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 |
|---|---|---|---|---|
| Injection treatment of nose CPT 30200 | not published | not published | $87.28 – $1,187.00 | 3 |
| Inject sacroiliac joint CPT 27096 | $837.00 | $837.00 | $90.57 – $1,187.00 | 2 |
| Inject/treat eye socket CPT 67500 | not published | not published | $285.64 – $1,187.00 | 3 |
| Inject/treat eye socket CPT 67505 | not published | not published | $41.16 – $1,187.00 | 3 |
| Inject/treat eye socket CPT 67515 | not published | not published | $38.11 – $1,187.00 | 3 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $54,199.36 | $54,199.36 | $41.24 – $67.78 | 3 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $41.75 – $54.54 | 3 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $638.25 – $769.70 | 3 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $58.86 – $112.20 | 3 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $3,280.41 | $3,280.41 | $660.05 – $2,265.00 | 3 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $3,280.41 | $3,280.41 | $660.05 – $2,265.00 | 3 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $0.28 – $3.72 | 2 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.30 – $2.60 | 3 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $4.33 – $4.82 | 3 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $211.68 – $334.69 | 2 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $205.90 – $387.52 | 3 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $33.21 – $52.71 | 3 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $11.84 – $19.55 | 3 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $56.06 – $69.68 | 3 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $1.84 – $44.04 | 3 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $188.14 – $281.98 | 3 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.04 – $0.04 | 1 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.46 – $2.79 | 3 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $11.11 – $11.11 | 1 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.05 – $5.68 | 2 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $241.98 – $241.98 | 1 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $250.05 – $250.05 | 1 |
| Inj for ext venography CPT 36005 | $289.47 | $289.47 | $1,187.00 – $1,187.00 | 1 |
| Inj for mammo ductogram CPT 19030 | $1,063.28 | $1,063.28 | $1,187.00 – $1,187.00 | 1 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $2.06 – $4.01 | 3 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $740.88 – $1,392.62 | 3 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | not published | not published | $3.40 – $3.58 | 2 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | $1,660.39 | $1,660.39 | $10.40 – $53.54 | 3 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $22.74 – $83.34 | 3 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | $297.98 | $297.98 | $14.55 – $14.55 | 1 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $65.89 – $65.89 | 1 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $175.30 – $175.30 | 1 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | $563.74 | $563.74 | $5.66 – $8.34 | 2 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $157.85 – $234.72 | 3 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $3,988.17 – $5,535.76 | 3 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | $47.05 | $47.05 | $3.39 – $3.39 | 1 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | not published | not published | $2.13 – $2.13 | 1 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $210.83 – $326.77 | 2 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $8.18 – $10.66 | 3 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $139.19 – $151.94 | 3 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $12.26 – $12.26 | 1 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $7,184,452.10 – $7,370,533.33 | 2 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $0.44 – $8.53 | 2 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $106.14 – $129.62 | 3 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $109.70 – $138.74 | 3 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $3,159.73 | $3,159.73 | $1,187.00 – $1,187.00 | 1 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $4,840.31 | $4,840.31 | $1,187.00 – $1,187.00 | 1 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | $1,610.19 | $1,610.19 | $1,187.00 – $1,187.00 | 1 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $3,970.61 | $3,970.61 | $1,187.00 – $1,187.00 | 1 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $1,532.59 | $1,532.59 | $1,187.00 – $1,187.00 | 1 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $1.51 – $3.04 | 3 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | not published | not published | $6.46 – $4,038.71 | 3 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | not published | not published | $35.74 – $35.74 | 1 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $73.88 – $158.52 | 3 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $2.82 – $4.82 | 2 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $55.95 – $154.78 | 3 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.32 – $0.32 | 1 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $595.05 – $991.09 | 3 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $857.52 – $2,265.00 | 3 |
| Inj. infugem, 100 mg HCPCS J9198 | not published | not published | $50.08 – $79.19 | 2 |
| Inj. insulin (fiasp) HCPCS J1812 | not published | not published | $1.91 – $1.91 | 1 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $531.63 | $531.63 | $184.51 – $1,187.00 | 3 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $184.51 – $1,187.00 | 3 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $17.83 – $25.99 | 3 |
| Inj ivig privigen 500 mg HCPCS J1459 | $11,853.36 | $11,853.36 | $63.12 – $101.47 | 3 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $2.58 – $3.83 | 3 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.90 – $5.29 | 3 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.49 – $3.13 | 3 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | $71.82 | $71.82 | $1.83 – $4.66 | 2 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $97.81 – $174.57 | 2 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $59.69 – $89.67 | 3 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.73 – $2.65 | 3 |
| Inj lefamulin 1 mg HCPCS J0691 | not published | not published | $1.06 – $1.42 | 2 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $27.72 – $44.31 | 3 |
| Inj levocarnitine per 1 gm HCPCS J1955 | not published | not published | $43.82 – $43.82 | 1 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | not published | not published | $0.10 – $0.32 | 2 |
| Inj, levothyroxine, freskabi HCPCS J0651 | not published | not published | $11.83 – $16.55 | 3 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $7.81 – $9.99 | 2 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $275.49 | $275.49 | not published | 0 |
| Inj, linezolid (hospira) HCPCS J2021 | not published | not published | $24.20 – $32.30 | 2 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $383.46 – $658.10 | 3 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $28.39 – $46.79 | 3 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $2,968.81 – $6,005.17 | 3 |
| Inj. meloxicam 1 mg HCPCS J1738 | not published | not published | $4.13 – $4.13 | 1 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | not published | $191.80 – $1,826.72 | 3 |
| Inj, melphalan (apotex) 1 mg HCPCS J9249 | not published | not published | $24.87 – $129.56 | 2 |
| Inj, melphalan flufenami 1mg HCPCS J9247 | not published | not published | $736.18 – $839.29 | 2 |
| Inj melphalan (hepzato) 1 mg HCPCS J9248 | not published | not published | $973.52 – $1,590.00 | 3 |
| Inj menotropins 75 iu HCPCS S0122 | not published | not published | $261.49 – $261.49 | 1 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $15.46 | $15.46 | $1.75 – $1.75 | 1 |
| Inj, meropenem (b. braun) HCPCS J2184 | not published | not published | $3.14 – $3.97 | 2 |
| Inj., meropenem, vaborbactam HCPCS J2186 | not published | not published | $2.18 – $4.37 | 3 |
| Inj meropenem (wg crit care) HCPCS J2183 | not published | not published | $2.35 – $2.35 | 1 |
| Inj, micafungin (par pharm) HCPCS J2247 | not published | not published | $0.36 – $0.53 | 2 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | not published | not published | $51.17 – $86.10 | 2 |
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.