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 |
|---|---|---|---|---|
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $262.86 – $1,426.60 | 21 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $1,557.38 – $1,557.38 | 1 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $1,504.24 – $1,504.24 | 1 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $1,636.26 – $1,636.26 | 1 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $1,478.50 – $1,478.50 | 1 |
| Pyridoxine hcl 100 mg HCPCS J3415 | not published | not published | $21.41 – $21.41 | 1 |
| Pyruvate kinase CPT 84220 | not published | not published | $5.06 – $20.22 | 21 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $132.77 – $265.54 | 18 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | not published | not published | $277.21 – $1,108.84 | 21 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $4.39 – $8.78 | 18 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $357.74 – $715.48 | 18 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $258.04 – $516.08 | 18 |
| Rabies vaccine id CPT 90676 | not published | not published | $272.40 – $544.80 | 18 |
| Radial keratotomy CPT 65771 | not published | not published | $1,012.87 – $1,012.87 | 1 |
| Radiation handling CPT 77790 | not published | not published | $38.44 – $38.44 | 1 |
| Radiation physics consult CPT 77336 | not published | not published | $68.38 – $273.50 | 18 |
| Radiation therapy dose plan CPT 77300 | not published | not published | $68.38 – $273.50 | 18 |
| Radiation therapy management CPT 77431 | not published | not published | $264.57 – $264.57 | 1 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $68.38 – $273.50 | 18 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $68.38 – $273.50 | 18 |
| Radiation treatment aid(s) CPT 77334 | not published | not published | $171.62 – $754.10 | 18 |
| Radiation treatment delivery CPT 77401 | not published | not published | $56.40 – $225.58 | 18 |
| Radiation treatment delivery CPT 77402 | not published | not published | $56.40 – $225.58 | 18 |
| Radiation treatment delivery CPT 77412 | not published | not published | $135.44 – $541.74 | 18 |
| Radiation tx management x5 CPT 77427 | not published | not published | $479.95 – $479.95 | 1 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $2,926.32 – $2,926.32 | 1 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $2,390.58 – $2,390.58 | 1 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $3,085.72 – $3,085.72 | 1 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $2,807.99 – $2,807.99 | 1 |
| Radical resection of elbow CPT 24149 | not published | not published | $2,398.52 – $14,716.12 | 21 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $1,940.84 – $1,940.84 | 1 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $815.20 – $5,895.84 | 21 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $815.20 – $5,895.84 | 21 |
| Radiesse injection HCPCS Q2026 | not published | not published | $343.42 – $686.84 | 18 |
| Radiofq trsmtr for implt neu HCPCS L8683 | not published | not published | $4,558.23 – $4,786.14 | 5 |
| Radiof trsmtr implt scrl neu HCPCS L8684 | not published | not published | $670.64 – $704.17 | 5 |
| Radiology port images(s) CPT 77417 | not published | not published | $28.59 – $28.59 | 1 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $704.66 – $2,818.62 | 18 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $173.77 – $347.54 | 18 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $672.33 – $2,689.30 | 21 |
| Radphm lcl tumor plr sgl day CPT 78800 | not published | not published | $206.95 – $827.78 | 21 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $99.97 – $188.15 | 6 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $7,358.06 – $14,716.12 | 18 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $815.20 – $5,895.84 | 21 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $815.20 – $5,895.84 | 21 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $815.20 – $5,895.84 | 21 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $815.20 – $5,895.84 | 21 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $815.20 – $5,895.84 | 21 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $815.20 – $5,895.84 | 21 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $815.20 – $5,895.84 | 21 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $2,398.52 – $14,716.12 | 21 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $815.20 – $5,895.84 | 21 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | not published | not published | $75.10 – $150.20 | 18 |
| Range of motion measurements CPT 95852 | not published | not published | $7.17 – $7.17 | 1 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $127.70 – $255.40 | 18 |
| Rapid desensitization CPT 95180 | not published | not published | $411.01 – $822.02 | 18 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | not published | not published | $381.07 – $762.14 | 18 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $227.21 – $454.42 | 18 |
| Rb82 rubidium HCPCS A9555 | not published | not published | $720.20 – $720.20 | 1 |
| Rbc deglycerolized each unit HCPCS P9039 | not published | not published | $244.66 – $1,346.70 | 21 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $450.30 – $900.60 | 18 |
| Rbc irradiated each unit HCPCS P9038 | not published | not published | $93.30 – $307.40 | 21 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $4.61 – $18.42 | 21 |
| Rbc o2 co2 reduced HCPCS P9027 | not published | not published | $295.40 – $1,003.42 | 18 |
| Rbc osmotic fragility CPT 85555 | not published | not published | $4.00 – $16.00 | 21 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $205.51 – $822.02 | 18 |
| Rcm img acquisj&i&r 1st les CPT 96931 | not published | not published | $202.82 – $202.82 | 1 |
| Rcm img acquisj&i&r ea addl CPT 96934 | not published | not published | $115.54 – $115.54 | 1 |
| Rcm img acquisj only 1st les CPT 96932 | not published | not published | $20.24 – $20.24 | 1 |
| Rcm img acquisj only ea addl CPT 96935 | not published | not published | $53.13 – $53.13 | 1 |
| Rcm i&r only 1st lesion CPT 96933 | not published | not published | $55.66 – $55.66 | 1 |
| Rcm i&r only ea addl lesion CPT 96936 | not published | not published | $53.13 – $53.13 | 1 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $6,093.14 – $12,186.28 | 18 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $2,687.48 – $2,687.48 | 1 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $2,388.38 – $2,388.38 | 1 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $2,533.00 – $2,533.00 | 1 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $2,633.80 – $2,633.80 | 1 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $3,431.38 – $3,431.38 | 1 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $3,092.85 – $3,092.85 | 1 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $2,874.82 – $2,874.82 | 1 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $4,461.78 – $4,461.78 | 1 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $4,113.39 – $4,113.39 | 1 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $886.62 – $6,680.74 | 21 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $1,954.22 – $12,186.28 | 21 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $1,954.22 – $12,186.28 | 21 |
| Realignment of knee CPT 27457 | not published | not published | $1,516.84 – $1,516.84 | 1 |
| Realignment of knee CPT 27455 | not published | not published | $1,478.50 – $1,478.50 | 1 |
| Realignment of tendons CPT 26437 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Realignment of thigh bone CPT 27454 | not published | not published | $2,047.11 – $2,047.11 | 1 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $1,954.22 – $12,186.28 | 21 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $1,954.22 – $12,186.28 | 21 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $1,954.22 – $12,186.28 | 21 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $1,954.22 – $12,186.28 | 21 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $1,954.22 – $12,186.28 | 21 |
| Rechanneling of artery CPT 35361 | not published | not published | $2,399.34 – $2,399.34 | 1 |
| Rechanneling of artery CPT 35306 | not published | not published | $703.91 – $703.91 | 1 |
| Rechanneling of artery CPT 35311 | not published | not published | $2,470.00 – $2,470.00 | 1 |
| Rechanneling of artery CPT 35363 | not published | not published | $2,565.32 – $2,565.32 | 1 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $1,950.69 – $1,950.69 | 1 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $2,187.89 – $2,187.89 | 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.