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 |
|---|---|---|---|---|
| Prednisone 1 mg tablet HCPCS J7512 | not published | not published | $0.01 – $0.01 | 1 |
| Pregabalin - sendout CPT 80366 | $89.71 | $89.71 | not published | 0 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $9,744.95 | $9,744.95 | $1,644.61 – $3,855.30 | 3 |
| Pregnancy associated plasma protein-a CPT 84163 | $181.11 | $181.11 | $15.05 – $60.90 | 5 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $2,385.55 | $2,385.55 | $210.04 – $210.73 | 2 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $1,383.93 | $1,383.93 | $169.24 – $210.04 | 2 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | not published | $142.30 – $142.30 | 1 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $388.19 – $388.19 | 1 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $684.65 – $684.65 | 1 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $189.68 – $433.81 | 2 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $665.77 – $749.72 | 2 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $665.77 – $749.72 | 2 |
| Preparation for bladder xray CPT 51605 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Preparation palate mold CPT 42280 | not published | not published | $128.05 – $1,187.00 | 3 |
| Prepare donor heart CPT 33944 | not published | not published | $2,007.14 – $9,124.00 | 2 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $2,899.21 – $9,124.00 | 2 |
| Prepare donor intestine CPT 44715 | not published | not published | $1,226.59 – $9,124.00 | 2 |
| Prepare donor lung double CPT 32856 | not published | not published | $2,564.68 – $9,124.00 | 2 |
| Prepare donor lung single CPT 32855 | not published | not published | $2,341.67 – $9,124.00 | 2 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $49.47 – $104.70 | 4 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $82.20 – $82.20 | 1 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $1,940.92 – $9,124.00 | 2 |
| Prepare penis study CPT 54230 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $1,561.11 – $9,124.00 | 2 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $425.10 – $9,124.00 | 2 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $304.08 – $9,124.00 | 2 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $2,453.17 – $9,124.00 | 2 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $422.81 – $9,124.00 | 2 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $2,397.61 – $9,124.00 | 2 |
| Prep donor liver/venous CPT 47146 | not published | not published | $358.88 – $9,124.00 | 2 |
| Prep donor liver whole CPT 47143 | not published | not published | $2,564.68 – $9,124.00 | 2 |
| Prep donor pancreas CPT 48551 | not published | not published | $2,007.14 – $2,007.14 | 1 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $261.46 – $261.46 | 1 |
| Prep donor renal graft CPT 50325 | not published | not published | $1,672.62 – $9,124.00 | 2 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $1,725.31 – $2,293.21 | 2 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $209.70 – $9,124.00 | 2 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $199.42 – $9,124.00 | 2 |
| Prep renal graft/venous CPT 50327 | not published | not published | $239.38 – $9,124.00 | 2 |
| Prep skin to 100cm2 other CPT 15004 | $1,633.59 | $1,633.59 | $524.85 – $1,187.00 | 3 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $1,712.80 | $1,712.80 | $1,484.88 – $2,761.00 | 3 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $1,712.80 | $1,712.80 | $1,187.00 – $1,187.00 | 1 |
| Pressure max expiratory/inspiratory CPT 94799 | not published | not published | $189.68 – $258.52 | 2 |
| Pressure treatment esophagus CPT 43460 | $5,609.36 | $5,609.36 | $236.71 – $9,124.00 | 2 |
| Pressure velocity wire add ves CPT 93572 | $2,140.98 | $2,140.98 | $1,187.00 – $1,187.00 | 1 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $713.86 | $713.86 | $44.64 – $342.29 | 5 |
| Pretreat rbc absorption reference CPT 86978 | $745.00 | $745.00 | $33.43 – $118.52 | 5 |
| Pretreat rbc density gradient separation reference CPT 86972 | $287.68 | $287.68 | $53.26 – $342.29 | 5 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $219.75 | $219.75 | $32.89 – $118.52 | 5 |
| Pretreat rbc w enzyme reference CPT 86971 | $287.68 | $287.68 | $32.89 – $444.10 | 5 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $840.17 | $840.17 | not published | 0 |
| Preventive counseling group CPT 99411 | not published | not published | $10.87 – $10.87 | 1 |
| Preventive counseling group CPT 99412 | not published | not published | $17.78 – $17.78 | 1 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $52.81 | $52.81 | $34.59 – $34.59 | 1 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $70.41 | $70.41 | $70.17 – $70.17 | 1 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $93.88 | $93.88 | $104.74 – $104.74 | 1 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $111.49 | $111.49 | $138.84 – $138.84 | 1 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $158.94 – $267.49 | 2 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $9,242.76 | $9,242.76 | $93.75 – $3,318.25 | 3 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $8,688.98 | $8,688.98 | $1,449.47 – $3,318.25 | 3 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,387.54 | $1,387.54 | $104.81 – $1,187.00 | 3 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $1,500.98 – $9,098.00 | 3 |
| Prgrmg dev eval impltbl sys CPT 93260 | $318.74 | $318.74 | $49.70 – $74.98 | 2 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $310.09 | $310.09 | $49.70 – $74.98 | 2 |
| Prgrmg dev eval scrms ip CPT 93285 | $260.87 | $260.87 | $49.70 – $74.98 | 2 |
| Prgrmg eval implantable dfb CPT 93282 | $284.13 | $284.13 | $49.70 – $74.98 | 2 |
| Prgrmg eval implantable dfb CPT 93283 | $311.71 | $311.71 | $49.70 – $74.98 | 2 |
| Prgrmg eval implantable dfb CPT 93284 | $315.49 | $315.49 | $49.70 – $74.98 | 2 |
| Prgr stim/pace a/iv drug CPT 93623 | $10,297.52 | $10,297.52 | $227.78 – $1,187.00 | 2 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $281.63 – $281.63 | 1 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $190.72 – $190.72 | 1 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $141.31 – $141.31 | 1 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $144.76 – $144.76 | 1 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $101.29 – $101.29 | 1 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $54.84 – $54.84 | 1 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $39,743.66 | $39,743.66 | $10,463.35 – $36,830.34 | 3 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $20,012.43 | $20,012.43 | $1,187.00 – $1,187.00 | 1 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $72.14 – $204.11 | 2 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $1,218.50 | $1,218.50 | $121.96 – $1,187.00 | 3 |
| Pr incision & drainage abscess simple/single CPT 10060 | $1,164.08 | $1,164.08 | $79.65 – $1,187.00 | 3 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $2,155.58 | $2,155.58 | $73.93 – $1,187.00 | 3 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $1,909.30 | $1,909.30 | $112.81 – $1,187.00 | 3 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $1,440.13 | $1,440.13 | $158.94 – $267.49 | 2 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $1,440.13 | $1,440.13 | $158.94 – $267.49 | 2 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $1,104.29 | $1,104.29 | $17.29 – $17.29 | 1 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $14,469.64 | $14,469.64 | $1,815.63 – $4,781.00 | 3 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $285.64 – $1,187.00 | 3 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $2,043.57 – $4,781.00 | 3 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $2,043.57 – $4,781.00 | 3 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $2,043.57 – $4,781.00 | 3 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $1,823.56 | $1,823.56 | $128.37 – $589.38 | 3 |
| Procalcitonin CPT 84145 | $923.42 | $923.42 | $27.22 – $58.93 | 4 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $133.44 – $133.44 | 1 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $59.22 | $59.22 | $16.46 – $16.46 | 1 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.19 – $0.19 | 1 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $2,055.85 – $9,124.00 | 2 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $2,029.60 – $9,124.00 | 2 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $2,475.45 – $5,576.62 | 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.