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 |
|---|---|---|---|---|
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $990.63 – $9,124.00 | 2 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $3,107.93 | $3,107.93 | $350.13 – $9,124.00 | 2 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $852.87 – $9,124.00 | 2 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $2,761.00 – $6,573.82 | 3 |
| Drng of eyelid abscess 67700 CPT 67700 | $1,640.88 | $1,640.88 | $144.33 – $1,187.00 | 3 |
| Drng of finger abscess comp 26011 CPT 26011 | $8,688.98 | $8,688.98 | $1,449.47 – $3,318.25 | 3 |
| Drng of hydrocele 55000 CPT 55000 | $5,274.54 | $5,274.54 | $67.84 – $2,265.00 | 3 |
| Drng of mouth lesion 40801 CPT 40801 | $2,880.26 | $2,880.26 | $466.46 – $1,187.00 | 3 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $2,637.99 – $6,503.75 | 3 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $2,761.00 – $6,573.82 | 3 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $2,761.00 – $6,573.82 | 3 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $1,060.46 – $2,761.00 | 3 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $2,765.97 – $6,661.13 | 3 |
| Drng of scrotum abscess 55100 CPT 55100 | $9,846.83 | $9,846.83 | $1,449.47 – $3,318.25 | 3 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $1,211.74 – $9,124.00 | 2 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $1,099.86 – $9,124.00 | 2 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $753.91 – $9,098.00 | 2 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $1,755.58 – $9,124.00 | 2 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $1,424.90 – $3,117.31 | 3 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $466.46 – $1,187.00 | 3 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $2.14 – $2.14 | 1 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $39.31 | $39.31 | $2.21 – $2.21 | 1 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $2.04 – $250.02 | 2 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $15.51 – $250.02 | 2 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $25.26 – $250.02 | 2 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $53.21 – $250.02 | 2 |
| Drug admin & hemodynmic meas CPT 93463 | $1,465.44 | $1,465.44 | $139.33 – $1,187.00 | 2 |
| Drug assay caffeine CPT 80155 | $442.21 | $442.21 | $38.57 – $77.14 | 4 |
| Drug assay posaconazole CPT 80187 | $326.84 | $326.84 | $27.11 – $74.17 | 4 |
| Drug assay rufinamide CPT 80210 | not published | not published | $27.11 – $74.17 | 4 |
| Drug assay vedolizumab CPT 80280 | $887.64 | $887.64 | $38.57 – $105.53 | 4 |
| Drug assay voriconazole CPT 80285 | $309.52 | $309.52 | $27.11 – $82.87 | 4 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.64 – $51.00 | 4 |
| Drug of abuse screen urine CPT 80305 | $221.46 | $221.46 | $12.60 – $25.20 | 4 |
| Drug screen quant tiagabine CPT 80199 | $312.46 | $312.46 | $27.11 – $54.22 | 4 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $198.74 – $397.48 | 4 |
| Drug test def 1-7 classes HCPCS G0480 | $454.84 | $454.84 | $114.43 – $228.86 | 4 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $246.92 – $675.57 | 4 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $156.59 – $313.18 | 4 |
| Drug test prsmv instrmnt CPT 80306 | $485.11 | $485.11 | $17.14 – $34.28 | 4 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $1,388.54 | $1,388.54 | $62.14 – $126.16 | 4 |
| Drvvt confirm - quest CPT 85597 | $225.17 | $225.17 | $17.98 – $72.69 | 5 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $173.79 – $9,098.00 | 3 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $6,772.45 | $6,772.45 | $336.52 – $4,781.00 | 3 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $170.49 – $1,187.00 | 3 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $151.68 – $1,187.00 | 3 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $167.30 – $1,484.88 | 3 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $199.32 – $1,484.88 | 3 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $270.48 – $2,265.00 | 3 |
| Ductogram sgl duct CPT 77053 | $1,917.70 | $1,917.70 | $479.38 – $536.46 | 2 |
| Duodenal motility study CPT 91022 | not published | not published | $131.42 – $1,187.00 | 3 |
| Duplex scan bilateral study 93985 CPT 93985 | $2,918.62 | $2,918.62 | $479.38 – $533.44 | 2 |
| Duplex scan unilateral study 93986 CPT 93986 | $1,526.31 | $1,526.31 | $210.04 – $303.63 | 2 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $938.20 | $938.20 | $153.66 – $210.04 | 2 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $2,916.54 | $2,916.54 | $196.16 – $433.81 | 2 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,589.15 | $1,589.15 | $231.73 – $479.38 | 2 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $52,299.83 | $52,299.83 | $98.40 – $170.24 | 3 |
| Dxa bone density axl vrt fx CPT 77085 | $770.26 | $770.26 | $210.04 – $258.01 | 2 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $204.05 – $258.52 | 2 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $1,510.72 – $3,576.02 | 3 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $9,857.87 | $9,857.87 | $1,510.72 – $3,576.02 | 3 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $1,510.72 – $3,576.02 | 3 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $498.48 – $897.52 | 2 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $829.93 – $2,761.00 | 3 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $829.93 – $2,761.00 | 3 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $267.27 – $1,187.00 | 3 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $146.10 – $1,187.00 | 3 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $399.05 – $1,187.00 | 3 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $1,510.72 – $3,576.02 | 3 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $68.22 – $2,761.00 | 3 |
| Dynamic surface emg CPT 96002 | not published | not published | $31.12 – $433.81 | 2 |
| Ear and throat examination CPT 92502 | not published | not published | $466.46 – $1,187.00 | 3 |
| Ear canal biopsy 69105 CPT 69105 | $10,636.02 | $10,636.02 | $115.85 – $3,117.31 | 3 |
| Ear cartilage graft CPT 21235 | not published | not published | $2,761.00 – $11,893.61 | 3 |
| Ear irrigation 69209 CPT 69209 | $452.60 | $452.60 | $58.09 – $1,187.00 | 3 |
| Ear protector evaluation CPT 92596 | not published | not published | $52.38 – $75.04 | 2 |
| Ecallantide injection HCPCS J1290 | not published | not published | $648.65 – $1,159.93 | 3 |
| Ecg 12 lead tracing only CPT 93005 | $619.04 | $619.04 | $75.42 – $118.52 | 2 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $9.88 – $9.88 | 1 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $537.20 | $537.20 | $75.42 – $118.52 | 2 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $191.01 – $233.21 | 2 |
| Ecg external < 48 hours recording CPT 93225 | $1,958.29 | $1,958.29 | $149.48 – $267.31 | 2 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $2,086.91 | $2,086.91 | $118.52 – $149.48 | 2 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $690.46 | $690.46 | $53.03 – $75.04 | 2 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $949.01 | $949.01 | $75.04 – $87.22 | 2 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $3,321.48 | $3,321.48 | $185.78 – $1,097.81 | 2 |
| Echocardiography doppler color flow mapping CPT 93325 | $875.94 | $875.94 | $30.63 – $30.63 | 1 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | not published | not published | $933.40 – $1,574.99 | 2 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $2,918.62 | $2,918.62 | $101.29 – $479.38 | 2 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | not published | not published | $523.52 – $700.93 | 2 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $820.13 | $820.13 | $27.17 – $27.17 | 1 |
| Echo exam of eye CPT 76516 | not published | not published | $210.04 – $258.01 | 2 |
| Echo exam of eye CPT 76519 | not published | not published | $210.04 – $258.01 | 2 |
| Echo exam of eye CPT 76529 | not published | not published | $174.84 – $183.72 | 2 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $52.92 – $58.11 | 2 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $448.82 – $1,097.81 | 2 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $286.21 – $479.38 | 2 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $210.04 – $258.01 | 2 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $210.04 – $258.01 | 2 |
| Echo exam uterus 76831- CPT 76831 | $844.76 | $844.76 | $479.38 – $536.46 | 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.