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 |
|---|---|---|---|---|
| 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 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $1,433.62 – $9,124.00 | 2 |
| 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 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $4,127.31 – $9,124.00 | 2 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $3,462.84 – $9,124.00 | 2 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $3,868.52 – $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 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $1,791.36 – $9,124.00 | 2 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $1,032.49 – $9,124.00 | 2 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $1,088.06 – $9,124.00 | 2 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $1,533.33 – $9,124.00 | 2 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $1,114.31 – $9,124.00 | 2 |
| Established Patient Office Visit (level 1) CPT 99211 | $196.73 | $196.73 | $12.85 – $12.85 | 1 |
| 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 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $1,187.00 – $1,187.00 | 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 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $185.15 – $185.15 | 1 |
| 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 funcj ea addl 15 CPT 92627 | not published | not published | $25.20 – $25.20 | 1 |
| 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 cervical mucus CPT 89330 | not published | not published | $10.38 – $40.26 | 5 |
| 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 1st&/crv rib w/sympth CPT 21616 | not published | not published | $782.45 – $16,164.00 | 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 |
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.