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 |
|---|---|---|---|---|
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $5,849.03 – $9,124.00 | 2 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $5,816.18 – $9,124.00 | 2 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $5,320.99 – $9,124.00 | 2 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $5,477.42 – $9,124.00 | 2 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $7,289.28 – $14,578.56 | 3 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $234.40 – $468.80 | 2 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $9,098.00 – $19,019.20 | 3 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $5,160.23 – $16,164.00 | 3 |
| Rsv assay w/optic CPT 87807 | $409.50 | $409.50 | $13.10 – $53.29 | 5 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $591.36 – $591.36 | 1 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $133.74 – $267.49 | 2 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $37.49 – $74.98 | 2 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $37.49 – $74.98 | 2 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $37.49 – $74.98 | 2 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $25.42 – $50.84 | 2 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $25.90 – $51.80 | 2 |
| Rubella antibody igg CPT 86762 | $235.18 | $235.18 | $14.39 – $63.99 | 5 |
| Rubeola ag if CPT 87283 | not published | not published | $48.14 – $121.60 | 5 |
| Rubeola antibody igg CPT 86765 | $102.67 | $102.67 | $12.88 – $57.28 | 5 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $329.51 – $1,318.04 | 4 |
| Russell viper venom diluted CPT 85613 | $147.59 | $147.59 | $9.58 – $38.30 | 5 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $917.08 – $1,834.16 | 3 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $37.64 – $75.28 | 3 |
| Salivary gland function exam CPT 78232 | not published | not published | $248.26 – $803.19 | 2 |
| Salivary gland imaging CPT 78230 | not published | not published | $401.59 – $803.19 | 2 |
| Salivary glnd img serial img CPT 78231 | $1,714.86 | $1,714.86 | $248.26 – $803.19 | 2 |
| Salmonella antibody CPT 86768 | $153.12 | $153.12 | $13.19 – $53.06 | 5 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $3,251.88 – $6,503.75 | 3 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $133.74 – $267.49 | 2 |
| Sargramostim injection HCPCS J2820 | not published | not published | $62.47 – $124.95 | 3 |
| Sars-cov-2 antb quantitative CPT 86413 | $239.63 | $239.63 | $42.13 – $102.86 | 4 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $291.36 – $291.36 | 1 |
| Sarscov coronavirus ag ia CPT 87426 | $132.64 | $132.64 | $35.33 – $141.32 | 5 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $87.85 | $87.85 | $30.94 – $140.58 | 3 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $6,098.56 – $12,197.12 | 3 |
| Sbrt management CPT 77435 | not published | not published | $2,407.81 – $2,407.81 | 1 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | not published | not published | $380.47 – $380.47 | 1 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $2,883.99 | $2,883.99 | $239.69 – $479.38 | 2 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $1,855.83 | $1,855.83 | $105.02 – $210.04 | 2 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,369.00 | $1,369.00 | $239.69 – $479.38 | 2 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $1,385.29 | $1,385.29 | $105.02 – $210.04 | 2 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $583.58 | $583.58 | $105.02 – $210.04 | 2 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,510.39 | $1,510.39 | $105.02 – $210.04 | 2 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $2,011.01 | $2,011.01 | $239.69 – $479.38 | 2 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $1,468.23 | $1,468.23 | $105.02 – $210.04 | 2 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $1,445.32 | $1,445.32 | $105.02 – $210.04 | 2 |
| Scan proc cranial extra CPT 61782 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Scan proc spinal CPT 61783 | $6,119.70 | $6,119.70 | $1,187.00 – $1,187.00 | 1 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $3,289.57 | $3,289.57 | $1,462.80 – $3,318.25 | 3 |
| Scope plantar fasciotomy CPT 29893 | $23,033.66 | $23,033.66 | $3,286.91 – $6,573.82 | 3 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $15.12 – $47.18 | 5 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $26.35 – $70.27 | 2 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $31.94 – $63.88 | 5 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $43.97 – $88.59 | 5 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $26.49 – $109.83 | 5 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $27.05 – $84.00 | 5 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $20.26 – $84.00 | 5 |
| Screen c/v thin layer by md HCPCS G0124 | $115.84 | $115.84 | $26.35 – $70.27 | 2 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $8,175.65 | $8,175.65 | $934.20 – $2,265.00 | 3 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $934.20 – $2,265.00 | 3 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $18.05 – $65.95 | 5 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $28.27 – $113.08 | 4 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $557.73 | $557.73 | $46.35 – $185.40 | 4 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $24.08 – $99.83 | 4 |
| Screening Mammogram CPT 77067 | $1,204.42 | $1,204.42 | $82.98 – $165.96 | 2 |
| Screening pap smear by phys HCPCS P3001 | $35.43 | $35.43 | $26.35 – $100.63 | 3 |
| Screening prostate cancer PSA HCPCS G0103 | not published | not published | $19.31 – $76.26 | 5 |
| Screen pap by tech w md supv HCPCS P3000 | $130.42 | $130.42 | $15.12 – $43.79 | 5 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | not published | $7.86 – $7.86 | 1 |
| Sc ther infusion reset pump CPT 96371 | $264.21 | $264.21 | $72.33 – $144.66 | 2 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $2,043.00 – $9,124.00 | 2 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $20,012.43 | $20,012.43 | $1,187.00 – $1,187.00 | 1 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | not published | not published | $15.74 – $15.74 | 1 |
| Sedimentation rate erythrocyte automated CPT 85652 | $191.56 | $191.56 | $2.70 – $12.00 | 5 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $4,211.16 – $4,211.16 | 1 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $3,573.55 – $9,124.00 | 2 |
| Select picture audiometry CPT 92583 | $433.63 | $433.63 | $59.26 – $118.52 | 2 |
| Self-meas bp 2 readg bid 30d CPT 99474 | not published | not published | $24.58 – $24.58 | 1 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $29.06 – $58.11 | 2 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | not published | not published | $37.35 – $37.35 | 1 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | not published | $27.53 – $27.53 | 1 |
| Semen analysis HCPCS G0027 | not published | not published | $6.50 – $26.52 | 5 |
| Semen analysis presence/motility CPT 89321 | $121.84 | $121.84 | $12.05 – $48.14 | 5 |
| Semen analysis w/count CPT 89310 | $116.03 | $116.03 | $8.61 – $34.38 | 5 |
| Sensorimotor examination CPT 92060 | not published | not published | $59.26 – $118.52 | 2 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $37.52 – $75.04 | 2 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $2,388.32 – $4,781.00 | 3 |
| Sept9 promoter methylation analysis CPT 81327 | $1,527.60 | $1,527.60 | $192.00 – $384.00 | 4 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $7,289.28 – $14,578.56 | 3 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $3,286.91 – $9,098.00 | 3 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $7,289.28 – $14,578.56 | 3 |
| Serial casting application 97139app CPT 97139 | not published | not published | $41.30 – $41.30 | 1 |
| Serial tonometry CPT 92100 | not published | not published | $94.39 – $94.39 | 1 |
| Serpina1 gene CPT 81332 | $685.41 | $685.41 | $43.65 – $180.99 | 4 |
| Sertraline (zoloft) - sendout CPT 80332 | $234.26 | $234.26 | not published | 0 |
| Set radiation therapy field CPT 77280 | $1,019.44 | $1,019.44 | $135.02 – $270.04 | 2 |
| Set radiation therapy field CPT 77285 | $4,297.17 | $4,297.17 | $376.14 – $752.27 | 2 |
| Set radiation therapy field CPT 77290 | $2,703.89 | $2,703.89 | $376.14 – $752.27 | 2 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $308.54 – $1,187.00 | 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.