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 |
|---|---|---|---|---|
| Intracranial vessel surgery CPT 61682 | not published | not published | $4,700.08 – $9,124.00 | 2 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $3,164.46 – $9,124.00 | 2 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $5,192.15 – $9,124.00 | 2 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $2,423.11 – $9,124.00 | 2 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $4,141.01 – $9,124.00 | 2 |
| Intranasal biopsy 30100 CPT 30100 | $9,880.52 | $9,880.52 | $113.19 – $3,117.31 | 3 |
| Intranasal reconstruction CPT 30620 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $567.72 – $1,187.00 | 2 |
| Intraop hipec px 1st 60 min CPT 96547 | not published | not published | $39.03 – $1,187.00 | 2 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $2,880.26 | $2,880.26 | $115.85 – $1,187.00 | 3 |
| Intraoral periapical first HCPCS D0220 | not published | not published | $174.84 – $174.84 | 1 |
| Intrapul surf admin endo tube CPT 94610 | $1,310.19 | $1,310.19 | $252.21 – $439.95 | 2 |
| Intrauterine transfusion ftl CPT 36460 | $4,039.69 | $4,039.69 | $409.77 – $1,187.00 | 3 |
| Intraventricular pacing CPT 93612 | $705.98 | $705.98 | $2,761.00 – $15,670.41 | 3 |
| Intrinsic factor antibody CPT 86340 | $256.21 | $256.21 | $15.08 – $60.90 | 5 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $158.94 – $267.49 | 2 |
| Intro cath dialysis circuit CPT 36901 | $4,646.36 | $4,646.36 | $605.57 – $3,162.66 | 3 |
| Intro cath dialysis circuit w/pta CPT 36902 | $34,102.35 | $34,102.35 | $5,231.33 – $16,164.00 | 3 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $39,088.21 | $39,088.21 | $10,463.35 – $23,193.59 | 3 |
| Intro catheter aorta CPT 36200 | $1,971.95 | $1,971.95 | $1,187.00 – $1,187.00 | 1 |
| Intro cath svc/ivc CPT 36010 | $987.27 | $987.27 | $1,187.00 – $1,187.00 | 1 |
| Intro long gi tube CPT 44500 | $3,127.88 | $3,127.88 | $829.93 – $2,761.00 | 3 |
| Intro long gi tube w/mult fluo CPT 74340 | $2,538.41 | $2,538.41 | $63.88 – $63.88 | 1 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $1,510.72 – $3,576.02 | 3 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $4,110.46 | $4,110.46 | $1,187.00 – $1,187.00 | 1 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $2,647.53 | $2,647.53 | $1,187.00 – $1,187.00 | 1 |
| Intubation endotracheal emergency procedure CPT 31500 | $1,511.16 | $1,511.16 | $215.04 – $1,187.00 | 3 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $115.14 – $118.52 | 2 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | not published | $2,383.08 – $2,383.08 | 1 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $118.25 – $792.64 | 2 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $397.95 – $667.67 | 2 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $38.28 – $74.98 | 2 |
| Ionm in operatng room 15 min CPT 95940 | $186.24 | $186.24 | $45.96 – $45.96 | 1 |
| Ionm remote/>1 pt or per hr CPT 95941 | $2,236.23 | $2,236.23 | $253.96 – $253.96 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $484.01 | $484.01 | $0.37 – $0.37 | 1 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $754.30 | $754.30 | $0.42 – $0.42 | 1 |
| Io radiation tx management CPT 77469 | not published | not published | $317.86 – $317.86 | 1 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $256.41 – $14,797.71 | 2 |
| Io rad tx delivery by x-ray CPT 77424 | $52,867.38 | $52,867.38 | $236.63 – $14,797.71 | 2 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $0.42 – $0.42 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $51,535.10 | $51,535.10 | $193.77 – $366.96 | 3 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | not published | not published | $160.59 – $160.59 | 1 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | not published | not published | $233.21 – $233.21 | 1 |
| Ip/obs consltj new/est hi 80 CPT 99255 | not published | not published | $280.64 – $280.64 | 1 |
| Ip/obs consltj new/est sf 35 CPT 99252 | not published | not published | $104.25 – $104.25 | 1 |
| Ipratropium bromide non-comp HCPCS J7644 | $5.86 | $5.86 | $0.67 – $0.67 | 1 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $291.99 | $291.99 | $3.78 – $3.78 | 1 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $4,357.82 | $4,357.82 | $56.45 – $132.00 | 3 |
| Iron CPT 83540 | $186.79 | $186.79 | $6.47 – $26.52 | 5 |
| Iron binding capacity CPT 83550 | $179.37 | $179.37 | $8.74 – $35.35 | 5 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $73.22 | $73.22 | $17.99 – $36.21 | 3 |
| Iron stain peripheral blood CPT 85536 | $37.21 | $37.21 | $6.88 – $26.52 | 5 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $220.15 | $220.15 | $0.46 – $0.46 | 1 |
| Irradiation of blood product each unit reference CPT 86945 | $589.93 | $589.93 | $33.43 – $75.04 | 5 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $255.84 | $255.84 | $75.42 – $118.52 | 2 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $566.65 – $3,117.31 | 3 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $58.09 – $1,187.00 | 3 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $15,616.46 | $15,616.46 | $98.19 – $163.80 | 3 |
| Island pedicle flap graft CPT 15740 | not published | not published | $1,713.61 – $4,145.37 | 3 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $891.84 – $1,279.22 | 2 |
| Ivc venogram s&i CPT 75825 | $16,940.83 | $16,940.83 | $6,343.74 – $6,379.49 | 2 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $109.37 – $109.37 | 1 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $783.06 | $783.06 | $43.47 – $144.66 | 2 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $261.75 | $261.75 | $29.15 – $29.15 | 1 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $304.13 | $304.13 | $30.13 – $94.08 | 2 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $900.62 | $900.62 | $99.81 – $427.34 | 2 |
| IV inj ra drug dx study CPT 78808 | $1,421.21 | $1,421.21 | $803.19 – $847.44 | 2 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $383.95 – $1,187.00 | 3 |
| Ivp w/nephrotomography CPT 74415 | $1,931.38 | $1,931.38 | $279.58 – $352.40 | 2 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $2,129.83 | $2,129.83 | $220.67 – $352.40 | 2 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $126.66 – $278.42 | 3 |
| Jak2 targeted sequence analysis CPT 81279 | $1,314.56 | $1,314.56 | $185.20 – $506.71 | 4 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $2,890.75 – $9,098.00 | 3 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $2,890.75 – $9,098.00 | 3 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $1,644.61 – $3,855.30 | 3 |
| John cunningham antibody CPT 86711 | $203.24 | $203.24 | $16.89 – $40.81 | 4 |
| J-tube placement CPT 44015 | not published | not published | $157.18 – $9,124.00 | 2 |
| Keratomileusis CPT 65760 | not published | not published | $1,607.16 – $4,781.00 | 2 |
| Keratophakia CPT 65765 | not published | not published | $1,757.87 – $4,781.00 | 2 |
| Keratoprosthesis CPT 65770 | not published | not published | $6,546.47 – $29,144.42 | 3 |
| Ketamine and metabolite screen - quest CPT 80357 | $138.16 | $138.16 | not published | 0 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $15.47 – $56.96 | 5 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $129.90 | $129.90 | $8.17 – $33.39 | 5 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $52.38 | $52.38 | $0.24 – $0.61 | 2 |
| Kidney endoscopy CPT 50551 | not published | not published | $2,761.00 – $10,772.46 | 3 |
| Kidney endoscopy CPT 50553 | not published | not published | $4,468.59 – $10,772.46 | 3 |
| Kidney endoscopy CPT 50570 | not published | not published | $2,265.00 – $7,082.09 | 3 |
| Kidney endoscopy CPT 50575 | not published | not published | $4,468.59 – $13,172.00 | 3 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $2,761.00 – $19,019.20 | 3 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $1,870.76 – $7,082.09 | 3 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $4,781.00 – $19,019.20 | 3 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $4,468.59 – $10,772.46 | 3 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $2,761.00 – $19,019.20 | 3 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $2,761.00 – $10,772.46 | 3 |
| Kidney function study CPT 78725 | $2,838.16 | $2,838.16 | $214.87 – $803.19 | 2 |
| Kidney imaging morphology CPT 78700 | not published | not published | $356.74 – $803.19 | 2 |
| Kidney imag w/bld flow multi CPT 78709 | $3,791.85 | $3,791.85 | $718.45 – $1,090.89 | 2 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $2,173.05 | $2,173.05 | $445.51 – $1,090.89 | 2 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $1,224.94 | $1,224.94 | $210.04 – $258.01 | 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.