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 |
|---|---|---|---|---|
| Enzyme histochemistry CPT 88319 | $4,044.04 | $4,044.04 | $236.66 – $1,618.70 | 5 |
| Ep & ablate supravent arrhyt CPT 93653 | $94,818.16 | $94,818.16 | $14,075.00 – $52,513.93 | 3 |
| Ep & ablate ventric tachy CPT 93654 | $94,818.16 | $94,818.16 | $14,075.00 – $52,513.93 | 3 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $79.23 – $111.68 | 3 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $9,785.08 | $9,785.08 | $1,713.61 – $4,145.37 | 3 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | $10,399.36 | $10,399.36 | $1,713.61 – $4,145.37 | 3 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $2,356.27 | $2,356.27 | $1,187.00 – $1,187.00 | 1 |
| Epidural lysis mult sessions CPT 62263 | $4,972.43 | $4,972.43 | $857.52 – $2,265.00 | 3 |
| Epidural lysis on single day 62264 CPT 62264 | $8,008.32 | $8,008.32 | $857.52 – $2,265.00 | 3 |
| Epiglottidectomy CPT 31420 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $40.19 – $6,699.26 | 4 |
| Ep induct arrhy by elect pacing CPT 93618 | $7,257.63 | $7,257.63 | $1,353.94 – $2,761.00 | 3 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $2,890.75 – $13,172.00 | 3 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $2,890.75 – $13,172.00 | 3 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $1.84 – $1.84 | 1 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | not published | not published | $118.15 – $6,503.75 | 3 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $2.12 – $2.12 | 1 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $614.73 | $614.73 | $14.18 – $15.70 | 3 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $1,122.45 | $1,122.45 | $16.26 – $21.12 | 3 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $2.38 – $2.71 | 2 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | not published | not published | $11.92 – $11.92 | 1 |
| Epstein barr early antigen antibody CPT 86663 | $132.18 | $132.18 | $13.12 – $53.06 | 5 |
| Epstein barr nuclear antigen antibody CPT 86664 | $239.88 | $239.88 | $15.29 – $61.90 | 5 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $391.53 | $391.53 | $18.14 – $72.69 | 5 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $338.09 | $338.09 | $3.91 – $20.11 | 3 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $6,500.74 | $6,500.74 | $19.70 – $39.95 | 3 |
| Ercp biliary & pancreas CPT 74330 | $2,309.85 | $2,309.85 | $107.02 – $107.02 | 1 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $4,781.00 – $12,197.12 | 3 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $3,167.03 – $7,746.08 | 3 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $3,167.03 – $7,746.08 | 3 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $4,781.00 – $12,197.12 | 3 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $3,167.03 – $7,746.08 | 3 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $2,761.00 – $3,855.30 | 3 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $3,167.03 – $4,781.00 | 3 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $4,781.00 – $12,197.12 | 3 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $3,167.03 – $7,746.08 | 3 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $6.30 – $6.30 | 1 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $7,727.41 | $7,727.41 | $153.44 – $270.66 | 3 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $213.35 | $213.35 | $44.61 – $44.61 | 1 |
| ER Visit (level 1, minor) CPT 99281 | $490.57 | $490.57 | $95.45 – $169.42 | 2 |
| ER Visit (level 2) CPT 99282 | $834.92 | $834.92 | $175.43 – $308.49 | 2 |
| ER Visit (level 3) CPT 99283 | $1,293.31 | $1,293.31 | $306.20 – $548.44 | 2 |
| ER Visit (level 4) CPT 99284 | $2,337.45 | $2,337.45 | $482.30 – $838.33 | 2 |
| ER Visit (level 5, high severity) CPT 99285 | $3,238.71 | $3,238.71 | $691.68 – $1,196.49 | 2 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $215.36 | $215.36 | $98.43 – $153.05 | 2 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $2,580.22 – $7,746.08 | 3 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $620.58 | $620.58 | $0.71 – $0.83 | 2 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $453.60 | $453.60 | $0.37 – $0.43 | 2 |
| Esophageal dilat s&i CPT 74360 | $1,117.50 | $1,117.50 | $66.37 – $66.37 | 1 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $128.25 – $9,124.00 | 2 |
| Esophageal motility CPT 78258 | $4,070.67 | $4,070.67 | $438.88 – $803.19 | 2 |
| Esophageal recording CPT 93615 | $13,038.15 | $13,038.15 | $1,353.94 – $2,761.00 | 3 |
| Esophageal recording CPT 93616 | not published | not published | $1,353.94 – $2,761.00 | 3 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $158.61 – $7,746.08 | 3 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $1,472.81 – $9,124.00 | 2 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $1,473.95 – $9,124.00 | 2 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $1,644.61 – $3,855.30 | 3 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $152.44 – $2,761.00 | 3 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $1,644.61 – $3,855.30 | 3 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $5,048.56 – $12,197.12 | 3 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $1,644.61 – $3,855.30 | 3 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $1,644.61 – $3,855.30 | 3 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $1,644.61 – $3,855.30 | 3 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $1,644.61 – $3,855.30 | 3 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $829.93 – $2,761.00 | 3 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $142.92 – $2,761.00 | 3 |
| Esophagoscopy flex remove fb CPT 43215 | $9,147.36 | $9,147.36 | $1,644.61 – $3,855.30 | 3 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $3,167.03 – $7,746.08 | 3 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $1,644.61 – $4,781.00 | 3 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $1,644.61 – $3,855.30 | 3 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $2,761.00 – $7,746.08 | 3 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $1,644.61 – $3,855.30 | 3 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $4,781.00 – $11,893.61 | 3 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $1,644.61 – $3,855.30 | 3 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $1,644.61 – $3,855.30 | 3 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $2,761.00 – $3,855.30 | 3 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $1,644.61 – $3,855.30 | 3 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $1,644.61 – $3,855.30 | 3 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $1,644.61 – $3,855.30 | 3 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $1,644.61 – $3,855.30 | 3 |
| Esophagus motility study CPT 91010 | not published | not published | $171.46 – $1,187.00 | 3 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $597.85 – $1,187.00 | 3 |
| Esoph egd dilation <30 mm CPT 43249 | $8,408.35 | $8,408.35 | $1,644.61 – $3,855.30 | 3 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $1,644.61 – $3,855.30 | 3 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $904.24 – $9,124.00 | 2 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $1,240.66 – $9,124.00 | 2 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $22.73 – $1,187.00 | 2 |
| Esoph imped function test CPT 91037 | not published | not published | $158.61 – $1,187.00 | 3 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $540.05 – $1,187.00 | 3 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $1,644.61 – $3,855.30 | 3 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $1,644.61 – $3,855.30 | 3 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $1,644.61 – $3,855.30 | 3 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $3,963.28 – $9,124.00 | 2 |
| Essure 58565 CPT 58565 | not published | not published | $4,510.75 – $13,172.00 | 3 |
| Establish access to aorta CPT 36160 | $3,479.48 | $3,479.48 | $1,187.00 – $1,187.00 | 1 |
| Establish access to artery CPT 36100 | $10,419.32 | $10,419.32 | $1,187.00 – $1,187.00 | 1 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $1,155.42 – $9,124.00 | 2 |
| Established Patient Office Visit (level 1) CPT 99211 | $196.73 | $196.73 | $12.85 – $12.85 | 1 |
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.