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 |
|---|---|---|---|---|
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | not published | not published | $0.34 – $0.34 | 1 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $67.60 | $67.60 | $0.25 – $0.25 | 1 |
| Home health care supervision CPT 99374 | not published | not published | $79.05 – $79.05 | 1 |
| Home health care supervision CPT 99375 | not published | not published | $123.53 – $123.53 | 1 |
| Home health care supervision HCPCS G0181 | not published | not published | $150.21 – $150.21 | 1 |
| Home health re-certification physician g0179 HCPCS G0179 | not published | not published | $57.32 – $57.32 | 1 |
| Home sleep test/type 2 porta HCPCS G0398 | $759.92 | $759.92 | $216.79 – $433.81 | 2 |
| Home sleep test/type 3 porta HCPCS G0399 | $759.92 | $759.92 | $216.79 – $433.81 | 2 |
| Home sleep test/type 4 porta HCPCS G0400 | $858.90 | $858.90 | $216.79 – $433.81 | 2 |
| Home vent mgmt supervision CPT 94005 | not published | not published | $128.96 – $128.96 | 1 |
| Homocysteine CPT 83090 | $492.97 | $492.97 | $17.92 – $67.79 | 5 |
| Homogenization tissue CPT 87176 | $69.49 | $69.49 | $5.88 – $23.58 | 5 |
| Homovanillic acid (hva) CPT 83150 | $280.31 | $280.31 | $22.41 – $77.61 | 5 |
| Hopd mntl hlt, grp HCPCS C7903 | not published | not published | $37.48 – $75.28 | 2 |
| Hospice care supervision CPT 99377 | not published | not published | $79.05 – $79.05 | 1 |
| Hospice care supervision CPT 99378 | not published | not published | $123.53 – $123.53 | 1 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $122.22 – $334.39 | 4 |
| Hpa-1 genotyping CPT 81105 | not published | not published | $122.22 – $334.39 | 4 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $122.22 – $334.39 | 4 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $122.22 – $334.39 | 4 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $122.22 – $334.39 | 4 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $122.22 – $334.39 | 4 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $122.22 – $334.39 | 4 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $122.22 – $334.39 | 4 |
| Hpv combo assay ca screen HCPCS G0476 | not published | not published | $35.09 – $99.52 | 4 |
| Hpv low-risk types CPT 87623 | not published | not published | $35.09 – $99.52 | 4 |
| Hpv types 16 & 18 only CPT 87625 | $201.54 | $201.54 | $40.55 – $99.52 | 4 |
| H pylori ag ia CPT 87339 | not published | not published | $16.00 – $48.14 | 5 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $67.36 – $271.13 | 5 |
| H pylori (c-13) breath CPT 83013 | $581.95 | $581.95 | $67.36 – $271.13 | 5 |
| H pylori drug admin CPT 83014 | $40.87 | $40.87 | $7.86 – $31.45 | 5 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $5,818.49 | $5,818.49 | $679.05 – $2,607.90 | 4 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | not published | not published | $438.93 – $1,244.81 | 3 |
| Hrdtry cardmypy gene panel CPT 81439 | $4,798.23 | $4,798.23 | $584.90 – $1,658.78 | 4 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $584.90 – $1,600.29 | 4 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $4,145.37 – $4,145.37 | 1 |
| Hsv dna dir probe CPT 87528 | not published | not published | $20.05 – $80.56 | 5 |
| Htt gene charac alleles CPT 81274 | not published | not published | $274.83 – $751.93 | 4 |
| Htt gene detc abnor alleles CPT 81271 | $1,064.86 | $1,064.86 | $137.00 – $374.83 | 4 |
| Human epididymis protein 4 (he4) CPT 86305 | $272.05 | $272.05 | $20.81 – $63.26 | 4 |
| Human ig IV CPT 90283 | not published | not published | $17.98 – $17.98 | 1 |
| Human ig sc CPT 90284 | not published | not published | $12.00 – $12.00 | 1 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | not published | not published | $3.09 – $6.39 | 3 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $116.13 | $116.13 | $73.82 – $73.82 | 1 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | not published | not published | $0.54 – $0.54 | 1 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $40.05 | $40.05 | $0.49 – $0.49 | 1 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $68.69 | $68.69 | $8.57 – $8.57 | 1 |
| Hydration IV infusion each additional hour CPT 96361 | $272.20 | $272.20 | $18.77 – $94.08 | 2 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $821.51 | $821.51 | $52.87 – $427.34 | 2 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | not published | not published | $13.15 – $13.15 | 1 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $343.25 | $343.25 | not published | 0 |
| Hydromorphone 250 mg HCPCS S0092 | not published | not published | $33.05 – $33.05 | 1 |
| Hydromorphone injection HCPCS J1170 | $62.01 | $62.01 | $0.53 – $0.53 | 1 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.01 – $0.01 | 1 |
| Hydroxyurea 500 mg HCPCS S0176 | not published | not published | $0.98 – $0.98 | 1 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $146.08 | $146.08 | $0.90 – $0.90 | 1 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $0.05 – $0.05 | 1 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $342.22 | $342.22 | $17.90 – $70.72 | 5 |
| Hymenotomy CPT 56442 | not published | not published | $2,637.99 – $6,503.75 | 3 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $18.97 – $35.24 | 3 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $4,781.00 – $11,893.61 | 3 |
| Hyoscyamine sulfate inj HCPCS J1980 | $521.01 | $521.01 | $39.44 – $39.44 | 1 |
| Hyperbaric oxygen therapy CPT 99183 | $1,046.12 | $1,046.12 | $157.75 – $157.75 | 1 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $10.18 – $41.24 | 5 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $675.64 – $1,399.30 | 2 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $379.32 – $774.91 | 2 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $431.24 – $1,110.12 | 2 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $623.72 – $1,110.12 | 2 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $966.31 – $1,110.12 | 2 |
| Hypothermia ill neonate CPT 99184 | not published | not published | $312.77 – $312.77 | 1 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $16.44 – $36.30 | 3 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $1,123.83 – $9,124.00 | 2 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $1,062.56 – $9,098.00 | 2 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $1,131.44 – $9,098.00 | 2 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $978.46 – $9,124.00 | 2 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $307.51 – $307.51 | 1 |
| Hysterosalpingography s&i CPT 74740 | $1,774.99 | $1,774.99 | $479.38 – $536.46 | 2 |
| Hysteroscopy ablation CPT 58563 | $25,948.57 | $25,948.57 | $4,510.75 – $10,050.49 | 3 |
| Hysteroscopy biopsy CPT 58558 | $19,293.44 | $19,293.44 | $2,637.99 – $6,503.75 | 3 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $2,637.99 – $6,503.75 | 3 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $4,510.75 – $10,050.49 | 3 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $2,637.99 – $6,503.75 | 3 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $4,510.75 – $10,050.49 | 3 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $4,510.75 – $10,050.49 | 3 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $1,918.08 – $10,050.49 | 3 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $223.20 – $223.20 | 1 |
| I-123 iobenguane diag HCPCS A9582 | not published | not published | $4,635.00 – $7,779.98 | 2 |
| I-123 ioflupane diag HCPCS A9584 | not published | not published | $2,775.48 – $3,252.11 | 2 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | not published | not published | $238.31 – $238.31 | 1 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $46.12 – $1,299.28 | 2 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $373.09 – $938.12 | 2 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $973.97 – $1,906.02 | 2 |
| I131 iodide cap, rx HCPCS A9517 | not published | not published | $27.37 – $48.14 | 3 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $12.78 – $41.54 | 3 |
| I131 max 100uci HCPCS A9531 | not published | not published | $12.69 – $12.69 | 1 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $104.32 – $104.32 | 1 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | not published | not published | $144.21 – $144.21 | 1 |
| Iaadi respiratory synctial virus CPT 87280 | $161.48 | $161.48 | $13.42 – $48.14 | 5 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $222.47 | $222.47 | $35.09 – $141.47 | 5 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $18.09 – $52.04 | 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.