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 |
|---|---|---|---|---|
| Med physic dos eval rad exps CPT 76145 | not published | not published | $749.72 – $2,064.09 | 2 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $437.19 | $437.19 | $0.28 – $0.28 | 1 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $0.12 – $0.12 | 1 |
| Meg evoked each addl CPT 95967 | $5,995.10 | $5,995.10 | $263.85 – $263.85 | 1 |
| Meg evoked single CPT 95966 | $11,728.68 | $11,728.68 | $301.89 – $1,725.31 | 2 |
| Meg spontaneous CPT 95965 | $16,021.22 | $16,021.22 | $596.37 – $1,725.31 | 2 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $9.30 – $9.30 | 1 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $50,510.82 – $50,510.82 | 1 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $303.07 – $303.07 | 1 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $6,316.94 – $16,164.00 | 3 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $57.51 | $57.51 | $2.41 – $2.41 | 1 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $12,686.64 | $12,686.64 | $37.53 – $62.54 | 3 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $3.12 – $3.12 | 1 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $75.54 | $75.54 | $2.92 – $2.92 | 1 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $70.06 | $70.06 | $9.37 – $9.37 | 1 |
| Metabolic Blood Panel (Basic) CPT 80048 | $596.54 | $596.54 | $8.46 – $34.38 | 5 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $794.49 | $794.49 | $10.56 – $42.25 | 5 |
| Metabolic panel ionized ca CPT 80047 | $582.39 | $582.39 | $13.73 – $34.38 | 5 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $0.99 – $0.99 | 1 |
| Methadone injection HCPCS J1230 | $718.92 | $718.92 | $16.01 – $16.01 | 1 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.03 – $0.03 | 1 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $75.28 | $75.28 | $16.66 – $16.66 | 1 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | not published | not published | $2.71 – $2.71 | 1 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $32.63 | $32.63 | $1.57 – $1.57 | 1 |
| Methotrexate therapeutic drug level CPT 80204 | $464.10 | $464.10 | $38.57 – $87.35 | 4 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $104.03 – $104.03 | 1 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $52.92 – $52.92 | 1 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $609.13 | $609.13 | $1.53 – $17.45 | 3 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | not published | not published | $18.07 – $18.07 | 1 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $553.36 | $553.36 | $1.27 – $2.26 | 2 |
| Methylphenidate CPT 80360 | $357.76 | $357.76 | not published | 0 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | not published | not published | $0.49 – $0.49 | 1 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $74.84 | $74.84 | $0.20 – $0.20 | 1 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | not published | not published | $0.41 – $0.41 | 1 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $49.70 | $49.70 | $2.01 – $2.01 | 1 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $58.84 | $58.84 | $0.03 – $0.06 | 2 |
| Metyrapone panel CPT 80436 | not published | not published | $91.16 – $335.98 | 5 |
| Mgmt promoter methylation analysis CPT 81287 | $962.47 | $962.47 | $124.64 – $249.28 | 4 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | not published | not published | $2.47 – $2.47 | 1 |
| Microalbumin urine screen CPT 82044 | not published | not published | $6.23 – $18.68 | 5 |
| Microbe susceptible mlc CPT 87187 | $315.30 | $315.30 | $31.51 – $80.34 | 5 |
| Microdissection laser CPT 88380 | $1,228.99 | $1,228.99 | $80.12 – $248.41 | 4 |
| Microdissection manual CPT 88381 | $431.00 | $431.00 | $156.99 – $409.71 | 4 |
| Microfluid analy tears CPT 83861 | not published | not published | $22.48 – $44.96 | 4 |
| Microsatellite instability CPT 81301 | $1,582.45 | $1,582.45 | $348.56 – $821.20 | 4 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Microvolt t-wave assess CPT 93025 | $1,122.65 | $1,122.65 | $157.12 – $258.52 | 2 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $8,712.53 – $13,172.00 | 2 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $172.19 | $172.19 | $0.11 – $0.11 | 1 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $359.96 | $359.96 | $0.45 – $0.51 | 2 |
| Middle cerebral artery echo CPT 76821 | $1,589.79 | $1,589.79 | $210.04 – $258.01 | 2 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $87.85 – $87.85 | 1 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $94.07 | $94.07 | $2.33 – $2.33 | 1 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $2.14 – $5.34 | 3 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $0.49 – $0.49 | 1 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $2,787.84 | $2,787.84 | $96.91 – $138.97 | 3 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $1.01 – $1.01 | 1 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,324.00 – $9,094.46 | 4 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $1,467.49 | $1,467.49 | $40.70 – $131.78 | 3 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $415.58 – $637.06 | 3 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $47.75 – $83.89 | 3 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $3,084.92 – $9,124.00 | 2 |
| Mlh1 gene CPT 81288 | $1,543.76 | $1,543.76 | $192.32 – $384.64 | 4 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $202.40 – $404.80 | 4 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $675.40 – $1,350.80 | 4 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $331.00 – $662.00 | 4 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $31.63 – $34.20 | 2 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $8.90 – $10.00 | 2 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $12,567.15 – $25,794.37 | 3 |
| Mnl appl strs jt radiography CPT 77071 | $1,016.39 | $1,016.39 | $174.84 – $183.72 | 2 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Mnpj anes sho jt fixj aprats CPT 23700 | $11,577.91 | $11,577.91 | $1,431.29 – $3,230.64 | 3 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $1,431.29 – $3,230.64 | 3 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $271.73 – $3,117.31 | 3 |
| Mnt subs tx for change dx HCPCS G0270 | $156.56 | $156.56 | $40.51 – $44.06 | 2 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $133.58 – $9,124.00 | 2 |
| Modification of contact lens CPT 92325 | not published | not published | $149.48 – $267.31 | 2 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $1,489.56 – $9,124.00 | 2 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $639.75 – $9,124.00 | 2 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $12.05 – $103.23 | 4 |
| Molecular pathology interpr HCPCS G0452 | $188.78 | $188.78 | $2.92 – $29.37 | 2 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $15.10 – $22.69 | 3 |
| Monovisc inj per dose HCPCS J7327 | $2,024.12 | $2,024.12 | $1,056.48 – $1,398.89 | 3 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $267.49 – $267.49 | 1 |
| Mopath procedure level 1 CPT 81400 | $576.15 | $576.15 | $63.96 – $174.99 | 4 |
| Mopath procedure level 3 CPT 81402 | $1,531.52 | $1,531.52 | $150.33 – $411.30 | 4 |
| Mopath procedure level 5 CPT 81404 | $2,028.78 | $2,028.78 | $274.83 – $549.66 | 4 |
| Mopath procedure level 6 CPT 81405 | $2,657.02 | $2,657.02 | $301.35 – $824.49 | 4 |
| Mopath procedure level 7 CPT 81406 | $3,403.84 | $3,403.84 | $282.88 – $773.96 | 4 |
| Mopath procedure level 8 CPT 81407 | $6,727.65 | $6,727.65 | $846.27 – $2,315.39 | 4 |
| Mopath procedure level 9 CPT 81408 | $15,899.52 | $15,899.52 | $2,000.00 – $5,472.00 | 4 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $390.51 | $390.51 | $0.09 – $0.09 | 1 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $52.97 | $52.97 | $10.98 – $14.31 | 2 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $4.52 – $4.52 | 1 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $6.17 – $6.17 | 1 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $1,239.58 | $1,239.58 | $143.50 – $718.28 | 4 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $1,738.74 | $1,738.74 | $191.21 – $720.16 | 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.