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 |
|---|---|---|---|---|
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $255.51 – $473.23 | 3 |
| General health panel CPT 80050 | $1,652.71 | $1,652.71 | $47.28 – $112.00 | 4 |
| Genetic counseling 30 min CPT 96040 | not published | not published | $64.23 – $64.23 | 1 |
| Genetic tstg severe inh cond CPT 81443 | $20,087.95 | $20,087.95 | $2,448.56 – $6,699.26 | 4 |
| Genioplasty augmentation CPT 21120 | not published | not published | $4,781.00 – $11,893.61 | 3 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $2,765.97 – $6,661.13 | 3 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $2,765.97 – $6,661.13 | 3 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $4,781.00 – $11,893.61 | 3 |
| Genome re-evaluation CPT 81427 | not published | not published | $2,337.65 – $6,395.81 | 4 |
| Genome sequence analysis CPT 81425 | not published | not published | $5,031.20 – $13,765.36 | 4 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,709.95 – $7,414.42 | 4 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $79.23 | $79.23 | $2.18 – $2.18 | 1 |
| Gentamicin peak therapeutic drug level CPT 80170 | $264.99 | $264.99 | $16.38 – $65.82 | 5 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $10.13 – $11.55 | 3 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $558.33 – $1,725.31 | 3 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Ghs abscess perianal iandd CPT 46050 | $4,921.10 | $4,921.10 | $806.66 – $2,265.00 | 3 |
| Ghs abscess postoperative iandd complex CPT 10180 | $17,676.03 | $17,676.03 | $2,448.75 – $5,835.90 | 3 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $118.05 | $118.05 | $9.81 – $31.45 | 5 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $272.04 | $272.04 | $17.11 – $64.85 | 5 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $1,118.72 | $1,118.72 | $102.26 – $279.78 | 4 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $542.76 | $542.76 | $149.48 – $267.31 | 2 |
| Ghs antibodies (torch) igm CPT 86694 | $126.60 | $126.60 | $14.39 – $57.95 | 5 |
| Ghs aspiration bladder - needle CPT 51100 | $1,146.29 | $1,146.29 | $41.16 – $1,187.00 | 3 |
| Ghs bladder cath - complex-foley CPT 51703 | $1,624.54 | $1,624.54 | $73.82 – $1,187.00 | 3 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $4.82 – $17.69 | 5 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $2,356.27 | $2,356.27 | $79.27 – $2,265.00 | 3 |
| Ghs central line insert < age 5, failed CPT 36555 | $15,205.47 | $15,205.47 | $1,722.47 – $6,343.74 | 3 |
| Ghs change cysto/gastrost CPT 43762 | $1,143.26 | $1,143.26 | $248.05 – $1,187.00 | 3 |
| Ghs chemo >8 hrs CPT 96416 | $520.63 | $520.63 | $196.66 – $663.62 | 2 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $253.96 – $663.62 | 2 |
| Ghs chemo IV push, ea addtl CPT 96411 | $414.92 | $414.92 | $81.52 – $144.66 | 2 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $402.31 | $402.31 | $35.09 – $141.47 | 5 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $1,651.70 | $1,651.70 | $227.72 – $1,187.00 | 3 |
| Ghs closed reduction ankle dislocation CPT 27840 | $1,814.51 | $1,814.51 | $227.72 – $1,187.00 | 3 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $8,627.31 | $8,627.31 | $1,431.29 – $3,230.64 | 3 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $1,320.65 | $1,320.65 | $227.72 – $1,187.00 | 3 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $8,627.31 | $8,627.31 | $1,431.29 – $3,230.64 | 3 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $11,013.62 | $11,013.62 | $1,713.61 – $7,119.75 | 3 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $1,320.65 | $1,320.65 | $227.72 – $1,187.00 | 3 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $8,627.31 | $8,627.31 | $1,431.29 – $3,230.64 | 3 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $756.74 | $756.74 | $1,431.29 – $3,230.64 | 3 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $3,295.91 | $3,295.91 | $227.72 – $1,187.00 | 3 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $1,651.70 | $1,651.70 | $115.06 – $1,187.00 | 3 |
| Ghs community re-entry 15 minutes CPT 97537 | $259.80 | $259.80 | $45.96 – $64.20 | 2 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $1,519.27 | $1,519.27 | $383.95 – $1,187.00 | 3 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $759.98 | $759.98 | $115.14 – $1,187.00 | 3 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $1,527.93 | $1,527.93 | $383.95 – $1,187.00 | 3 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $919.47 | $919.47 | $115.14 – $1,187.00 | 3 |
| Ghs cricothyroidotomy CPT 31605 | $1,071.31 | $1,071.31 | $215.04 – $1,187.00 | 3 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $383.95 – $1,187.00 | 3 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $58.09 – $1,187.00 | 3 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $15.21 – $60.90 | 5 |
| Ghs dislocation elbow closed treatment CPT 24600 | $1,814.51 | $1,814.51 | $227.72 – $1,187.00 | 3 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $4,516.96 | $4,516.96 | $829.93 – $2,761.00 | 3 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $338.32 | $338.32 | $42.68 – $1,187.00 | 3 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $2,568.18 | $2,568.18 | $660.05 – $2,265.00 | 3 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $1,109.16 | $1,109.16 | $347.00 – $433.81 | 2 |
| Ghs electrostagmgraphy CPT 92537 | $1,759.19 | $1,759.19 | $12.85 – $258.52 | 2 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $124.51 – $258.52 | 2 |
| Ghs elect vertical elct CPT 92547 | $1,427.71 | $1,427.71 | $10.38 – $10.38 | 1 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $1,069.68 | $1,069.68 | $337.40 – $1,187.00 | 3 |
| Ghs excision ingrown nail CPT 11765 | $661.10 | $661.10 | $337.40 – $1,187.00 | 3 |
| Ghs eye exam CPT 92002 | not published | not published | $158.94 – $267.49 | 2 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $951.20 | $951.20 | $144.33 – $1,187.00 | 3 |
| Ghs fat & muscle CPT 89160 | not published | not published | $4.85 – $14.73 | 5 |
| Ghs fb removal foot - deep - left CPT 28192 | $10,481.19 | $10,481.19 | $1,449.47 – $3,318.25 | 3 |
| Ghs fb removal from muscle - complicated CPT 20525 | $15,835.72 | $15,835.72 | $2,448.75 – $5,835.90 | 3 |
| Ghs fb removal - incisional CPT 10121 | $12,483.70 | $12,483.70 | $1,449.47 – $3,318.25 | 3 |
| Ghs fb removal - non-incisional CPT 20520 | $9,324.42 | $9,324.42 | $146.72 – $3,318.25 | 3 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $80.03 | $80.03 | $6.98 – $28.48 | 5 |
| Ghs fish cytogen CPT 88271 | $274.11 | $274.11 | $21.42 – $86.42 | 5 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $615.96 | $615.96 | $51.19 – $162.10 | 5 |
| Ghs flow volume loop CPT 94375 | $365.82 | $365.82 | $347.00 – $433.81 | 2 |
| Ghs gastric intub aspiration lavage CPT 43753 | $1,663.95 | $1,663.95 | $267.27 – $1,187.00 | 3 |
| Ghs hcv amplificaiton CPT 87521 | $557.91 | $557.91 | $35.09 – $141.47 | 5 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $22.97 – $69.73 | 5 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $15.49 – $62.86 | 5 |
| Ghs hgb stability-thal CPT 83068 | $121.67 | $121.67 | $9.47 – $34.38 | 5 |
| Ghs histoplasma antigen CPT 87385 | $554.28 | $554.28 | $13.25 – $48.14 | 5 |
| Ghs HIV antibody CPT 86703 | $217.98 | $217.98 | $13.71 – $55.01 | 5 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $106.14 – $259.33 | 5 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $10,263.24 | $10,263.24 | $1,870.76 – $4,781.00 | 3 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $6,421.63 | $6,421.63 | $1,060.46 – $2,761.00 | 3 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $3,803.02 | $3,803.02 | $220.28 – $2,265.00 | 3 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $3,816.54 | $3,816.54 | $174.55 – $2,265.00 | 3 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $29.92 – $90.38 | 5 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $687.85 | $687.85 | $125.34 – $1,187.00 | 3 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $2,095.75 | $2,095.75 | $165.32 – $1,187.00 | 3 |
| Ghs inf midline insertion CPT 36140 | $698.72 | $698.72 | $1,187.00 – $1,187.00 | 1 |
| Ghs inhibitor screen CPT 85335 | $474.36 | $474.36 | $12.87 – $52.04 | 5 |
| Ghs init tx 1st degree burn CPT 16000 | $332.34 | $332.34 | $184.51 – $1,187.00 | 3 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $7,796.99 | $7,796.99 | $857.52 – $2,265.00 | 3 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $1,706.83 | $1,706.83 | $186.36 – $2,265.00 | 3 |
| Ghs inj tendon origin/insertion CPT 20551 | $1,281.79 | $1,281.79 | $28.97 – $1,187.00 | 3 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $3,724.75 | $3,724.75 | $1,187.00 – $1,187.00 | 1 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $4,518.81 | $4,518.81 | $857.52 – $2,265.00 | 3 |
| Ghs insertion of needle - bone CPT 36680 | $881.07 | $881.07 | $383.95 – $1,187.00 | 3 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $2,211.02 | $2,211.02 | $337.40 – $1,187.00 | 3 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $3,673.38 | $3,673.38 | $524.85 – $1,484.88 | 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.