308.80 | $1,308.80 | $227.72 – $1,187.00 | 3 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $1,320.65 | $1,320.65 | $115.06 – $1,187.00 | 3 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $1,417.66 | $1,417.66 | $115.06 – $1,187.00 | 3 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $2,613.05 | $2,613.05 | $227.72 – $1,187.00 | 3 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $1,320.65 | $1,320.65 | $227.72 – $1,187.00 | 3 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $1,814.51 | $1,814.51 | $59.07 – $1,187.00 | 3 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $10,864.60 | $10,864.60 | $1,431.29 – $3,230.64 | 3 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $1,431.29 – $3,230.64 | 3 |
| Clsd tx fracture of radius 25500 CPT 25500 | $1,320.65 | $1,320.65 | $115.06 – $1,187.00 | 3 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $1,320.65 | $1,320.65 | $104.43 – $1,187.00 | 3 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $1,051.63 | $1,051.63 | $111.66 – $1,187.00 | 3 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $2,613.05 | $2,613.05 | $115.06 – $1,187.00 | 3 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $8,546.69 | $8,546.69 | $1,431.29 – $3,230.64 | 3 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $1,449.91 | $1,449.91 | $115.06 – $1,187.00 | 3 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $8,627.31 | $8,627.31 | $1,187.00 – $3,230.64 | 3 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $1,320.65 | $1,320.65 | $115.06 – $1,187.00 | 3 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $2,256.73 | $2,256.73 | $227.72 – $1,187.00 | 3 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $1,320.65 | $1,320.65 | $227.72 – $1,187.00 | 3 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $1,436.51 | $1,436.51 | $227.72 – $1,187.00 | 3 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $1,816.37 | $1,816.37 | $122.62 – $1,187.00 | 3 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $2,880.26 | $2,880.26 | $466.46 – $1,187.00 | 3 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $1,320.65 | $1,320.65 | $115.06 – $1,187.00 | 3 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $1,417.66 | $1,417.66 | $115.06 – $1,187.00 | 3 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $1,417.66 | $1,417.66 | $227.72 – $1,187.00 | 3 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | $13,661.80 | $13,661.80 | $2,761.00 – $6,573.82 | 3 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $1,417.66 | $1,417.66 | $115.06 – $1,187.00 | 3 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $1,320.65 | $1,320.65 | $115.06 – $1,187.00 | 3 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $16,435.01 | $16,435.01 | $2,761.00 – $6,661.13 | 3 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $8,627.31 | $8,627.31 | $1,431.29 – $3,230.64 | 3 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $1,814.51 | $1,814.51 | $227.72 – $1,187.00 | 3 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $1,392.30 | $1,392.30 | $227.72 – $1,187.00 | 3 |
| Clsd tx pelvic ring fx CPT 27197 | $2,207.18 | $2,207.18 | $227.72 – $1,187.00 | 3 |
| Clsd tx pelvic ring fx CPT 27198 | $1,320.65 | $1,320.65 | $227.72 – $1,187.00 | 3 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $9,514.76 | $9,514.76 | $1,431.29 – $3,230.64 | 3 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $1,320.65 | $1,320.65 | $115.06 – $1,187.00 | 3 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $1,320.65 | $1,320.65 | $115.06 – $1,187.00 | 3 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $8,546.69 | $8,546.69 | $1,187.00 – $3,230.64 | 3 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $1,320.65 | $1,320.65 | $227.72 – $1,187.00 | 3 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $8,546.69 | $8,546.69 | $1,431.29 – $3,230.64 | 3 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $8,627.31 | $8,627.31 | $1,187.00 – $3,230.64 | 3 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $10,650.84 | $10,650.84 | $1,431.29 – $3,230.64 | 3 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | $16,720.23 | $16,720.23 | $2,761.00 – $6,573.82 | 3 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $3,493.81 | $3,493.81 | $227.72 – $1,187.00 | 3 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $1,924.32 | $1,924.32 | $72.79 – $1,187.00 | 3 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $1,320.65 | $1,320.65 | $227.72 – $1,187.00 | 3 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $8,627.31 | $8,627.31 | $1,431.29 – $3,230.64 | 3 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $1,320.65 | $1,320.65 | $115.06 – $1,187.00 | 3 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $1,320.65 | $1,320.65 | $227.72 – $1,187.00 | 3 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $1,348.71 | $1,348.71 | $115.06 – $1,187.00 | 3 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $1,361.97 | $1,361.97 | $115.06 – $1,187.00 | 3 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $1,814.51 | $1,814.51 | $227.72 – $1,187.00 | 3 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $1,320.65 | $1,320.65 | $115.06 – $1,187.00 | 3 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $1,320.65 | $1,320.65 | $227.72 – $1,187.00 | 3 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $1,320.65 | $1,320.65 | $227.72 – $1,187.00 | 3 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $8,627.31 | $8,627.31 | $1,431.29 – $3,230.64 | 3 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $8,627.31 | $8,627.31 | $1,431.29 – $3,230.64 | 3 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $1,320.65 | $1,320.65 | $227.72 – $1,187.00 | 3 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $8,627.31 | $8,627.31 | $1,187.00 – $3,230.64 | 3 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $1,320.65 | $1,320.65 | $227.72 – $1,187.00 | 3 |
| Cltx lunate dislc w/mnpj CPT 25690 | $8,627.31 | $8,627.31 | $1,431.29 – $3,230.64 | 3 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | $30,179.24 | $30,179.24 | $5,122.16 – $13,172.00 | 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.