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 |
|---|---|---|---|---|
| Reconstruction of eyelid CPT 67973 | not published | not published | $2,043.57 – $4,781.00 | 3 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $3,302.18 – $9,098.00 | 3 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $2,043.57 – $4,781.00 | 3 |
| Reconstruction of hip socket CPT 27120 | not published | not published | $1,420.68 – $25,794.37 | 3 |
| Reconstruction of hip socket CPT 27122 | not published | not published | $1,208.70 – $16,164.00 | 3 |
| Reconstruction of jaw CPT 21245 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Reconstruction of jaw CPT 21246 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Reconstruction of jaw CPT 21248 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Reconstruction of jaw CPT 21249 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $13,172.00 – $54,515.34 | 3 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Reconstruction of midface CPT 21188 | not published | not published | $1,829.03 – $13,172.00 | 3 |
| Reconstruction of mouth CPT 40840 | not published | not published | $4,781.00 – $11,893.61 | 3 |
| Reconstruction of mouth CPT 40842 | not published | not published | $4,781.00 – $11,893.61 | 3 |
| Reconstruction of mouth CPT 40843 | not published | not published | $4,781.00 – $11,893.61 | 3 |
| Reconstruction of mouth CPT 40844 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Reconstruction of mouth CPT 40845 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Reconstruction of nail bed CPT 11762 | not published | not published | $197.41 – $4,145.37 | 3 |
| Reconstruction of nose CPT 30410 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Reconstruction of nose CPT 30420 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Reconstruction of orbit CPT 21256 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Reconstruction of throat CPT 42950 | not published | not published | $4,781.00 – $11,893.61 | 3 |
| Reconstruction of urethra CPT 53410 | not published | not published | $4,468.59 – $10,772.46 | 3 |
| Reconstruction of urethra CPT 53415 | not published | not published | $1,244.47 – $13,172.00 | 2 |
| Reconstruction of urethra CPT 53430 | not published | not published | $4,468.59 – $10,772.46 | 3 |
| Reconstruction of urethra CPT 54308 | not published | not published | $4,468.59 – $13,172.00 | 3 |
| Reconstruction of urethra CPT 54312 | not published | not published | $3,187.58 – $9,098.00 | 3 |
| Reconstruction of urethra CPT 54316 | not published | not published | $4,468.59 – $19,019.20 | 3 |
| Reconstruction of urethra CPT 54318 | not published | not published | $3,187.58 – $9,098.00 | 3 |
| Reconstruction of urethra CPT 54322 | not published | not published | $3,187.58 – $9,098.00 | 3 |
| Reconstruction of urethra CPT 54324 | not published | not published | $3,187.58 – $13,172.00 | 3 |
| Reconstruction of urethra CPT 54326 | not published | not published | $1,870.76 – $9,098.00 | 3 |
| Reconstruction tongue fold CPT 41520 | not published | not published | $2,765.97 – $13,172.00 | 3 |
| Reconstruct larynx & pharynx CPT 31395 | not published | not published | $3,288.91 – $9,124.00 | 2 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $4,781.00 – $11,893.61 | 3 |
| Reconstruct lip w/local flap 40525 CPT 40525 | not published | not published | $2,765.97 – $6,661.13 | 3 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | $1,548.17 – $13,172.00 | 3 |
| Reconstruct lower jaw bone CPT 21247 | not published | not published | $1,790.22 – $13,172.00 | 3 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $12,567.15 – $25,794.37 | 3 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $1,595.74 – $35,227.43 | 3 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | $6,316.94 – $14,578.56 | 3 |
| Reconstruct upper jaw bone CPT 21206 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Reconstruct urethra/bladder CPT 53431 | not published | not published | $4,468.59 – $10,772.46 | 3 |
| Reconstruct urethra stage 1 CPT 53420 | not published | not published | $4,468.59 – $10,772.46 | 3 |
| Reconstruct urethra stage 2 CPT 53425 | not published | not published | $4,468.59 – $10,772.46 | 3 |
| Reconstruct vena cava 34502 CPT 34502 | not published | not published | $1,700.40 – $9,124.00 | 2 |
| Reconstruct windpipe CPT 31780 | not published | not published | $1,305.36 – $9,124.00 | 2 |
| Reconstruct windpipe CPT 31781 | not published | not published | $1,518.11 – $9,124.00 | 2 |
| Rectal sensation test CPT 91120 | not published | not published | $568.70 – $1,187.00 | 2 |
| Red blood cells each unit HCPCS P9021 | $1,250.04 | $1,250.04 | $301.14 – $414.54 | 2 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $3,323.75 | $3,323.75 | $763.43 – $845.38 | 2 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $2,214.32 | $2,214.32 | not published | 0 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $1,340.58 | $1,340.58 | $369.82 – $414.54 | 2 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $1,592.51 | $1,592.51 | $523.34 – $530.82 | 2 |
| Red blood cells washed each unit HCPCS P9022 | $3,449.19 | $3,449.19 | $483.95 – $737.16 | 2 |
| Red cell mass multiple CPT 78121 | $1,803.59 | $1,803.59 | $152.65 – $1,090.89 | 2 |
| Red cell mass single CPT 78120 | not published | not published | $146.02 – $803.19 | 2 |
| Red cell sequestration CPT 78140 | not published | not published | $200.76 – $803.19 | 2 |
| Red cell survival study CPT 78130 | not published | not published | $235.61 – $803.19 | 2 |
| Redo compl cardiac anomaly CPT 33622 | not published | not published | $3,806.11 – $9,124.00 | 2 |
| Redo endovas vena cava filtr CPT 37192 | not published | not published | $2,926.47 – $9,098.00 | 3 |
| Reduce bowel obstruction 44050 CPT 44050 | not published | not published | $1,032.11 – $9,124.00 | 2 |
| Reduce testis torsion CPT 54600 | not published | not published | $3,187.58 – $7,082.09 | 3 |
| Reduction of facial bones CPT 21209 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Reduction of procidentia 45900 CPT 45900 | not published | not published | $806.66 – $2,265.00 | 3 |
| Reduction of skull defect CPT 62115 | not published | not published | $1,872.79 – $9,124.00 | 2 |
| Reduction of skull defect CPT 62117 | not published | not published | $2,201.23 – $9,124.00 | 2 |
| Re-exploration of chest 32120 CPT 32120 | not published | not published | $957.90 – $9,124.00 | 2 |
| Reexploration pelvic wound 49014 CPT 49014 | not published | not published | $399.98 – $9,124.00 | 2 |
| Re-explore parathyroids CPT 60502 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Refill maint impl spine pump CPT 95991 | $751.71 | $751.71 | $56.32 – $1,187.00 | 3 |
| Refill/maint pump/resvr syst CPT 96522 | not published | not published | $167.00 – $427.34 | 2 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $807.37 | $807.37 | $80.36 – $80.36 | 1 |
| Reimplant artery each 35697 CPT 35697 | not published | not published | $163.65 – $9,124.00 | 2 |
| Reimplant ureter in bladder CPT 50782 | not published | not published | $1,182.43 – $9,124.00 | 2 |
| Reimplant ureter in bladder CPT 50783 | not published | not published | $1,241.81 – $9,124.00 | 2 |
| Reimplant ureter in bladder CPT 50785 | not published | not published | $1,337.33 – $9,124.00 | 2 |
| Reinforce clavicle CPT 23490 | not published | not published | $6,316.94 – $16,164.00 | 3 |
| Reinforce eye wall CPT 67250 | not published | not published | $2,043.57 – $4,781.00 | 3 |
| Reinforce/graft eye wall CPT 67255 | not published | not published | $2,135.08 – $8,304.52 | 3 |
| Reinforce hip bones CPT 27187 | not published | not published | $1,090.34 – $16,164.00 | 3 |
| Reinforce shoulder bones CPT 23491 | not published | not published | $12,567.15 – $25,794.37 | 3 |
| Reinforce thigh CPT 27495 | not published | not published | $1,237.24 – $16,164.00 | 3 |
| Reinforce tibia CPT 27745 | not published | not published | $6,316.94 – $16,164.00 | 3 |
| Reinnervate larynx CPT 31590 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | not published | not published | $1,435.91 – $25,794.37 | 3 |
| Reinsert ocular implant CPT 65155 | not published | not published | $3,302.18 – $9,098.00 | 3 |
| Release encircling material CPT 67115 | not published | not published | $4,032.16 – $8,304.52 | 3 |
| Release eye tissue CPT 67343 | not published | not published | $2,043.57 – $4,781.00 | 3 |
| Release facial nerve CPT 69720 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Release facial nerve CPT 69725 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Release facial nerve CPT 69955 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Release finger contracture CPT 26525 | $12,602.36 | $12,602.36 | $1,431.29 – $3,230.64 | 3 |
| Release forearm/hand tendon CPT 26449 | not published | not published | $2,890.75 – $9,098.00 | 3 |
| Release inner ear canal CPT 69960 | not published | not published | $5,122.16 – $13,172.00 | 3 |
| Release knuckle contracture CPT 26520 | not published | not published | $2,761.00 – $6,573.82 | 3 |
| Release middle ear bone CPT 69650 | not published | not published | $2,765.97 – $6,661.13 | 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.