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 |
|---|---|---|---|---|
| Flow cytometry one marker technical component CPT 88184 | $1,937.27 | $1,937.27 | $167.71 – $720.16 | 5 |
| Floweramnioflo, 0.1 cc HCPCS Q4177 | not published | not published | $238.14 – $238.14 | 1 |
| #flow interp 9 - 15 markers CPT 88188 | not published | not published | $66.04 – $194.08 | 4 |
| Floxuridine injection HCPCS J9200 | not published | not published | $108.82 – $8,256.04 | 3 |
| Flt3 gene CPT 81245 | $2,631.53 | $2,631.53 | $165.51 – $344.93 | 4 |
| Flt3 gene analysis CPT 81246 | $801.18 | $801.18 | $83.00 – $172.88 | 4 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $94.11 | $94.11 | $8.35 – $8.35 | 1 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | not published | $86.42 – $375.31 | 2 |
| Fluidotherapy charges pt CPT 97022 | $273.67 | $273.67 | $25.20 – $32.46 | 2 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $644.17 – $2,265.00 | 3 |
| Flulaval vacc, 3 yrs & >, im HCPCS Q2036 | not published | not published | $9.91 – $9.91 | 1 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $609.94 – $996.27 | 3 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $58.27 – $680.63 | 3 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $665.77 – $749.72 | 2 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $67.19 – $433.81 | 2 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $244.57 – $433.81 | 2 |
| Fluorescent antibody titer dna CPT 86256 | $378.89 | $378.89 | $12.05 – $48.14 | 5 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $657.36 – $1,711.10 | 3 |
| Fluoroestradiol f 18 HCPCS A9591 | not published | not published | $0.99 – $920.84 | 2 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $648.48 | $648.48 | $158.45 – $158.45 | 1 |
| Fluoroguide needle placement CPT 77002 | $794.91 | $794.91 | $171.73 – $171.73 | 1 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $18.91 – $76.62 | 5 |
| Fluoroscopy up to 1 hour CPT 76000 | $677.15 | $677.15 | $73.83 – $479.38 | 2 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $1,206.03 | $1,206.03 | $2.86 – $2.86 | 1 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $61.75 | $61.75 | $26.04 – $26.04 | 1 |
| Flutamide 125 mg HCPCS S0175 | not published | not published | $1.60 – $1.60 | 1 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $3,489.23 – $3,888.02 | 2 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | not published | not published | $20.69 – $24.22 | 2 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | not published | not published | $13.92 – $151.89 | 2 |
| Fmri brain by phys/psych CPT 70555 | $4,011.53 | $4,011.53 | $435.44 – $479.38 | 2 |
| Fmri brain by tech CPT 70554 | $4,011.53 | $4,011.53 | $479.38 – $786.51 | 2 |
| Fna bx w/ct gdn 1st les CPT 10009 | $3,374.77 | $3,374.77 | $325.49 – $2,265.00 | 3 |
| Fna bx w/ct gdn ea addl CPT 10010 | $3,374.77 | $3,374.77 | $1,187.00 – $1,187.00 | 1 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $325.49 – $2,265.00 | 3 |
| Fna bx w/mr gdn ea addl CPT 10012 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Foam stability fetal lung CPT 83662 | not published | not published | $18.91 – $76.62 | 5 |
| Folic acid CPT 82746 | $236.25 | $236.25 | $14.70 – $58.96 | 5 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $26.16 | $26.16 | not published | 0 |
| Follow-up angiography CPT 75898 | $4,483.71 | $4,483.71 | $2,517.90 – $6,343.74 | 2 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $158.94 – $267.49 | 2 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $2,043.57 – $4,781.00 | 3 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $1,279.98 | $1,279.98 | $12.55 – $13.72 | 3 |
| Fondaparinux sodium HCPCS J1652 | $67.51 | $67.51 | $3.08 – $3.08 | 1 |
| Fo nontorsion joint cf HCPCS L3935 | $1,236.98 | $1,236.98 | not published | 0 |
| Foot X-ray CPT 73630 | $655.72 | $655.72 | $174.84 – $183.72 | 2 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $6,212.65 | $6,212.65 | not published | 0 |
| Forearm/arm cuffs free motio HCPCS L3720 | $4,247.46 | $4,247.46 | not published | 0 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $3,144.02 – $9,098.00 | 3 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $575.63 – $2,200.76 | 4 |
| Forensic cytopathology CPT 88125 | not published | not published | $16.75 – $104.70 | 5 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $1,161.93 | $1,161.93 | $248.05 – $1,187.00 | 3 |
| Formoterol fumarate, inh HCPCS J7606 | $87.16 | $87.16 | $22.50 – $22.50 | 1 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | not published | not published | $1.91 – $1.91 | 1 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $102.68 – $119.95 | 2 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $139.49 | $139.49 | $2.94 – $10.83 | 3 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $28.50 – $106.08 | 5 |
| Fracture assessment via dxa CPT 77086 | $306.32 | $306.32 | $174.84 – $183.72 | 2 |
| _fragile x methylation-sendout CPT 81244 | $426.89 | $426.89 | $44.89 – $122.82 | 4 |
| Fragmenting of kidney stone CPT 50590 | $27,956.29 | $27,956.29 | $3,187.58 – $16,164.00 | 3 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $2,515.20 – $4,781.00 | 2 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $1,208.70 – $9,124.00 | 2 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $2,399.52 – $9,124.00 | 2 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $2,519.77 – $4,781.00 | 2 |
| Free omental flap microvasc CPT 49906 | not published | not published | $1,784.12 – $9,124.00 | 2 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $1,755.58 – $9,124.00 | 2 |
| Free skin flap microvasc CPT 15757 | not published | not published | $2,493.13 – $4,781.00 | 2 |
| Frenectomy 41115 CPT 41115 | not published | not published | $198.56 – $3,117.31 | 3 |
| Frenotomy 40806 CPT 40806 | not published | not published | $94.51 – $1,187.00 | 3 |
| Frenulotomy of penis CPT 54164 | $10,263.24 | $10,263.24 | $1,870.76 – $4,781.00 | 3 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $329.67 | $329.67 | $99.42 – $147.54 | 2 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $329.67 | $329.67 | $171.96 – $181.95 | 2 |
| Fresh frozen plasma thawing ea un CPT 86927 | $380.55 | $380.55 | $20.32 – $342.29 | 5 |
| Fr frz plasma donor retested HCPCS P9060 | $591.19 | $591.19 | not published | 0 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $33.43 – $212.16 | 5 |
| Frozen blood prep CPT 86930 | not published | not published | $165.29 – $444.10 | 5 |
| Frozen blood thaw CPT 86931 | not published | not published | $123.78 – $444.10 | 5 |
| Frozen cell preparation CPT 88241 | not published | not published | $12.09 – $40.26 | 5 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $111.92 – $125.58 | 2 |
| Fructosamine glycated protein CPT 82985 | $177.98 | $177.98 | $16.76 – $60.90 | 5 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $1,487.37 – $4,069.44 | 3 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $69.52 – $190.21 | 3 |
| Ftl cgen abnor four anal CPT 81511 | $156.62 | $156.62 | $153.50 – $419.98 | 3 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $55.54 – $151.96 | 3 |
| Ftl cgen abnor two proteins CPT 81508 | $445.70 | $445.70 | $54.30 – $148.56 | 3 |
| Full field erg w/i&r CPT 92273 | not published | not published | $134.40 – $433.81 | 2 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $479.38 – $536.46 | 2 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $1,713.61 – $4,145.37 | 3 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $1,713.61 – $4,145.37 | 3 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $11,013.62 | $11,013.62 | $1,713.61 – $4,145.37 | 3 |
| Functional brain mapping CPT 96020 | not published | not published | $230.74 – $230.74 | 1 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $149.48 – $267.31 | 2 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $60.99 | $60.99 | $1.92 – $1.92 | 1 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $3,594.13 – $9,124.00 | 2 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $1,517.35 – $9,124.00 | 2 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $1,545.13 – $9,124.00 | 2 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $1,539.80 – $9,124.00 | 2 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $1,437.05 – $9,124.00 | 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.