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 |
|---|---|---|---|---|
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $503.97 – $503.97 | 1 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $1,227.61 – $1,227.61 | 1 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $54.26 – $1,449.40 | 21 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $187.22 – $1,049.06 | 21 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $1,063.52 – $6,549.84 | 21 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $429.26 – $2,428.90 | 21 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $886.62 – $6,680.74 | 21 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $1,744.17 – $1,744.17 | 1 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $1,583.13 – $1,583.13 | 1 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $1,085.17 – $1,085.17 | 1 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $2,526.97 – $2,526.97 | 1 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $420.64 – $3,051.44 | 21 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $187.22 – $1,049.06 | 21 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $4.49 – $4.49 | 1 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $4.27 – $4.27 | 1 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $32.46 – $32.46 | 1 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $11.81 – $11.81 | 1 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $12.38 – $12.38 | 1 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $52.88 – $52.88 | 1 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $111.41 – $111.41 | 1 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | not published | not published | $0.52 – $0.52 | 1 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $8.81 – $8.81 | 1 |
| Drug admin & hemodynmic meas CPT 93463 | not published | not published | $118.91 – $118.91 | 1 |
| Drug assay rufinamide CPT 80210 | not published | not published | $14.52 – $58.06 | 21 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $20.66 – $82.62 | 21 |
| Drug assay voriconazole CPT 80285 | not published | not published | $14.52 – $58.06 | 21 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $9.98 – $39.92 | 21 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $14.52 – $58.06 | 21 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $22.37 – $23.49 | 5 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $198.74 – $425.70 | 21 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $246.92 – $528.90 | 21 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $156.59 – $335.42 | 21 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $62.14 – $133.10 | 21 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $133.72 – $7,768.28 | 21 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $133.72 – $823.04 | 21 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $117.10 – $823.04 | 21 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $128.74 – $1,261.00 | 21 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $153.38 – $1,261.00 | 21 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $208.33 – $1,130.12 | 21 |
| Duodenal exclusion CPT 48547 | not published | not published | $2,843.05 – $2,843.05 | 1 |
| Duodenal motility study CPT 91022 | not published | not published | $112.16 – $1,093.04 | 18 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $248.97 – $497.94 | 18 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $109.53 – $219.06 | 18 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | not published | not published | $161.15 – $370.52 | 21 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $86.40 – $172.80 | 18 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $161.15 – $322.30 | 18 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $20.62 – $20.62 | 1 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $525.71 – $3,552.42 | 21 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $525.71 – $3,552.42 | 21 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $411.01 – $822.02 | 18 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $965.69 – $1,931.38 | 18 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $334.95 – $1,931.38 | 21 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $320.74 – $641.48 | 18 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $161.15 – $322.30 | 18 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $80.41 – $331.00 | 2 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $215.20 – $331.00 | 2 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $70.47 – $331.00 | 2 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $155.59 – $799.92 | 21 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $525.71 – $3,552.42 | 21 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $137.09 – $331.00 | 2 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $98.19 – $501.02 | 18 |
| Dynamic surface emg CPT 96002 | not published | not published | $26.56 – $641.48 | 18 |
| Ear and throat examination CPT 92502 | not published | not published | $524.53 – $1,049.06 | 18 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $94.96 – $3,051.44 | 21 |
| Ear cartilage graft CPT 21235 | not published | not published | $1,954.22 – $12,186.28 | 21 |
| Ear protector evaluation CPT 92596 | not published | not published | $40.43 – $80.86 | 18 |
| Ecallantide injection HCPCS J1290 | not published | not published | $579.99 – $1,159.98 | 18 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $8.44 – $8.44 | 1 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $94.54 – $189.08 | 18 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $40.43 – $80.86 | 18 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $40.43 – $80.86 | 18 |
| Ecg record/review CPT 93268 | not published | not published | $240.34 – $240.34 | 1 |
| Ecg/review interpret only CPT 93272 | not published | not published | $30.36 – $30.36 | 1 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | not published | not published | $23.19 – $23.19 | 1 |
| Echo exam of eye CPT 76516 | not published | not published | $54.77 – $219.06 | 21 |
| Echo exam of eye CPT 76519 | not published | not published | $54.77 – $219.06 | 21 |
| Echo exam of eye CPT 76529 | not published | not published | $45.35 – $181.38 | 21 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $12.61 – $50.44 | 21 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $282.38 – $1,129.50 | 21 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $124.49 – $497.94 | 21 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $54.77 – $219.06 | 21 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $54.77 – $219.06 | 21 |
| Echo exam uterus 76831- CPT 76831 | not published | not published | $124.49 – $497.94 | 21 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $57.02 – $331.00 | 2 |
| Echo guidance radiotherapy HCPCS G6001 | not published | not published | $128.71 – $128.71 | 1 |
| Echo guide for amniocentesis CPT 76946 | not published | not published | $30.13 – $331.00 | 2 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $76.57 – $331.00 | 2 |
| Echo guide for transfusion CPT 76941 | not published | not published | $160.46 – $331.00 | 2 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $92.03 – $331.00 | 2 |
| Echo guide villus sampling CPT 76945 | not published | not published | $80.64 – $331.00 | 2 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $33.31 – $1,129.50 | 21 |
| Echo tee guidance CPT 93355 | not published | not published | $237.11 – $277.03 | 6 |
| Echo transesophageal CPT 93313 | not published | not published | $13.91 – $1,129.50 | 21 |
| Echo transesophageal CPT 93314 | not published | not published | $173.72 – $173.72 | 1 |
| Echo transesophageal CPT 93315 | not published | not published | $564.75 – $1,129.50 | 21 |
| Echo transesophageal CPT 93317 | not published | not published | $111.31 – $111.31 | 1 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $564.75 – $1,129.50 | 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.