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 |
|---|---|---|---|---|
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $27.78 – $27.78 | 1 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $736.85 – $1,473.70 | 18 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.06 – $0.06 | 1 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $104.04 – $104.04 | 1 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $7.59 – $7.59 | 1 |
| Direct advanced life support CPT 99288 | not published | not published | $183.42 – $183.42 | 1 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $39.11 – $80.86 | 18 |
| Disability dlco CPT 94727 | not published | not published | $161.15 – $322.30 | 18 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $709.01 – $3,768.22 | 21 |
| Disarticulation shoulder CPT 23920 | not published | not published | $1,778.69 – $1,778.69 | 1 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $2,423.44 – $2,423.44 | 1 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $331.97 – $331.97 | 1 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $1,005.68 – $4,022.72 | 21 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $68.14 – $3,552.42 | 21 |
| Dissect brain w/scope CPT 62161 | not published | not published | $2,417.97 – $2,417.97 | 1 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $601.48 – $601.48 | 1 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $5,567.88 – $11,135.76 | 18 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $1,829.64 – $1,829.64 | 1 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $1,954.22 – $12,186.28 | 21 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $512.19 – $512.19 | 1 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $11.80 – $12.39 | 5 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $474.39 – $474.39 | 1 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $149.41 – $597.62 | 21 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $147.17 – $588.68 | 18 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $73.37 – $293.46 | 18 |
| Dna gardnerella CPT 87510 | not published | not published | $10.74 – $42.94 | 21 |
| Dna probe chlamydia CPT 87490 | not published | not published | $12.19 – $48.74 | 21 |
| Dna probe gc CPT 87590 | not published | not published | $14.40 – $57.58 | 21 |
| Dna trichomonas CPT 87660 | not published | not published | $10.74 – $42.94 | 21 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $6.70 – $6.70 | 1 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $3.07 – $107.56 | 18 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $16.18 – $16.18 | 1 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $264.56 – $264.56 | 1 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | not published | not published | $132.82 – $322.30 | 21 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $1.99 – $1.99 | 1 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $114.59 – $114.59 | 1 |
| Dornhoffer fixed part w/window HCPCS L8614 | not published | not published | $19,316.01 – $20,281.81 | 5 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $247.26 – $494.52 | 18 |
| Double transfer toe-hand CPT 26554 | not published | not published | $6,010.40 – $6,010.40 | 1 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $9.67 – $9.67 | 1 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $140.13 – $280.26 | 18 |
| Dpyd gene common variants CPT 81232 | not published | not published | $93.61 – $374.44 | 18 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $18.55 – $18.55 | 1 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $147.56 – $1,449.40 | 21 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $113.23 – $3,337.70 | 21 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $815.20 – $5,895.84 | 21 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $815.20 – $5,895.84 | 21 |
| Drainage of abdomen CPT 48000 | not published | not published | $2,995.89 – $2,995.89 | 1 |
| Drainage of bone lesion CPT 26992 | not published | not published | $1,528.34 – $1,528.34 | 1 |
| Drainage of bone lesion CPT 27303 | not published | not published | $1,009.58 – $1,009.58 | 1 |
| Drainage of eye CPT 65800 | not published | not published | $849.94 – $4,698.32 | 21 |
| Drainage of eye CPT 65810 | not published | not published | $849.94 – $4,698.32 | 21 |
| Drainage of eye CPT 65815 | not published | not published | $849.94 – $4,698.32 | 21 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $593.04 – $3,296.86 | 21 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $87.58 – $478.38 | 21 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $420.64 – $3,051.44 | 21 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $420.64 – $3,051.44 | 21 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $886.62 – $6,680.74 | 21 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $187.22 – $1,049.06 | 21 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $1,954.22 – $12,186.28 | 21 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $886.62 – $6,680.74 | 21 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $420.64 – $3,051.44 | 21 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $180.23 – $1,049.06 | 21 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $593.04 – $3,296.86 | 21 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $1,142.90 – $7,104.90 | 21 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $1,142.90 – $7,104.90 | 21 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $1,142.90 – $7,104.90 | 21 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $429.26 – $2,428.90 | 21 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $939.93 – $5,649.34 | 21 |
| Drainage of salivary gland CPT 42305 | not published | not published | $886.62 – $6,680.74 | 21 |
| Drainage of salivary gland CPT 42320 | not published | not published | $187.22 – $1,049.06 | 21 |
| Drainage of spinal cyst CPT 63172 | not published | not published | $2,216.37 – $2,216.37 | 1 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $2,745.00 – $2,745.00 | 1 |
| Drainage of throat abscess CPT 42725 | not published | not published | $1,954.22 – $12,186.28 | 21 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $1,142.90 – $7,104.90 | 21 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $124.52 – $4,219.94 | 18 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $238.15 – $1,375.00 | 21 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $2,109.97 – $4,219.94 | 18 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $98.83 – $2,095.82 | 21 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | not published | not published | $486.45 – $3,337.70 | 21 |
| Drain cerebro spinal fluid 62272 CPT 62272 | not published | not published | $262.86 – $1,426.60 | 21 |
| Drain chest lesion CPT 21502 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Drain lower leg bursa CPT 27604 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $815.20 – $5,895.84 | 21 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $815.20 – $5,895.84 | 21 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $1,793.48 – $1,793.48 | 1 |
| Drain ostomy pouch w/flange HCPCS A5063 | not published | not published | $2.92 – $2.92 | 1 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $1,063.52 – $6,549.84 | 21 |
| Drain ovary abscess open CPT 58820 | not published | not published | $1,063.52 – $6,549.84 | 21 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $1,741.43 – $1,741.43 | 1 |
| Drain penis lesion CPT 54015 | not published | not published | $486.45 – $3,337.70 | 21 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $593.04 – $3,296.86 | 21 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $815.20 – $5,895.84 | 21 |
| Drain shoulder lesion CPT 23030 | not published | not published | $815.20 – $5,895.84 | 21 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $815.20 – $5,895.84 | 21 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $420.64 – $3,051.44 | 21 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $1,171.74 – $1,171.74 | 1 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $630.50 – $1,261.00 | 18 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $107.97 – $107.97 | 1 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $1,425.91 – $1,425.91 | 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.