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 |
|---|---|---|---|---|
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $197.75 – $434.02 | 18 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $143.08 – $823.04 | 21 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $420.64 – $3,051.44 | 21 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $3.91 – $15.64 | 21 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $85.32 – $494.16 | 21 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $85.32 – $494.16 | 21 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $13.02 – $52.06 | 21 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $3,274.92 – $6,549.84 | 18 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $546.52 – $1,093.04 | 18 |
| Ghs windowing of cast CPT 29730 | not published | not published | $27.69 – $325.04 | 21 |
| Giardia ag if CPT 87269 | not published | not published | $7.29 – $29.16 | 21 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $7.89 – $31.54 | 21 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $124.49 – $497.94 | 21 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $289.86 – $6,680.74 | 21 |
| Gi protein loss CPT 78282 | not published | not published | $206.95 – $827.78 | 21 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $939.06 – $1,878.12 | 21 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $890.97 – $1,931.38 | 21 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $965.69 – $1,931.38 | 21 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $54.15 – $216.60 | 21 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $32.95 – $131.78 | 21 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $18.75 – $74.98 | 21 |
| Glassia injection HCPCS J0257 | not published | not published | $5.68 – $11.36 | 18 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $25.22 – $50.44 | 18 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $40.43 – $80.86 | 18 |
| Glaucoma surgery CPT 66150 | not published | not published | $1,533.49 – $8,287.10 | 21 |
| Glaucoma surgery CPT 66155 | not published | not published | $2,206.78 – $8,287.10 | 21 |
| Glaucoma surgery CPT 66160 | not published | not published | $849.94 – $4,698.32 | 21 |
| Glaucoma surgery CPT 66170 | not published | not published | $849.94 – $4,698.32 | 21 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $115.27 – $230.54 | 18 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $24.67 – $98.68 | 21 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $27.05 – $108.18 | 21 |
| Glucagon tolerance test CPT 82946 | not published | not published | $9.52 – $38.06 | 21 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $3.24 – $12.96 | 21 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $40.25 – $40.25 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $10.86 – $21.72 | 18 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $79.48 – $317.90 | 21 |
| Gonioscopy CPT 92020 | not published | not published | $127.57 – $265.54 | 18 |
| Goniotomy CPT 65820 | not published | not published | $1,533.49 – $8,287.10 | 21 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $724.15 – $1,448.30 | 18 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | not published | $94.68 – $94.68 | 1 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $9.51 – $9.51 | 1 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $3,341.96 – $6,683.92 | 18 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $97.75 – $97.75 | 1 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $2,835.51 – $2,835.51 | 1 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $146.92 – $146.92 | 1 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | not published | $124.99 – $124.99 | 1 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,731.04 – $1,731.04 | 1 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $126.62 – $126.62 | 1 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | not published | not published | $9.51 – $9.51 | 1 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $23.55 – $23.55 | 1 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $1.47 – $1.47 | 1 |
| Granulocyte pheresis ea unit HCPCS P9050 | not published | not published | $1,093.88 – $1,148.57 | 5 |
| Great toe-hand transfer CPT 26551 | not published | not published | $5,183.78 – $5,183.78 | 1 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $709.01 – $3,768.22 | 21 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $1,457.62 – $7,541.62 | 21 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $1,457.62 – $7,541.62 | 21 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $30.68 – $61.36 | 18 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $18.98 – $18.98 | 1 |
| Group train without patient HCPCS G0543 | not published | not published | $12.68 – $12.68 | 1 |
| Growth hormone antibody CPT 86277 | not published | not published | $8.43 – $33.72 | 21 |
| Growth hormone panel CPT 80428 | not published | not published | $35.72 – $142.88 | 21 |
| Growth hormone panel CPT 80430 | not published | not published | $69.26 – $277.02 | 21 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $40.49 – $161.94 | 21 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $30.68 – $61.36 | 18 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $30.68 – $61.36 | 18 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $3,057.24 – $3,057.24 | 1 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $2,004.93 – $2,004.93 | 1 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $2,575.18 – $2,575.18 | 1 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $2,854.01 – $2,854.01 | 1 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,894.82 – $1,894.82 | 1 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,953.90 – $3,907.80 | 18 |
| G-tube reposition CPT 43761 | not published | not published | $110.15 – $501.02 | 21 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $1,054.99 – $4,219.94 | 21 |
| Guided cath fluid drainage 10030 CPT 10030 | not published | not published | $257.60 – $1,449.40 | 21 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $292.27 – $292.27 | 1 |
| Gum graft CPT 41870 | not published | not published | $420.64 – $3,051.44 | 21 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $963.66 – $7,888.34 | 21 |
| Hair analysis HCPCS P2031 | not published | not published | $5.30 – $10.60 | 18 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $381.73 – $1,261.00 | 18 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $411.52 – $823.04 | 18 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $411.52 – $823.04 | 18 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | not published | $33.35 – $33.35 | 1 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $25.70 – $25.70 | 1 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $48.14 – $48.14 | 1 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $2,398.52 – $14,716.12 | 21 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $130.37 – $130.37 | 1 |
| Harvest auto stem cells CPT 38206 | not published | not published | $564.62 – $3,376.92 | 21 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $709.01 – $3,768.22 | 21 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $2,402.95 – $4,805.90 | 18 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $450.30 – $900.60 | 18 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $127.57 – $265.54 | 18 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $127.57 – $265.54 | 18 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $321.30 – $1,285.20 | 21 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $200.95 – $803.78 | 21 |
| Hbb full gene sequence CPT 81364 | not published | not published | $173.82 – $695.26 | 21 |
| Hbb gene com variants CPT 81361 | not published | not published | $93.61 – $374.44 | 21 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $108.39 – $433.54 | 21 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $200.95 – $803.78 | 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.