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 |
|---|---|---|---|---|
| Lead capillary CPT 83655 | $227.77 | $227.77 | $12.11 – $49.10 | 5 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $1,501.74 – $13,172.00 | 3 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $1,543.61 – $13,172.00 | 3 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $1,934.83 – $13,172.00 | 3 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $1,610.58 – $13,172.00 | 3 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $20.05 – $80.56 | 5 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $41.76 – $167.97 | 5 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $2,926.47 – $9,098.00 | 3 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $2,918.62 | $2,918.62 | $224.32 – $479.38 | 2 |
| Leishmania antibody CPT 86717 | $131.76 | $131.76 | $12.25 – $49.10 | 5 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $2,761.00 – $6,573.82 | 3 |
| Lengthening of palate CPT 42227 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $1,295.47 – $16,164.00 | 3 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $6,316.94 – $14,578.56 | 3 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $6,316.94 – $14,578.56 | 3 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $2,890.75 – $13,172.00 | 3 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $1,175.21 – $25,794.37 | 3 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $6,316.94 – $14,578.56 | 3 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $12,567.15 – $25,794.37 | 3 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $6,316.94 – $14,578.56 | 3 |
| Lepirudin HCPCS J1945 | not published | not published | $709.25 – $709.25 | 1 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $733.10 | $733.10 | $3.40 – $3.40 | 1 |
| Leukacyte transfusion CPT 86950 | not published | not published | $102.63 – $342.29 | 5 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $10.39 – $32.40 | 5 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | not published | not published | $352.89 – $580.80 | 3 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | not published | not published | $1,005.63 – $3,460.65 | 3 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $21.67 – $48.47 | 2 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $553.57 – $1,413.33 | 3 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $66.76 – $157.83 | 3 |
| Lev 1 hosp type b ed visit HCPCS G0380 | not published | not published | $85.48 – $149.34 | 2 |
| Lev 2 hosp type b ed visit HCPCS G0381 | not published | not published | $137.85 – $186.62 | 2 |
| Lev 3 hosp type b ed visit HCPCS G0382 | not published | not published | $227.78 – $345.34 | 2 |
| Lev 4 hosp type b ed visit HCPCS G0383 | not published | not published | $344.88 – $531.02 | 2 |
| Lev 5 hosp type b ed visit HCPCS G0384 | not published | not published | $510.40 – $825.19 | 2 |
| Levalbuterol non-comp con HCPCS J7612 | $15.94 | $15.94 | $2.04 – $2.04 | 1 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $1.53 – $1.53 | 1 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $161.02 | $161.02 | $0.15 – $0.15 | 1 |
| Levetiracetam therapeutic drug level CPT 80177 | $524.62 | $524.62 | $13.25 – $37.59 | 4 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $97.86 | $97.86 | $1.91 – $1.91 | 1 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | not published | not published | $14.08 – $14.08 | 1 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | $20,961.05 | $20,961.05 | $6,124.42 – $13,172.00 | 3 |
| Lidocaine injection HCPCS J2001 | $47.23 | $47.23 | $0.03 – $0.03 | 1 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $82.56 | $82.56 | not published | 0 |
| Lidocaine therapeutic drug level CPT 80176 | $283.83 | $283.83 | $14.69 – $58.96 | 5 |
| Ligate esophagus veins CPT 43400 | not published | not published | $1,683.65 – $16,164.00 | 2 |
| Ligate leg veins open CPT 37761 | not published | not published | $612.38 – $6,343.74 | 3 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $2,926.47 – $9,098.00 | 3 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $82.58 – $9,124.00 | 2 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $1,598.02 – $9,124.00 | 2 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $2,926.47 – $9,098.00 | 3 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $2,926.47 – $9,098.00 | 3 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $2,637.99 – $6,503.75 | 3 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $14,054.31 | $14,054.31 | $1,449.47 – $3,318.25 | 3 |
| Ligation common iliac vein CPT 37660 | not published | not published | $1,448.84 – $9,124.00 | 2 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $2,926.47 – $9,098.00 | 3 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $2,926.47 – $9,098.00 | 3 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $2,926.47 – $9,098.00 | 3 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $1,722.47 – $6,343.74 | 3 |
| Ligation major artery chest CPT 37616 | not published | not published | $1,219.73 – $9,124.00 | 2 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $422.81 – $9,124.00 | 2 |
| Ligation major artery neck CPT 37615 | not published | not published | $1,722.47 – $6,343.74 | 3 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $2,926.47 – $9,098.00 | 3 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $1,478.15 – $11,179.69 | 3 |
| Ligation of femoral vein CPT 37650 | not published | not published | $2,926.47 – $9,098.00 | 3 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $4,853.58 – $16,164.00 | 3 |
| Ligation of neck artery CPT 37606 | not published | not published | $2,926.47 – $9,098.00 | 3 |
| Ligation of salivary duct CPT 42665 | not published | not published | $2,765.97 – $6,661.13 | 3 |
| Ligation of shunt CPT 49428 | $4,901.27 | $4,901.27 | $476.10 – $2,761.00 | 2 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $2,926.47 – $9,098.00 | 3 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $2,926.47 – $9,098.00 | 3 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $2,926.47 – $9,098.00 | 3 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $2,926.47 – $9,098.00 | 3 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $991.46 – $991.46 | 1 |
| Limb exercise test CPT 95875 | not published | not published | $101.78 – $258.52 | 2 |
| Limb nerve surgery add-on CPT 64783 | $5,102.99 | $5,102.99 | $1,187.00 – $1,187.00 | 1 |
| Limited autopsy CPT 88036 | not published | not published | $103.58 – $728.50 | 4 |
| Limited autopsy CPT 88037 | not published | not published | $92.03 – $591.84 | 4 |
| Limited visual field xm CPT 92081 | not published | not published | $75.42 – $118.52 | 2 |
| Lincomycin injection HCPCS J2010 | not published | not published | $10.09 – $10.09 | 1 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $147.23 | $147.23 | $19.05 – $19.05 | 1 |
| Lipase CPT 83690 | $337.22 | $337.22 | $6.89 – $27.53 | 5 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $2,765.97 – $6,661.13 | 3 |
| Lipoprotein blood high res frac & quant CPT 83701 | $295.83 | $295.83 | $33.86 – $100.20 | 5 |
| Lipoprotein blood quant CPT 83704 | $410.69 | $410.69 | $34.19 – $126.70 | 5 |
| Lipoprotein direct measurement hdl CPT 83718 | $228.47 | $228.47 | $8.19 – $33.39 | 5 |
| Lipoprotein direct measurement ldl CPT 83721 | $269.07 | $269.07 | $10.50 – $38.30 | 5 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $34.19 – $93.54 | 4 |
| Lip surgery procedure CPT 40799 | not published | not published | $215.04 – $1,187.00 | 3 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $540,655.59 – $1,125,076.37 | 3 |
| Listeria monocytogenes CPT 86723 | not published | not published | $13.19 – $53.06 | 5 |
| Lithium therapeutic drug level CPT 80178 | $161.70 | $161.70 | $6.61 – $26.52 | 5 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $16,838.49 | $16,838.49 | not published | 0 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $1,016.89 – $9,124.00 | 2 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $1,211.36 – $9,124.00 | 2 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $1,338.48 – $9,124.00 | 2 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $176.19 – $788.83 | 3 |
| Liver elastography 91200 CPT 91200 | $674.80 | $674.80 | $189.68 – $258.52 | 2 |
| Liver Function Test CPT 80076 | $703.20 | $703.20 | $8.17 – $33.39 | 5 |
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.