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 |
|---|---|---|---|---|
| Acute venous thrombus image CPT 78456 | not published | not published | $626.37 – $2,601.10 | 2 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $46.88 | $46.88 | $0.16 – $0.16 | 1 |
| #acylcarnitineprfl CPT 82017 | $720.01 | $720.01 | $16.87 – $67.79 | 5 |
| Acylcarnitines qual CPT 82016 | $189.06 | $189.06 | $16.49 – $56.01 | 5 |
| Adapt behavior tx phys/qhp CPT 97155 | $642.77 | $642.77 | $37.46 – $356.61 | 2 |
| Adding walker to prev cast CPT 29440 | not published | not published | $23.24 – $1,187.00 | 3 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $601.63 | $601.63 | $1.67 – $1.67 | 1 |
| Adenovirus ag ia CPT 87301 | $144.15 | $144.15 | $11.98 – $48.14 | 5 |
| Adenovirus antibody,serum - quest CPT 86603 | $195.93 | $195.93 | $12.87 – $52.04 | 5 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $21.76 – $48.14 | 5 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $971.98 – $4,781.00 | 2 |
| Adh-sendout CPT 84588 | $583.35 | $583.35 | $33.94 – $136.57 | 5 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $829.93 – $2,761.00 | 3 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $6,316.94 – $14,578.56 | 3 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $1,713.61 – $4,145.37 | 3 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $39.65 | $39.65 | $0.19 – $0.19 | 1 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $333.84 | $333.84 | $42.49 – $144.66 | 2 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $786.39 | $786.39 | $94.87 – $144.66 | 2 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $1,082.40 | $1,082.40 | $196.16 – $663.62 | 2 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $1,118.21 | $1,118.21 | $150.70 – $663.62 | 2 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $1,118.21 | $1,118.21 | $82.90 – $144.66 | 2 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $1,118.21 | $1,118.21 | $82.90 – $144.66 | 2 |
| Administration immunization 1 vaccine CPT 90471 | $205.00 | $205.00 | $82.90 – $144.66 | 2 |
| Administration immunization each additional component CPT 90461 | not published | not published | $17.78 – $17.78 | 1 |
| Administration immunization each additional vaccine CPT 90472 | $41.64 | $41.64 | $17.78 – $17.78 | 1 |
| Administration immunization first component each vaccine CPT 90460 | $79.29 | $79.29 | $19.77 – $19.77 | 1 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $105.02 | $105.02 | $82.90 – $144.66 | 2 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $105.02 | $105.02 | $17.78 – $17.78 | 1 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $54.84 – $54.84 | 1 |
| Administration vaccine hepatitis b HCPCS G0010 | $391.84 | $391.84 | $71.15 – $94.08 | 2 |
| Administration vaccine influenza virus HCPCS G0008 | $447.17 | $447.17 | $32.62 – $94.08 | 2 |
| Administration vaccine pneumococcal HCPCS G0009 | not published | not published | $65.71 – $94.08 | 2 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $54.84 – $54.84 | 1 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $40.23 – $84.32 | 3 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $990.57 – $2,601.10 | 2 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,345.32 – $9,124.00 | 2 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $103.76 – $103.76 | 1 |
| Aep hearing status deter i&r CPT 92651 | $1,200.52 | $1,200.52 | $149.08 – $433.81 | 2 |
| Aep neurodiagnostic i&r CPT 92653 | $1,963.86 | $1,963.86 | $145.14 – $433.81 | 2 |
| Aep thrshld est mlt freq i&r CPT 92652 | $2,332.70 | $2,332.70 | $197.10 – $433.81 | 2 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $4,258.60 – $5,886.84 | 3 |
| _afb id by dna probe rflx ast CPT 87149 | $241.26 | $241.26 | $20.05 – $80.56 | 5 |
| #afb mycobacteria suscep. #1 CPT 87190 | $299.69 | $299.69 | $7.31 – $22.60 | 5 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $917.39 | $917.39 | $115.36 – $350.65 | 4 |
| Aflibercept injection HCPCS J0178 | not published | not published | $1,223.78 – $1,653.66 | 3 |
| After cataract laser surgery CPT 66821 | not published | not published | $535.32 – $2,265.00 | 3 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $220.23 – $460.31 | 3 |
| Air conduction bilat CPT 92552 | $659.02 | $659.02 | $149.48 – $267.31 | 2 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $258.52 – $347.00 | 2 |
| Albumin body fluid quantitative each specimen CPT 82042 | $157.86 | $157.86 | $7.78 – $20.62 | 5 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $836.78 | $836.78 | $82.30 – $106.15 | 3 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | $628.07 | $628.07 | $32.92 – $42.46 | 3 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $1,007.84 | $1,007.84 | $82.30 – $106.15 | 3 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $16.46 – $21.23 | 3 |
| Albumin ischemia modified CPT 82045 | not published | not published | $33.94 – $136.57 | 5 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $185.40 | $185.40 | $5.78 – $23.58 | 5 |
| Albumin serum plasma or whole blood CPT 82040 | $128.52 | $128.52 | $4.95 – $19.66 | 5 |
| Albuterol ipratrop non-comp HCPCS J7620 | $19.73 | $19.73 | $0.32 – $0.32 | 1 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.13 – $0.13 | 1 |
| Albuterol non-comp unit HCPCS J7613 | $6.06 | $6.06 | $0.11 – $0.11 | 1 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $503.48 | $503.48 | $17.27 – $47.25 | 4 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $23.22 – $58.11 | 2 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $90.42 – $356.61 | 2 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $6,153.02 – $7,751.94 | 3 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,581.72 – $4,859.78 | 3 |
| Alkaline phosphatase CPT 84075 | $116.89 | $116.89 | $5.18 – $20.62 | 5 |
| Allergen alpha lactalbumin ige CPT 86008 | $223.03 | $223.03 | $17.93 – $49.06 | 4 |
| Allergen egg white ige CPT 86003 | $142.98 | $142.98 | $5.22 – $20.62 | 5 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $91.38 | $91.38 | $7.97 – $32.40 | 5 |
| Allergy injections; 2 or more 95117 CPT 95117 | $323.07 | $323.07 | $52.25 – $94.08 | 2 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $52.25 – $94.08 | 2 |
| Allergy Skin Testing CPT 95004 | not published | not published | $1,246.17 – $1,725.31 | 2 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $1,246.17 – $1,725.31 | 2 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $12,567.15 – $25,794.37 | 3 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $1,920.31 | $1,920.31 | not published | 0 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | not published | not published | $136.36 – $250.02 | 2 |
| Alloskin HCPCS Q4115 | not published | not published | $19.88 – $250.02 | 2 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $45.83 – $75.04 | 2 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $31.52 – $58.11 | 2 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $6.15 – $10.91 | 3 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $721.20 | $721.20 | $64.41 – $259.33 | 5 |
| Alpha-fetoprotein amniotic CPT 82106 | $200.86 | $200.86 | $17.00 – $67.79 | 5 |
| Alpha-fetoprotein tumor marker CPT 82105 | $330.17 | $330.17 | $16.77 – $67.79 | 5 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $0.25 – $0.25 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $604.61 | $604.61 | $49.81 – $188.89 | 3 |
| Alt/sgpt CPT 84460 | $200.22 | $200.22 | $5.30 – $21.62 | 5 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $6.97 – $9.33 | 3 |
| Aluminum - quest CPT 82108 | $213.95 | $213.95 | $25.48 – $102.17 | 5 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $293.07 – $6,661.13 | 3 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $922.45 | $922.45 | $58.80 – $191.01 | 2 |
| Amantadine (symmetrel)-sendout CPT 80375 | $247.80 | $247.80 | not published | 0 |
| Ambl bp mntr w/sw a/r CPT 93788 | $542.76 | $542.76 | $149.48 – $267.31 | 2 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | not published | not published | $1.44 – $1.44 | 1 |
| Amino acid screen, urine CPT 82128 | $173.70 | $173.70 | $13.87 – $56.01 | 5 |
| Amino acid single qual CPT 82127 | not published | not published | $14.18 – $56.01 | 5 |
| Amino acids quant 2-5 CPT 82136 | $311.79 | $311.79 | $19.61 – $67.79 | 5 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.89 – $3.59 | 3 |
| Aminolevulinic acid delta CPT 82135 | $171.04 | $171.04 | $16.45 – $66.79 | 5 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $510.03 – $784.18 | 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.