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 |
|---|---|---|---|---|
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $132.74 – $265.48 | 18 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $415.34 – $415.34 | 1 |
| Init nb em per day non-fac CPT 99461 | not published | not published | $75.06 – $75.06 | 1 |
| Init pm e/m new pat 65+ yrs CPT 99387 | not published | not published | $152.22 – $152.22 | 1 |
| Init/sub psych care m 1st 30 HCPCS G2214 | not published | not published | $47.22 – $190.56 | 18 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $6.10 – $12.20 | 18 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $7.28 – $14.56 | 18 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.66 – $0.66 | 1 |
| Inj. acthar gel to 40 units HCPCS J0801 | not published | not published | $12,612.11 – $12,612.11 | 1 |
| Inj, adalimumab, 1 mg HCPCS J0139 | not published | not published | $94.48 – $188.96 | 18 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $10.86 – $21.72 | 18 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $65,304.24 – $130,608.48 | 18 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $6.16 – $12.32 | 18 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $35.61 – $71.22 | 18 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $338.93 – $677.86 | 18 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.57 – $3.14 | 18 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | not published | not published | $7.92 – $7.92 | 1 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $4.53 – $9.06 | 18 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $151.30 – $302.60 | 18 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $59.98 – $119.96 | 18 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $9.35 – $18.70 | 18 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $135.75 – $271.50 | 18 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $18.29 – $36.58 | 18 |
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $9,051.34 – $9,051.34 | 1 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $1.92 – $3.84 | 18 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $3.22 – $6.44 | 18 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $53.39 – $106.78 | 18 |
| Inj. asceniv HCPCS J1554 | not published | not published | $509.82 – $1,019.64 | 18 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $55.76 – $111.52 | 18 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $111.96 – $223.92 | 18 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $80.20 – $160.40 | 18 |
| Inj belantamab mafodot blmf HCPCS J9037 | not published | not published | $42.98 – $85.96 | 18 |
| Inj., benralizumab, 1 mg HCPCS J0517 | not published | not published | $170.87 – $341.74 | 18 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | not published | not published | $41.97 – $41.97 | 1 |
| Inj, betibeglogene autotemce HCPCS J3393 | not published | not published | $3,057,046.29 – $6,114,092.58 | 18 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | not published | not published | $41.07 – $82.14 | 18 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $216.19 – $432.38 | 18 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | not published | not published | $0.58 – $0.58 | 1 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $5.06 – $10.12 | 18 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $8.28 – $34.00 | 18 |
| Inj, bortezomib, hospira HCPCS J9049 | not published | not published | $21.99 – $21.99 | 1 |
| Inj., brexanolone, 1 mg HCPCS J1632 | not published | not published | $205.53 – $205.53 | 1 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $441.52 – $883.04 | 18 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $1,766.07 – $3,532.14 | 18 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $349.06 – $698.12 | 18 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $0.52 – $1.04 | 18 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $174.28 – $348.56 | 18 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | not published | not published | $2.08 – $2.08 | 1 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $0.05 – $0.10 | 18 |
| Inj cefazolin sodium, baxter HCPCS J0689 | not published | not published | $3.60 – $3.60 | 1 |
| Inj cefazolin sodium, hikma HCPCS J0688 | not published | not published | $1.03 – $2.06 | 18 |
| Inj cefazolin (wg crit care) HCPCS J0687 | not published | not published | $1.14 – $2.28 | 18 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | not published | not published | $16.73 – $16.73 | 1 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | not published | not published | $2.35 – $4.70 | 18 |
| Inj ceftolozane tazobactam HCPCS J0695 | not published | not published | $8.39 – $16.78 | 18 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $246.81 – $246.81 | 1 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $16.20 – $32.40 | 18 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $173.80 – $347.60 | 18 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $92.06 – $184.12 | 18 |
| Inj, clevidipine butyrate HCPCS C9248 | not published | not published | $2.88 – $5.76 | 18 |
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $91.84 – $183.68 | 18 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $1,057.99 – $2,115.98 | 18 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $551.98 – $1,103.96 | 18 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $37.09 – $37.09 | 1 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $17.11 – $34.22 | 18 |
| Inj, cyclophos (baxter) 5mg HCPCS J9076 | not published | not published | $13.52 – $13.52 | 1 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $10.08 – $10.08 | 1 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.72 – $1.44 | 18 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | not published | not published | $2.26 – $4.52 | 18 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $4.48 – $8.96 | 18 |
| Inj, daptomycin (baxter) HCPCS J0874 | not published | not published | $0.22 – $0.22 | 1 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.19 – $0.19 | 1 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.04 – $0.08 | 18 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $3.22 – $6.44 | 18 |
| Inj, decitabine (sun pharma) HCPCS J0893 | not published | not published | $4.88 – $4.88 | 1 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $3,421,442.00 – $6,842,884.00 | 18 |
| Inj diclofenac sodium 0.5mg HCPCS J1130 | not published | not published | $0.58 – $0.58 | 1 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.21 – $8.42 | 18 |
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $6.90 – $13.80 | 18 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $51.79 – $103.58 | 18 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $483.82 – $967.64 | 18 |
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $1,909.61 – $1,909.61 | 1 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $441.43 – $441.43 | 1 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $6.59 – $6.59 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $67.28 – $134.56 | 18 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $1.36 – $1.36 | 1 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $1.91 – $1.91 | 1 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $22.33 – $44.66 | 18 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $136.42 – $136.42 | 1 |
| Injection, fulvestrant HCPCS J9395 | not published | not published | $6.86 – $13.72 | 18 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $176.72 – $353.44 | 18 |
| Injection into brain canal CPT 61026 | not published | not published | $262.86 – $1,426.60 | 21 |
| Injection into brain canal CPT 61055 | not published | not published | $108.15 – $608.10 | 21 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $210.13 – $1,878.12 | 21 |
| Injection into spinal artery CPT 62294 | not published | not published | $917.00 – $1,834.00 | 18 |
| Injection into vocal cord CPT 31513 | not published | not published | $155.59 – $799.92 | 21 |
| Injection intraop add-on CPT 48400 | not published | not published | $168.17 – $168.17 | 1 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $1.02 – $2.04 | 18 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $6.29 – $6.29 | 1 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.90 – $11.80 | 18 |
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.