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 |
|---|---|---|---|---|
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $471.88 | $471.88 | $35.09 – $141.47 | 5 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | not published | not published | $70.18 – $70.18 | 1 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $961.38 | $961.38 | $42.84 – $172.93 | 5 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | not published | not published | $72.19 – $197.51 | 4 |
| Mayo infliximab therapeutic drug level CPT 80230 | $754.56 | $754.56 | $38.57 – $105.53 | 4 |
| Mayo inhab inhibin a CPT 86336 | $330.95 | $330.95 | $15.59 – $62.86 | 5 |
| Mayo insft insulin free CPT 83527 | $109.83 | $109.83 | $12.95 – $52.04 | 5 |
| Mayo insulin antibodies CPT 86337 | $409.62 | $409.62 | $21.41 – $86.42 | 5 |
| Mayo iodine CPT 83789 | $488.96 | $488.96 | $24.11 – $72.69 | 5 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $168.73 | $168.73 | $27.11 – $74.17 | 4 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $312.46 | $312.46 | $27.11 – $74.17 | 4 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $372.28 | $372.28 | $13.25 – $37.59 | 4 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $183.14 | $183.14 | $12.79 – $51.09 | 5 |
| Mayo legionella antibody CPT 86713 | $358.84 | $358.84 | $15.30 – $61.90 | 5 |
| Mayo leptospira antibody igm CPT 86720 | $239.88 | $239.88 | $16.20 – $53.06 | 5 |
| Mayo lipoprotein electrophoresis CPT 83700 | $107.35 | $107.35 | $11.26 – $45.20 | 5 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $188.08 | $188.08 | $15.49 – $62.86 | 5 |
| Mayo manganese CPT 83785 | $265.56 | $265.56 | $26.65 – $99.22 | 5 |
| Mayo metanephrines plasma CPT 83835 | $402.19 | $402.19 | $16.94 – $67.79 | 5 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $213.31 | $213.31 | not published | 0 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $292.55 | $292.55 | $18.40 – $32.97 | 4 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $479.04 | $479.04 | $18.40 – $36.80 | 3 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $308.01 | $308.01 | $14.55 – $58.96 | 5 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $559.62 | $559.62 | $18.64 – $55.01 | 5 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $1,176.87 | $1,176.87 | $137.00 – $374.83 | 4 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $185.20 – $506.71 | 4 |
| Mayo muramidase CPT 85549 | $185.47 | $185.47 | $18.75 – $75.62 | 5 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $95.68 | $95.68 | $18.40 – $36.80 | 3 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $166.18 | $166.18 | $18.05 – $51.20 | 4 |
| Mayo myoglobin CPT 83874 | $366.20 | $366.20 | $12.92 – $52.04 | 5 |
| Mayo nickel CPT 83885 | $194.85 | $194.85 | $24.51 – $98.21 | 5 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $1,007.78 | $1,007.78 | not published | 0 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $39.90 | $39.90 | not published | 0 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $387.55 | $387.55 | not published | 0 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $410.69 | $410.69 | $21.21 – $66.79 | 5 |
| Mayo organic acids qualitative each specimen CPT 83919 | $233.53 | $233.53 | $16.45 – $66.79 | 5 |
| Mayo oxalate 24 hour urine CPT 83945 | $176.21 | $176.21 | $14.45 – $52.04 | 5 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $11.53 – $46.16 | 5 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $580.23 | $580.23 | $15.03 – $60.90 | 5 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $338.51 | $338.51 | $12.05 – $48.14 | 5 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $776.63 | $776.63 | $35.09 – $141.47 | 5 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $407.18 | $407.18 | $17.98 – $43.35 | 4 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $103.93 | $103.93 | $13.76 – $55.01 | 5 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $360.88 | $360.88 | $8.44 – $34.38 | 5 |
| Mayo pregnenolone CPT 84140 | $233.07 | $233.07 | $20.67 – $83.48 | 5 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $181.16 | $181.16 | $16.59 – $66.79 | 5 |
| Mayo proinsulin CPT 84206 | $429.40 | $429.40 | $26.69 – $71.70 | 5 |
| Mayo psaft prostate specific antigen free CPT 84154 | $191.76 | $191.76 | $18.39 – $73.67 | 5 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $961.76 | $961.76 | $18.40 – $54.03 | 5 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $160.76 | $160.76 | $13.36 – $54.03 | 5 |
| Mayo receptor assay transferrin soluble CPT 84238 | $372.92 | $372.92 | $36.57 – $147.35 | 5 |
| Mayo renin CPT 84244 | $446.69 | $446.69 | $21.99 – $88.38 | 5 |
| Mayo repu protein electrophoresis urine CPT 84166 | $287.44 | $287.44 | $17.83 – $71.70 | 5 |
| Mayo selenium CPT 84255 | $214.00 | $214.00 | $25.53 – $103.14 | 5 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $524.72 | $524.72 | $15.50 – $61.90 | 5 |
| Mayo serotonin CPT 84260 | $311.06 | $311.06 | $30.98 – $124.78 | 5 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $430.16 | $430.16 | $19.35 – $77.61 | 5 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $494.22 | $494.22 | $13.73 – $55.01 | 5 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | not published | not published | $184.06 – $184.06 | 1 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $195.95 | $195.95 | $4.27 – $16.70 | 5 |
| Mayo tau phosphorylated 217 each CPT 84393 | not published | not published | $257.84 – $257.84 | 1 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $1,720.40 | $1,720.40 | $208.92 – $592.49 | 4 |
| Mayo tgrp testosterone free CPT 84402 | $364.78 | $364.78 | $25.47 – $102.17 | 5 |
| Mayo tgrp testosterone total CPT 84403 | $508.13 | $508.13 | $25.81 – $104.13 | 5 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $119.89 | $119.89 | $22.17 – $60.66 | 4 |
| Mayo thyroglobulin CPT 84432 | $226.00 | $226.00 | $16.06 – $64.85 | 5 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $324.05 | $324.05 | $10.18 – $41.24 | 5 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $126.93 | $126.93 | $12.39 – $50.10 | 5 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $114.55 | $114.55 | not published | 0 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $51.28 – $149.99 | 4 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $83.41 | $83.41 | $14.16 – $42.25 | 5 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $123.30 | $123.30 | $13.54 – $38.42 | 4 |
| Mayo vasoactive intestinal peptide CPT 84586 | $537.46 | $537.46 | $35.33 – $142.44 | 5 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $783.22 | $783.22 | $20.24 – $81.53 | 5 |
| Mayo vitamin b3 (niacin) CPT 84591 | $257.30 | $257.30 | $17.06 – $47.17 | 5 |
| Mayo vitamin k CPT 84597 | $224.60 | $224.60 | $13.72 – $55.01 | 5 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $577.06 | $577.06 | $13.25 – $37.59 | 4 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $928.97 – $9,124.00 | 2 |
| Mcoln1 gene CPT 81290 | not published | not published | $39.31 – $107.55 | 4 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $2,890.75 – $9,098.00 | 3 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $2,890.75 – $16,164.00 | 3 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,431.29 – $9,098.00 | 3 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $29.15 – $29.15 | 1 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $3,144.02 – $9,098.00 | 3 |
| Md inr test revie inter mgmt HCPCS G0250 | not published | not published | $14.68 – $14.68 | 1 |
| Md service required for pmd HCPCS G0372 | not published | not published | $12.35 – $12.35 | 1 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $27.17 – $749.72 | 2 |
| Measure kidney pressure CPT 50396 | not published | not published | $587.70 – $2,265.00 | 3 |
| Measurement post void urine by ultrasound CPT 51798 | $426.85 | $426.85 | $58.09 – $1,187.00 | 3 |
| Measure ureter pressure CPT 50686 | not published | not published | $73.82 – $1,187.00 | 3 |
| Mecasermin injection HCPCS J2170 | not published | not published | $147.65 – $147.65 | 1 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $422.04 – $422.04 | 1 |
| #mec-opiates CPT 80356 | $237.59 | $237.59 | not published | 0 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $150.00 – $410.40 | 4 |
| Mecp2 gene full seq CPT 81302 | $4,196.44 | $4,196.44 | $527.87 – $1,444.25 | 4 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $120.00 – $328.32 | 4 |
| Medial canthopexy CPT 21280 | not published | not published | $2,765.97 – $13,172.00 | 3 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $5,104.40 – $13,172.00 | 3 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $5,104.40 – $13,172.00 | 3 |
| Medical testimony CPT 99075 | not published | not published | $187.76 – $187.76 | 1 |
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.