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 |
|---|---|---|---|---|
| Sleeve pneumonectomy CPT 32442 | not published | not published | $7,682.90 – $9,124.00 | 2 |
| Slitting of prepuce CPT 54000 | not published | not published | $3,541.04 – $7,082.09 | 3 |
| Slitting of prepuce CPT 54001 | not published | not published | $2,099.91 – $4,781.00 | 3 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $92.42 – $92.42 | 1 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $248.74 – $248.74 | 1 |
| Slp pure tone screening CPT 92551 | $102.84 | $102.84 | $32.44 – $32.44 | 1 |
| Slp stdy unatnd w/anal CPT 95801 | $542.76 | $542.76 | $59.26 – $118.52 | 2 |
| Slp ther svc non-spch gen CPT 92606 | $469.40 | $469.40 | $198.60 – $198.60 | 1 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $3,159.80 – $33,932.87 | 3 |
| Small animal inoculation CPT 87003 | not published | not published | $16.84 – $67.79 | 5 |
| Small bowel endoscopy CPT 44360 | $9,293.52 | $9,293.52 | $1,927.65 – $3,855.30 | 3 |
| Small bowel endoscopy CPT 44364 | not published | not published | $1,927.65 – $3,855.30 | 3 |
| Small bowel endoscopy CPT 44366 | not published | not published | $1,927.65 – $3,855.30 | 3 |
| Small bowel endoscopy CPT 44369 | not published | not published | $1,927.65 – $3,855.30 | 3 |
| Small bowel endoscopy CPT 44376 | not published | not published | $1,927.65 – $3,855.30 | 3 |
| Small bowel endoscopy CPT 44378 | not published | not published | $1,927.65 – $3,855.30 | 3 |
| Small bowel endoscopy CPT 44382 | not published | not published | $911.12 – $2,761.00 | 3 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,927.65 – $3,855.30 | 3 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $1,927.65 – $3,855.30 | 3 |
| Small bowel endoscopy 44365 CPT 44365 | $17,786.16 | $17,786.16 | $1,927.65 – $3,855.30 | 3 |
| Small bowel endoscopy/biopsy CPT 44361 | $10,935.35 | $10,935.35 | $1,927.65 – $3,855.30 | 3 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $1,927.65 – $3,855.30 | 3 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $911.12 – $2,761.00 | 3 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $1,927.65 – $3,855.30 | 3 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $6,098.56 – $12,197.12 | 3 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $0.02 | 3 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $197.58 | $197.58 | $5.39 – $23.91 | 5 |
| Smear gram stain CPT 87205 | $149.97 | $149.97 | $4.27 – $18.94 | 5 |
| Smear nasal eosinophil CPT 89190 | $102.77 | $102.77 | $5.79 – $21.10 | 5 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $189.18 | $189.18 | $5.99 – $27.48 | 5 |
| Smear wet mount CPT 87210 | $191.21 | $191.21 | $5.82 – $18.94 | 5 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $301.35 – $1,205.40 | 4 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $185.20 – $740.80 | 4 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $47.00 – $188.00 | 4 |
| Snrpn/ube3a gene CPT 81331 | $502.95 | $502.95 | $51.07 – $204.28 | 4 |
| So cap design without jnts cf HCPCS L3671 | $5,044.16 | $5,044.16 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $105.23 | $105.23 | $5.06 – $21.61 | 5 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $25.45 | $25.45 | $30.14 – $30.14 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | not published | not published | $15.07 – $15.07 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | not published | $7.53 – $7.53 | 1 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $65.86 | $65.86 | $0.10 – $0.10 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $260.56 | $260.56 | $3.24 – $3.24 | 1 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $648.52 | $648.52 | $171.23 – $171.23 | 1 |
| Sodium serum/plasma/whole blood CPT 84295 | $133.46 | $133.46 | $4.81 – $21.38 | 5 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $0.84 – $1.68 | 2 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $87.42 – $174.84 | 2 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,295.07 – $2,690.62 | 2 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,195.83 – $2,391.66 | 2 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $1,295.07 – $6,577.02 | 2 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,046.35 – $2,092.70 | 2 |
| Somatosensory testing CPT 95927 | not published | not published | $216.91 – $433.81 | 2 |
| Somatropin injection HCPCS J2941 | not published | not published | $110.50 – $321.54 | 2 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $1,295.07 – $5,979.10 | 2 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $896.87 – $1,793.74 | 2 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $20.21 – $40.72 | 2 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $9,098.00 – $9,098.00 | 1 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $9,098.00 – $9,098.00 | 1 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Special physics consult CPT 77370 | $703.62 | $703.62 | $135.02 – $270.04 | 2 |
| Special pump services CPT 99190 | not published | not published | $981.18 – $981.18 | 1 |
| Special pump services CPT 99191 | not published | not published | $729.49 – $729.49 | 1 |
| Special pump services CPT 99192 | not published | not published | $485.67 – $485.67 | 1 |
| Special radiation dosimetry CPT 77331 | $2,110.84 | $2,110.84 | $71.55 – $270.04 | 2 |
| Special radiation treatment CPT 77470 | $2,322.53 | $2,322.53 | $95.42 – $1,110.12 | 2 |
| Special teletx port plan CPT 77321 | $1,597.16 | $1,597.16 | $164.33 – $752.27 | 2 |
| Specific gravity body fluid CPT 84315 | $52.16 | $52.16 | $3.28 – $11.15 | 5 |
| Specimen fat stain CPT 89125 | not published | not published | $5.88 – $19.21 | 5 |
| Speech audiometry complete CPT 92556 | $365.31 | $365.31 | $59.26 – $118.52 | 2 |
| Speech evaluation complex CPT 70371 | $1,204.60 | $1,204.60 | $239.69 – $479.38 | 2 |
| Speech recep thresh CPT 92555 | $254.00 | $254.00 | $59.26 – $118.52 | 2 |
| Sperm antibody test CPT 89325 | $151.48 | $151.48 | $10.67 – $47.41 | 5 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.59 – $93.21 | 5 |
| Sperm identification CPT 89257 | not published | not published | $49.47 – $104.70 | 4 |
| Sperm isolation complex CPT 89261 | not published | not published | $49.47 – $104.70 | 4 |
| Sperm isolation simple CPT 89260 | not published | not published | $49.47 – $104.70 | 4 |
| Sperm washing 58323 CPT 58323 | not published | not published | $14.72 – $1,187.00 | 3 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $5,946.81 – $13,172.00 | 3 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $2,788.31 – $9,098.00 | 3 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $9,098.00 – $9,098.00 | 1 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,715.13 | $1,715.13 | $709.10 – $2,265.00 | 3 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $12,897.19 – $25,794.37 | 3 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $216.91 – $433.81 | 2 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $1,372.83 | $1,372.83 | $128.79 – $749.72 | 2 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $129.26 – $258.52 | 2 |
| Spleen imaging CPT 78185 | not published | not published | $401.59 – $803.19 | 2 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $2,890.81 – $9,124.00 | 2 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $5,824.84 – $9,124.00 | 2 |
| Splicing of ureters CPT 50770 | not published | not published | $2,882.16 – $9,124.00 | 2 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $2,212.08 | $2,212.08 | not published | 0 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $300.82 | $300.82 | not published | 0 |
| Splint finger fold over sm HCPCS L3924 | $486.98 | $486.98 | not published | 0 |
| Splint finger frog med HCPCS L3927 | $195.88 | $195.88 | not published | 0 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $3,559.87 – $9,098.00 | 3 |
| Split blood or products CPT 86985 | $204.07 | $204.07 | $42.25 – $342.29 | 5 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $29.49 – $29.49 | 1 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $151.55 – $1,187.00 | 3 |
| Sputum specimen collection CPT 89220 | not published | not published | $41.33 – $342.29 | 5 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $3,888.59 – $8,292.67 | 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.