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 mogamulizumab-kpkc, 1 mg HCPCS J9204 | not published | not published | $258.24 – $496.99 | 3 |
| Inj, motixafortide, 0.25 mg HCPCS J2277 | not published | not published | $31.73 – $50.44 | 3 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | not published | not published | $14.58 – $14.58 | 1 |
| Inj moxifloxacin (fres kabi) HCPCS J2281 | not published | not published | $14.33 – $14.73 | 2 |
| Inj multihance HCPCS A9577 | $403.48 | $403.48 | $2.86 – $2.86 | 1 |
| Inj multihance multipack HCPCS A9578 | not published | not published | $2.86 – $2.86 | 1 |
| Inj. mycophenolate mofetil HCPCS J7519 | not published | not published | $1.40 – $1.91 | 2 |
| Inj naloxone hydrochloride HCPCS J2310 | $105.43 | $105.43 | $21.83 – $21.83 | 1 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | not published | not published | $670.97 – $1,372.00 | 3 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $4,253.58 | $4,253.58 | $587.70 – $2,265.00 | 3 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | not published | not published | $2.54 – $4.47 | 2 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | $4,932.15 | $4,932.15 | $865.87 – $4,145.37 | 3 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $4,932.15 | $4,932.15 | $865.87 – $4,145.37 | 3 |
| Inj, ocriplasmin, 0.125 mg HCPCS J7316 | not published | not published | $1,306.69 – $1,306.69 | 1 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | $155.85 | $155.85 | $61.92 – $61.92 | 1 |
| Inj ogivri 10 mg HCPCS Q5114 | not published | not published | $80.59 – $123.11 | 3 |
| Inj, olaratumab, 10 mg HCPCS J9285 | not published | not published | $65.50 – $65.50 | 1 |
| Inj, oliceridine 0.1 mg HCPCS C9101 | not published | not published | $0.52 – $2.56 | 2 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | not published | not published | $557.49 – $787.32 | 3 |
| Inj, omacetaxine mep, 0.01mg HCPCS J9262 | not published | not published | $4.13 – $7.77 | 2 |
| Inj., omadacycline, 1 mg HCPCS J0121 | not published | not published | $4.56 – $8.04 | 3 |
| Inj onase abepar-xioi treat HCPCS J3399 | not published | not published | $4,467,936.34 – $4,910,221.21 | 2 |
| Inj ontruzant 10 mg HCPCS Q5112 | not published | not published | $38.00 – $136.32 | 3 |
| Inj, pafolacianine, 0.1 mg HCPCS A9603 | not published | not published | $175.02 – $175.02 | 1 |
| Inj, palonosetron (posfrea) HCPCS J2468 | not published | not published | $1.44 – $116.47 | 2 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | not published | not published | $8.67 – $8.67 | 1 |
| Inj, panzyga, 500 mg HCPCS J1576 | not published | not published | $96.82 – $145.99 | 3 |
| Inj, pasireotide long acting HCPCS J2502 | not published | not published | $278.99 – $1,145.92 | 3 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | not published | not published | $125.69 – $199.93 | 3 |
| Inj, pedmark, 100 mg HCPCS J0208 | not published | not published | $120.35 – $190.22 | 3 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | not published | not published | $226.10 – $294.70 | 3 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | not published | not published | $60.65 – $681.73 | 3 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | not published | not published | $92.64 – $124.02 | 3 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | not published | not published | $14.33 – $19.47 | 3 |
| Inj pemetrexed (bluepoint) HCPCS J9322 | not published | not published | $12.66 – $21.20 | 2 |
| Inj pemetrexed ditromethamin HCPCS J9323 | not published | not published | $0.25 – $20.33 | 3 |
| Inj pemetrexed, hospira 10mg HCPCS J9294 | not published | not published | $7.09 – $15.41 | 3 |
| Inj pemetrexed (sandoz) 10mg HCPCS J9297 | not published | not published | $2.79 – $13.49 | 2 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | not published | not published | $19.58 – $31.09 | 3 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | not published | not published | $8,709.97 – $8,709.97 | 1 |
| Inj, pemrydi rtu, 10 mg HCPCS J9324 | not published | not published | $15.55 – $151.62 | 2 |
| Inj peritoneal venous shunt CPT 49427 | $1,254.39 | $1,254.39 | $1,187.00 – $1,187.00 | 1 |
| Inj., perseris, 0.5 mg HCPCS J2798 | not published | not published | $12.67 – $24.28 | 3 |
| Inj plasminogen tvmh 1mg HCPCS J2998 | not published | not published | $39.53 – $65.53 | 3 |
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $4.17 – $7.08 | 3 |
| Inj pozelimab-bbfg, 1 mg HCPCS J9376 | not published | not published | $115.41 – $183.46 | 2 |
| Inj proc ankle arthr CPT 27648 | $1,015.40 | $1,015.40 | $1,187.00 – $1,187.00 | 1 |
| Inj proc elbow arthro CPT 24220 | $214.65 | $214.65 | $1,187.00 – $1,187.00 | 1 |
| Inj proc for lymphang CPT 38790 | $4,157.82 | $4,157.82 | $1,187.00 – $1,187.00 | 1 |
| Inj proc lumbr disk ea lvl CPT 62290 | $1,475.75 | $1,475.75 | $1,187.00 – $1,187.00 | 1 |
| Inj proc myelogram lumbar CPT 62284 | $1,460.85 | $1,460.85 | $1,187.00 – $1,187.00 | 1 |
| Inj proc sialogram CPT 42550 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Inj progesterone per 50 mg HCPCS J2675 | not published | not published | $3.11 – $3.11 | 1 |
| Inj prohance multipack HCPCS A9576 | not published | not published | $2.09 – $2.09 | 1 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $2.94 – $4.45 | 3 |
| Inj, releuko 1 mcg HCPCS Q5125 | not published | not published | $0.75 – $1.04 | 3 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | not published | not published | $1.42 – $1.47 | 2 |
| Inj retro urethrocysto CPT 51610 | $106.15 | $106.15 | $1,187.00 – $1,187.00 | 1 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | not published | not published | $15.37 – $26.58 | 3 |
| Inj roctavian ml 2x10^13vc g HCPCS J1412 | not published | not published | $14,927.16 – $25,107.43 | 3 |
| Inj., rolapitant, 0.5 mg HCPCS J2797 | not published | not published | $1.18 – $1.18 | 1 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | not published | not published | $42.15 – $66.67 | 3 |
| Inj, rykindo, 0.5 mg HCPCS J2801 | not published | not published | $16.39 – $26.06 | 3 |
| Inj scleros sol mult veins CPT 36471 | $1,907.98 | $1,907.98 | $145.20 – $1,187.00 | 3 |
| Inj scleros sol sgl vein CPT 36470 | $2,351.87 | $2,351.87 | $84.61 – $1,187.00 | 3 |
| Inj, sculptra, 0.5mg HCPCS Q2028 | not published | not published | $0.86 – $4.32 | 3 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | not published | not published | $672.69 – $1,079.83 | 3 |
| Inj secretin synthetic human HCPCS J2850 | not published | not published | $43.41 – $82.06 | 3 |
| Inj secukinumab intrav 1mg HCPCS J3247 | $7,426.08 | $7,426.08 | $25.86 – $35.69 | 2 |
| Inj, sezaby, 1 mg HCPCS J2561 | not published | not published | $1.76 – $2.39 | 2 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | $179,184.73 | $179,184.73 | $88.69 – $131.46 | 3 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $184.51 – $1,187.00 | 3 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | not published | not published | $38.37 – $38.37 | 1 |
| Inj, susvimo 0.1 mg HCPCS J2779 | not published | not published | $122.58 – $158.01 | 3 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | not published | $21.56 – $37.72 | 3 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | not published | not published | $347.88 – $713.86 | 3 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | not published | not published | $51.36 – $88.47 | 3 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | not published | not published | $45.55 – $67.15 | 3 |
| Inj tedizolid phosphate HCPCS J3090 | not published | not published | $1.97 – $3.93 | 3 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | not published | not published | $53.42 – $75.32 | 3 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | not published | not published | $465.22 – $718.38 | 3 |
| Inj testostero enanthate 1mg HCPCS J3121 | not published | not published | $0.07 – $0.07 | 1 |
| Inj testosterone cypionate HCPCS J1071 | $93.21 | $93.21 | $0.03 – $0.03 | 1 |
| Inj theophylline per 40 mg HCPCS J2810 | not published | not published | $0.52 – $0.52 | 1 |
| Inj. tigecycline (accord) HCPCS J3244 | not published | not published | $3.29 – $5.21 | 2 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | not published | not published | $184.10 – $275.69 | 3 |
| Inj, tislelizumab-jsgr HCPCS J9329 | $45,250.97 | $45,250.97 | not published | 0 |
| Inj tofersen intrathec 1 mg HCPCS J1304 | not published | not published | $222.14 – $318.80 | 3 |
| Inj, tofidence, 1 mg HCPCS Q5133 | not published | not published | $8.90 – $11.07 | 2 |
| Inj travoprost intra impl HCPCS J7355 | not published | not published | $248.05 – $391.44 | 2 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | not published | not published | $23.60 – $36.59 | 3 |
| Inj triferic avnu 0.1mg iron HCPCS J1445 | not published | not published | $0.04 – $0.04 | 1 |
| Inj., triluron, 1 mg HCPCS J7332 | not published | not published | $20.54 – $32.35 | 3 |
| Inj., triptorelin X-ray 3.75 mg HCPCS J3316 | not published | not published | $3,707.35 – $7,634.55 | 3 |
| Inj, trivisc 1 mg HCPCS J7329 | not published | not published | $4.31 – $14.59 | 3 |
| Inj, uzedy, 1 mg HCPCS J2799 | not published | not published | $36.37 – $50.08 | 3 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | $36.83 | $36.83 | $9.43 – $11.54 | 2 |
| Inj, vancomycin hcl (xellia) HCPCS J3372 | $194.42 | $194.42 | $9.55 – $12.58 | 2 |
| Inj vasopressin (am reg) 1 u HCPCS J2599 | not published | not published | $0.55 – $3.10 | 2 |
| Inj, vegzelma, 10 mg HCPCS Q5129 | $12,762.71 | $12,762.71 | $79.93 – $136.18 | 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.