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 |
|---|---|---|---|---|
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $73.31 – $146.62 | 18 |
| Injection of sinus tract CPT 20500 | not published | not published | $60.63 – $3,051.44 | 21 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $288.00 – $288.00 | 1 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.73 – $3.46 | 18 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $4.79 – $4.79 | 1 |
| Injection px peyronie ds CPT 54200 | not published | not published | $60.08 – $501.02 | 21 |
| Injection, renflexis HCPCS Q5104 | not published | not published | $27.05 – $54.10 | 18 |
| Injection, ruconest HCPCS J0596 | not published | not published | $35.71 – $71.42 | 18 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $160.65 – $321.30 | 18 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $36.79 – $36.79 | 1 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $5.71 – $5.71 | 1 |
| Injection treatment of eye CPT 66020 | not published | not published | $849.94 – $4,698.32 | 21 |
| Injection treatment of eye CPT 66030 | not published | not published | $849.94 – $4,698.32 | 21 |
| Injection treatment of nerve CPT 64605 | not published | not published | $659.94 – $4,022.72 | 21 |
| Injection treatment of nerve CPT 64681 | not published | not published | $340.77 – $1,834.00 | 21 |
| Inject/treat eye socket CPT 67500 | not published | not published | $26.30 – $615.80 | 21 |
| Inject/treat eye socket CPT 67505 | not published | not published | $34.88 – $615.80 | 21 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $34.09 – $68.18 | 18 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $22.80 – $45.60 | 18 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $387.87 – $775.74 | 18 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $53.58 – $107.16 | 18 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $262.86 – $1,834.00 | 21 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $0.58 – $0.58 | 1 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $2.71 – $2.71 | 1 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $9.06 – $9.06 | 1 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $443.20 – $443.20 | 1 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $191.90 – $383.80 | 18 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $18.54 – $37.08 | 18 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $2,401,964.94 – $4,803,929.88 | 18 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.82 – $19.64 | 18 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $36.31 – $72.62 | 18 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $140.57 – $281.14 | 18 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.08 – $0.08 | 1 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.14 – $2.28 | 18 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $7.92 – $15.84 | 18 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $3.21 – $6.42 | 18 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $506.63 – $506.63 | 1 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $523.53 – $523.53 | 1 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $0.45 – $0.90 | 18 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $677.84 – $1,355.68 | 18 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | not published | not published | $7.12 – $7.12 | 1 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $12.63 – $25.26 | 18 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $21.84 – $43.68 | 18 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $137.95 – $137.95 | 1 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $367.03 – $367.03 | 1 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | not published | not published | $11.86 – $11.86 | 1 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $118.93 – $237.86 | 18 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,854.04 – $5,708.08 | 18 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $2.08 – $4.16 | 18 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | not published | not published | $4.46 – $4.46 | 1 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $441.43 – $441.43 | 1 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $5.68 – $11.36 | 18 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $75.73 – $151.46 | 18 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $25.68 – $25.68 | 1 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $3,821,307.87 – $7,642,615.74 | 18 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $0.91 – $0.91 | 1 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $64.95 – $129.90 | 18 |
| Inj, hercessi, 10 mg HCPCS Q5146 | not published | not published | $246.28 – $246.28 | 1 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $74.14 – $148.28 | 18 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $1.52 – $3.04 | 18 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | not published | not published | $5.34 – $10.68 | 18 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $79.44 – $158.88 | 18 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $15.47 – $30.94 | 18 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $2.58 – $5.16 | 18 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $117.14 – $117.14 | 1 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.14 – $0.28 | 18 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $498.93 – $997.86 | 18 |
| Inj. infugem, 100 mg HCPCS J9198 | not published | not published | $104.84 – $104.84 | 1 |
| Inj. insulin (fiasp) HCPCS J1812 | not published | not published | $3.99 – $3.99 | 1 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $204.66 – $409.32 | 18 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $204.66 – $409.32 | 18 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $13.00 – $26.00 | 18 |
| Inj ivig privigen 500 mg HCPCS J1459 | not published | not published | $50.76 – $101.52 | 18 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $2.27 – $4.54 | 18 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.52 – $5.04 | 18 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.52 – $3.04 | 18 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | not published | not published | $3.82 – $3.82 | 1 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $204.79 – $204.79 | 1 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $31.60 – $63.20 | 18 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.37 – $2.74 | 18 |
| Inj lefamulin 1 mg HCPCS J0691 | not published | not published | $2.22 – $2.22 | 1 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $22.64 – $45.28 | 18 |
| Inj levocarnitine per 1 gm HCPCS J1955 | not published | not published | $91.74 – $91.74 | 1 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | not published | not published | $0.66 – $0.66 | 1 |
| Inj, levothyroxine, freskabi HCPCS J0651 | not published | not published | $3.93 – $7.86 | 18 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $5.29 – $10.58 | 18 |
| Inj, linezolid (hospira) HCPCS J2021 | not published | not published | $50.66 – $50.66 | 1 |
| Inj, lovotibeglogene autotem HCPCS J3394 | not published | not published | $3,288,796.77 – $6,577,593.54 | 18 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $327.55 – $655.10 | 18 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $24.09 – $48.18 | 18 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $3,268.43 – $6,536.86 | 18 |
| Inj. meloxicam 1 mg HCPCS J1738 | not published | not published | $8.64 – $8.64 | 1 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | not published | $137.70 – $275.40 | 18 |
| Inj, melphalan (apotex) 1 mg HCPCS J9249 | not published | not published | $52.08 – $52.08 | 1 |
| Inj, melphalan flufenami 1mg HCPCS J9247 | not published | not published | $1,541.37 – $1,541.37 | 1 |
| Inj melphalan (hepzato) 1 mg HCPCS J9248 | not published | not published | $797.02 – $1,594.04 | 18 |
| Inj menotropins 75 iu HCPCS S0122 | not published | not published | $547.49 – $547.49 | 1 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | not published | not published | $3.66 – $3.66 | 1 |
| Inj., meropenem, vaborbactam HCPCS J2186 | not published | not published | $2.16 – $4.32 | 18 |
| Inj, micafungin (par pharm) HCPCS J2247 | not published | not published | $0.75 – $0.75 | 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.