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 |
|---|---|---|---|---|
| Gu dilat ureter/urethra s&i CPT 74485 | $8,795.40 | $8,795.40 | $4,078.11 – $4,199.82 | 2 |
| Guided cath fluid drainage 10030 CPT 10030 | $4,021.92 | $4,021.92 | $644.17 – $2,265.00 | 3 |
| Guid loc target vol rad tx CPT 77387 | $481.84 | $481.84 | $115.49 – $115.49 | 1 |
| Gum graft CPT 41870 | not published | not published | $1,424.90 – $3,117.31 | 3 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $3,199.20 – $7,866.55 | 3 |
| Hair analysis HCPCS P2031 | not published | not published | $4.95 – $13.54 | 3 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $265.20 – $1,484.88 | 3 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $337.40 – $1,187.00 | 3 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $337.40 – $1,187.00 | 3 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $69.63 | $69.63 | $15.93 – $15.93 | 1 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $20.72 | $20.72 | $5.25 – $5.25 | 1 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $5.77 – $19.20 | 2 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $2,890.75 – $9,098.00 | 3 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $2,761.00 – $14,578.56 | 3 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $2,890.75 – $9,098.00 | 3 |
| Hand X-ray CPT 73130 | $644.05 | $644.05 | $174.84 – $183.72 | 2 |
| Haptoglobin quantitative CPT 83010 | $242.94 | $242.94 | $12.58 – $51.09 | 5 |
| Harvest allogeneic stem cell CPT 38205 | $33,754.53 | $33,754.53 | $90.57 – $1,187.00 | 2 |
| Harvest auto stem cells CPT 38206 | $5,899.67 | $5,899.67 | $1,397.74 – $3,129.05 | 3 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $1,713.61 – $4,145.37 | 3 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $2,043.57 – $4,781.00 | 3 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Harvest stem cell concentrte CPT 38215 | $19,686.72 | $19,686.72 | $409.77 – $1,187.00 | 3 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Hast w/i&r phys/qhp CPT 94452 | $817.00 | $817.00 | $149.48 – $267.31 | 2 |
| Hast w/oxygen titrate CPT 94453 | $817.00 | $817.00 | $149.48 – $267.31 | 2 |
| Hba1/hba2 full gene sequence CPT 81259 | $4,429.15 | $4,429.15 | $600.00 – $1,641.60 | 4 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $2,247.81 | $2,247.81 | $202.40 – $553.77 | 4 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $375.25 – $1,026.68 | 4 |
| Hbb full gene sequence CPT 81364 | $2,396.02 | $2,396.02 | $324.58 – $888.05 | 4 |
| Hbb gene com variants CPT 81361 | not published | not published | $174.81 – $478.28 | 4 |
| Hbb gene dup/del variants CPT 81363 | $1,660.36 | $1,660.36 | $202.40 – $553.77 | 4 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $375.25 – $1,026.68 | 4 |
| Hb glycosylated a1c home dev CPT 83037 | $111.33 | $111.33 | $9.71 – $60.90 | 5 |
| Hbot, full body chamber, 30m HCPCS G0277 | not published | not published | $157.75 – $276.47 | 2 |
| Hc ea ha check monaural CPT 92594 | not published | not published | $23.72 – $23.72 | 1 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $352.40 – $419.47 | 2 |
| Hcg free betachain test CPT 84704 | $125.23 | $125.23 | $15.29 – $60.90 | 5 |
| Hcg qualitative CPT 84703 | $283.56 | $283.56 | $7.52 – $30.47 | 5 |
| Hcg quantitative CPT 84702 | $513.09 | $513.09 | $15.05 – $60.90 | 5 |
| Hc hearing aid chck binaurl CPT 92593 | not published | not published | $34.59 – $34.59 | 1 |
| Hc hearing aid chck monarl CPT 92592 | not published | not published | $23.72 – $23.72 | 1 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $96.35 – $96.35 | 1 |
| Hc hearing aid exam one ear CPT 92590 | not published | not published | $64.23 – $64.23 | 1 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | not published | not published | $61.90 – $61.90 | 1 |
| Hc metata joint dislocation anes CPT 28635 | $8,627.31 | $8,627.31 | $1,431.29 – $3,230.64 | 3 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | $3,297.53 | $3,297.53 | $265.20 – $1,484.88 | 3 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | $1,532.04 | $1,532.04 | $1,187.00 – $1,187.00 | 1 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | $3,297.53 | $3,297.53 | $265.20 – $1,484.88 | 3 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | $1,254.18 | $1,254.18 | $1,187.00 – $1,187.00 | 1 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | $1,580.16 | $1,580.16 | $1,187.00 – $1,187.00 | 1 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $4,356.00 | $4,356.00 | $306.12 – $1,090.89 | 2 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $803.19 – $847.44 | 2 |
| Hc nm kidney imaging with flow CPT 78701 | $2,939.44 | $2,939.44 | $462.10 – $803.19 | 2 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $4,356.00 | $4,356.00 | $432.22 – $1,090.89 | 2 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $11,102.79 | $11,102.79 | $2,601.10 – $2,829.83 | 2 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | $13,827.62 | $13,827.62 | $1,187.00 – $1,187.00 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $4,308.78 | $4,308.78 | $228.15 – $1,399.30 | 2 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $7,455.93 | $7,455.93 | $402.63 – $1,399.30 | 2 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $9,454.63 | $9,454.63 | $630.08 – $1,399.30 | 2 |
| Hdr rdncl skn surf brachytx CPT 77767 | $3,065.78 | $3,065.78 | $177.65 – $774.91 | 2 |
| Hdr rdncl skn surf brachytx CPT 77768 | $3,065.78 | $3,065.78 | $283.96 – $774.91 | 2 |
| Head CT scan (with and without contrast) CPT 70470 | $4,559.39 | $4,559.39 | $352.40 – $614.99 | 2 |
| Head CT scan (with contrast) CPT 70460 | $4,201.94 | $4,201.94 | $352.40 – $614.99 | 2 |
| Head CT scan (without contrast) CPT 70450 | $3,938.02 | $3,938.02 | $210.04 – $378.27 | 2 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $679.57 – $1,859.30 | 4 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $1,625.00 – $4,446.00 | 4 |
| Heart first pass add-on CPT 78496 | $1,294.51 | $1,294.51 | $46.45 – $46.45 | 1 |
| Heart first pass multiple CPT 78483 | $4,356.00 | $4,356.00 | $399.88 – $1,090.89 | 2 |
| Heart image spect CPT 78494 | not published | not published | $403.20 – $803.19 | 2 |
| Heart infarct image CPT 78466 | $2,928.50 | $2,928.50 | $388.26 – $803.19 | 2 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $394.91 – $1,090.89 | 2 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $1,719.05 – $9,124.00 | 2 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $144.62 – $9,124.00 | 2 |
| Heavy metal qual any number CPT 83015 | not published | not published | $20.94 – $75.62 | 5 |
| Heinz bodies direct CPT 85441 | not published | not published | $4.20 – $16.70 | 5 |
| Heinz bodies induced CPT 85445 | not published | not published | $6.82 – $27.53 | 5 |
| Helicobacter pylori antibody igm CPT 86677 | $333.13 | $333.13 | $16.85 – $58.96 | 5 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $8.19 – $33.39 | 5 |
| Hematocrit CPT 85014 | $114.81 | $114.81 | $2.37 – $9.81 | 5 |
| Hematopoietic nuclear tx CPT 79403 | $3,228.31 | $3,228.31 | $193.30 – $468.80 | 2 |
| Hemicrt intrclry algrft prtl CPT 20933 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $2,890.75 – $13,172.00 | 3 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | not published | not published | $29.44 – $68.36 | 3 |
| Hemodialysis one evaluation CPT 90935 | $3,368.00 | $3,368.00 | not published | 0 |
| Hemodialysis repeated eval CPT 90937 | $2,755.01 | $2,755.01 | not published | 0 |
| Hemoglobin CPT 85018 | $81.99 | $81.99 | $2.37 – $9.81 | 5 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $4.01 – $9.81 | 5 |
| Hemoglobin fetal qualitative CPT 83033 | $140.61 | $140.61 | $8.00 – $23.58 | 5 |
| Hemoglobin f (fetal) chemical CPT 83030 | $102.73 | $102.73 | $10.74 – $33.39 | 5 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $321.44 | $321.44 | $8.20 – $29.45 | 5 |
| Hemoglobin-oxygen affinity CPT 82820 | $109.28 | $109.28 | $13.34 – $40.26 | 5 |
| Hemoglobin plasma CPT 83051 | $166.48 | $166.48 | $7.31 – $29.45 | 5 |
| Hemoglobin thermolabile CPT 83065 | not published | not published | $9.00 – $27.53 | 5 |
| Hemoglobin urine CPT 83069 | $65.59 | $65.59 | $3.95 – $15.72 | 5 |
| Hemolysin acid CPT 85475 | not published | not published | $8.87 – $35.35 | 5 |
| Hemolysins/agglutinins auto CPT 86940 | not published | not published | $8.77 – $33.39 | 5 |
| Hemolysins and agglutinins incubated CPT 86941 | not published | not published | $12.11 – $49.10 | 5 |
| Hemoperfusion CPT 90997 | $2,839.20 | $2,839.20 | not published | 0 |
| Hemophilus influenza antibdy CPT 86684 | not published | not published | $15.84 – $63.84 | 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.