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 |
|---|---|---|---|---|
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $13,778.77 – $25,794.37 | 3 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $12,567.15 – $25,794.37 | 3 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $1,840.07 – $9,124.00 | 2 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $98.57 – $9,124.00 | 2 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $1,938.65 – $13,172.00 | 3 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $2,826.51 – $9,124.00 | 2 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $443.06 – $769.53 | 3 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $786.60 – $13,172.00 | 3 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $861.69 – $13,172.00 | 3 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $1,114.14 – $13,172.00 | 3 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $738.21 – $13,172.00 | 3 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $798.80 – $13,172.00 | 3 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $786.60 – $13,172.00 | 3 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $108.65 – $1,187.00 | 3 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $1,046.14 – $13,172.00 | 3 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $754.21 – $13,172.00 | 3 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $743.54 – $13,172.00 | 3 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $833.86 – $13,172.00 | 3 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $431.03 – $3,117.31 | 3 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $52.99 – $86.39 | 3 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $4,712.46 – $4,712.46 | 1 |
| In-111 autol wbc diag per dose HCPCS A9570 | not published | not published | $2,206.38 – $4,712.46 | 2 |
| In-111 capromab pendet HCPCS A9507 | not published | not published | $3,460.58 – $5,792.65 | 2 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $4,611.98 – $4,611.98 | 1 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | not published | not published | $1,662.92 – $2,356.22 | 2 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | not published | not published | $544.47 – $1,491.24 | 2 |
| In-111 pentetreotide HCPCS A9572 | not published | not published | $4,001.88 – $7,479.32 | 2 |
| Inactivated je vacc im CPT 90738 | not published | not published | $328.83 – $328.83 | 1 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $484.85 – $13,172.00 | 3 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $4,781.00 – $14,578.56 | 3 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $2,890.75 – $6,573.82 | 3 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $1,981.27 – $16,164.00 | 3 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $1,651.69 – $16,164.00 | 3 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $1,644.84 – $16,164.00 | 3 |
| Incis addl spine segment CPT 22216 | not published | not published | $403.78 – $1,187.00 | 2 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $1,397.09 – $9,124.00 | 2 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $1,815.63 – $3,923.25 | 3 |
| Incise/drain eyelid lining CPT 68020 | $2,817.83 | $2,817.83 | $72.41 – $2,761.00 | 3 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $2,890.75 – $6,573.82 | 3 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $1,431.29 – $3,230.64 | 3 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $1,815.63 – $3,923.25 | 3 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $1,815.63 – $9,098.00 | 3 |
| Incise inner ear CPT 69801 | not published | not published | $141.39 – $3,117.31 | 3 |
| Incise inner ear nerve CPT 69915 | not published | not published | $2,765.97 – $13,172.00 | 3 |
| Incise inner ear nerve CPT 69950 | not published | not published | $1,926.08 – $9,124.00 | 2 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $187.12 – $2,265.00 | 3 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $2,135.08 – $4,781.00 | 3 |
| Incise inner eye adhesions CPT 65870 | not published | not published | $2,135.08 – $4,781.00 | 3 |
| Incise inner eye adhesions CPT 65875 | not published | not published | $2,135.08 – $4,781.00 | 3 |
| Incise inner eye adhesions CPT 65880 | not published | not published | $4,032.16 – $8,304.52 | 3 |
| Incise inner eye strands CPT 67030 | not published | not published | $2,135.08 – $4,781.00 | 3 |
| Incise nerve back of head CPT 64744 | not published | not published | $1,815.63 – $4,781.00 | 3 |
| Incise perq finger tendon 26060 CPT 26060 | not published | not published | $1,431.29 – $3,230.64 | 3 |
| Incise skull/brain surgery CPT 61720 | not published | not published | $5,817.51 – $17,631.68 | 3 |
| Incise skull/brain surgery CPT 61735 | not published | not published | $1,781.08 – $9,124.00 | 2 |
| Incise skull for treatment CPT 61770 | not published | not published | $5,817.51 – $13,172.00 | 3 |
| Incise skull repair CPT 62121 | not published | not published | $1,740.36 – $9,124.00 | 2 |
| Incise skull/sutures CPT 61556 | not published | not published | $1,909.33 – $9,124.00 | 2 |
| Incise skull/sutures CPT 61557 | not published | not published | $1,880.79 – $9,124.00 | 2 |
| Incise sperm duct pouch CPT 55600 | not published | not published | $833.93 – $4,781.00 | 3 |
| Incise spinal cord tract(s) CPT 63170 | not published | not published | $1,767.00 – $9,124.00 | 2 |
| Incise spine accessory nerve CPT 63191 | not published | not published | $1,542.08 – $18,558.00 | 2 |
| Incise spine nrv >2 segmnts CPT 63190 | not published | not published | $1,369.68 – $18,558.00 | 2 |
| Incise spine nrv half segmnt CPT 63185 | not published | not published | $1,265.02 – $18,558.00 | 2 |
| Incise tear duct opening 68440 CPT 68440 | not published | not published | $70.12 – $1,187.00 | 3 |
| Incise tendon(s) & muscle(s) CPT 23406 | not published | not published | $6,316.94 – $14,578.56 | 3 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | $2,890.75 – $6,573.82 | 3 |
| Incise & treat bladder CPT 51030 | not published | not published | $3,187.58 – $4,781.00 | 2 |
| Incise wrist/forearm tendon CPT 25290 | not published | not published | $2,890.75 – $9,098.00 | 3 |
| Incision anal septum infant CPT 46070 | not published | not published | $2,475.45 – $5,576.62 | 3 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $3,411.44 | $3,411.44 | $116.23 – $3,318.25 | 3 |
| Incision & drainage open of deep abscess (subfascial) pos CPT 22010 | not published | not published | $1,055.32 – $16,164.00 | 3 |
| Incision/fixation of femur CPT 27165 | not published | not published | $1,501.36 – $16,164.00 | 3 |
| Incision of achilles tendon CPT 27605 | $7,197.46 | $7,197.46 | $1,431.29 – $4,781.00 | 3 |
| Incision of achilles tendon CPT 27606 | not published | not published | $2,890.75 – $6,573.82 | 3 |
| Incision of anal sphincter CPT 46080 | not published | not published | $2,475.45 – $5,576.62 | 3 |
| Incision of ankle bone CPT 28302 | not published | not published | $4,781.00 – $14,578.56 | 3 |
| Incision of bile duct CPT 47425 | not published | not published | $1,511.25 – $9,124.00 | 2 |
| Incision of bile duct 47420 CPT 47420 | not published | not published | $1,480.43 – $9,124.00 | 2 |
| Incision of brain tissue CPT 61541 | not published | not published | $2,386.57 – $9,124.00 | 2 |
| Incision of brain tissue CPT 61567 | not published | not published | $2,775.90 – $9,124.00 | 2 |
| Incision of breast lesion CPT 19020 | $8,688.98 | $8,688.98 | $1,449.47 – $4,781.00 | 3 |
| Incision of brow nerve CPT 64732 | not published | not published | $1,815.63 – $3,923.25 | 3 |
| Incision of burn scab initi CPT 16035 | $2,211.02 | $2,211.02 | $337.40 – $1,187.00 | 3 |
| Incision of cheek nerve CPT 64734 | not published | not published | $1,815.63 – $3,923.25 | 3 |
| Incision of chin nerve CPT 64736 | not published | not published | $1,815.63 – $3,923.25 | 3 |
| Incision of eardrum CPT 69420 | $1,071.31 | $1,071.31 | $108.65 – $1,187.00 | 3 |
| Incision of eardrum CPT 69421 | $16,435.01 | $16,435.01 | $2,761.00 – $6,661.13 | 3 |
| Incision of esophagus CPT 43020 | not published | not published | $1,424.90 – $3,117.31 | 3 |
| Incision of eye CPT 65850 | not published | not published | $2,135.08 – $4,781.00 | 3 |
| Incision of eye CPT 66172 | not published | not published | $2,135.08 – $4,781.00 | 3 |
| Incision of eyelid CPT 67710 | not published | not published | $210.37 – $2,761.00 | 3 |
| Incision of facial nerve CPT 64742 | not published | not published | $1,815.63 – $4,781.00 | 3 |
| Incision of fibula CPT 27707 | not published | not published | $2,890.75 – $9,098.00 | 3 |
| Incision of finger tendon CPT 26455 | not published | not published | $1,431.29 – $3,230.64 | 3 |
| Incision of foot fascia CPT 28008 | $22,724.07 | $22,724.07 | $2,890.75 – $6,573.82 | 3 |
| Incision of foot tendon 28234 CPT 28234 | $7,197.46 | $7,197.46 | $1,431.29 – $4,781.00 | 3 |
| Incision of gallbladder 47480 CPT 47480 | not published | not published | $967.41 – $9,124.00 | 2 |
| Incision of heel bone CPT 28300 | $35,788.76 | $35,788.76 | $6,316.94 – $16,164.00 | 3 |
| Incision of hip bone CPT 27146 | not published | not published | $1,402.03 – $16,164.00 | 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.