CHRISTUS Trinity Mother Frances Hospital - Sulphur Springs
115 Airport Rd, Sulphur Springs, TX · Christushealth · · NPI 1033568621
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | not published | not published | $15.68 – $62.72 | 21 |
| 17-hydroxypregnenolone CPT 84143 | not published | not published | $12.22 – $48.86 | 21 |
| 17-ketosteroids CPT 83586 | not published | not published | $6.86 – $27.42 | 21 |
| 1pc ost pch drain hgh output HCPCS A4435 | not published | not published | $6.23 – $6.23 | 1 |
| 1 pc ost pouch w filter HCPCS A5056 | not published | not published | $5.05 – $5.05 | 1 |
| 1 pc ost pou w built-in conv HCPCS A5057 | not published | not published | $10.38 – $10.38 | 1 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $132.74 – $265.48 | 18 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | not published | not published | $1,096.31 – $1,096.31 | 1 |
| 1st psyc collab care mgmt CPT 99492 | not published | not published | $95.28 – $190.56 | 18 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $35.92 – $76.94 | 21 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $127.57 – $265.54 | 18 |
| 2d tee w or without fol w/con,in HCPCS C8925 | not published | not published | $796.56 – $1,627.52 | 18 |
| 2vhpv vaccine 3 dose im CPT 90650 | not published | not published | $352.40 – $352.40 | 1 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $90.69 – $181.38 | 18 |
| 3d ech img cgen car anomal CPT 93319 | not published | not published | $55.91 – $59.46 | 6 |
| 3-d radiotherapy plan CPT 77295 | not published | not published | $673.89 – $2,818.62 | 18 |
| 5% dextrose with potassium HCPCS S5012 | not published | not published | $7.12 – $7.12 | 1 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | not published | not published | $66.57 – $66.57 | 1 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | not published | not published | $91.49 – $91.49 | 1 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | not published | not published | $97.82 – $97.82 | 1 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | not published | not published | $103.73 – $103.73 | 1 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | not published | not published | $83.49 – $83.49 | 1 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | not published | not published | $91.49 – $91.49 | 1 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | not published | not published | $91.49 – $91.49 | 1 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | not published | not published | $103.73 – $103.73 | 1 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | not published | not published | $121.43 – $121.43 | 1 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $5,006.29 – $5,006.29 | 1 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | not published | not published | $6.43 – $25.72 | 21 |
| Abciximab injection HCPCS J0130 | not published | not published | $3,734.46 – $3,734.46 | 1 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $1,897.55 – $1,897.55 | 1 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $1,845.21 – $13,434.24 | 21 |
| Abl1 gene CPT 81170 | not published | not published | $160.65 – $642.60 | 21 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $2,152.84 – $2,152.84 | 1 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $3,078.06 – $3,078.06 | 1 |
| Ablate atria without bypass ext CPT 33255 | not published | not published | $2,592.16 – $2,592.16 | 1 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $1,033.14 – $1,033.14 | 1 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $2,929.06 – $2,929.06 | 1 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $7,358.06 – $14,716.12 | 18 |
| Ablate heart dysrhythm focus CPT 33250 | not published | not published | $2,289.23 – $2,289.23 | 1 |
| Ablate heart dysrhythm focus CPT 33251 | not published | not published | $2,570.79 – $2,570.79 | 1 |
| Ablate heart dysrhythm focus CPT 33261 | not published | not published | $2,561.49 – $2,561.49 | 1 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $420.64 – $3,051.44 | 21 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $420.64 – $3,051.44 | 21 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $7,347.24 – $21,447.16 | 18 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $965.69 – $1,931.38 | 18 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $6,009.40 – $12,018.80 | 18 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $247.08 – $494.16 | 18 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $2,813.82 – $21,447.16 | 21 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $450.30 – $900.60 | 18 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $247.08 – $494.16 | 18 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,668.85 – $3,337.70 | 18 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $6,709.13 – $19,049.16 | 18 |
| Ablt trurl prst8 tis thrm Ultrasound CPT 55881 | not published | not published | $749.97 – $749.97 | 1 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $13,382.22 – $26,764.44 | 18 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $8.79 – $17.58 | 18 |
| Abortion CPT 59850 | not published | not published | $558.20 – $558.20 | 1 |
| Abortion (mpr) CPT 59866 | not published | not published | $313.32 – $626.64 | 18 |
| Abrasion lesion single CPT 15786 | not published | not published | $204.66 – $409.32 | 18 |
| Absorpt drg >16<=48 in w/bdr HCPCS A6255 | not published | not published | $3.28 – $3.28 | 1 |
| Absorpt drg >16 <=48 without bdr HCPCS A6252 | not published | not published | $3.52 – $3.52 | 1 |
| Absorpt drg <=16 sq in w/bdr HCPCS A6254 | not published | not published | $1.29 – $1.29 | 1 |
| Absorpt drg <=16 sq in without b HCPCS A6251 | not published | not published | $2.15 – $2.15 | 1 |
| Absorpt drg > 48 sq in without b HCPCS A6253 | not published | not published | $6.84 – $6.84 | 1 |
| Acetylcholine receptor modulating antibody CPT 86043 | not published | not published | $6.46 – $25.82 | 21 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $6.58 – $26.32 | 21 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $107.94 – $1,093.04 | 18 |
| Acne surgery 10040 CPT 10040 | not published | not published | $204.66 – $409.32 | 18 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | not published | not published | $34.15 – $34.15 | 1 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | not published | not published | $31.20 – $31.20 | 1 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $61.99 – $330.98 | 18 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | not published | not published | $18.98 – $18.98 | 1 |
| Acoustic immitance testing CPT 92570 | not published | not published | $161.15 – $322.30 | 18 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $39.11 – $80.86 | 18 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Acth stimulation panel CPT 80402 | not published | not published | $46.57 – $186.26 | 21 |
| Acth stimulation panel CPT 80406 | not published | not published | $41.91 – $167.64 | 21 |
| Actigraphy testing CPT 95803 | not published | not published | $61.18 – $122.36 | 18 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $25.22 – $50.44 | 18 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | not published | not published | $33.31 – $33.31 | 1 |
| Acup 1/> without estim ea add 15 CPT 97811 | not published | not published | $30.36 – $30.36 | 1 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $25.22 – $50.44 | 18 |
| Acute venous thrombus image CPT 78456 | not published | not published | $614.95 – $2,689.30 | 21 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | not published | not published | $0.33 – $0.33 | 1 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $31.96 – $330.98 | 18 |
| Adapter b 8 channel 10cm HCPCS C1883 | not published | not published | $733.90 – $770.60 | 5 |
| Adaptive behavior tx by tech CPT 97153 | not published | not published | $31.96 – $190.56 | 18 |
| Adding walker to prev cast CPT 29440 | not published | not published | $17.17 – $325.04 | 21 |
| Adenovirus ag ia CPT 87301 | not published | not published | $6.42 – $25.66 | 21 |
| Adenovirus antibody,serum - quest CPT 86603 | not published | not published | $6.89 – $27.56 | 21 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $11.66 – $46.62 | 21 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $1,399.07 – $1,399.07 | 1 |
| Adhesive, liquid or equal HCPCS A4364 | not published | not published | $2.92 – $2.92 | 1 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $965.69 – $1,931.38 | 18 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $2,398.52 – $14,716.12 | 21 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $709.01 – $3,768.22 | 21 |
| Admin ecg contrast agent CPT 93352 | not published | not published | $40.06 – $40.06 | 1 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | not published | not published | $73.31 – $146.62 | 18 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | not published | not published | $128.61 – $683.28 | 18 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $70.75 – $146.62 | 18 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | not published | not published | $15.17 – $15.17 | 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.