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 |
|---|---|---|---|---|
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.69 – $23.38 | 18 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $581.59 – $1,163.18 | 18 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $132.74 – $265.48 | 18 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $34.25 – $137.00 | 21 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $80.50 – $322.00 | 21 |
| Mopath procedure level 5 CPT 81404 | not published | not published | $147.17 – $588.68 | 21 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $161.38 – $645.50 | 21 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $151.48 – $605.92 | 21 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $453.18 – $1,812.72 | 21 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $1,071.00 – $4,284.00 | 21 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $9.47 – $9.47 | 1 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $88.25 – $353.00 | 18 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $185.26 – $741.02 | 18 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $660.30 – $1,320.60 | 18 |
| Motion analysis video/3d CPT 96000 | not published | not published | $114.70 – $1,093.04 | 18 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $153.90 – $2,095.82 | 18 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $127.57 – $822.02 | 18 |
| Mouth piece HCPCS A4617 | not published | not published | $3.35 – $3.35 | 1 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $886.62 – $6,680.74 | 21 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $188.36 – $188.36 | 1 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $311.61 – $311.61 | 1 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $88.25 – $353.00 | 18 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $80.50 – $322.00 | 18 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $10.74 – $42.94 | 21 |
| M.pneumon dna quant CPT 87582 | not published | not published | $162.06 – $648.22 | 21 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $339.46 – $339.46 | 1 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $367.84 – $735.68 | 18 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $248.97 – $497.94 | 18 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $367.84 – $735.68 | 18 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $367.84 – $735.68 | 18 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $248.97 – $497.94 | 18 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $367.84 – $735.68 | 18 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $367.84 – $735.68 | 18 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $367.84 – $735.68 | 18 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $367.84 – $735.68 | 18 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $248.97 – $497.94 | 18 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $248.97 – $497.94 | 18 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $248.97 – $497.94 | 18 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $248.97 – $497.94 | 18 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $367.84 – $735.68 | 18 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $367.84 – $735.68 | 18 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $367.84 – $735.68 | 18 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $367.84 – $735.68 | 18 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $367.84 – $735.68 | 18 |
| Mr elastography CPT 76391 | not published | not published | $124.49 – $497.94 | 21 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $12,844.45 – $25,688.90 | 18 |
| MRI brain w/dye CPT 70558 | not published | not published | $91.68 – $366.72 | 18 |
| MRI brain without dye CPT 70557 | not published | not published | $282.38 – $1,129.50 | 18 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $91.68 – $366.72 | 18 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $406.88 – $1,627.52 | 21 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $224.48 – $501.07 | 6 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $124.49 – $497.94 | 21 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $500.91 – $1,765.00 | 2 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $1,288.02 – $2,576.04 | 18 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $367.84 – $735.68 | 18 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $367.84 – $735.68 | 18 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $45.35 – $181.38 | 18 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $47.27 – $189.08 | 18 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | not published | not published | $121.77 – $121.77 | 1 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $30.59 – $122.36 | 18 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $12.61 – $50.44 | 18 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $124.49 – $497.94 | 18 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $114.22 – $456.88 | 21 |
| Msh2 gene full seq CPT 81295 | not published | not published | $204.40 – $817.60 | 21 |
| Msh2 gene known variants CPT 81296 | not published | not published | $180.86 – $723.42 | 21 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $127.45 – $509.80 | 21 |
| Msh6 gene full seq CPT 81298 | not published | not published | $343.71 – $1,374.84 | 21 |
| Msh6 gene known variants CPT 81299 | not published | not published | $164.94 – $659.74 | 21 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $4,367.57 – $4,367.57 | 1 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $14.40 – $57.58 | 21 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $22.94 – $91.76 | 21 |
| Mucin synovial fluid CPT 83872 | not published | not published | $3.14 – $12.56 | 21 |
| Mucopolysaccharides CPT 83864 | not published | not published | $15.26 – $61.04 | 21 |
| Mucormycosis antibody CPT 86732 | not published | not published | $8.04 – $32.14 | 21 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $30.68 – $61.36 | 18 |
| Multi den insert custom mold HCPCS A5513 | not published | not published | $41.81 – $41.81 | 1 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $28.02 – $28.02 | 1 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $165.49 – $330.98 | 18 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $68.30 – $322.30 | 18 |
| Multiple sleep latency test CPT 95805 | not published | not published | $429.67 – $1,093.04 | 18 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $709.01 – $3,768.22 | 21 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $1,457.62 – $7,541.62 | 21 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $1,457.62 – $7,541.62 | 21 |
| Muscle test cran nerv unilat CPT 95867 | not published | not published | $75.48 – $641.48 | 18 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $161.15 – $322.30 | 18 |
| Muscle test larynx CPT 95865 | not published | not published | $127.57 – $265.54 | 18 |
| Muscle test one fiber CPT 95872 | not published | not published | $51.87 – $322.30 | 18 |
| Muscle transfers CPT 23397 | not published | not published | $2,398.52 – $14,716.12 | 21 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $2,398.52 – $14,716.12 | 21 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $1,457.62 – $7,541.62 | 21 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $2,398.52 – $14,716.12 | 21 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $25.84 – $103.34 | 21 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $10.74 – $42.94 | 21 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $22.94 – $91.76 | 21 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | not published | not published | $93.93 – $375.70 | 18 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $4,174.74 – $4,174.74 | 1 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $751.18 – $3,004.70 | 18 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $193.03 – $3,004.70 | 18 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $227.24 – $3,812.04 | 18 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $248.42 – $4,018.04 | 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.