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 |
|---|---|---|---|---|
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $172.31 – $503.63 | 3 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $113.35 – $182.43 | 3 |
| Inj, clindamycin (baxter) HCPCS J0737 | $77.29 | $77.29 | $4.34 – $5.73 | 2 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $208.92 | $208.92 | $1,187.00 – $1,187.00 | 1 |
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $106.17 – $172.34 | 2 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $1,614.06 – $2,090.30 | 3 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $17.71 – $28.46 | 3 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $20.11 – $33.68 | 3 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $4.82 – $18.21 | 3 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $1.26 – $4.83 | 3 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | not published | not published | $1.45 – $1.93 | 3 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $2.59 – $7.87 | 2 |
| Inj, daptomycin (baxter) HCPCS J0874 | not published | not published | $0.11 – $0.11 | 1 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.09 – $0.12 | 2 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.08 – $0.08 | 1 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $5.60 – $8.51 | 3 |
| Inj, decitabine (sun pharma) HCPCS J0893 | not published | not published | $2.33 – $4.17 | 2 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $6,565,610.70 – $6,632,925.18 | 2 |
| Inj diclofenac sodium 0.5mg HCPCS J1130 | not published | not published | $0.28 – $0.28 | 1 |
| Inj disk cerv-thor ea lev CPT 62291 | $2,373.99 | $2,373.99 | $1,187.00 – $1,187.00 | 1 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $5.31 – $8.27 | 2 |
| Inj dupuytren cord w/enzyme CPT 20527 | $978.42 | $978.42 | $47.64 – $1,187.00 | 3 |
| Inj, durolane 1 mg HCPCS J7318 | $1,782.73 | $1,782.73 | $10.32 – $13.55 | 3 |
| Inj dx for sinogram CPT 20501 | $362.26 | $362.26 | $1,187.00 – $1,187.00 | 1 |
| Inject for sacroiliac joint HCPCS G0259 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $2,977.45 | $2,977.45 | $166.92 – $2,265.00 | 3 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $235.54 | $235.54 | $1,187.00 – $1,187.00 | 1 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $53.73 – $104.95 | 3 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $449.37 – $968.28 | 3 |
| Injection, cangrelor HCPCS C9460 | not published | not published | $34.68 – $39.96 | 2 |
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $912.06 – $1,604.98 | 3 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $1,933.51 | $1,933.51 | $43.82 – $1,187.00 | 3 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $210.83 – $332.12 | 3 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $3.15 – $3.15 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | $12,803.22 | $12,803.22 | $69.59 – $142.74 | 3 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $0.65 – $0.65 | 1 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $0.91 – $0.91 | 1 |
| Injection during cath supravalvular aortography CPT 93567 | $2,970.99 | $2,970.99 | $1,187.00 – $1,187.00 | 1 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $24.91 – $42.92 | 3 |
| Injection epidural blood patch or clot CPT 62273 | $1,128.12 | $1,128.12 | $660.05 – $2,265.00 | 3 |
| Injection eye drug CPT 67028 | not published | not published | $49.93 – $1,187.00 | 3 |
| Injection, famotidine, 20 mg HCPCS S0028 | not published | not published | $0.77 – $0.77 | 1 |
| Injection for arthrography wrist (both sides) CPT 25246 | $226.77 | $226.77 | $1,187.00 – $1,187.00 | 1 |
| Injection for bladder x-ray CPT 51600 | $803.97 | $803.97 | $1,187.00 – $1,187.00 | 1 |
| Injection for hip x-ray CPT 27095 | $2,372.43 | $2,372.43 | $1,187.00 – $1,187.00 | 1 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $290.78 | $290.78 | $1,187.00 – $1,187.00 | 1 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Injection for tear sac x-ray CPT 68850 | $101.43 | $101.43 | $1,187.00 – $1,187.00 | 1 |
| Injection for ureter x-ray CPT 50684 | $3,341.11 | $3,341.11 | $1,187.00 – $1,187.00 | 1 |
| Injection for ureter x-ray CPT 50690 | $366.81 | $366.81 | $1,187.00 – $1,187.00 | 1 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $65.16 – $65.16 | 1 |
| Injection, fulvestrant HCPCS J9395 | $8,263.03 | $8,263.03 | $16.06 – $109.02 | 2 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $123.69 – $323.52 | 2 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $11,865.29 | $11,865.29 | $15.08 – $24.64 | 3 |
| Injection into brain canal CPT 61026 | not published | not published | $660.05 – $2,265.00 | 3 |
| Injection into brain canal CPT 61055 | $3,235.86 | $3,235.86 | $276.43 – $1,187.00 | 3 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $248.87 – $2,265.00 | 3 |
| Injection into spinal artery CPT 62294 | not published | not published | $857.52 – $2,265.00 | 3 |
| Injection into vocal cord CPT 31513 | not published | not published | $399.05 – $1,187.00 | 3 |
| Injection intraop add-on CPT 48400 | not published | not published | $116.84 – $9,124.00 | 2 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $1.12 – $2.01 | 3 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Injection jugular CPT 36299 | $4,658.76 | $4,658.76 | $1,187.00 – $1,187.00 | 1 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $3.00 – $3.36 | 2 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $7.37 – $11.46 | 3 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $59.88 – $144.66 | 2 |
| Injection of sinus tract CPT 20500 | $15,964.21 | $15,964.21 | $70.12 – $3,117.31 | 3 |
| Injection,onabotulinumtoxina HCPCS J0585 | not published | not published | $7.73 – $12.99 | 3 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $137.55 – $137.55 | 1 |
| Injection, peramivir HCPCS J2547 | not published | not published | $2.09 – $3.36 | 3 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $2.29 – $2.29 | 1 |
| Injection px peyronie ds CPT 54200 | $1,161.93 | $1,161.93 | $73.93 – $1,187.00 | 3 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $320.11 | $320.11 | $388.75 – $1,187.00 | 3 |
| Injection, renflexis HCPCS Q5104 | not published | not published | $54.00 – $94.41 | 3 |
| Injection, ruconest HCPCS J0596 | not published | not published | $37.88 – $73.53 | 3 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $5,573.77 | $5,573.77 | $660.05 – $2,265.00 | 3 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $3,633.47 | $3,633.47 | $51.07 – $2,265.00 | 3 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $763.53 | $763.53 | $51.07 – $2,265.00 | 3 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $4,518.81 | $4,518.81 | $857.52 – $2,265.00 | 3 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $1,579.01 | $1,579.01 | $1,187.00 – $1,187.00 | 1 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $4,518.81 | $4,518.81 | $857.52 – $2,265.00 | 3 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,386.76 | $1,386.76 | $1,187.00 – $1,187.00 | 1 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $4,518.81 | $4,518.81 | $857.52 – $2,265.00 | 3 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $3,043.12 | $3,043.12 | $660.05 – $2,265.00 | 3 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,219.48 | $1,219.48 | $660.05 – $2,265.00 | 3 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $141.76 – $331.66 | 3 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $1,399.79 | $1,399.79 | $27.43 – $1,187.00 | 3 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $966.60 | $966.60 | $32.02 – $1,187.00 | 3 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $1,163.80 | $1,163.80 | $37.35 – $1,187.00 | 3 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $411.21 | $411.21 | $23.22 – $94.08 | 2 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $411.21 | $411.21 | $32.62 – $32.62 | 1 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $367.14 | $367.14 | $54.35 – $427.34 | 2 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $411.21 | $411.21 | $82.90 – $144.66 | 2 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $17.57 – $17.57 | 1 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $2.73 – $2.73 | 1 |
| Injection treatment of eye CPT 66020 | not published | not published | $2,135.08 – $4,636.68 | 3 |
| Injection treatment of eye CPT 66030 | not published | not published | $2,135.08 – $4,636.68 | 3 |
| Injection treatment of nerve CPT 64605 | $11,008.52 | $11,008.52 | $1,815.63 – $4,781.00 | 3 |
| Injection treatment of nerve CPT 64610 | $14,903.22 | $14,903.22 | $1,815.63 – $4,781.00 | 3 |
| Injection treatment of nerve CPT 64681 | $4,971.89 | $4,971.89 | $857.52 – $2,265.00 | 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.