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 |
|---|---|---|---|---|
| Pdgfra gene CPT 81314 | not published | not published | $176.46 – $705.82 | 21 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $204.43 – $409.32 | 18 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $709.01 – $3,768.22 | 21 |
| Ped crit care age 2-5 init CPT 99475 | not published | not published | $667.91 – $667.91 | 1 |
| Ped crit care age 2-5 subsq CPT 99476 | not published | not published | $415.76 – $415.76 | 1 |
| Ped critical care initial CPT 99471 | not published | not published | $949.15 – $949.15 | 1 |
| Ped critical care subsq CPT 99472 | not published | not published | $486.17 – $486.17 | 1 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $161.15 – $322.30 | 18 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $161.15 – $322.30 | 18 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $709.01 – $3,768.22 | 21 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $961.55 – $961.55 | 1 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $2,044.48 – $2,044.48 | 1 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $27,882.70 – $55,765.40 | 18 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $20.58 – $41.16 | 18 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $120.52 – $241.04 | 18 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $139.62 – $279.24 | 18 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $307.26 – $614.52 | 18 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $129.06 – $258.12 | 18 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $189.03 – $378.06 | 18 |
| Peginesatide injection HCPCS J0890 | not published | not published | $29.83 – $29.83 | 1 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $2,829.53 – $2,829.53 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,656.56 – $7,313.12 | 18 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $233.59 – $467.18 | 18 |
| Pelvic exenteration CPT 45126 | not published | not published | $4,413.03 – $4,413.03 | 1 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $7,358.06 – $14,716.12 | 18 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $1,583.67 – $1,583.67 | 1 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $59.33 – $118.66 | 18 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $5.43 – $10.86 | 18 |
| Pemivibart infusion HCPCS M0224 | not published | not published | $464.02 – $928.04 | 18 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $12.74 – $35.78 | 18 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | not published | not published | $27.62 – $55.24 | 18 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $48.61 – $97.22 | 18 |
| Penile vascular study CPT 93980 | not published | not published | $74.63 – $219.06 | 21 |
| Penile vascular study CPT 93981 | not published | not published | $64.51 – $219.06 | 21 |
| Penile venous occlusion CPT 37790 | not published | not published | $3,552.45 – $7,104.90 | 18 |
| Penis plastic surgery CPT 54360 | not published | not published | $1,142.90 – $7,104.90 | 21 |
| Penis study CPT 54240 | not published | not published | $57.59 – $641.48 | 18 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $416.05 – $416.05 | 1 |
| Pentazocine injection HCPCS J3070 | not published | not published | $334.23 – $334.23 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $101.13 – $101.13 | 1 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,814.51 – $5,629.02 | 18 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $4,645.39 – $21,447.16 | 21 |
| Perc d-e cor stent ather s HCPCS C9602 | not published | not published | $18,495.46 – $36,990.92 | 18 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $590.52 – $590.52 | 1 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | not published | not published | $264.09 – $264.09 | 1 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $359.91 – $359.91 | 1 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $3,920.57 – $3,920.57 | 1 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $1,390.30 – $1,390.30 | 1 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $963.66 – $7,888.34 | 21 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $1,063.52 – $6,549.84 | 21 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $21.08 – $122.36 | 18 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $1,939.15 – $11,135.76 | 21 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $282.38 – $1,129.50 | 21 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $206.95 – $827.78 | 21 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $0.78 – $0.78 | 1 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $1,332.78 – $1,332.78 | 1 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $1,260.48 – $1,260.48 | 1 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $724.70 – $1,449.40 | 18 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $3,322.27 – $19,049.16 | 21 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $3,322.27 – $19,049.16 | 21 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $5,338.09 – $23,361.62 | 21 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $5,338.09 – $36,990.92 | 21 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $5,338.09 – $23,361.62 | 21 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $5,338.09 – $23,361.62 | 21 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $2,858.51 – $12,018.80 | 21 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $2,559.08 – $12,018.80 | 21 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $2,787.88 – $12,018.80 | 21 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $110.15 – $501.02 | 21 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Perq transcath closure pda CPT 93582 | not published | not published | $18,495.46 – $36,990.92 | 18 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $661.87 – $36,990.92 | 21 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $801.09 – $36,990.92 | 21 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $924.13 – $924.13 | 1 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Perq tx malar fracture CPT 21355 | not published | not published | $886.62 – $6,680.74 | 21 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $2,573.06 – $12,186.28 | 21 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $886.62 – $6,680.74 | 21 |
| Pertussis ag if CPT 87265 | not published | not published | $6.42 – $25.66 | 21 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $16.68 – $33.36 | 18 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $65.80 – $131.60 | 18 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $751.18 – $3,004.70 | 21 |
| Pet CT whole body initial CPT 78816 | not published | not published | $751.18 – $3,004.70 | 21 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $751.18 – $3,004.70 | 21 |
| Pet image full body CPT 78813 | not published | not published | $751.18 – $3,004.70 | 21 |
| Pet image ltd area CPT 78811 | not published | not published | $672.33 – $2,689.30 | 21 |
| Pet image skull-thigh CPT 78812 | not published | not published | $751.18 – $3,004.70 | 21 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $751.18 – $3,004.70 | 21 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $413.89 – $827.78 | 18 |
| Pet scan brain perf study CPT 78609 | not published | not published | $268.93 – $2,704.00 | 2 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $30.36 – $30.36 | 1 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $45.54 – $45.54 | 1 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $15.17 – $15.17 | 1 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Phentolaine mesylate inj HCPCS J2760 | not published | not published | $406.47 – $812.94 | 18 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $99.75 – $199.50 | 18 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.91 – $0.91 | 1 |
| Phlebotomy therapeutic CPT 99195 | not published | not published | $132.77 – $265.54 | 18 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $194.90 – $6,483.86 | 21 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $212.90 – $6,483.86 | 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.