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 |
|---|---|---|---|---|
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $36.78 | $36.78 | $0.90 – $0.90 | 1 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $294.61 | $294.61 | $5.07 – $5.07 | 1 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $64.52 | $64.52 | $0.26 – $0.26 | 1 |
| Amitriptyline (elavil) -sendout CPT 80335 | $267.54 | $267.54 | not published | 0 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $44,332.16 | $44,332.16 | $26.37 – $45.08 | 3 |
| Ammonia CPT 82140 | $162.44 | $162.44 | $14.57 – $58.96 | 5 |
| Amniocentesisdiagnostic 59000 CPT 59000 | not published | not published | $69.36 – $2,265.00 | 3 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $144.45 – $1,187.00 | 3 |
| Amniotic fluid scan CPT 82143 | not published | not published | $9.35 – $27.53 | 5 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $2,761.00 – $6,573.82 | 3 |
| Amphetamine confirm urine -sendout CPT 80324 | $492.29 | $492.29 | not published | 0 |
| Amphetamines 5 or more CPT 80326 | $378.66 | $378.66 | not published | 0 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | not published | not published | $50.27 – $50.27 | 1 |
| Amphotericin b lipid complex HCPCS J0287 | not published | not published | $13.23 – $21.88 | 3 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | not published | not published | $42.97 – $65.40 | 3 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $66.60 | $66.60 | $3.18 – $3.18 | 1 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $127.02 | $127.02 | $4.15 – $4.15 | 1 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $1,314.95 | $1,314.95 | $525.98 – $525.98 | 1 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $2,890.75 – $6,573.82 | 3 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $788.93 – $16,164.00 | 3 |
| Amputate hand at wrist CPT 25922 | not published | not published | $1,431.29 – $4,781.00 | 3 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $2,890.75 – $9,098.00 | 3 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $873.42 – $18,558.00 | 3 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $2,890.75 – $6,573.82 | 3 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $2,890.75 – $6,573.82 | 3 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $4,781.00 – $14,578.56 | 3 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $1,713.61 – $4,145.37 | 3 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $2,890.75 – $6,573.82 | 3 |
| Amputation follow-up surgery CPT 27594 | $18,499.81 | $18,499.81 | $2,890.75 – $6,573.82 | 3 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $2,890.75 – $6,573.82 | 3 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $1,000.91 – $18,558.00 | 3 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $718.90 – $16,164.00 | 3 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $6,316.94 – $14,578.56 | 3 |
| Amputation of lower leg CPT 27882 | not published | not published | $654.58 – $16,164.00 | 3 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $585.70 – $9,098.00 | 3 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $2,890.75 – $6,573.82 | 3 |
| Amputation toe interphalangeal joint CPT 28825 | $17,501.68 | $17,501.68 | $2,890.75 – $6,573.82 | 3 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $20,834.53 | $20,834.53 | $2,890.75 – $6,573.82 | 3 |
| Amylase CPT 82150 | $246.57 | $246.57 | $6.48 – $26.52 | 5 |
| Anacaulase-bcdb 8.8% gel 1 g HCPCS J7353 | not published | not published | $75.48 – $116.62 | 3 |
| Ana ds-dna CPT 86226 | not published | not published | $12.11 – $49.10 | 5 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $244.41 | $244.41 | not published | 0 |
| Anal pressure record CPT 91122 | not published | not published | $210.98 – $1,187.00 | 2 |
| Anal/urinary muscle study CPT 51784 | $1,311.08 | $1,311.08 | $30.87 – $1,187.00 | 3 |
| Anal/urinary muscle study CPT 51785 | $1,161.93 | $1,161.93 | $248.05 – $1,187.00 | 3 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $522.69 | $522.69 | $75.10 – $191.01 | 2 |
| Analysis gene f2 20210g>a variant CPT 81240 | $790.43 | $790.43 | $65.69 – $139.56 | 4 |
| Analysis gene f5 leiden variant CPT 81241 | $889.18 | $889.18 | $73.37 – $173.31 | 4 |
| Analysis nerve CPT 88356 | not published | not published | $49.47 – $385.38 | 5 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $184.31 | $184.31 | $56.32 – $74.98 | 2 |
| Analysis tumor CPT 88358 | not published | not published | $64.33 – $342.29 | 5 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $536.72 | $536.72 | $57.82 – $191.01 | 2 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $1,553.23 | $1,553.23 | $35.09 – $96.01 | 4 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | not published | not published | $2,491.61 – $9,124.00 | 2 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | not published | not published | $2,735.94 – $9,124.00 | 2 |
| Anastomosis of facial/other nerve 64868 CPT 64868 | not published | not published | $1,097.95 – $9,124.00 | 2 |
| Anca screen with reflex to titer -quest CPT 86021 | $636.54 | $636.54 | $15.05 – $60.90 | 5 |
| An cholangiogram percutaneous compl CPT 47531 | $216.58 | $216.58 | $3,283.46 – $9,098.00 | 3 |
| Androstanediol CPT 82154 | not published | not published | $28.83 – $115.93 | 5 |
| An fluoro guide for cvp CPT 77001 | $2,294.42 | $2,294.42 | $167.59 – $167.59 | 1 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $31,027.81 | $31,027.81 | $1,187.00 – $1,187.00 | 1 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $22,413.21 | $22,413.21 | $5,231.33 – $16,164.00 | 2 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $22,431.55 | $22,431.55 | $5,231.33 – $16,164.00 | 2 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $22,704.14 | $22,704.14 | $16,164.00 – $16,164.00 | 1 |
| Angiotensin ii CPT 82163 | not published | not published | $20.52 – $82.52 | 5 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $14,402.78 | $14,402.78 | not published | 0 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $22,413.45 | $22,413.45 | $10,463.35 – $16,164.00 | 2 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $10,481.47 | $10,481.47 | $1,187.00 – $1,187.00 | 1 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $7,494.43 | $7,494.43 | $5,231.33 – $16,164.00 | 3 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $21,622.83 | $21,622.83 | $1,187.00 – $1,187.00 | 1 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $9,917.74 | $9,917.74 | $5,231.33 – $16,164.00 | 3 |
| Anidulafungin injection HCPCS J0348 | not published | not published | $2.38 – $2.38 | 1 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $2,890.75 – $16,164.00 | 3 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $6,316.94 – $14,578.56 | 3 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $2,890.75 – $9,098.00 | 3 |
| Ankle arthroscopy/surgery CPT 29895 | $22,972.81 | $22,972.81 | $2,890.75 – $9,098.00 | 3 |
| Ankle arthroscopy/surgery CPT 29897 | $22,464.66 | $22,464.66 | $2,890.75 – $9,098.00 | 3 |
| Ankle arthroscopy/surgery CPT 29898 | $18,198.54 | $18,198.54 | $2,890.75 – $9,098.00 | 3 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $6,316.94 – $16,164.00 | 3 |
| Ankle X-ray CPT 73610 | $692.46 | $692.46 | $174.84 – $183.72 | 2 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | $986.27 | $986.27 | $65.71 – $1,187.00 | 3 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | not published | not published | $125.01 – $125.01 | 1 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | not published | not published | $135.39 – $135.39 | 1 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | not published | not published | $136.37 – $136.37 | 1 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | not published | not published | $166.01 – $166.01 | 1 |
| Anodyne therapy charges pt CPT 97026 | $188.22 | $188.22 | $8.90 – $13.80 | 2 |
| Anogenital exam child w imag CPT 99170 | not published | not published | $122.05 – $406.18 | 2 |
| Anora (draw only) CPT 99001 | $58.02 | $58.02 | $6.14 – $9.61 | 2 |
| Anorectal myomectomy CPT 45108 | not published | not published | $2,475.45 – $5,576.62 | 3 |
| Anoscopy CPT 46611 | $4,890.82 | $4,890.82 | $806.66 – $2,761.00 | 3 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $2,475.45 – $5,576.62 | 3 |
| Anoscopy and biopsy CPT 46606 | $8,961.22 | $8,961.22 | $225.61 – $2,761.00 | 3 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $535.84 – $2,761.00 | 3 |
| Anoscopy control bleeding 46614 CPT 46614 | not published | not published | $116.61 – $2,761.00 | 3 |
| Anoscopy remove fb 46608 CPT 46608 | $9,526.51 | $9,526.51 | $806.66 – $2,761.00 | 3 |
| Anoscopy remove lesion 46610 CPT 46610 | $16,162.01 | $16,162.01 | $2,475.45 – $5,576.62 | 3 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | $14,602.88 | $14,602.88 | $2,475.45 – $5,576.62 | 3 |
| Ans parasymp & symp w/tilt CPT 95924 | not published | not published | $84.49 – $433.81 | 2 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $4,510.75 – $10,050.49 | 3 |
| Antibody CPT 86744 | not published | not published | $15.99 – $53.06 | 5 |
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.