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 |
|---|---|---|---|---|
| Surgical pathology level 1 gross examination only CPT 88300 | $196.56 | $196.56 | $22.99 – $60.83 | 5 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $363.60 | $363.60 | $22.99 – $131.83 | 5 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $499.86 | $499.86 | $49.47 – $158.17 | 5 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $735.97 | $735.97 | $49.47 – $206.27 | 5 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $1,021.37 | $1,021.37 | $283.41 – $720.16 | 5 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,147.30 | $1,147.30 | $436.41 – $1,618.70 | 5 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $3,373.91 – $9,124.00 | 2 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $3,802.56 – $9,124.00 | 2 |
| Surgical revision intestine CPT 44680 | not published | not published | $2,685.11 – $9,124.00 | 2 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $2,788.31 – $5,576.62 | 3 |
| Susceptibility agar dilution per agent CPT 87181 | $328.73 | $328.73 | $4.75 – $21.10 | 5 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $79.20 | $79.20 | $4.75 – $21.10 | 5 |
| Susceptibility mic per plate CPT 87186 | $487.88 | $487.88 | $8.65 – $38.43 | 5 |
| Suscept studies macrobroth dilution ea CPT 87188 | $89.30 | $89.30 | $6.64 – $29.49 | 5 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $2,520.06 – $9,124.00 | 2 |
| Suspension of testis CPT 54620 | not published | not published | $3,541.04 – $7,082.09 | 3 |
| Suspension of uterus CPT 58410 | not published | not published | $1,969.55 – $9,124.00 | 2 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $1,097.56 – $9,098.00 | 2 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $2,654.01 – $9,124.00 | 2 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $3,435.25 – $9,124.00 | 2 |
| Svc venogram s&i CPT 75827 | $10,197.49 | $10,197.49 | $1,581.33 – $3,162.66 | 2 |
| Sweat collection by iontophoresis CPT 89230 | $866.59 | $866.59 | $10.88 – $104.70 | 5 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,961.62 – $3,923.25 | 3 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $1,961.62 – $4,781.00 | 3 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $1,948.81 – $9,124.00 | 2 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $3,286.91 – $9,098.00 | 3 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $2,681.66 – $9,124.00 | 2 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $11.59 – $20.56 | 2 |
| Synthetic sentence id test CPT 92576 | not published | not published | $37.52 – $75.04 | 2 |
| Synvisc or synvisc-one HCPCS J7325 | $777.17 | $777.17 | $6.02 – $17.46 | 3 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $78.49 | $78.49 | $4.40 – $19.55 | 5 |
| T3 (triiodothyronine) free CPT 84481 | $362.66 | $362.66 | $16.94 – $75.28 | 5 |
| T3 (triiodothyronine) total CPT 84480 | $262.04 | $262.04 | $14.18 – $63.00 | 5 |
| T4 (thyroxine) free CPT 84439 | $246.99 | $246.99 | $9.02 – $40.09 | 5 |
| T4 (thyroxine) total CPT 84436 | $248.23 | $248.23 | $6.87 – $30.54 | 5 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.95 – $0.95 | 1 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $2.63 – $2.63 | 1 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $7.34 – $7.34 | 1 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $268.18 – $536.35 | 3 |
| Tacrolimus therapeutic drug level CPT 80197 | $358.87 | $358.87 | $13.73 – $60.98 | 5 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $14.43 – $28.86 | 3 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $5,529.26 – $9,124.00 | 2 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $5,091.96 – $9,124.00 | 2 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $3,075.75 – $9,124.00 | 2 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $77.34 – $154.68 | 3 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $76.72 – $153.44 | 3 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $1.11 – $1.11 | 1 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $1,187.00 – $1,187.00 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,702.38 | $2,702.38 | $759.53 – $1,973.58 | 4 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $46,420.23 | $46,420.23 | $2,919.60 – $11,678.40 | 4 |
| Target gsa panel organ neop CPT 81445 | $10,025.90 | $10,025.90 | $597.91 – $1,819.90 | 4 |
| Tas congenital car anomal CPT 33741 | $22,953.72 | $22,953.72 | $1,937.58 – $9,124.00 | 2 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $329.73 – $1,484.88 | 3 |
| Tavr perq femoral CPT 33361 | $38,661.14 | $38,661.14 | $3,411.92 – $9,124.00 | 2 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1,431.93 | $1,431.93 | $0.24 – $0.81 | 3 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $137.00 – $548.00 | 4 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $126.25 – $126.25 | 1 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $31.55 – $31.55 | 1 |
| Tbs techl calculation only CPT 77091 | $216.33 | $216.33 | $87.42 – $174.84 | 2 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $87.42 – $174.84 | 2 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $100.00 – $270.61 | 4 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $495.47 | $495.47 | $61.98 – $275.44 | 5 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $2,498.41 – $2,498.41 | 1 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $749.72 – $1,551.04 | 2 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $141.04 – $141.04 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $934.13 – $1,868.26 | 2 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $2,933.63 – $2,933.63 | 1 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $328.60 – $657.20 | 2 |
| Tc-99m labeled rbc HCPCS A9560 | not published | not published | $188.20 – $188.20 | 1 |
| Tc-99m maa HCPCS A9540 | not published | not published | $60.45 – $60.45 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | not published | not published | $111.47 – $111.47 | 1 |
| Tc-99m medronate HCPCS A9503 | not published | not published | $26.20 – $26.20 | 1 |
| Tc-99m mertiatide HCPCS A9562 | not published | not published | $1,561.11 – $1,561.11 | 1 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $19.66 – $19.66 | 1 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $88.65 – $88.65 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | not published | not published | $63.14 – $63.14 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | not published | not published | $7.95 – $7.95 | 1 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | not published | not published | $100.75 – $100.75 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | not published | not published | $275.39 – $275.39 | 1 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $659.93 – $1,319.86 | 2 |
| Tc-99m sulfur colloid HCPCS A9541 | not published | not published | $107.74 – $107.74 | 1 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | not published | not published | $196.37 – $196.37 | 1 |
| Tc-99m tilmanocept diag HCPCS A9520 | not published | not published | $946.60 – $946.60 | 1 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $602.23 – $1,484.88 | 3 |
| Tcd emboli detect w/inj CPT 93893 | $1,385.29 | $1,385.29 | $105.02 – $210.04 | 2 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $105.02 – $210.04 | 2 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $635.73 – $635.73 | 1 |
| T-cell depletion of harvest CPT 38210 | $4,636.03 | $4,636.03 | $443.18 – $1,187.00 | 3 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $375.21 | $375.21 | $46.98 – $208.82 | 5 |
| T cells absolute cd 4 count CPT 86361 | $213.81 | $213.81 | $26.78 – $118.97 | 5 |
| T cells total count CPT 86359 | $757.90 | $757.90 | $37.73 – $167.68 | 5 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $68.83 – $433.81 | 2 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $216.91 – $433.81 | 2 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $216.91 – $433.81 | 2 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $1,167.56 – $9,124.00 | 2 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | $41,467.28 | $41,467.28 | $2,582.29 – $9,124.00 | 2 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $104.21 – $104.21 | 1 |
| Team conf without pat by phys CPT 99367 | not published | not published | $158.28 – $158.28 | 1 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $117.00 – $117.00 | 1 |
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.