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 |
|---|---|---|---|---|
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $1,440.93 | $1,440.93 | $141.09 – $342.29 | 5 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $782.79 – $1,309.26 | 3 |
| Motion analysis video/3d CPT 96000 | $5,713.44 | $5,713.44 | $134.40 – $749.72 | 2 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $180.34 – $1,725.31 | 2 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $149.48 – $897.52 | 2 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $2,765.97 – $6,661.13 | 3 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $253.38 | $253.38 | $47.28 – $167.42 | 3 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $1,716.59 | $1,716.59 | $143.50 – $857.85 | 4 |
| M/phmtrc alysishquant/semiq CPT 88369 | $1,743.08 | $1,743.08 | $82.65 – $226.57 | 3 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $143.50 – $538.56 | 5 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $150.33 – $411.30 | 4 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $20.05 – $80.56 | 5 |
| M.pneumon dna quant CPT 87582 | not published | not published | $86.25 – $605.24 | 5 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $162.13 – $162.13 | 1 |
| MRA abdomen post contrast CPT 74185 | $5,168.26 | $5,168.26 | $1,044.83 – $1,044.83 | 1 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $3,445.96 | $3,445.96 | $1,032.65 – $1,032.65 | 1 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $700.93 – $879.02 | 2 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $479.38 – $536.46 | 2 |
| MRA chest wwo IV cont HCPCS C8911 | $3,940.20 | $3,940.20 | $700.93 – $879.02 | 2 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $2,641.65 | $2,641.65 | $1,039.94 – $1,039.94 | 1 |
| MRA pelvis CPT 72198 | $2,132.54 | $2,132.54 | $1,041.15 – $1,041.15 | 1 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $700.93 – $879.02 | 2 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $479.38 – $536.46 | 2 |
| MRA spinal canal CPT 72159 | $3,487.19 | $3,487.19 | $1,078.89 – $1,078.89 | 1 |
| MRA upper extremity post contrast-bil CPT 73225 | $2,695.58 | $2,695.58 | $1,038.72 – $1,038.72 | 1 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $700.93 – $879.02 | 2 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $700.93 – $879.02 | 2 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $700.93 – $879.02 | 2 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $700.93 – $879.02 | 2 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $479.38 – $536.46 | 2 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $479.38 – $536.46 | 2 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $479.38 – $536.46 | 2 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $479.38 – $536.46 | 2 |
| MRA without fol w/cont, abd HCPCS C8902 | $4,407.33 | $4,407.33 | $700.93 – $879.02 | 2 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $3,827.47 | $3,827.47 | $700.93 – $879.02 | 2 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $4,025.49 | $4,025.49 | $700.93 – $879.02 | 2 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | $785.42 | $785.42 | $700.93 – $879.02 | 2 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $3,857.77 | $3,857.77 | $700.93 – $879.02 | 2 |
| Mr elastography CPT 76391 | $1,222.69 | $1,222.69 | $479.38 – $786.51 | 2 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | $73,739.06 | $73,739.06 | not published | 0 |
| MRI brain w/dye CPT 70558 | not published | not published | $352.40 – $464.59 | 2 |
| MRI brain without dye CPT 70557 | not published | not published | $1,097.81 – $1,144.88 | 2 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $352.40 – $464.59 | 2 |
| MRI breast c- unilateral CPT 77046 | $3,086.44 | $3,086.44 | $479.38 – $786.51 | 2 |
| MRI breast c-+ w/cad uni CPT 77048 | $6,003.66 | $6,003.66 | $993.74 – $993.74 | 1 |
| MRI breast without cont bi CPT 77047 | $6,928.66 | $6,928.66 | $479.38 – $786.51 | 2 |
| MRI breast w IV cont bi CPT 77049 | $9,169.69 | $9,169.69 | $988.88 – $988.88 | 1 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $4,043.10 | $4,043.10 | $479.38 – $536.46 | 2 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $3,947.24 | $3,947.24 | $700.93 – $879.02 | 2 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $7,528.72 | $7,528.72 | $1,567.25 – $1,574.99 | 2 |
| MRI chest without contrast CPT 71550 | $2,877.35 | $2,877.35 | $479.38 – $786.51 | 2 |
| MRI chest without & w/contrast CPT 71552 | $3,154.27 | $3,154.27 | $700.93 – $1,288.74 | 2 |
| MRI chest w IV cont CPT 71551 | $5,475.42 | $5,475.42 | $1,574.99 – $2,297.77 | 2 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $480.43 – $480.43 | 1 |
| MRI fetal sngl/1st gestation CPT 74712 | $4,011.53 | $4,011.53 | $479.38 – $777.23 | 2 |
| MRI guid ndl plc s&i CPT 77021 | $2,680.90 | $2,680.90 | $942.44 – $942.44 | 1 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $510.22 – $510.22 | 1 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $1,654.41 – $2,459.13 | 2 |
| MRI loex nonjt w IV cont CPT 73719 | $4,045.56 | $4,045.56 | $700.93 – $1,288.74 | 2 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $3,953.66 | $3,953.66 | $479.38 – $786.51 | 2 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $4,113.89 | $4,113.89 | $700.93 – $1,288.74 | 2 |
| MRI orbit/face/neck without contrast CPT 70540 | $3,552.55 | $3,552.55 | $479.38 – $786.51 | 2 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $4,303.49 | $4,303.49 | $700.93 – $1,288.74 | 2 |
| MRI orbit fac&nck w IV cont CPT 70542 | $4,636.79 | $4,636.79 | $700.93 – $1,288.74 | 2 |
| MRI tmj CPT 70336 | $2,431.26 | $2,431.26 | $479.38 – $786.51 | 2 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $3,347.48 | $3,347.48 | $479.38 – $786.51 | 2 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $4,412.87 | $4,412.87 | $700.93 – $1,288.74 | 2 |
| MRI upper extremity w/dye CPT 73219 | $4,331.66 | $4,331.66 | $700.93 – $1,288.74 | 2 |
| MRI w/cont, breast, bi HCPCS C8906 | $1,831.25 | $1,831.25 | $700.93 – $879.02 | 2 |
| MRI w/cont, breast, uni HCPCS C8903 | $5,239.30 | $5,239.30 | $352.40 – $419.47 | 2 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $700.93 – $879.02 | 2 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $700.93 – $879.02 | 2 |
| Mr safety determination physician/other qhp CPT 76016 | $420.07 | $420.07 | $174.84 – $174.84 | 1 |
| Mr safety implant elec prepj CPT 76018 | $440.34 | $440.34 | not published | 0 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $234.59 | $234.59 | not published | 0 |
| Mr safety implt pos&/immoblj CPT 76019 | $279.75 | $279.75 | $118.52 – $118.52 | 1 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $117.30 | $117.30 | not published | 0 |
| Mr sfty med physics xm cstmz CPT 76017 | $1,157.50 | $1,157.50 | $479.38 – $479.38 | 1 |
| Mr spectroscopy CPT 76390 | $4,236.54 | $4,236.54 | $174.84 – $1,256.45 | 2 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $213.30 – $426.60 | 4 |
| Msh2 gene full seq CPT 81295 | not published | not published | $315.36 – $763.40 | 4 |
| Msh2 gene known variants CPT 81296 | not published | not published | $269.28 – $675.46 | 4 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $238.00 – $476.00 | 4 |
| Msh6 gene full seq CPT 81298 | not published | not published | $598.34 – $1,283.70 | 4 |
| Msh6 gene known variants CPT 81299 | not published | not published | $308.00 – $616.00 | 4 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $3,034.31 – $16,164.00 | 3 |
| Mthfr gene analy common variants CPT 81291 | $786.23 | $786.23 | $65.34 – $130.68 | 4 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $26.88 – $80.56 | 5 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $42.84 – $172.93 | 5 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.86 – $23.58 | 5 |
| Mucopolysaccharides CPT 83864 | $312.08 | $312.08 | $28.50 – $80.56 | 5 |
| Mucormycosis antibody CPT 86732 | not published | not published | $15.00 – $53.06 | 5 |
| Mult fam adapt bhv tx gdn CPT 97157 | $83.14 | $83.14 | $37.46 – $75.28 | 2 |
| Multi family grp psychotherapy CPT 90849 | $1,303.21 | $1,303.21 | not published | 0 |
| Multifocal erg w/i&r CPT 92274 | $404.84 | $404.84 | $80.04 – $258.52 | 2 |
| Multiple sleep latency test CPT 95805 | $5,713.44 | $5,713.44 | $503.49 – $1,725.31 | 2 |
| Mumps antibody igg CPT 86735 | $207.23 | $207.23 | $13.05 – $53.06 | 5 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $1,713.61 – $4,145.37 | 3 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $3,144.02 – $9,098.00 | 3 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $3,144.02 – $9,098.00 | 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.