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 |
|---|---|---|---|---|
| Full field erg w/i&r CPT 92273 | not published | not published | $114.70 – $641.48 | 18 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $124.49 – $497.94 | 21 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $709.01 – $3,768.22 | 21 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $709.01 – $3,768.22 | 21 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $709.01 – $3,768.22 | 21 |
| Functional brain mapping CPT 96020 | not published | not published | $196.91 – $196.91 | 1 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | not published | $4.02 – $4.02 | 1 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $5,173.37 – $5,173.37 | 1 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $2,184.06 – $2,184.06 | 1 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $2,224.05 – $2,224.05 | 1 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $2,216.37 – $2,216.37 | 1 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $2,068.48 – $2,068.48 | 1 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $2,342.91 – $2,342.91 | 1 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $4,818.95 – $4,818.95 | 1 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $2,641.47 – $2,641.47 | 1 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $2,073.95 – $2,073.95 | 1 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $1,729.93 – $1,729.93 | 1 |
| Fuse upper gi structures CPT 47721 | not published | not published | $2,155.57 – $2,155.57 | 1 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $3,729.79 – $14,716.12 | 21 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $7,120.60 – $26,505.70 | 21 |
| Fusion of big toe joint CPT 28750 | not published | not published | $3,471.48 – $14,716.12 | 21 |
| Fusion of big toe joint CPT 28755 | not published | not published | $2,398.52 – $14,716.12 | 21 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $2,015.34 – $2,015.34 | 1 |
| Fusion of finger joint CPT 26860 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Fusion of finger tendons CPT 26471 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Fusion of finger tendons CPT 26474 | not published | not published | $593.04 – $3,296.86 | 21 |
| Fusion of foot bones CPT 28730 | not published | not published | $7,382.01 – $26,505.70 | 21 |
| Fusion of foot bones CPT 28735 | not published | not published | $7,505.68 – $26,505.70 | 21 |
| Fusion of foot bones CPT 28740 | not published | not published | $3,600.17 – $14,716.12 | 21 |
| Fusion of hand joint CPT 26843 | not published | not published | $3,251.46 – $14,716.12 | 21 |
| Fusion of knee CPT 27580 | not published | not published | $2,277.74 – $2,277.74 | 1 |
| Fusion of knuckle CPT 26850 | not published | not published | $2,398.52 – $14,716.12 | 21 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $1,407.66 – $6,683.92 | 21 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $3,122.54 – $14,716.12 | 21 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $2,398.52 – $14,716.12 | 21 |
| Fusion of skull arteries CPT 61711 | not published | not published | $4,152.82 – $4,152.82 | 1 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $2,109.97 – $4,219.94 | 18 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $3,552.45 – $7,104.90 | 18 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Fusion of thumb CPT 26841 | not published | not published | $2,398.52 – $14,716.12 | 21 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $7,411.52 – $26,505.70 | 21 |
| Fusion of toes CPT 28280 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $2,222.41 – $2,222.41 | 1 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $1,943.58 – $1,943.58 | 1 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $1,829.09 – $1,829.09 | 1 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $147.17 – $588.68 | 18 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $73.37 – $293.46 | 18 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $147.17 – $588.68 | 18 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $99.18 – $396.70 | 18 |
| G0180 home health certification HCPCS G0180 | not published | not published | $63.25 – $63.25 | 1 |
| G6pd full gene sequence CPT 81249 | not published | not published | $321.30 – $1,285.20 | 21 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $93.61 – $374.44 | 21 |
| G6pd known familial variant CPT 81248 | not published | not published | $200.95 – $803.78 | 21 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | not published | not published | $331.54 – $331.54 | 1 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $52.62 – $105.24 | 18 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $1.08 – $1.08 | 1 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.55 – $0.55 | 1 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $45.57 – $45.57 | 1 |
| Galactokinase - sendout CPT 82759 | not published | not published | $11.51 – $46.02 | 21 |
| Galactose transferase test CPT 82776 | not published | not published | $6.29 – $25.14 | 21 |
| Galectin-3 CPT 82777 | not published | not published | $23.70 – $94.78 | 18 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $1,888.85 – $12,018.80 | 21 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $4.17 – $8.34 | 18 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $178.83 – $766.68 | 18 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $178.83 – $1,101.92 | 18 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $1,068.53 – $2,137.06 | 18 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $899.65 – $1,799.30 | 18 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $5.51 – $5.51 | 1 |
| Galsulfase injection HCPCS J1458 | not published | not published | $1,031.22 – $1,031.22 | 1 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $508.99 – $1,017.98 | 18 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $50.90 – $101.80 | 18 |
| Gammagraft HCPCS Q4111 | not published | not published | $21.47 – $21.47 | 1 |
| Gammaplex injection HCPCS J1557 | not published | not published | $58.47 – $116.94 | 18 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $50.48 – $100.96 | 18 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $114.87 – $114.87 | 1 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $44,142.72 – $44,142.72 | 1 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $18.79 – $75.16 | 21 |
| Gardner vag dna quant CPT 87512 | not published | not published | $22.37 – $89.46 | 21 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $3.60 – $14.38 | 21 |
| Gastric emptying imag study CPT 78265 | not published | not published | $206.95 – $827.78 | 21 |
| Gastric emptying imag study CPT 78266 | not published | not published | $277.21 – $1,108.84 | 21 |
| Gastric motility studies CPT 91020 | not published | not published | $205.77 – $1,093.04 | 18 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $206.95 – $827.78 | 21 |
| Gastrin test CPT 82938 | not published | not published | $9.48 – $37.90 | 21 |
| Gastroduodenostomy CPT 43810 | not published | not published | $1,611.06 – $1,611.06 | 1 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $166.13 – $1,093.04 | 18 |
| Gastrointestinal repair CPT 43360 | not published | not published | $3,573.26 – $3,573.26 | 1 |
| Gastrointestinal repair CPT 43361 | not published | not published | $4,290.87 – $4,290.87 | 1 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $2,134.75 – $2,134.75 | 1 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $2,075.04 – $2,075.04 | 1 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $3,095.04 – $3,095.04 | 1 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $965.69 – $1,931.38 | 18 |
| Gated heart multiple CPT 78473 | not published | not published | $206.95 – $827.78 | 21 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | not published | not published | $2.62 – $2.62 | 1 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $2.80 – $2.80 | 1 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | not published | not published | $2.31 – $2.31 | 1 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $1.03 – $1.03 | 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.