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 |
|---|---|---|---|---|
| Pca3/klk3 antigen CPT 81313 | not published | not published | $255.05 – $541.84 | 4 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $383.58 – $383.58 | 1 |
| Pdgfra gene CPT 81314 | $2,432.42 | $2,432.42 | $329.51 – $686.03 | 4 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $239.55 – $1,187.00 | 3 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,713.61 – $4,145.37 | 3 |
| Ped crit care age 2-5 init CPT 99475 | not published | not published | $782.65 – $782.65 | 1 |
| Ped crit care age 2-5 subsq CPT 99476 | not published | not published | $487.18 – $487.18 | 1 |
| Ped critical care initial CPT 99471 | not published | not published | $1,112.21 – $1,112.21 | 1 |
| Ped critical care subsq CPT 99472 | not published | not published | $569.69 – $569.69 | 1 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $189.68 – $258.52 | 2 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $189.68 – $258.52 | 2 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $1,713.61 – $4,145.37 | 3 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $459.25 – $459.25 | 1 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $976.48 – $976.48 | 1 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $23,180.53 – $56,848.12 | 3 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $16,299.36 | $16,299.36 | $178.69 – $268.09 | 3 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $5,720.42 | $5,720.42 | $128.79 – $460.30 | 3 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $11,490.46 | $11,490.46 | $212.67 – $460.30 | 3 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $369.82 – $676.50 | 3 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $6,091.73 | $6,091.73 | $198.26 – $443.26 | 3 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $274.52 – $395.80 | 3 |
| Peginesatide injection HCPCS J0890 | not published | not published | $14.25 – $14.25 | 1 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $1,351.43 – $1,351.43 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,678.01 – $7,321.67 | 3 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $272.45 – $456.31 | 3 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $5,411.48 | $5,411.48 | $352.40 – $614.99 | 2 |
| Pelvic CT scan (with contrast) CPT 72193 | $4,852.76 | $4,852.76 | $352.40 – $614.99 | 2 |
| Pelvic CT scan (without contrast) CPT 72192 | $4,062.78 | $4,062.78 | $210.04 – $378.27 | 2 |
| Pelvic exenteration CPT 45126 | not published | not published | $3,065.90 – $9,124.00 | 2 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,847.52 | $4,847.52 | $700.93 – $1,288.74 | 2 |
| Pelvic MRI (with contrast) CPT 72196 | $4,262.95 | $4,262.95 | $700.93 – $1,288.74 | 2 |
| Pelvic MRI (without contrast) CPT 72195 | $3,874.95 | $3,874.95 | $479.38 – $786.51 | 2 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $6,316.94 – $14,578.56 | 3 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $1,100.24 – $16,164.00 | 3 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,461.76 | $1,461.76 | $210.04 – $258.01 | 2 |
| Pelvic Ultrasound (limited) CPT 76857 | $695.12 | $695.12 | $210.04 – $258.01 | 2 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $48,840.69 | $48,840.69 | $63.50 – $120.58 | 3 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $7.81 – $93.25 | 3 |
| Pemivibart infusion HCPCS M0224 | not published | not published | $616.95 – $885.92 | 2 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $6.09 – $39.05 | 3 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $2,141.97 | $2,141.97 | $16.67 – $60.02 | 3 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | not published | not published | $1.96 – $1.96 | 1 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $27.82 – $80.49 | 2 |
| Penile injection CPT 54235 | $1,291.63 | $1,291.63 | $46.12 – $1,187.00 | 3 |
| Penile vascular study CPT 93980 | $880.14 | $880.14 | $87.46 – $210.04 | 2 |
| Penile vascular study CPT 93981 | $1,359.19 | $1,359.19 | $75.60 – $210.04 | 2 |
| Penile venous occlusion CPT 37790 | not published | not published | $3,187.58 – $9,098.00 | 3 |
| Penis plastic surgery CPT 54360 | not published | not published | $3,187.58 – $13,172.00 | 3 |
| Penis study CPT 54240 | not published | not published | $40.01 – $1,187.00 | 3 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $198.71 – $198.71 | 1 |
| Pentazocine injection HCPCS J3070 | not published | not published | $159.63 – $159.63 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $48.30 – $55.97 | 2 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $3,006.52 – $5,216.31 | 3 |
| Perc cryo ablate renal tum CPT 50593 | $19,568.79 | $19,568.79 | $8,884.24 – $21,356.54 | 3 |
| Perc d-e cor revasc chro add HCPCS C9608 | $20,473.46 | $20,473.46 | $1,187.00 – $1,187.00 | 1 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $43,192.99 | $43,192.99 | $18,558.00 – $36,830.34 | 3 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $17,592.53 | $17,592.53 | $1,187.00 – $1,187.00 | 1 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $35,780.96 | $35,780.96 | $18,558.00 – $23,193.59 | 3 |
| Perc d-e cor stent ather br HCPCS C9603 | $17,592.59 | $17,592.59 | $1,187.00 – $1,187.00 | 1 |
| Perc d-e cor stent ather s HCPCS C9602 | $53,543.48 | $53,543.48 | $18,558.00 – $36,830.34 | 3 |
| Perc drug-el cor stent bran HCPCS C9601 | $17,592.59 | $17,592.59 | $1,187.00 – $1,187.00 | 1 |
| Perc drug-el cor stent sing HCPCS C9600 | $35,780.96 | $35,780.96 | $18,558.00 – $23,193.59 | 3 |
| Perc rf ablate renal tumor CPT 50592 | $21,917.03 | $21,917.03 | $5,104.40 – $16,164.00 | 3 |
| Percut ablate liver rf CPT 47382 | $36,408.43 | $36,408.43 | $5,104.40 – $16,164.00 | 3 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $410.26 – $410.26 | 1 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $508.50 | $508.50 | $126.13 – $126.13 | 1 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $2,400.92 | $2,400.92 | $250.04 – $9,124.00 | 2 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $2,723.76 – $9,124.00 | 2 |
| Pericardiocentesis wwo imaging CPT 33016 | $1,724.60 | $1,724.60 | $1,722.47 – $3,162.66 | 3 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $965.89 – $9,124.00 | 2 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $3,199.20 – $9,098.00 | 3 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $2,637.99 – $6,503.75 | 3 |
| Peripheral vascular rehab CPT 93668 | $399.26 | $399.26 | $24.71 – $118.52 | 2 |
| Peri-proc device eval icd CPT 93287 | $603.37 | $603.37 | $27.67 – $27.67 | 1 |
| Peri-proc device eval pm CPT 93286 | $1,027.88 | $1,027.88 | $27.67 – $27.67 | 1 |
| Peritoneal cath sub q resv per CPT 49419 | $29,433.49 | $29,433.49 | $4,853.58 – $16,164.00 | 3 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $1,097.81 – $1,108.60 | 2 |
| Perit-vens shunt pat tst CPT 78291 | $4,070.67 | $4,070.67 | $512.70 – $803.19 | 2 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $0.37 – $0.37 | 1 |
| Perq art m-thrombect &/nfs CPT 61645 | $10,954.91 | $10,954.91 | $925.93 – $9,124.00 | 2 |
| Perq clsr tcat l atr apndge CPT 33340 | $36,139.38 | $36,139.38 | $875.70 – $9,124.00 | 2 |
| Perq dev breast 1st mr guide CPT 19287 | $2,539.95 | $2,539.95 | $644.17 – $2,265.00 | 3 |
| Perq dev breast 1st strtctc CPT 19283 | $7,381.31 | $7,381.31 | $644.17 – $2,265.00 | 3 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $8,519.73 – $19,019.20 | 3 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $8,519.73 – $19,019.20 | 3 |
| Perq p-art revsc 1 abnor bi CPT 33903 | $32,684.10 | $32,684.10 | $11,209.77 – $23,193.59 | 3 |
| Perq p-art revsc 1 abnor uni CPT 33902 | $39,727.91 | $39,727.91 | $18,139.55 – $36,830.34 | 3 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | $32,684.10 | $32,684.10 | $11,209.77 – $23,193.59 | 3 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | $32,684.10 | $32,684.10 | $11,209.77 – $23,193.59 | 3 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Perq plmt bile duct stent CPT 47538 | $19,719.27 | $19,719.27 | $5,104.40 – $16,164.00 | 3 |
| Perq plmt bile duct stent CPT 47539 | $34,463.32 | $34,463.32 | $5,104.40 – $16,164.00 | 3 |
| Perq plmt bile duct stent CPT 47540 | $34,591.43 | $34,591.43 | $5,104.40 – $16,164.00 | 3 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $248.05 – $1,187.00 | 3 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $2,890.75 – $6,573.82 | 3 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $2,890.75 – $6,573.82 | 3 |
| Perq transcath closure each CPT 93592 | $22,130.76 | $22,130.76 | $1,187.00 – $1,187.00 | 1 |
| Perq transcath closure pda CPT 93582 | $74,511.10 | $74,511.10 | $14,075.00 – $36,830.34 | 3 |
| Perq transcath cls aortic CPT 93591 | $64,905.02 | $64,905.02 | $10,179.00 – $36,830.34 | 3 |
| Perq transcath cls mitral CPT 93590 | $74,511.10 | $74,511.10 | $10,179.00 – $36,830.34 | 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.