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 |
|---|---|---|---|---|
| Liver elastography 91200 CPT 91200 | not published | not published | $161.15 – $322.30 | 21 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $2,307.31 – $2,307.31 | 1 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $277.21 – $1,108.84 | 21 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $206.95 – $827.78 | 21 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $2,402.95 – $4,805.90 | 18 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $1.86 – $1.86 | 1 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $239.66 – $239.66 | 1 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $218.48 – $436.96 | 18 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $82.14 – $164.28 | 18 |
| Loudness balance test CPT 92562 | not published | not published | $161.87 – $641.48 | 18 |
| Low back disk surgery CPT 63030 | not published | not published | $2,398.52 – $14,716.12 | 21 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $1,884.11 – $3,768.22 | 18 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $630.50 – $1,261.00 | 18 |
| Lower jaw bone graft CPT 21215 | not published | not published | $2,788.09 – $12,186.28 | 21 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $204.43 – $409.32 | 18 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $41.55 – $41.55 | 1 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $1,888.85 – $21,447.16 | 21 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $10,723.58 – $21,447.16 | 18 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $3,110.01 – $21,447.16 | 21 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $10,723.58 – $21,447.16 | 18 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $88.38 – $176.76 | 18 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $1,269.17 – $2,538.34 | 18 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $170.63 – $341.26 | 18 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $302.16 – $604.32 | 18 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $11.78 – $47.10 | 21 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $1.73 – $1.73 | 1 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $1,005.68 – $4,022.72 | 21 |
| Lumizyme injection HCPCS J0221 | not published | not published | $207.69 – $415.38 | 18 |
| Lung transplant double CPT 32853 | not published | not published | $7,314.15 – $7,314.15 | 1 |
| Lung transplant single CPT 32851 | not published | not published | $5,223.22 – $5,223.22 | 1 |
| Lung transplant with bypass CPT 32852 | not published | not published | $5,678.43 – $5,678.43 | 1 |
| Lung transplant with bypass CPT 32854 | not published | not published | $7,762.79 – $7,762.79 | 1 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $2,327.58 – $2,327.58 | 1 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $211.05 – $422.10 | 18 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $42.52 – $85.04 | 18 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $305.14 – $610.28 | 18 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $248.45 – $496.90 | 18 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $25.22 – $50.44 | 18 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $10.74 – $42.94 | 21 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $1,122.43 – $1,122.43 | 1 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $19.58 – $78.32 | 21 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $26.26 – $105.02 | 21 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $101.49 – $405.94 | 21 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $25.49 – $101.94 | 21 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $318.41 – $1,273.62 | 21 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $800.03 – $3,200.10 | 21 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $1,620.97 – $6,483.86 | 21 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $1,620.97 – $6,483.86 | 21 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $187.22 – $1,049.06 | 21 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $1,063.52 – $6,549.84 | 21 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $48.50 – $48.50 | 1 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $26.92 – $26.92 | 1 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $2.29 – $9.14 | 21 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $2.31 – $9.24 | 21 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $124.49 – $497.94 | 21 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $14.23 – $28.46 | 18 |
| Malaria antibody CPT 86750 | not published | not published | $7.07 – $28.26 | 21 |
| Male sling procedure CPT 53440 | not published | not published | $7,582.22 – $26,764.44 | 21 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $4,820.59 – $4,820.59 | 1 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $593.04 – $3,296.86 | 21 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $593.04 – $3,296.86 | 21 |
| Manipulation of hip joint CPT 27275 | not published | not published | $593.04 – $3,296.86 | 21 |
| Manipulation of spine CPT 22505 | not published | not published | $593.04 – $3,296.86 | 21 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $8.50 – $8.50 | 1 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $18.23 – $18.23 | 1 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $2.72 – $10.86 | 21 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $105.84 – $105.84 | 1 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $50.88 – $101.76 | 18 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $1.00 – $2,344.20 | 18 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $1,796.76 – $1,796.76 | 1 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $133.59 – $372.60 | 18 |
| Mastectomy partial CPT 19301 | not published | not published | $963.66 – $7,888.34 | 21 |
| Mast mod rad CPT 19307 | not published | not published | $6,717.12 – $13,434.24 | 18 |
| Mastoidectomy CPT 69501 | not published | not published | $1,954.22 – $12,186.28 | 21 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $1,954.22 – $12,186.28 | 21 |
| Mastoid surgery revision CPT 69603 | not published | not published | $1,954.22 – $12,186.28 | 21 |
| Mastopexy CPT 19316 | not published | not published | $1,845.21 – $13,434.24 | 21 |
| Mast radical CPT 19305 | not published | not published | $1,792.93 – $1,792.93 | 1 |
| Mast rad urban type CPT 19306 | not published | not published | $1,899.76 – $1,899.76 | 1 |
| Mast simple complete CPT 19303 | not published | not published | $1,845.21 – $13,434.24 | 21 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $6.66 – $6.66 | 1 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $18.79 – $75.16 | 21 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $14.62 – $58.46 | 21 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $22.94 – $91.76 | 21 |
| Maxillofacial fixation CPT 21100 | not published | not published | $1,954.22 – $12,186.28 | 21 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $13.47 – $14.14 | 5 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | not published | not published | $65.14 – $260.54 | 21 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $73.37 – $293.46 | 21 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | not published | not published | $621.18 – $2,484.72 | 21 |
| Mayo avwpr vw factor activity CPT 85397 | not published | not published | $16.53 – $66.10 | 21 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $65.45 – $261.80 | 21 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | not published | not published | $62.38 – $249.52 | 21 |
| Mayo cyanide CPT 82600 | not published | not published | $10.39 – $41.56 | 21 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $88.25 – $353.00 | 18 |
| Mayo dihydrotestosterone CPT 82642 | not published | not published | $15.68 – $62.72 | 21 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $5.16 – $20.64 | 21 |
| Mayo everolimus therapeutic drug level CPT 80169 | not published | not published | $7.35 – $29.40 | 21 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $43.09 – $172.34 | 21 |
| Mayo ffspg allergen clam igg CPT 86001 | not published | not published | $4.19 – $16.76 | 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.