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 |
|---|---|---|---|---|
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $46.80 – $46.80 | 1 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $46.80 – $46.80 | 1 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $42.20 – $84.40 | 18 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $672.33 – $2,689.30 | 21 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,936.45 – $1,936.45 | 1 |
| Adrenalin epinephrine inject HCPCS J0171 | not published | not published | $0.25 – $0.25 | 1 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $88.55 – $88.55 | 1 |
| Adv prim care mgmt lvl 1 HCPCS G0556 | not published | not published | $30.68 – $61.36 | 18 |
| Adv prim care mgmt lvl 2 HCPCS G0557 | not published | not published | $30.68 – $61.36 | 18 |
| Adv prim care mgmt lvl 3 HCPCS G0558 | not published | not published | $95.28 – $190.56 | 18 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $320.74 – $641.48 | 18 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $320.74 – $641.48 | 18 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $2,959.54 – $5,919.08 | 18 |
| _afb id by dna probe rflx ast CPT 87149 | not published | not published | $10.74 – $42.94 | 21 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $73.37 – $293.46 | 18 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $147.17 – $588.68 | 18 |
| Aflibercept injection HCPCS J0178 | not published | not published | $825.10 – $1,650.20 | 18 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $43.32 – $43.32 | 1 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $230.23 – $460.46 | 18 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $161.15 – $322.30 | 18 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $21.23 – $43.74 | 21 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $10.62 – $34.46 | 6 |
| Albumin ischemia modified CPT 82045 | not published | not published | $18.18 – $72.70 | 21 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $0.28 – $0.28 | 1 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | not published | $0.66 – $0.66 | 1 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.22 – $0.22 | 1 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $11.40 – $11.97 | 5 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $19.82 – $50.44 | 18 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | not published | not published | $30.68 – $61.36 | 18 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $77.16 – $330.98 | 18 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $5,460.31 – $10,920.62 | 18 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $67.21 – $268.82 | 21 |
| Alefacept HCPCS J0215 | not published | not published | $108.39 – $108.39 | 1 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,485.77 – $4,971.54 | 18 |
| Alginate dressing <=16 sq in HCPCS A6196 | not published | not published | $7.95 – $7.95 | 1 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | not published | not published | $17.76 – $17.76 | 1 |
| Alginate drsg wound filler HCPCS A6199 | not published | not published | $5.71 – $5.71 | 1 |
| Alglucerase injection HCPCS J0205 | not published | not published | $109.39 – $109.39 | 1 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $204.45 – $204.45 | 1 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $44.59 – $95.04 | 18 |
| Allergy Skin Testing CPT 95004 | not published | not published | $1,047.91 – $2,095.82 | 18 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $1,047.91 – $2,095.82 | 18 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $13,252.85 – $26,505.70 | 18 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | not published | not published | $203.47 – $203.47 | 1 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | not published | not published | $285.50 – $285.50 | 1 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | not published | not published | $517.77 – $543.66 | 5 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $203.47 – $203.47 | 1 |
| Alloskin HCPCS Q4115 | not published | not published | $41.63 – $41.63 | 1 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $39.11 – $80.86 | 18 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $25.22 – $50.44 | 18 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $5.24 – $10.48 | 18 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $34.49 – $137.96 | 21 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $9.11 – $36.42 | 21 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $0.53 – $0.53 | 1 |
| Alprostadil urethral suppos HCPCS J0275 | not published | not published | $171.80 – $171.80 | 1 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.78 – $9.56 | 18 |
| Aluminum - quest CPT 82108 | not published | not published | $13.65 – $54.58 | 21 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $222.86 – $6,680.74 | 21 |
| Ambl bp mntr w/software CPT 93784 | not published | not published | $63.67 – $63.67 | 1 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $127.57 – $265.54 | 18 |
| Ambl bp mntr w/sw i&r CPT 93790 | not published | not published | $22.35 – $22.35 | 1 |
| Amifostine HCPCS J0207 | not published | not published | $3,056.83 – $3,056.83 | 1 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | not published | not published | $3.02 – $3.02 | 1 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $3.21 – $12.84 | 21 |
| Amino acid single qual CPT 82127 | not published | not published | $7.60 – $30.38 | 21 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $10.50 – $42.00 | 21 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.77 – $3.54 | 18 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $407.12 – $814.24 | 18 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | not published | not published | $1.88 – $1.88 | 1 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | not published | not published | $10.61 – $10.61 | 1 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | not published | not published | $22.21 – $44.42 | 18 |
| Amnioarmor 1 sq cm HCPCS Q4188 | not published | not published | $6.66 – $6.66 | 1 |
| Amniocentesisdiagnostic 59000 CPT 59000 | not published | not published | $49.56 – $1,793.72 | 21 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $116.74 – $626.64 | 21 |
| Amniocore per sq cm HCPCS Q4227 | not published | not published | $6.66 – $6.66 | 1 |
| Amnio-maxx or lite per sq cm HCPCS Q4239 | not published | not published | $6.66 – $6.66 | 1 |
| Amniotic fluid scan CPT 82143 | not published | not published | $5.01 – $20.02 | 21 |
| Amniowrap2 per sq cm HCPCS Q4221 | not published | not published | $9.51 – $9.51 | 1 |
| Amobarbital 125 mg inj HCPCS J0300 | not published | not published | $507.63 – $507.63 | 1 |
| Ampho b cholesteryl sulfate HCPCS J0288 | not published | not published | $36.79 – $36.79 | 1 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | not published | not published | $105.26 – $105.26 | 1 |
| Amphotericin b lipid complex HCPCS J0287 | not published | not published | $10.61 – $21.22 | 18 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | not published | not published | $24.70 – $49.40 | 18 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $140.83 – $563.32 | 18 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $1,135.58 – $1,135.58 | 1 |
| Amputate hand at wrist CPT 25922 | not published | not published | $593.04 – $3,296.86 | 21 |
| Amputate hand at wrist CPT 25920 | not published | not published | $1,106.54 – $1,106.54 | 1 |
| Amputate leg at thigh CPT 27591 | not published | not published | $1,523.42 – $1,523.42 | 1 |
| Amputate leg at thigh CPT 27592 | not published | not published | $1,076.42 – $1,076.42 | 1 |
| Amputate lower leg at knee CPT 27598 | not published | not published | $1,123.52 – $1,123.52 | 1 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $1,257.19 – $1,257.19 | 1 |
| Amputate upper arm & implant CPT 24931 | not published | not published | $1,475.75 – $1,475.75 | 1 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $7,358.06 – $14,716.12 | 18 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $709.01 – $3,768.22 | 21 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $3,341.96 – $6,683.92 | 18 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $1,088.27 – $6,683.92 | 21 |
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.