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 |
|---|---|---|---|---|
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $709.01 – $3,768.22 | 21 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $86.01 – $86.01 | 1 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $2,849.07 – $2,849.07 | 1 |
| Description not available HCPCS S0013 | not published | not published | $332.40 – $332.40 | 1 |
| Design custom breast implant CPT 19396 | not published | not published | $963.66 – $7,888.34 | 21 |
| Design mlc device for imrt CPT 77338 | not published | not published | $188.53 – $754.10 | 18 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | not published | not published | $5.10 – $10.20 | 18 |
| Desoxycorticosterone CPT 82633 | not published | not published | $16.59 – $66.36 | 21 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $625.04 – $625.04 | 1 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $2,445.36 – $2,445.36 | 1 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $1,770.47 – $1,770.47 | 1 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $204.66 – $409.32 | 18 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $93.58 – $409.32 | 21 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $104.93 – $409.32 | 21 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $74.34 – $409.32 | 21 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $74.34 – $409.32 | 21 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $204.66 – $409.32 | 18 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $204.66 – $409.32 | 18 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $204.66 – $409.32 | 18 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $204.66 – $409.32 | 18 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $130.95 – $2,428.90 | 21 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $709.01 – $3,768.22 | 21 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $111.02 – $3,768.22 | 21 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $215.94 – $1,261.00 | 21 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $143.08 – $823.04 | 21 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $280.45 – $3,768.22 | 21 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $160.02 – $3,768.22 | 21 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $939.93 – $5,649.34 | 21 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $137.87 – $823.04 | 21 |
| Destruction ciliary body CPT 66700 | not published | not published | $849.94 – $4,698.32 | 21 |
| Destruction ciliary body CPT 66720 | not published | not published | $698.30 – $4,805.90 | 21 |
| Destruction ciliary body CPT 66740 | not published | not published | $698.30 – $4,805.90 | 21 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $74.34 – $409.32 | 21 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $939.93 – $5,649.34 | 21 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $70.60 – $4,805.90 | 21 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $107.42 – $823.04 | 21 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $120.15 – $823.04 | 21 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $109.08 – $823.04 | 21 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $120.15 – $823.04 | 21 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $411.52 – $823.04 | 18 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $709.01 – $3,768.22 | 21 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $939.93 – $5,649.34 | 21 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $1,063.52 – $6,549.84 | 21 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $98.83 – $6,549.84 | 21 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $73.09 – $3,768.22 | 21 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $16.08 – $64.32 | 21 |
| Determination venous press CPT 93770 | not published | not published | $9.70 – $9.70 | 1 |
| Determine refractive state CPT 92015 | not published | not published | $23.19 – $23.19 | 1 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $161.15 – $322.30 | 18 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | not published | not published | $11.15 – $11.15 | 1 |
| Device intraute mirena HCPCS J7298 | not published | not published | $2,517.85 – $2,517.85 | 1 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $53.13 – $53.13 | 1 |
| Devise bowel pouch CPT 44316 | not published | not published | $2,250.34 – $2,250.34 | 1 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $91.89 – $190.56 | 18 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $69.57 – $69.57 | 1 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $116.34 – $232.68 | 18 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $3.30 – $3.30 | 1 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $204.68 – $423.46 | 21 |
| Dexamethasone panel CPT 80420 | not published | not published | $86.69 – $346.74 | 21 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.67 – $1.34 | 18 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $83.31 – $166.62 | 18 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $73.49 – $73.49 | 1 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $3.46 – $3.46 | 1 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $30.68 – $61.36 | 18 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $206.06 – $206.06 | 1 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $33.04 – $33.04 | 1 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $33.04 – $33.04 | 1 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $33.04 – $33.04 | 1 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $18.14 – $18.14 | 1 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $68.70 – $68.70 | 1 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $33.04 – $33.04 | 1 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $525.71 – $3,552.42 | 21 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $1,888.85 – $12,018.80 | 21 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $165.73 – $822.02 | 18 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,214.45 – $2,428.90 | 18 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $56.20 – $399.92 | 21 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $45.35 – $181.38 | 21 |
| Diathermy eg microwave CPT 97024 | not published | not published | $8.44 – $8.44 | 1 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.25 – $0.25 | 1 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.13 – $0.26 | 18 |
| Digital analysis of eeg CPT 95957 | not published | not published | $196.91 – $196.91 | 1 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $5,222.09 – $10,444.18 | 18 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $537.71 – $537.71 | 1 |
| Dilate esophagus CPT 43453 | not published | not published | $564.97 – $3,907.80 | 21 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $539.02 – $539.02 | 1 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $269.51 – $269.51 | 1 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $767.46 – $767.46 | 1 |
| Dilate tear duct opening CPT 68801 | not published | not published | $411.01 – $822.02 | 18 |
| Dilate urethra stricture CPT 53605 | not published | not published | $1,142.90 – $7,104.90 | 21 |
| Dilate urethra stricture CPT 53621 | not published | not published | $94.13 – $501.02 | 21 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $429.26 – $2,428.90 | 21 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $39.86 – $6,549.84 | 21 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $429.26 – $2,428.90 | 21 |
| Dilation of salivary duct CPT 42660 | not published | not published | $57.03 – $1,049.06 | 21 |
| Dilation of urethra CPT 53665 | not published | not published | $652.80 – $4,219.94 | 21 |
| Dilation of vagina CPT 57400 | not published | not published | $1,063.52 – $6,549.84 | 21 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $37.38 – $3,051.44 | 21 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $1,142.90 – $7,104.90 | 21 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $1,142.90 – $7,104.90 | 21 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $156.28 – $156.28 | 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.