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 |
|---|---|---|---|---|
| Assay of PSA complexed CPT 84152 | $242.85 | $242.85 | $18.39 – $73.67 | 5 |
| Assay of quinine CPT 84228 | not published | not published | $11.63 – $47.17 | 5 |
| Assay of rbc pg6d enzyme CPT 84085 | not published | not published | $9.44 – $27.53 | 5 |
| Assay of salicylate CPT 80179 | $410.71 | $410.71 | $18.64 – $51.00 | 4 |
| Assay of semen fructose CPT 82757 | not published | not published | $17.34 – $69.73 | 5 |
| Assay of sialic acid CPT 84275 | $213.69 | $213.69 | $13.44 – $54.03 | 5 |
| Assay of silica CPT 84285 | not published | not published | $25.21 – $95.28 | 5 |
| Assay of somatostatin CPT 84307 | $298.46 | $298.46 | $18.28 – $73.67 | 5 |
| Assay of thiocyanate CPT 84430 | $181.69 | $181.69 | $11.63 – $47.17 | 5 |
| Assay of troponin qual CPT 84512 | not published | not published | $10.09 – $31.45 | 5 |
| Assay of tyrosine CPT 84510 | $156.83 | $156.83 | $10.63 – $42.25 | 5 |
| Assay of urine sulfate CPT 84392 | $91.15 | $91.15 | $5.49 – $18.68 | 5 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $9.55 – $28.48 | 5 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $6.05 – $20.62 | 5 |
| Assay phosphatidylglycerol CPT 84081 | not published | not published | $16.52 – $66.79 | 5 |
| Assay phosphohexose enzymes CPT 84087 | $129.11 | $129.11 | $10.73 – $41.24 | 5 |
| Assay rbc glutathione CPT 82979 | not published | not published | $9.44 – $27.53 | 5 |
| Assay toxin or antitoxin CPT 87230 | $237.53 | $237.53 | $19.74 – $79.58 | 5 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $694.57 | $694.57 | $193.92 – $193.92 | 1 |
| Assess care plan pt w/cog impair 99483 CPT 99483 | not published | not published | $204.11 – $251.50 | 2 |
| Assess cyst contrast inject CPT 49424 | $643.55 | $643.55 | $1,187.00 – $1,187.00 | 1 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $170.81 | $170.81 | $4.27 – $16.70 | 5 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | $948.23 | $948.23 | $189.68 – $258.52 | 2 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Assistive tech assessment, ot CPT 97755 | not published | not published | $53.36 – $75.46 | 2 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $84.42 – $1,618.70 | 4 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $84.42 – $342.29 | 4 |
| Ast/sgot CPT 84450 | $200.22 | $200.22 | $5.18 – $20.62 | 5 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $43,468.28 | $43,468.28 | $99.90 – $182.68 | 3 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $47,501.81 | $47,501.81 | $10,463.35 – $18,558.00 | 2 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $47,582.20 | $47,582.20 | $16,832.61 – $18,558.00 | 2 |
| Atomic absorption CPT 82190 | not published | not published | $15.90 – $59.92 | 5 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $73.49 | $73.49 | $0.07 – $0.07 | 1 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $855.15 – $4,781.00 | 2 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $734.50 – $10,050.49 | 3 |
| Attach ocular implant CPT 65140 | not published | not published | $3,302.18 – $9,098.00 | 3 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | not published | not published | $104.74 – $104.74 | 1 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $134.89 – $258.52 | 2 |
| Audiometry air + bone CPT 92553 | $963.59 | $963.59 | $189.68 – $258.52 | 2 |
| Auditory function 60 min CPT 92620 | $1,098.75 | $1,098.75 | $189.68 – $258.52 | 2 |
| Augmentation cheek bone CPT 21270 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $4,781.00 – $11,893.61 | 3 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Augmentation of facial bones CPT 21208 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $20,199.67 | $20,199.67 | $1,187.00 – $1,187.00 | 1 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $41,333.44 | $41,333.44 | $6,316.94 – $16,164.00 | 3 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $6,316.94 – $16,164.00 | 3 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $6,316.94 – $16,164.00 | 3 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $840.65 – $1,681.30 | 4 |
| Autologous blood op salvage CPT 86891 | $1,913.03 | $1,913.03 | $206.80 – $1,618.70 | 5 |
| Autologous blood process CPT 86890 | $1,705.68 | $1,705.68 | $132.37 – $342.29 | 5 |
| Autolog prp diab wound ulcer HCPCS G0465 | not published | not published | $1,847.22 – $1,847.22 | 1 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $1,713.61 – $4,145.37 | 2 |
| Automated diff wbc count CPT 85004 | $102.87 | $102.87 | $6.47 – $26.52 | 5 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $149.48 – $267.31 | 2 |
| Autonomic nrv parasym inervj CPT 95921 | $1,122.65 | $1,122.65 | $52.87 – $258.52 | 2 |
| Autonomic nrv syst funj test CPT 95923 | $858.90 | $858.90 | $149.48 – $267.31 | 2 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $108.76 – $200.17 | 3 |
| Av fistula revision CPT 36833 | not published | not published | $4,853.58 – $16,164.00 | 3 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $4,853.58 – $16,164.00 | 3 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $4,853.58 – $16,164.00 | 3 |
| Av fusion direct any site CPT 36821 | not published | not published | $2,926.47 – $9,098.00 | 3 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $4,853.58 – $16,164.00 | 3 |
| Avul nail plate addl CPT 11732 | $826.98 | $826.98 | $1,187.00 – $1,187.00 | 1 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $506.48 | $506.48 | $184.51 – $1,187.00 | 3 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $468,805.05 – $1,066,460.34 | 3 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $5,104.40 – $16,164.00 | 3 |
| Azacitidine injection HCPCS J9025 | $569.65 | $569.65 | $1.38 – $1.38 | 1 |
| Azathioprine 50 mg tablet HCPCS J7500 | not published | not published | $0.81 – $0.81 | 1 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $154.79 – $508.13 | 3 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $66.72 | $66.72 | $5.49 – $5.49 | 1 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | not published | not published | $3.82 – $5.07 | 2 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $176.75 – $362.44 | 3 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $43.62 – $43.62 | 1 |
| Baclofen eval charges CPT 97750 | $314.90 | $314.90 | $48.92 – $67.50 | 2 |
| Bacterial meningitis antigen CPT 86403 | $183.49 | $183.49 | $11.54 – $41.24 | 5 |
| Bacterial vaginosis pcr CPT 87801 | $762.06 | $762.06 | $70.20 – $282.91 | 5 |
| Bactericidal level serum CPT 87197 | $247.56 | $247.56 | $15.02 – $60.90 | 5 |
| #bac vag cand-c. albicans naa CPT 87481 | $377.19 | $377.19 | $35.09 – $141.47 | 5 |
| Balloon dilate urtrl strix CPT 50706 | $13,343.13 | $13,343.13 | $1,187.00 – $1,187.00 | 1 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $16,095.68 | $16,095.68 | $2,637.99 – $6,503.75 | 3 |
| Bartonella dna pcr-sendout CPT 87471 | $404.23 | $404.23 | $35.09 – $141.47 | 5 |
| Basic vestibular evaluation CPT 92540 | $1,759.19 | $1,759.19 | $34.59 – $433.81 | 2 |
| Basiliximab HCPCS J0480 | not published | not published | $4,852.86 – $9,373.71 | 3 |
| B cells total count CPT 86355 | $212.14 | $212.14 | $37.73 – $152.24 | 5 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | not published | not published | $4.02 – $6.52 | 2 |
| Bckdhb gene CPT 81205 | not published | not published | $94.99 – $259.89 | 4 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | not published | not published | $49.33 – $49.33 | 1 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | not published | not published | $5.00 – $7.77 | 3 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $56.35 – $112.14 | 3 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | not published | not published | $3.77 – $40.50 | 3 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $17.46 – $24.57 | 3 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $12,302.20 | $12,302.20 | $23.75 – $27.19 | 3 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $49.08 – $66.88 | 3 |
| Benign lesion paring 2-4 CPT 11056 | $375.90 | $375.90 | $184.51 – $1,187.00 | 3 |
| Benign lesion paring 4+ CPT 11057 | $503.74 | $503.74 | $61.35 – $1,187.00 | 3 |
| #_benzodiazconfur CPT 80346 | $450.98 | $450.98 | not published | 0 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $81.54 | $81.54 | $23.76 – $23.76 | 1 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $443.66 | $443.66 | $23.86 – $102.17 | 5 |
| Beta-2 microglobulin CPT 82232 | $221.06 | $221.06 | $16.18 – $64.85 | 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.