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 |
|---|---|---|---|---|
| Insti hexaminolevulinate hcl HCPCS A9589 | not published | not published | $3,513.75 – $3,513.75 | 1 |
| Instill, bupivac and meloxic HCPCS C9088 | not published | not published | $0.79 – $1.58 | 18 |
| Instill pharm renal pelvis HCPCS C9789 | not published | not published | $2,318.02 – $4,636.04 | 18 |
| Ins trurl ablt trnsdc thr Ultrasound CPT 51721 | not published | not published | $333.26 – $333.26 | 1 |
| Inst tauro 1.35mg/hep 100u HCPCS J0911 | not published | not published | $8.92 – $17.84 | 18 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | not published | not published | $1,939.15 – $11,135.76 | 21 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | not published | not published | $2,529.23 – $11,135.76 | 21 |
| Ins tun intraperit dia cath CPT 49421 | not published | not published | $1,151.54 – $7,269.88 | 21 |
| Inst via cath agent pleurds CPT 32560 | not published | not published | $636.81 – $1,273.62 | 18 |
| Insulin suppression panel CPT 80432 | not published | not published | $88.69 – $354.74 | 21 |
| Insulin tolerance panel CPT 80434 | not published | not published | $152.64 – $610.54 | 21 |
| Insulin tolerance panel CPT 80435 | not published | not published | $55.16 – $220.62 | 21 |
| Ins vag brachytx device CPT 57156 | not published | not published | $116.74 – $626.64 | 21 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | not published | not published | $4,539.97 – $4,539.97 | 1 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | not published | not published | $150.09 – $157.59 | 5 |
| Intens behave ther cardio dx HCPCS G0446 | not published | not published | $30.68 – $61.36 | 18 |
| Intens cardiac rehab no exer HCPCS G0423 | not published | not published | $129.69 – $259.38 | 18 |
| Intens cardiac rehab w/exerc HCPCS G0422 | not published | not published | $129.69 – $259.38 | 18 |
| Interdental fixation CPT 21110 | not published | not published | $420.64 – $3,051.44 | 21 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $420.64 – $3,051.44 | 21 |
| Interdiscal perq aspir dx CPT 62267 | not published | not published | $257.60 – $1,449.40 | 21 |
| Interferon alfa-2b inj HCPCS J9214 | not published | not published | $64.62 – $64.62 | 1 |
| Interferon alfacon-1 inj HCPCS J9212 | not published | not published | $26.65 – $26.65 | 1 |
| Interferon alfa-n3 inj HCPCS J9215 | not published | not published | $81.35 – $81.35 | 1 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | not published | not published | $57.29 – $114.58 | 18 |
| Interferon beta-1a inj HCPCS J1826 | not published | not published | $2,269.24 – $4,538.48 | 18 |
| Interferon beta-1b / .25 mg HCPCS J1830 | not published | not published | $1,230.41 – $1,230.41 | 1 |
| Interferon gamma 1-b inj HCPCS J9216 | not published | not published | $18,659.91 – $18,659.91 | 1 |
| Interphalangeal joint spacer HCPCS L8658 | not published | not published | $206.26 – $216.57 | 5 |
| Interrogate subq defib CPT 93261 | not published | not published | $38.41 – $76.82 | 18 |
| Interrogation vad in person CPT 93750 | not published | not published | $55.66 – $189.08 | 18 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $38.41 – $76.82 | 18 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $25.22 – $50.44 | 18 |
| Interrog device eval heart CPT 93289 | not published | not published | $38.41 – $76.82 | 18 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $94.54 – $189.08 | 18 |
| Interrog&prgrmg ipnss polysm CPT 93152 | not published | not published | $308.91 – $617.82 | 18 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $94.54 – $189.08 | 18 |
| Interstitial brachy inter CPT 77799 | not published | not published | $56.40 – $225.58 | 18 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $2,189.53 – $2,189.53 | 1 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $1,705.84 – $1,705.84 | 1 |
| Intestine transplnt cadaver CPT 44135 | not published | not published | $4,858.39 – $4,858.39 | 1 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $939.93 – $5,649.34 | 21 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $939.93 – $5,649.34 | 21 |
| Intra-atrial pacing CPT 93610 | not published | not published | $7,815.76 – $15,631.52 | 18 |
| Intra-atrial recording CPT 93602 | not published | not published | $7,815.76 – $15,631.52 | 18 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $2,334.16 – $2,334.16 | 1 |
| Intracranial angioplasty CPT 61630 | not published | not published | $2,226.24 – $2,226.24 | 1 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $3,620.91 – $3,620.91 | 1 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $6,765.26 – $6,765.26 | 1 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $4,554.91 – $4,554.91 | 1 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $7,473.55 – $7,473.55 | 1 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $3,487.81 – $3,487.81 | 1 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $5,960.54 – $5,960.54 | 1 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $88.87 – $3,051.44 | 21 |
| Intranasal reconstruction CPT 30620 | not published | not published | $1,954.22 – $12,186.28 | 21 |
| Intraop hipec px 1st 60 min CPT 96547 | not published | not published | $33.31 – $33.31 | 1 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $83.33 – $1,049.06 | 21 |
| Intraoral periapical first HCPCS D0220 | not published | not published | $90.69 – $181.38 | 18 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $450.30 – $900.60 | 18 |
| Intraventricular pacing CPT 93612 | not published | not published | $7,815.76 – $15,631.52 | 18 |
| Intro cath dialysis circuit CPT 36901 | not published | not published | $446.27 – $3,200.10 | 21 |
| Intro cath dialysis circuit w/pta CPT 36902 | not published | not published | $1,764.89 – $11,745.16 | 21 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $5,270.09 – $23,361.62 | 21 |
| Intro long gi tube CPT 44500 | not published | not published | $334.95 – $1,931.38 | 21 |
| Intro long gi tube w/mult fluo CPT 74340 | not published | not published | $62.72 – $62.72 | 1 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $525.71 – $3,552.42 | 21 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $61.18 – $122.36 | 18 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | not published | $4,989.52 – $4,989.52 | 1 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $214.84 – $429.68 | 18 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $833.19 – $833.19 | 1 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $38.41 – $76.82 | 18 |
| Ionm in operatng room 15 min CPT 95940 | not published | not published | $39.22 – $39.22 | 1 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | not published | $216.73 – $216.73 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | not published | not published | $0.78 – $0.78 | 1 |
| Io radiation tx management CPT 77469 | not published | not published | $804.39 – $804.39 | 1 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $648.87 – $15,747.68 | 18 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $598.82 – $15,747.68 | 18 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $0.89 – $0.89 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $185.45 – $370.90 | 18 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | not published | not published | $137.04 – $137.04 | 1 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | not published | not published | $199.02 – $199.02 | 1 |
| Ip/obs consltj new/est hi 80 CPT 99255 | not published | not published | $239.50 – $239.50 | 1 |
| Ip/obs consltj new/est sf 35 CPT 99252 | not published | not published | $88.97 – $88.97 | 1 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $1.41 – $1.41 | 1 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $7.92 – $7.92 | 1 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $66.15 – $132.30 | 18 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $3.69 – $14.74 | 21 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $592.78 – $3,051.44 | 21 |
| Irrigation syringe HCPCS A4322 | not published | not published | $3.04 – $3.04 | 1 |
| Irrigation tray HCPCS A4320 | not published | not published | $4.91 – $4.91 | 1 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $61.18 – $122.36 | 18 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $81.73 – $163.46 | 18 |
| Island pedicle flap graft CPT 15740 | not published | not published | $709.01 – $3,768.22 | 21 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $670.02 – $1,340.04 | 18 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $229.00 – $229.00 | 1 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $206.95 – $827.78 | 18 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $411.01 – $822.02 | 18 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $91.68 – $366.72 | 21 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $140.52 – $281.04 | 18 |
| Jak2 targeted sequence analysis CPT 81279 | not published | not published | $99.18 – $396.70 | 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.