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 |
|---|---|---|---|---|
| Revision of pulmonary artery CPT 33788 | not published | not published | $3,846.63 – $9,124.00 | 2 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $5,469.62 – $9,124.00 | 2 |
| Revision of radius CPT 25350 | not published | not published | $7,289.28 – $14,578.56 | 3 |
| Revision of radius CPT 25355 | not published | not published | $3,286.91 – $13,172.00 | 3 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $1,961.62 – $4,781.00 | 3 |
| Revision of scrotum CPT 55175 | not published | not published | $3,541.04 – $13,172.00 | 3 |
| Revision of scrotum CPT 55180 | not published | not published | $4,781.00 – $10,772.46 | 3 |
| Revision of spinal shunt CPT 63744 | not published | not published | $3,431.72 – $13,172.00 | 3 |
| Revision of testis CPT 54660 | not published | not published | $4,781.00 – $10,772.46 | 3 |
| Revision of thigh muscles CPT 27430 | not published | not published | $7,289.28 – $14,578.56 | 3 |
| Revision of toe CPT 28312 | not published | not published | $3,286.91 – $6,573.82 | 3 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $6,040.01 – $9,124.00 | 2 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $6,003.73 – $9,124.00 | 2 |
| Revision of ulna CPT 25360 | not published | not published | $7,289.28 – $14,578.56 | 3 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $7,289.28 – $14,578.56 | 3 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $7,289.28 – $14,578.56 | 3 |
| Revision of upper arm CPT 24940 | not published | not published | $1,923.75 – $25,794.37 | 3 |
| Revision of ureter CPT 50700 | not published | not published | $2,313.52 – $9,124.00 | 2 |
| Revision of urethra CPT 53450 | not published | not published | $3,541.04 – $9,098.00 | 3 |
| Revision of urethra CPT 53460 | not published | not published | $3,541.04 – $7,082.09 | 3 |
| Revision of urethra CPT 57220 | not published | not published | $5,025.25 – $13,172.00 | 3 |
| Revision of urinary tract CPT 51820 | not published | not published | $2,711.06 – $9,124.00 | 2 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $5,589.84 – $16,164.00 | 3 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $5,946.81 – $13,172.00 | 3 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $7,289.28 – $14,578.56 | 3 |
| Revision tips CPT 37183 | $20,526.84 | $20,526.84 | $5,717.50 – $18,558.00 | 3 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $12,897.19 – $25,794.37 | 3 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $4,366.90 – $25,794.37 | 3 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $5,589.84 – $16,164.00 | 3 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $5,589.84 – $16,164.00 | 3 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $5,946.81 – $13,172.00 | 3 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $5,946.81 – $13,172.00 | 3 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $4,831.85 – $9,124.00 | 2 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $5,386.23 – $13,172.00 | 3 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $3,512.04 – $9,098.00 | 3 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $5,946.81 – $13,172.00 | 3 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $19,092.05 | $19,092.05 | $3,512.04 – $9,098.00 | 3 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $4,467.14 – $9,124.00 | 2 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $3,512.04 – $9,098.00 | 3 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $3,512.04 – $9,098.00 | 3 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $5,611.37 – $35,227.43 | 3 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $4,748.02 – $35,227.43 | 3 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $18,558.00 – $61,996.63 | 3 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $4,657.90 – $35,227.43 | 3 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $11,193.47 – $22,386.94 | 3 |
| Revsc opn/prq tib/pero stent CPT 37234 | $21,221.23 | $21,221.23 | $16,164.00 – $16,164.00 | 1 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $11.00 – $22.00 | 3 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $11,008.52 | $11,008.52 | $1,961.62 – $4,781.00 | 3 |
| Rheumatoid factor qualitative CPT 86430 | $202.19 | $202.19 | $6.14 – $25.24 | 5 |
| Rheumatoid factor quantitative CPT 86431 | $184.31 | $184.31 | $5.67 – $25.24 | 5 |
| Rh ig IV CPT 90386 | not published | not published | $19.66 – $19.66 | 1 |
| Rh ig minidose im CPT 90385 | not published | not published | $58.57 – $160.00 | 2 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $4,781.00 – $11,893.61 | 3 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $26.60 | $26.60 | $19.66 – $19.66 | 1 |
| Rho d immune globulin 50 mcg HCPCS J2788 | $159.17 | $159.17 | $58.57 – $58.57 | 1 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $35.79 – $71.58 | 3 |
| Rho d immune globulin inj HCPCS J2790 | $474.32 | $474.32 | $152.78 – $152.78 | 1 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $222.53 – $222.53 | 1 |
| R hrt cath chd abnl nt cnj CPT 93594 | $20,961.05 | $20,961.05 | $3,256.70 – $13,172.00 | 3 |
| R hrt cath chd nml nt cnj CPT 93593 | $20,961.05 | $20,961.05 | $3,256.70 – $13,172.00 | 3 |
| Rhythm ecg with report CPT 93040 | not published | not published | $35.38 – $35.38 | 1 |
| Rib cartilage graft CPT 21230 | not published | not published | $5,946.81 – $13,172.00 | 3 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $2,882.78 – $2,882.78 | 1 |
| Right ventric recording CPT 93603 | $4,750.24 | $4,750.24 | $1,223.09 – $2,761.00 | 3 |
| Rilonacept injection HCPCS J2793 | not published | not published | $45.52 – $45.52 | 1 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | not published | not published | $14.53 – $29.49 | 3 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | not published | not published | $11.10 – $23.95 | 3 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $19,468.44 | $19,468.44 | $73.28 – $155.06 | 3 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $21,565.06 | $21,565.06 | $36.39 – $73.21 | 3 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $8,918.91 | $8,918.91 | $34.56 – $69.13 | 3 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $8,484.81 | $8,484.81 | $18.53 – $81.43 | 3 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $8,825.91 | $8,825.91 | $16.16 – $39.87 | 3 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | $20,961.05 | $20,961.05 | $3,256.70 – $13,172.00 | 3 |
| R&l hrt cath chd nml nt cnj CPT 93596 | $20,961.05 | $20,961.05 | $3,256.70 – $13,172.00 | 3 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $2,781.92 – $16,164.00 | 3 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $180.88 – $2,265.00 | 3 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $6,073.08 – $16,164.00 | 3 |
| Rmvl ext fixj sys under anes CPT 20694 | $14,275.61 | $14,275.61 | $1,615.32 – $3,230.64 | 3 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $14,586.47 | $14,586.47 | $2,761.00 – $5,835.90 | 3 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $12,533.08 | $12,533.08 | $1,202.09 – $2,761.00 | 3 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $8,688.98 | $8,688.98 | $353.11 – $3,318.25 | 3 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $3,431.72 – $16,164.00 | 3 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Rmvl icd by tv extr CPT 33244 | $26,420.24 | $26,420.24 | $3,753.99 – $9,098.00 | 3 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $79,079.20 | $79,079.20 | $22,344.94 – $59,420.00 | 3 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $81,185.25 | $81,185.25 | $31,531.90 – $63,063.80 | 3 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $86,807.02 | $86,807.02 | $22,344.94 – $59,420.00 | 3 |
| Rmvl icd pulse gen only CPT 33241 | $28,362.94 | $28,362.94 | $3,753.99 – $9,098.00 | 3 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $1,219.41 – $9,124.00 | 2 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $5,887.91 – $9,124.00 | 2 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $3,628.22 | $3,628.22 | $630.16 – $2,265.00 | 3 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Rmvl perm pm pulse gen CPT 33233 | $27,746.57 | $27,746.57 | $8,313.10 – $16,626.20 | 3 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $411.38 – $9,124.00 | 2 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $3,512.04 – $9,098.00 | 3 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | $3,512.04 – $9,098.00 | 3 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $3,512.04 – $9,098.00 | 3 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $70,080.76 | $70,080.76 | $18,558.00 – $38,698.93 | 3 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $39,109.74 | $39,109.74 | $8,313.10 – $18,558.00 | 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.