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 |
|---|---|---|---|---|
| Revasc lithotr-ather tib/per HCPCS C9774 | $94,344.72 | $94,344.72 | $18,415.17 – $36,830.34 | 3 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $53,344.74 | $53,344.74 | $18,415.17 – $36,830.34 | 3 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $28,094.28 | $28,094.28 | $11,596.79 – $23,193.59 | 3 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $94,344.72 | $94,344.72 | $18,415.17 – $36,830.34 | 3 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $94,344.72 | $94,344.72 | $18,415.17 – $36,830.34 | 3 |
| Revascularization penis CPT 37788 | not published | not published | $3,161.31 – $9,124.00 | 2 |
| Revefenacin inh non-com 1mcg HCPCS J7677 | not published | not published | $0.40 – $0.40 | 1 |
| Revise abdomen-venous shunt CPT 49426 | not published | not published | $3,596.72 – $9,098.00 | 3 |
| Revise additional leg tendon CPT 27692 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Revise aqueous shunt eye CPT 66185 | not published | not published | $2,318.34 – $4,781.00 | 3 |
| Revise arm/leg nerve CPT 64708 | $13,426.44 | $13,426.44 | $1,961.62 – $4,781.00 | 3 |
| Revise bladder & ureter(s) CPT 51565 | not published | not published | $3,245.14 – $9,124.00 | 2 |
| Revise breast reconst 19380 CPT 19380 | not published | not published | $6,670.43 – $13,340.85 | 3 |
| Revise circulation to head CPT 61708 | not published | not published | $6,497.19 – $9,124.00 | 2 |
| Revise circulation to head CPT 61705 | not published | not published | $6,360.65 – $9,124.00 | 2 |
| Revise circulation to head CPT 61710 | $7,891.02 | $7,891.02 | $5,478.28 – $9,124.00 | 2 |
| Revise esophagus & stomach 43325 CPT 43325 | not published | not published | $3,401.56 – $9,124.00 | 2 |
| Revise eye CPT 65091 | not published | not published | $3,949.31 – $9,098.00 | 3 |
| Revise eyelashes CPT 67825 | not published | not published | $192.99 – $1,187.00 | 3 |
| Revise eyelashes CPT 67835 | not published | not published | $2,388.32 – $4,781.00 | 3 |
| Revise eyelid defect CPT 67909 | not published | not published | $2,388.32 – $4,781.00 | 3 |
| Revise eyelid defect CPT 67911 | not published | not published | $2,388.32 – $4,781.00 | 3 |
| Revise eyelid lining CPT 68330 | not published | not published | $2,318.34 – $4,781.00 | 3 |
| Revise eyelid lining CPT 68360 | not published | not published | $3,949.31 – $9,098.00 | 3 |
| Revise eyelid lining CPT 68362 | not published | not published | $2,388.32 – $4,781.00 | 3 |
| Revise eye muscle CPT 67311 | not published | not published | $2,388.32 – $4,781.00 | 3 |
| Revise eye muscle CPT 67314 | not published | not published | $2,388.32 – $4,781.00 | 3 |
| Revise eye muscle add-on CPT 67340 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Revise eye muscle(s) CPT 67318 | not published | not published | $2,388.32 – $4,781.00 | 3 |
| Revise eye muscle(s) add-on CPT 67320 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Revise eye muscle w/suture CPT 67334 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Revise eye socket implant CPT 67560 | not published | not published | $3,949.31 – $9,098.00 | 3 |
| Revise eye sockets CPT 21260 | not published | not published | $5,946.81 – $13,172.00 | 3 |
| Revise eye sockets CPT 21261 | not published | not published | $5,946.81 – $13,172.00 | 3 |
| Revise eye sockets CPT 21263 | not published | not published | $5,946.81 – $13,172.00 | 3 |
| Revise eye sockets CPT 21267 | not published | not published | $5,946.81 – $13,172.00 | 3 |
| Revise eye sockets CPT 21268 | not published | not published | $5,091.10 – $13,172.00 | 3 |
| Revise eye with implant CPT 65093 | not published | not published | $3,949.31 – $9,098.00 | 3 |
| Revise finger joint each CPT 26135 | not published | not published | $3,286.91 – $9,098.00 | 3 |
| Revise finger joint each CPT 26140 | not published | not published | $1,615.32 – $3,230.64 | 3 |
| Revise gastric port open 43886 CPT 43886 | not published | not published | $3,559.87 – $9,098.00 | 3 |
| Revise/graft eyelid lining CPT 68320 | not published | not published | $2,388.32 – $4,781.00 | 3 |
| Revise/graft eyelid lining CPT 68325 | not published | not published | $3,949.31 – $9,098.00 | 3 |
| Revise/graft eyelid lining CPT 68326 | not published | not published | $3,949.31 – $9,098.00 | 3 |
| Revise/graft eyelid lining CPT 68328 | not published | not published | $2,388.32 – $4,781.00 | 3 |
| Revise/graft eyelid lining CPT 68335 | not published | not published | $3,949.31 – $9,098.00 | 3 |
| Revise graft w/vein CPT 35879 | not published | not published | $5,589.84 – $16,164.00 | 3 |
| Revise graft w/vein 35881 CPT 35881 | not published | not published | $5,589.84 – $16,164.00 | 3 |
| Revise hand/finger tendon CPT 26390 | not published | not published | $7,289.28 – $14,578.56 | 3 |
| Revise head/neck of femur CPT 27179 | not published | not published | $7,289.28 – $16,164.00 | 3 |
| Revise hernia & sperm veins CPT 55540 | not published | not published | $3,596.72 – $9,098.00 | 3 |
| Revise hip joint replacement CPT 27134 | not published | not published | $4,777.39 – $25,794.37 | 3 |
| Revise hip joint replacement CPT 27138 | not published | not published | $3,814.67 – $25,794.37 | 3 |
| Revise hip joint replacement CPT 27137 | not published | not published | $3,671.19 – $25,794.37 | 3 |
| Revise/implant finger joint CPT 26536 | not published | not published | $7,289.28 – $14,578.56 | 3 |
| Revise kneecap CPT 27437 | not published | not published | $7,289.28 – $14,578.56 | 3 |
| Revise kneecap with implant CPT 27438 | not published | not published | $12,897.19 – $25,794.37 | 3 |
| Revise knuckle joint CPT 26530 | not published | not published | $7,289.28 – $14,578.56 | 3 |
| Revise knuckle with implant CPT 26531 | not published | not published | $7,289.28 – $14,578.56 | 3 |
| Revise low back nerve(s) CPT 64714 | not published | not published | $1,961.62 – $4,781.00 | 3 |
| Revise lower leg tendon CPT 27690 | not published | not published | $7,289.28 – $14,578.56 | 3 |
| Revise lower leg tendon CPT 27691 | $34,786.34 | $34,786.34 | $7,289.28 – $14,578.56 | 3 |
| Revise lower leg tendons CPT 27686 | not published | not published | $3,286.91 – $9,098.00 | 3 |
| Revise middle ear bone CPT 69660 | not published | not published | $5,946.81 – $13,172.00 | 3 |
| Revise middle ear bone CPT 69661 | not published | not published | $5,946.81 – $13,172.00 | 3 |
| Revise middle ear bone CPT 69662 | not published | not published | $5,946.81 – $13,172.00 | 3 |
| Revise middle ear & mastoid CPT 69641 | not published | not published | $5,946.81 – $13,172.00 | 3 |
| Revise middle ear & mastoid CPT 69642 | not published | not published | $5,946.81 – $13,172.00 | 3 |
| Revise middle ear & mastoid CPT 69643 | not published | not published | $5,946.81 – $13,172.00 | 3 |
| Revise middle ear & mastoid CPT 69644 | not published | not published | $5,946.81 – $13,172.00 | 3 |
| Revise middle ear & mastoid CPT 69646 | not published | not published | $5,946.81 – $13,172.00 | 3 |
| Revise middle ear & mastoid 69645 CPT 69645 | not published | not published | $5,946.81 – $13,172.00 | 3 |
| Revise ocular implant CPT 65125 | not published | not published | $2,388.32 – $4,781.00 | 3 |
| Revise ocular implant CPT 65150 | not published | not published | $3,949.31 – $9,098.00 | 3 |
| Revise ovarian tube(s) CPT 58752 | not published | not published | $2,197.70 – $9,098.00 | 2 |
| Revise palsy hand tendon(s) CPT 25315 | not published | not published | $7,289.28 – $14,578.56 | 3 |
| Revise palsy hand tendon(s) CPT 25316 | not published | not published | $7,289.28 – $16,164.00 | 3 |
| Revise penis/urethra CPT 54328 | not published | not published | $3,541.04 – $13,172.00 | 3 |
| Revise penis/urethra CPT 54332 | not published | not published | $3,541.04 – $9,098.00 | 3 |
| Revise penis/urethra CPT 54336 | not published | not published | $3,541.04 – $9,098.00 | 3 |
| Revise prosth vag graft lap CPT 57426 | not published | not published | $7,449.23 – $14,898.45 | 3 |
| Revise radius or ulna CPT 25370 | not published | not published | $3,286.91 – $13,172.00 | 3 |
| Revise radius & ulna CPT 25365 | not published | not published | $12,897.19 – $25,794.37 | 3 |
| Revise radius & ulna CPT 25375 | not published | not published | $3,286.91 – $13,172.00 | 3 |
| Revise reconst elbow joint CPT 24370 | not published | not published | $12,897.19 – $25,794.37 | 3 |
| Revise reconst elbow joint CPT 24371 | not published | not published | $17,613.72 – $35,227.43 | 3 |
| Revise/remove neuroelectrode CPT 61880 | not published | not published | $3,512.04 – $9,098.00 | 3 |
| Revise/remove neuroreceiver CPT 61888 | not published | not published | $9,098.00 – $22,386.94 | 3 |
| Revise/remove sling repair CPT 57287 | not published | not published | $3,251.88 – $9,098.00 | 3 |
| Revise & repair chest wall CPT 32906 | not published | not published | $4,112.81 – $9,124.00 | 2 |
| Revise/repair chest wall 32905 CPT 32905 | not published | not published | $3,307.37 – $9,124.00 | 2 |
| Revise/replace knee joint CPT 27486 | not published | not published | $3,503.55 – $25,794.37 | 3 |
| Revise/replace knee joint CPT 27487 | not published | not published | $4,384.17 – $35,227.43 | 3 |
| Revise/repl vagus n eltrd CPT 64569 | not published | not published | $11,193.47 – $22,386.94 | 3 |
| Revise spermatic cord veins CPT 55530 | not published | not published | $3,541.04 – $7,082.09 | 3 |
| Revise spermatic cord veins CPT 55535 | not published | not published | $6,503.32 – $13,006.64 | 3 |
| Revise spinal cord vsls crvl CPT 63250 | not published | not published | $7,400.30 – $9,124.00 | 2 |
| Revise spinal cord vsls thrc CPT 63251 | not published | not published | $7,728.71 – $9,124.00 | 2 |
| Revise spine cord vsl thrlmb CPT 63252 | not published | not published | $7,684.63 – $18,558.00 | 2 |
| Revise spine eltrd perq aray CPT 63663 | $23,999.85 | $23,999.85 | $6,402.04 – $16,164.00 | 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.