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 |
|---|---|---|---|---|
| PSA (Prostate) Test CPT 84153 | $332.29 | $332.29 | $18.39 – $73.67 | 5 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $31.52 – $58.11 | 2 |
| Psychoeducation 45 min + HCPCS G0177 | $552.57 | $552.57 | not published | 0 |
| Psychotherapy group therapy CPT 90853 | $617.45 | $617.45 | not published | 0 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $1,080.42 | $1,080.42 | not published | 0 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $928.43 | $928.43 | not published | 0 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $901.42 | $901.42 | not published | 0 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $1,439.66 | $1,439.66 | $189.68 – $433.81 | 2 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $116.60 – $116.60 | 1 |
| Psycl/nrpsyc tech 1st CPT 96138 | $680.24 | $680.24 | $31.52 – $897.52 | 2 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $31.52 – $267.31 | 2 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $27.17 – $27.17 | 1 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | $680.24 | $680.24 | $53.36 – $53.36 | 1 |
| Psytx complex interactive CPT 90785 | $185.34 | $185.34 | not published | 0 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $276.78 | $276.78 | $20.76 – $29.28 | 2 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $205.26 | $205.26 | $8.90 – $8.90 | 1 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $243.27 | $243.27 | $29.15 – $38.32 | 2 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $287.12 | $287.12 | $19.28 – $28.98 | 2 |
| Pt application of modality traction mechanical CPT 97012 | $249.01 | $249.01 | $20.76 – $29.02 | 2 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $73.13 – $73.13 | 1 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $182.11 – $600.00 | 4 |
| Pten gene full sequence CPT 81321 | not published | not published | $600.00 – $1,248.75 | 4 |
| Pten gene known fam variant CPT 81322 | $740.92 | $740.92 | $46.60 – $121.40 | 4 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $2,372.36 – $11,893.61 | 3 |
| Pt evaluation high complexity patient/family CPT 97163 | $498.02 | $498.02 | $118.58 – $196.16 | 2 |
| Pt evaluation low complexity patient/family CPT 97161 | $498.02 | $498.02 | $118.58 – $195.80 | 2 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $498.02 | $498.02 | $118.58 – $196.16 | 2 |
| Pt-focused hlth risk assmt CPT 96160 | not published | not published | $4.44 – $75.28 | 2 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $35.58 – $49.50 | 2 |
| Pt re-evaluation patient/family CPT 97164 | $357.73 | $357.73 | $80.53 – $131.30 | 2 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $428.94 | $428.94 | $52.87 – $59.66 | 2 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $19.77 – $25.28 | 2 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $190.16 | $190.16 | $42.49 – $58.42 | 2 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $224.15 | $224.15 | $40.02 – $61.48 | 2 |
| Pt wheelchair management each 15 minutes CPT 97542 | $131.50 | $131.50 | $46.45 – $59.44 | 2 |
| Pul art balloon repr percut CPT 92997 | $49,742.41 | $49,742.41 | $16,164.00 – $23,193.59 | 3 |
| Pul art balloon repr percut CPT 92998 | $8,251.31 | $8,251.31 | $16,164.00 – $16,164.00 | 1 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $5,500.00 – $15,102.72 | 4 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $4,687.52 – $9,124.00 | 2 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $1,091.48 – $9,124.00 | 2 |
| Pulmonary vent imaging CPT 78579 | $1,899.18 | $1,899.18 | $388.26 – $803.19 | 2 |
| Pulse ox continuous overnight monitoring CPT 94762 | $1,202.24 | $1,202.24 | $189.68 – $258.52 | 2 |
| Pulse ox multiple CPT 94761 | $343.21 | $343.21 | $5.92 – $5.92 | 1 |
| Pulse ox single CPT 94760 | $232.54 | $232.54 | $3.45 – $3.45 | 1 |
| Punc of shunt for asp or inj CPT 61070 | $3,131.60 | $3,131.60 | $660.05 – $2,265.00 | 3 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $481.66 | $481.66 | $115.14 – $1,187.00 | 3 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $703.10 | $703.10 | $88.04 – $1,187.00 | 3 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $2,765.97 – $6,661.13 | 3 |
| Puncture spinal lumbar diagnostic CPT 62270 | $3,131.60 | $3,131.60 | $660.05 – $2,265.00 | 3 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $2,111.76 | $2,111.76 | $1,187.00 – $1,187.00 | 1 |
| Pvb thoracic cont infusion CPT 64463 | $3,499.85 | $3,499.85 | $660.05 – $2,265.00 | 3 |
| Pvb thoracic single inj site CPT 64461 | $3,499.85 | $3,499.85 | $660.05 – $2,265.00 | 3 |
| Pyelotomy complicated CPT 50135 | not published | not published | $1,235.72 – $9,124.00 | 2 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $1,081.97 – $9,124.00 | 2 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $1,045.05 – $9,124.00 | 2 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $1,136.77 – $9,124.00 | 2 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $1,027.17 – $9,124.00 | 2 |
| Pyridoxine hcl 100 mg HCPCS J3415 | not published | not published | $10.23 – $10.23 | 1 |
| Pyruvate CPT 84210 | $135.22 | $135.22 | $14.48 – $44.20 | 5 |
| Pyruvate kinase CPT 84220 | $125.17 | $125.17 | $9.44 – $38.30 | 5 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $181.94 – $267.31 | 2 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $4,801.30 | $4,801.30 | $633.00 – $1,090.89 | 2 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,899.18 | $1,899.18 | $396.57 – $803.19 | 2 |
| Quest t3 uptake CPT 84479 | $244.71 | $244.71 | $6.47 – $26.52 | 5 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $536.71 – $971.15 | 2 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $501.87 – $943.13 | 3 |
| Rabies ig ht&sol human im/sc CPT 90377 | $48,532.03 | $48,532.03 | $444.49 – $501.87 | 3 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $48,564.11 | $48,564.11 | $428.81 – $561.59 | 3 |
| Rabies vaccine id CPT 90676 | not published | not published | $210.09 – $548.81 | 3 |
| Radial keratotomy CPT 65771 | not published | not published | $703.68 – $4,781.00 | 2 |
| Radiation handling CPT 77790 | $594.57 | $594.57 | $15.19 – $15.19 | 1 |
| Radiation physics consult CPT 77336 | $803.78 | $803.78 | $79.82 – $270.04 | 2 |
| Radiation therapy dose plan CPT 77300 | $789.68 | $789.68 | $33.91 – $270.04 | 2 |
| Radiation therapy management CPT 77431 | not published | not published | $104.55 – $104.55 | 1 |
| Radiation treatment aid(s) CPT 77332 | $875.76 | $875.76 | $28.61 – $270.04 | 2 |
| Radiation treatment aid(s) CPT 77333 | $1,017.64 | $1,017.64 | $69.93 – $270.04 | 2 |
| Radiation treatment aid(s) CPT 77334 | $1,621.04 | $1,621.04 | $67.82 – $752.27 | 2 |
| Radiation treatment delivery CPT 77401 | $1,246.00 | $1,246.00 | $24.73 – $24.73 | 1 |
| Radiation treatment delivery CPT 77402 | $611.72 | $611.72 | $138.09 – $204.99 | 2 |
| Radiation treatment delivery CPT 77412 | $964.29 | $964.29 | $238.04 – $1,110.12 | 2 |
| Radiation tx management x5 CPT 77427 | not published | not published | $189.66 – $189.66 | 1 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $2,033.02 – $9,124.00 | 2 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $1,660.82 – $16,164.00 | 3 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $2,143.76 – $16,164.00 | 3 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $1,950.81 – $16,164.00 | 3 |
| Radical resection of elbow CPT 24149 | not published | not published | $6,316.94 – $14,578.56 | 3 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $1,348.37 – $16,164.00 | 3 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $2,448.75 – $5,835.90 | 3 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $2,448.75 – $5,835.90 | 3 |
| Radiesse injection HCPCS Q2026 | not published | not published | $587.30 – $698.38 | 2 |
| Radiology port images(s) CPT 77417 | $288.57 | $288.57 | $11.30 – $11.30 | 1 |
| Radiotherapy dose plan imrt CPT 77301 | $5,844.59 | $5,844.59 | $1,523.28 – $2,780.88 | 2 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $180.51 – $344.44 | 3 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $4,424.63 | $4,424.63 | $672.83 – $1,090.89 | 2 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $3,685.19 | $3,685.19 | $1,090.89 – $1,236.13 | 2 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $1,481.71 – $2,601.10 | 2 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,167.98 | $2,167.98 | $691.08 – $1,090.89 | 2 |
| Radphm lcl tumor plr sgl day CPT 78800 | $3,138.99 | $3,138.99 | $384.94 – $803.19 | 2 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $191.64 – $191.64 | 1 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $6,316.94 – $14,578.56 | 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.