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 |
|---|---|---|---|---|
| Disability dlco CPT 94727 | $607.94 | $607.94 | $189.68 – $433.81 | 2 |
| Disaccharidases CPT 82657 | $1,341.87 | $1,341.87 | $22.17 – $72.69 | 5 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,713.61 – $4,145.37 | 3 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,683.65 – $9,124.00 | 2 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $230.63 – $9,124.00 | 2 |
| Discography cerv/thor spine CPT 72285 | $21,284.82 | $21,284.82 | $3,923.25 – $3,957.94 | 2 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $90.03 – $3,576.02 | 3 |
| Dissolve clot heart vessel CPT 92975 | $342.53 | $342.53 | $417.87 – $9,124.00 | 2 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $4,853.58 – $16,164.00 | 3 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $355.84 – $2,761.00 | 2 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $9,193.93 | $9,193.93 | $329.58 – $9,124.00 | 2 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $279.00 – $558.00 | 4 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $137.00 – $374.83 | 4 |
| Dna antibody native/double stranded CPT 86225 | $111.46 | $111.46 | $13.74 – $55.01 | 5 |
| Dna gardnerella CPT 87510 | $102.82 | $102.82 | $20.05 – $80.56 | 5 |
| Dna probe chlamydia CPT 87490 | not published | not published | $22.75 – $80.56 | 5 |
| Dna probe gc CPT 87590 | not published | not published | $26.88 – $80.56 | 5 |
| Dna trichomonas CPT 87660 | $116.77 | $116.77 | $20.05 – $80.56 | 5 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $455.51 | $455.51 | $3.77 – $3.77 | 1 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $828.06 | $828.06 | $3.20 – $3.20 | 1 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $1.47 – $101.56 | 2 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $7.73 – $7.73 | 1 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $126.36 – $126.36 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $123.78 | $123.78 | $0.33 – $0.33 | 1 |
| Doppler echo complete CPT 93320 | $881.68 | $881.68 | $48.92 – $48.92 | 1 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $3,283.30 | $3,283.30 | $1,187.00 – $1,187.00 | 1 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $1,717.24 | $1,717.24 | $155.64 – $433.81 | 2 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $1,368.95 | $1,368.95 | $149.48 – $267.31 | 2 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $0.95 – $0.95 | 1 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $54.73 – $54.73 | 1 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $47,633.70 | $47,633.70 | $316.82 – $487.42 | 3 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $222.49 | $222.49 | $4.62 – $4.62 | 1 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $8,796.30 | $8,796.30 | $216.94 – $443.06 | 3 |
| Dpyd gene common variants CPT 81232 | $2,103.46 | $2,103.46 | $174.81 – $478.28 | 4 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $3,766.77 | $3,766.77 | $175.69 – $2,265.00 | 3 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $3,803.02 | $3,803.02 | $182.93 – $2,265.00 | 3 |
| Drainage external ear complex 69005 CPT 69005 | $8,688.98 | $8,688.98 | $141.39 – $3,318.25 | 3 |
| Drainage external ear simple 69000 CPT 69000 | $693.77 | $693.77 | $137.58 – $2,265.00 | 3 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $2,448.75 – $5,835.90 | 3 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $2,448.75 – $5,835.90 | 3 |
| Drainage mouth roof lesion CPT 42000 | $1,509.85 | $1,509.85 | $215.04 – $1,187.00 | 3 |
| Drainage of arm bursa 23931 CPT 23931 | $8,688.98 | $8,688.98 | $1,449.47 – $3,318.25 | 3 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $2,448.75 – $5,835.90 | 3 |
| Drainage of eye CPT 65800 | not published | not published | $1,187.00 – $4,636.68 | 3 |
| Drainage of eye CPT 65810 | not published | not published | $2,135.08 – $4,781.00 | 3 |
| Drainage of eye CPT 65815 | not published | not published | $2,135.08 – $4,781.00 | 3 |
| Drainage of forearm bursa CPT 25031 | $8,627.31 | $8,627.31 | $1,431.29 – $4,781.00 | 3 |
| Drainage of kidney lesion CPT 50390 | $4,190.61 | $4,190.61 | $644.17 – $2,265.00 | 3 |
| Drainage of mouth lesion CPT 41005 | $1,336.80 | $1,336.80 | $215.04 – $1,187.00 | 3 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,424.90 – $3,117.31 | 3 |
| Drainage of mouth lesion CPT 41007 | $8,243.52 | $8,243.52 | $1,424.90 – $3,117.31 | 3 |
| Drainage of mouth lesion CPT 41008 | $16,435.01 | $16,435.01 | $2,761.00 – $6,661.13 | 3 |
| Drainage of mouth lesion CPT 41009 | $2,880.26 | $2,880.26 | $466.46 – $1,187.00 | 3 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $466.46 – $1,187.00 | 3 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $4,781.00 – $11,893.61 | 3 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $2,761.00 – $6,661.13 | 3 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $1,424.90 – $3,117.31 | 3 |
| Drainage of nose lesion int 30000 CPT 30000 | $1,336.80 | $1,336.80 | $108.65 – $1,187.00 | 3 |
| Drainage of nose lesion sept 30020 CPT 30020 | $2,880.26 | $2,880.26 | $211.52 – $1,187.00 | 3 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,431.29 – $4,781.00 | 3 |
| Drainage of pelvis lesion 26990 CPT 26990 | $20,632.24 | $20,632.24 | $2,890.75 – $6,573.82 | 3 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $3,187.58 – $7,082.09 | 3 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $1,870.76 – $7,082.09 | 3 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $3,187.58 – $7,082.09 | 3 |
| Drainage of rectal abscess CPT 45005 | $6,421.63 | $6,421.63 | $1,060.46 – $2,761.00 | 3 |
| Drainage of rectal abscess 45020 CPT 45020 | $14,461.39 | $14,461.39 | $2,475.45 – $5,576.62 | 3 |
| Drainage of salivary gland CPT 42305 | not published | not published | $2,765.97 – $6,661.13 | 3 |
| Drainage of salivary gland CPT 42320 | not published | not published | $466.46 – $1,187.00 | 3 |
| Drainage of throat abscess CPT 42725 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $1,870.76 – $7,082.09 | 3 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $86.51 – $4,781.00 | 3 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $587.70 – $4,781.00 | 3 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $1,870.76 – $4,781.00 | 3 |
| Drain bladder by trocar/cath CPT 51101 | $5,918.74 | $5,918.74 | $111.28 – $2,761.00 | 3 |
| Drain blood from under nail 11740 CPT 11740 | $401.66 | $401.66 | $115.14 – $1,187.00 | 3 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $3,590.97 | $3,590.97 | $1,449.47 – $3,318.25 | 3 |
| Drain cath image guided visceral pq CPT 49405 | $3,590.97 | $3,590.97 | $1,449.47 – $3,318.25 | 3 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $3,170.09 | $3,170.09 | $660.05 – $2,265.00 | 3 |
| Drain chest lesion CPT 21502 | not published | not published | $2,890.75 – $6,573.82 | 3 |
| Drain finger abscess;simple 26010 CPT 26010 | $1,271.09 | $1,271.09 | $93.23 – $1,187.00 | 3 |
| Drain lower leg bursa CPT 27604 | not published | not published | $2,890.75 – $6,573.82 | 3 |
| Drain lower leg lesion 27603 CPT 27603 | $14,586.47 | $14,586.47 | $2,448.75 – $5,835.90 | 3 |
| Drain neck/chest lesion 21501 CPT 21501 | $17,651.47 | $17,651.47 | $2,448.75 – $5,835.90 | 3 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $1,246.00 – $9,124.00 | 2 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $2,637.99 – $6,503.75 | 3 |
| Drain ovary abscess open CPT 58820 | not published | not published | $2,637.99 – $6,503.75 | 3 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $1,209.84 – $9,124.00 | 2 |
| Drain penis lesion CPT 54015 | not published | not published | $1,449.47 – $3,318.25 | 3 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,431.29 – $4,781.00 | 3 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $2,448.75 – $5,835.90 | 3 |
| Drain shoulder lesion CPT 23030 | $24,073.17 | $24,073.17 | $2,448.75 – $5,835.90 | 3 |
| Drain thigh/knee lesion 27301 CPT 27301 | $17,727.26 | $17,727.26 | $2,448.75 – $5,835.90 | 3 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $1,424.90 – $3,117.31 | 3 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $814.05 – $9,124.00 | 2 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $676.25 | $676.25 | $184.51 – $1,187.00 | 3 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $513.01 | $513.01 | $184.51 – $1,187.00 | 3 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $571.84 | $571.84 | $337.40 – $1,187.00 | 3 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $524.85 – $1,484.88 | 3 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $51.57 – $250.02 | 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.