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 |
|---|---|---|---|---|
| Established Patient Office Visit (level 2) CPT 99212 | $475.01 | $475.01 | $35.58 – $35.58 | 1 |
| Established Patient Office Visit (level 3) CPT 99213 | $567.09 | $567.09 | $71.15 – $71.15 | 1 |
| Established Patient Office Visit (level 4) CPT 99214 | $896.52 | $896.52 | $109.69 – $109.69 | 1 |
| Established Patient Office Visit (level 5) CPT 99215 | $1,072.90 | $1,072.90 | $154.65 – $154.65 | 1 |
| Estradiol total CPT 82670 | $903.29 | $903.29 | $27.94 – $112.97 | 5 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $9.12 – $9.12 | 1 |
| Estrogens total-sendout CPT 82672 | $350.75 | $350.75 | $21.70 – $87.44 | 5 |
| Etanercept injection HCPCS J1438 | not published | not published | $720.45 – $1,554.67 | 2 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $565.60 – $1,017.93 | 3 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $2,765.97 – $6,661.13 | 3 |
| Ethylene glycol -sendout CPT 82693 | $131.71 | $131.71 | $14.90 – $59.92 | 5 |
| Etonogestrel implant system HCPCS J7307 | not published | not published | $1,236.77 – $1,236.77 | 1 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $345.74 | $345.74 | $0.86 – $0.86 | 1 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $76.54 – $154.92 | 3 |
| Euflexxa inj per dose HCPCS J7323 | $592.81 | $592.81 | $224.91 – $227.21 | 3 |
| Euglobulin lysis CPT 85360 | not published | not published | $8.41 – $33.39 | 5 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $2,637.99 – $6,503.75 | 3 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $189.68 – $258.52 | 2 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $448.12 | $448.12 | $182.32 – $233.62 | 2 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $381.73 | $381.73 | $98.11 – $196.22 | 4 |
| Evaluation heart device CPT 93640 | $3,910.89 | $3,910.89 | $256.93 – $1,187.00 | 2 |
| Evaluation of speech fluency 92521 CPT 92521 | $523.82 | $523.82 | $158.61 – $266.18 | 2 |
| Evaluation psychiatric diagnostic CPT 90791 | $682.39 | $682.39 | not published | 0 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $5,870.51 | $5,870.51 | $612.72 – $9,124.00 | 2 |
| Evasc prlng admn rx agnt add CPT 61651 | $7,799.60 | $7,799.60 | $266.78 – $9,124.00 | 2 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $21,107.59 | $21,107.59 | $1,373.11 – $9,124.00 | 2 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $70,963.45 | $70,963.45 | $1,364.35 – $9,124.00 | 2 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $2,037.58 – $9,124.00 | 2 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $2,545.28 – $9,124.00 | 2 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $16,395.76 | $16,395.76 | $492.47 – $9,124.00 | 2 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | not published | $1,535.99 – $9,124.00 | 2 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $2,559.73 – $9,124.00 | 2 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $32,491.65 | $32,491.65 | $1,272.64 – $9,124.00 | 2 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $42,811.89 | $42,811.89 | $2,042.92 – $9,124.00 | 2 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | $11,563.76 | $11,563.76 | $1,083.87 – $9,124.00 | 2 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $862.38 – $9,124.00 | 2 |
| Event monitor CPT 93270 | $474.97 | $474.97 | $49.70 – $74.98 | 2 |
| Evoked auditory tst complete CPT 92588 | $1,751.15 | $1,751.15 | $6.43 – $749.72 | 2 |
| Evoked oa emissions ltd CPT 92587 | $192.68 | $192.68 | $4.94 – $433.81 | 2 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $1,119.58 | $1,119.58 | $48.00 – $48.00 | 1 |
| Evoked potentials upper limbs CPT 95925 | $1,818.93 | $1,818.93 | $145.26 – $433.81 | 2 |
| Evoked potential visual not glaucoma CPT 95930 | $3,098.87 | $3,098.87 | $69.17 – $433.81 | 2 |
| Evok oa screening qual CPT 92558 | $188.22 | $188.22 | not published | 0 |
| Exam of vagina w/scope 57420 CPT 57420 | $1,528.65 | $1,528.65 | $66.70 – $1,187.00 | 3 |
| Exam pelvic add-on CPT 99459 | not published | not published | $31.59 – $31.59 | 1 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $2,637.99 – $6,503.75 | 3 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $2,448.75 – $5,835.90 | 3 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $2,448.75 – $5,835.90 | 3 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $2,448.75 – $5,835.90 | 3 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $2,448.75 – $5,835.90 | 3 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $2,448.75 – $5,835.90 | 3 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $1,320.59 – $4,781.00 | 2 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $1,942.83 – $16,164.00 | 2 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $12,807.30 | $12,807.30 | $2,448.75 – $5,835.90 | 3 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $1,449.47 – $3,318.25 | 3 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $1,449.47 – $3,318.25 | 3 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $2,448.75 – $5,835.90 | 3 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $2,637.99 – $6,503.75 | 3 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $4,144.94 | $4,144.94 | $1,449.47 – $3,318.25 | 3 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $6,947.11 | $6,947.11 | $2,448.75 – $5,835.90 | 3 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $16,939.05 | $16,939.05 | $1,449.47 – $3,318.25 | 3 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $3,773.28 | $3,773.28 | $97.56 – $2,265.00 | 3 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $1,806.19 | $1,806.19 | $107.09 – $2,265.00 | 3 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $1,806.19 | $1,806.19 | $130.34 – $2,265.00 | 3 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $4,144.94 | $4,144.94 | $144.44 – $3,318.25 | 3 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $3,773.28 | $3,773.28 | $110.14 – $2,265.00 | 3 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $4,144.94 | $4,144.94 | $132.24 – $3,318.25 | 3 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $14,741.68 | $14,741.68 | $2,448.75 – $5,835.90 | 3 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $1,170.66 | $1,170.66 | $111.28 – $1,187.00 | 3 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $7,381.31 | $7,381.31 | $131.86 – $2,265.00 | 3 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $3,199.20 – $7,866.55 | 3 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | not published | not published | $1,508.21 – $9,124.00 | 2 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $4,510.75 – $13,172.00 | 3 |
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | $886.73 – $9,124.00 | 2 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $4,510.75 – $10,050.49 | 3 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $2,448.75 – $5,835.90 | 3 |
| Exc coccygl pr ulc flap clsr CPT 15922 | not published | not published | $3,144.02 – $9,098.00 | 3 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $2,448.75 – $5,835.90 | 3 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | not published | not published | $2,761.00 – $6,573.82 | 3 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $2,890.75 – $6,573.82 | 3 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | not published | not published | $6,316.94 – $14,578.56 | 3 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $6,316.94 – $14,578.56 | 3 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | not published | not published | $2,890.75 – $9,098.00 | 3 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | not published | not published | $6,316.94 – $14,578.56 | 3 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | not published | not published | $6,316.94 – $16,164.00 | 3 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | not published | not published | $2,890.75 – $6,573.82 | 3 |
| Exc/destruct open intra-abd tumors cysts or endometriomas CPT 49204 | not published | not published | $1,688.99 – $16,164.00 | 2 |
| Exc excessive skin buttock CPT 15835 | not published | not published | $2,448.75 – $5,835.90 | 3 |
| Exc excessive skin hip CPT 15834 | not published | not published | $2,448.75 – $5,835.90 | 3 |
| Exc excessive skin leg CPT 15833 | not published | not published | $2,448.75 – $5,835.90 | 3 |
| Exc excessive skin thigh CPT 15832 | $17,727.26 | $17,727.26 | $2,448.75 – $5,835.90 | 3 |
| Exc excsv skin forearm/hand CPT 15837 | not published | not published | $2,448.75 – $5,835.90 | 3 |
| Exc excsv submental fat pad CPT 15838 | not published | not published | $2,448.75 – $5,835.90 | 3 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | not published | not published | $2,448.75 – $5,835.90 | 3 |
| Exc face tum deep < 2 cm CPT 21013 | not published | not published | $337.66 – $3,318.25 | 3 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | not published | not published | $1,050.02 – $5,835.90 | 3 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | $1,806.19 | $1,806.19 | $165.40 – $2,265.00 | 3 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | $16,939.05 | $16,939.05 | $198.18 – $3,318.25 | 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.