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 |
|---|---|---|---|---|
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $357.51 | $357.51 | $14.38 – $57.95 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $146.64 | $146.64 | $10.33 – $41.24 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $467.08 | $467.08 | $10.33 – $41.24 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $440.32 | $440.32 | $24.08 – $68.28 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $609.47 | $609.47 | $11.98 – $48.14 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $261.93 | $261.93 | $11.98 – $48.14 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $170.07 | $170.07 | $11.98 – $48.14 | 5 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $1,553.23 | $1,553.23 | $35.09 – $141.47 | 5 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $485.11 | $485.11 | $35.09 – $141.47 | 5 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $228.75 | $228.75 | $37.27 – $106.70 | 4 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,082.12 | $1,082.12 | $416.78 – $1,182.01 | 4 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $807.42 | $807.42 | $35.09 – $141.47 | 5 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $552.67 | $552.67 | $35.09 – $141.47 | 5 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $1,553.23 | $1,553.23 | $41.68 – $141.47 | 5 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $485.11 | $485.11 | $35.09 – $141.47 | 5 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $479.18 | $479.18 | $51.31 – $102.62 | 5 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $1,044.10 | $1,044.10 | $142.60 – $390.24 | 5 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $1,345.33 | $1,345.33 | $142.60 – $303.19 | 5 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $528.90 | $528.90 | $35.09 – $141.47 | 5 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $435.99 | $435.99 | $35.09 – $99.52 | 4 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | not published | not published | $140.36 – $140.36 | 1 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $383.85 | $383.85 | $153.54 – $153.54 | 1 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | not published | not published | $1,359.54 – $1,359.54 | 1 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $1,269.30 | $1,269.30 | $416.78 – $1,182.01 | 4 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $2,039.74 | $2,039.74 | $128.29 – $363.84 | 4 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $894.36 | $894.36 | $262.99 – $605.28 | 4 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $1,708.41 | $1,708.41 | $42.84 – $172.93 | 5 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $1,200.15 | $1,200.15 | $42.84 – $172.93 | 5 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $986.18 | $986.18 | $42.84 – $172.93 | 5 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $865.80 | $865.80 | $85.10 – $342.83 | 5 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $1,322.87 | $1,322.87 | $142.63 – $363.84 | 4 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | not published | not published | $62.18 – $143.69 | 3 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $40.81 – $65.89 | 3 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | not published | not published | $21.80 – $118.58 | 3 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $29.22 – $60.79 | 4 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $47.30 – $47.30 | 1 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $33.38 – $33.38 | 1 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $3,392.81 – $9,124.00 | 2 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $3,355.89 – $9,124.00 | 2 |
| Infuse radioactive materials CPT 77750 | $2,019.59 | $2,019.59 | $117.96 – $774.91 | 2 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $97.34 – $97.34 | 1 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $106.23 – $749.72 | 2 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $1,334.21 | $1,334.21 | $252.21 – $439.95 | 2 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $158.94 – $267.49 | 2 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $486.69 – $486.69 | 1 |
| Initiation & management bipap/cpap initial day CPT 94660 | $2,826.40 | $2,826.40 | $252.21 – $439.95 | 2 |
| Init nb em per day non-fac CPT 99461 | not published | not published | $87.95 – $87.95 | 1 |
| Init pm e/m new pat 65+ yrs CPT 99387 | not published | not published | $178.37 – $178.37 | 1 |
| Init/sub psych care m 1st 30 HCPCS G2214 | $216.96 | $216.96 | $55.33 – $204.11 | 2 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $8.67 – $12.05 | 3 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $7.45 – $14.55 | 3 |
| Inj, acetaminophen (b braun) HCPCS J0136 | $64.21 | $64.21 | $0.08 – $0.10 | 2 |
| Inj acetaminophen -fresenius HCPCS J0134 | $26.03 | $26.03 | $0.10 – $0.20 | 2 |
| Inj, acetaminophen (hikma) HCPCS J0137 | $80.41 | $80.41 | $0.11 – $0.14 | 2 |
| Inj. acthar gel to 40 units HCPCS J0801 | not published | not published | $6,023.76 – $8,269.24 | 3 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $124,851.62 – $211,680.00 | 3 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $11.76 – $17.49 | 2 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $51.08 – $71.17 | 2 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $503.31 – $671.88 | 3 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $2.18 – $3.14 | 3 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | not published | not published | $3.78 – $3.78 | 1 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $8.56 – $10.68 | 3 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $75.64 – $115.62 | 3 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $11.85 – $19.23 | 3 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $259.87 – $362.37 | 3 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $23.87 – $36.16 | 3 |
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $4,323.07 – $7,069.20 | 3 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $2.47 – $3.82 | 3 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $3.93 – $6.49 | 3 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $59.65 – $103.66 | 3 |
| Inj. asceniv HCPCS J1554 | not published | not published | $709.54 – $993.48 | 3 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $57.84 – $110.95 | 3 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $160.64 – $218.82 | 3 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $95.24 – $161.82 | 3 |
| Inj belantamab mafodot blmf HCPCS J9037 | not published | not published | $63.29 – $91.97 | 2 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $16,770.41 | $16,770.41 | $213.53 – $329.18 | 3 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | not published | not published | $20.04 – $20.04 | 1 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $3,767.44 | $3,767.44 | $50.27 – $79.65 | 3 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $256.95 – $427.68 | 3 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | not published | not published | $0.28 – $0.33 | 2 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $6.92 – $95.45 | 3 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $3.96 – $95.45 | 3 |
| Inj, bortezomib, hospira HCPCS J9049 | not published | not published | $3.38 – $10.50 | 2 |
| Inj., brexanolone, 1 mg HCPCS J1632 | not published | not published | $98.17 – $140.77 | 2 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $595.12 – $841.27 | 3 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $2,380.50 – $3,365.09 | 3 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $467.73 – $692.21 | 3 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $0.98 – $1.30 | 2 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $87.85 – $344.17 | 3 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | not published | not published | $0.99 – $0.99 | 1 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $0.10 – $519.40 | 3 |
| Inj cefazolin sodium, baxter HCPCS J0689 | not published | not published | $1.72 – $2.44 | 2 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $63.29 | $63.29 | $1.53 – $1.53 | 1 |
| Inj cefazolin (wg crit care) HCPCS J0687 | not published | not published | $1.59 – $1.59 | 1 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | not published | not published | $7.99 – $11.32 | 2 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | not published | not published | $7.46 – $9.73 | 2 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | not published | not published | $2.50 – $4.84 | 3 |
| Inj ceftolozane tazobactam HCPCS J0695 | not published | not published | $7.54 – $18.13 | 3 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $117.88 – $240.73 | 2 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $19.77 – $33.03 | 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.