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 |
|---|---|---|---|---|
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $1,627.71 – $9,124.00 | 2 |
| Fuse/graft added joint CPT 26863 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $1,687.84 – $9,124.00 | 2 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $3,347.90 – $9,124.00 | 2 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $1,835.13 – $9,124.00 | 2 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $1,440.85 – $9,124.00 | 2 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $1,201.84 – $9,124.00 | 2 |
| Fuse upper gi structures CPT 47721 | not published | not published | $1,497.56 – $9,124.00 | 2 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $2,890.75 – $9,098.00 | 3 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $6,316.94 – $14,578.56 | 3 |
| Fusion of ankle joint open CPT 27870 | $47,477.40 | $47,477.40 | $12,567.15 – $25,794.37 | 3 |
| Fusion of big toe joint CPT 28750 | $36,229.65 | $36,229.65 | $6,316.94 – $16,164.00 | 3 |
| Fusion of big toe joint CPT 28755 | $28,032.01 | $28,032.01 | $4,781.00 – $14,578.56 | 3 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $1,400.13 – $9,124.00 | 2 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Fusion of finger joint CPT 26860 | $20,480.11 | $20,480.11 | $2,890.75 – $9,098.00 | 3 |
| Fusion of finger tendons CPT 26471 | not published | not published | $2,761.00 – $6,573.82 | 3 |
| Fusion of finger tendons CPT 26474 | not published | not published | $1,431.29 – $3,230.64 | 3 |
| Fusion of foot bones CPT 28730 | not published | not published | $12,567.15 – $25,794.37 | 3 |
| Fusion of foot bones CPT 28735 | not published | not published | $12,567.15 – $25,794.37 | 3 |
| Fusion of foot bones CPT 28740 | $36,229.65 | $36,229.65 | $6,316.94 – $16,164.00 | 3 |
| Fusion of hand joint CPT 26843 | not published | not published | $6,316.94 – $14,578.56 | 3 |
| Fusion of knee CPT 27580 | not published | not published | $1,582.43 – $25,794.37 | 3 |
| Fusion of knuckle CPT 26850 | $29,961.06 | $29,961.06 | $6,316.94 – $14,578.56 | 3 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $2,890.75 – $9,098.00 | 3 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $2,890.75 – $9,098.00 | 3 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $6,316.94 – $14,578.56 | 3 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $6,316.94 – $14,578.56 | 3 |
| Fusion of skull arteries CPT 61711 | not published | not published | $2,885.12 – $9,124.00 | 2 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $1,870.76 – $4,781.00 | 3 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $3,187.58 – $7,082.09 | 3 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $2,890.75 – $9,098.00 | 3 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $2,890.75 – $9,098.00 | 3 |
| Fusion of thumb CPT 26841 | not published | not published | $6,316.94 – $14,578.56 | 3 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $12,567.15 – $25,794.37 | 3 |
| Fusion of toes CPT 28280 | $18,821.15 | $18,821.15 | $2,890.75 – $6,573.82 | 3 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $1,543.99 – $9,124.00 | 2 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $1,350.28 – $9,124.00 | 2 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $1,270.74 – $9,124.00 | 2 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $274.83 – $751.93 | 4 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $137.00 – $374.83 | 4 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $274.83 – $751.93 | 4 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $185.20 – $506.71 | 4 |
| G0180 home health certification HCPCS G0180 | not published | not published | $74.12 – $74.12 | 1 |
| G6pc gene CPT 81250 | $740.17 | $740.17 | $58.49 – $160.03 | 4 |
| G6pd full gene sequence CPT 81249 | not published | not published | $600.00 – $1,641.60 | 4 |
| G6pd gene alys cmn variant CPT 81247 | $1,569.68 | $1,569.68 | $174.81 – $478.28 | 4 |
| G6pd known familial variant CPT 81248 | not published | not published | $375.25 – $1,026.68 | 4 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | not published | not published | $158.35 – $158.35 | 1 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $85.41 – $99.26 | 2 |
| Gabapentin non-blood CPT 80355 | $106.51 | $106.51 | not published | 0 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $229.22 | $229.22 | $0.52 – $0.52 | 1 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $379.57 | $379.57 | $2.34 – $2.34 | 1 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $541.29 | $541.29 | $0.26 – $0.26 | 1 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $692.53 | $692.53 | $21.76 – $21.76 | 1 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $425.16 | $425.16 | $21.07 – $84.50 | 5 |
| Galactokinase - sendout CPT 82759 | not published | not published | $21.48 – $86.42 | 5 |
| Galactose transferase test CPT 82776 | not published | not published | $11.74 – $33.39 | 5 |
| Galectin-3 CPT 82777 | $442.36 | $442.36 | $44.25 – $88.50 | 4 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $40,023.07 | $40,023.07 | $5,104.40 – $16,164.00 | 3 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $7.22 – $11.43 | 2 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $85.41 – $1,706.94 | 3 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $85.41 – $1,743.37 | 3 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $884.74 – $1,917.79 | 3 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $725.00 – $1,717.18 | 3 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $2.63 – $2.63 | 1 |
| Galsulfase injection HCPCS J1458 | not published | not published | $492.53 – $1,017.52 | 3 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $340.95 – $964.56 | 3 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $39.33 – $98.07 | 3 |
| Gammaglobulin iga CPT 82784 | $273.68 | $273.68 | $9.30 – $37.34 | 5 |
| Gammaglobulin ige CPT 82785 | $138.76 | $138.76 | $16.46 – $66.79 | 5 |
| Gamma glutamyltransferase CPT 82977 | $200.22 | $200.22 | $7.20 – $29.45 | 5 |
| Gammagraft HCPCS Q4111 | not published | not published | $10.25 – $250.02 | 2 |
| Gammaplex injection HCPCS J1557 | not published | not published | $84.35 – $127.37 | 3 |
| Gamunex-c/gammaked HCPCS J1561 | $10,523.05 | $10,523.05 | $60.00 – $97.93 | 3 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $54.86 – $54.86 | 1 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $21,083.33 – $21,083.33 | 1 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $35.09 – $141.47 | 5 |
| Gardner vag dna quant CPT 87512 | not published | not published | $41.76 – $167.97 | 5 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $6.71 – $16.27 | 4 |
| Gastric emptying imag study CPT 78265 | not published | not published | $803.19 – $813.85 | 2 |
| Gastric emptying imag study CPT 78266 | not published | not published | $1,001.35 – $1,090.89 | 2 |
| Gastric motility studies CPT 91020 | not published | not published | $241.12 – $1,187.00 | 3 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $415.65 – $803.19 | 2 |
| Gastrin test CPT 82938 | not published | not published | $17.69 – $71.70 | 5 |
| Gastroduodenostomy CPT 43810 | not published | not published | $1,119.26 – $9,124.00 | 2 |
| Gastroesophageal reflux study CPT 78262 | $4,070.67 | $4,070.67 | $498.59 – $803.19 | 2 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $194.67 – $1,187.00 | 3 |
| Gastrointestinal repair CPT 43360 | not published | not published | $2,482.48 – $9,124.00 | 2 |
| Gastrointestinal repair CPT 43361 | not published | not published | $2,981.02 – $9,124.00 | 2 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $1,483.09 – $9,124.00 | 2 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $1,441.61 – $9,124.00 | 2 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $2,150.24 – $9,124.00 | 2 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $829.93 – $2,761.00 | 3 |
| Gated heart multiple CPT 78473 | $4,533.94 | $4,533.94 | $522.67 – $803.19 | 2 |
| Gba gene CPT 81251 | not published | not published | $47.25 – $129.28 | 4 |
| Gefitinib oral HCPCS J8565 | not published | not published | $353.80 – $353.80 | 1 |
| Gel-one HCPCS J7326 | not published | not published | $698.54 – $1,058.52 | 3 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.96 – $1.39 | 3 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $474.21 | $474.21 | $6.75 – $6.75 | 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.