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 |
|---|---|---|---|---|
| Atn1 gene detc abnor alleles CPT 81177 | not published | not published | $73.37 – $293.46 | 21 |
| Atomic absorption CPT 82190 | not published | not published | $8.52 – $34.06 | 21 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $1,230.90 – $1,230.90 | 1 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $1,057.24 – $1,057.24 | 1 |
| Attach ocular implant CPT 65140 | not published | not published | $1,103.42 – $7,768.28 | 21 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | not published | not published | $89.39 – $89.39 | 1 |
| Atxn10 gene detc abnor allel CPT 81183 | not published | not published | $73.37 – $293.46 | 18 |
| Atxn1 gene detc abnor allele CPT 81178 | not published | not published | $73.37 – $293.46 | 21 |
| Atxn2 gene detc abnor allele CPT 81179 | not published | not published | $73.37 – $293.46 | 21 |
| Atxn3 gene detc abnor allele CPT 81180 | not published | not published | $73.37 – $293.46 | 21 |
| Atxn7 gene detc abnor allele CPT 81181 | not published | not published | $73.37 – $293.46 | 21 |
| Atxn8os gen detc abnor allel CPT 81182 | not published | not published | $73.37 – $293.46 | 18 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $115.12 – $322.30 | 18 |
| Audit/dast 15-30 min CPT 99408 | not published | not published | $39.64 – $39.64 | 1 |
| Audit/dast over 30 min CPT 99409 | not published | not published | $79.27 – $79.27 | 1 |
| Auditory function + 15 min CPT 92621 | not published | not published | $22.77 – $22.77 | 1 |
| Auditory function 60 min CPT 92620 | not published | not published | $161.15 – $322.30 | 18 |
| Augmentation cheek bone CPT 21270 | not published | not published | $1,954.22 – $12,186.28 | 21 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $1,954.22 – $12,186.28 | 21 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $1,954.22 – $12,186.28 | 21 |
| Augmentation of facial bones CPT 21208 | not published | not published | $2,706.07 – $12,186.28 | 21 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | not published | not published | $2,398.52 – $14,716.12 | 21 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $2,398.52 – $14,716.12 | 21 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $7,358.06 – $14,716.12 | 18 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $450.17 – $1,800.68 | 18 |
| Autologous blood op salvage CPT 86891 | not published | not published | $420.71 – $1,682.82 | 18 |
| Autolog prp diab wound ulcer HCPCS G0465 | not published | not published | $1,884.11 – $3,768.22 | 18 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $1,884.11 – $3,768.22 | 18 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $127.57 – $265.54 | 18 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $45.12 – $322.30 | 18 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $127.57 – $265.54 | 18 |
| Autopsy (necropsy) complete CPT 88020 | not published | not published | $2,123.10 – $2,123.10 | 1 |
| Autopsy (necropsy) complete CPT 88025 | not published | not published | $2,334.11 – $2,334.11 | 1 |
| Autopsy (necropsy) complete CPT 88027 | not published | not published | $2,547.98 – $2,547.98 | 1 |
| Autopsy (necropsy) complete CPT 88028 | not published | not published | $2,206.66 – $2,206.66 | 1 |
| Autopsy (necropsy) complete CPT 88029 | not published | not published | $2,206.66 – $2,206.66 | 1 |
| Autopsy (necropsy) gross CPT 88000 | not published | not published | $1,698.19 – $1,698.19 | 1 |
| Autopsy (necropsy) gross CPT 88005 | not published | not published | $1,910.65 – $1,910.65 | 1 |
| Autopsy (necropsy) gross CPT 88007 | not published | not published | $2,123.10 – $2,123.10 | 1 |
| Autopsy (necropsy) gross CPT 88012 | not published | not published | $1,781.74 – $1,781.74 | 1 |
| Autopsy (necropsy) gross CPT 88014 | not published | not published | $1,781.74 – $1,781.74 | 1 |
| Autopsy (necropsy) gross CPT 88016 | not published | not published | $1,698.19 – $1,698.19 | 1 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $99.86 – $199.72 | 18 |
| Av fistula revision CPT 36833 | not published | not published | $1,939.15 – $11,135.76 | 21 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $1,939.15 – $11,135.76 | 21 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $1,939.15 – $11,135.76 | 21 |
| Av fusion direct any site CPT 36821 | not published | not published | $1,118.22 – $6,483.86 | 21 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $1,939.15 – $11,135.76 | 21 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $504,203.70 – $1,008,407.40 | 18 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $1,888.85 – $12,018.80 | 21 |
| Azacitidine injection HCPCS J9025 | not published | not published | $2.88 – $2.88 | 1 |
| Azathioprine 50 mg tablet HCPCS J7500 | not published | not published | $1.69 – $1.69 | 1 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $235.84 – $471.68 | 18 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | not published | not published | $8.01 – $8.01 | 1 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $179.06 – $358.12 | 18 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $91.33 – $91.33 | 1 |
| Bactericidal level serum CPT 87197 | not published | not published | $8.05 – $32.18 | 21 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | not published | not published | $6.09 – $6.09 | 1 |
| Banding pulmonary artery CPT 33690 | not published | not published | $1,905.23 – $1,905.23 | 1 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $0.26 – $0.26 | 1 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | not published | not published | $2.62 – $2.62 | 1 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $10.67 – $10.67 | 1 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | not published | not published | $6.71 – $6.71 | 1 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | not published | not published | $5.32 – $5.32 | 1 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | not published | not published | $9.47 – $9.47 | 1 |
| Bartonella dna quant CPT 87472 | not published | not published | $22.94 – $91.76 | 21 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $29.52 – $322.30 | 18 |
| Basiliximab HCPCS J0480 | not published | not published | $4,797.32 – $9,594.64 | 18 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | not published | not published | $8.42 – $8.42 | 1 |
| Bcg vaccine intravesical CPT 90586 | not published | not published | $421.32 – $421.32 | 1 |
| Bcg vaccine percut CPT 90585 | not published | not published | $300.71 – $300.71 | 1 |
| Bckdhb gene CPT 81205 | not published | not published | $50.87 – $203.46 | 21 |
| Bebtelovimab injection HCPCS M0222 | not published | not published | $361.02 – $722.04 | 18 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | not published | not published | $103.29 – $103.29 | 1 |
| Bedside drainage bag HCPCS A4357 | not published | not published | $8.92 – $8.92 | 1 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | not published | not published | $4.05 – $8.10 | 18 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $56.56 – $113.12 | 18 |
| Belt ostomy lg 34-65in HCPCS A4367 | not published | not published | $7.36 – $7.36 | 1 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | not published | not published | $1.85 – $3.70 | 18 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $17.64 – $35.28 | 18 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | not published | not published | $13.85 – $27.70 | 18 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $29.51 – $59.02 | 18 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | not published | not published | $49.75 – $49.75 | 1 |
| Beta-amyloid 1-40 CPT 82233 | not published | not published | $94.67 – $94.67 | 1 |
| Beta-amyloid 1-42 CPT 82234 | not published | not published | $94.67 – $94.67 | 1 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | not published | not published | $75.39 – $150.78 | 18 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | not published | not published | $29.59 – $59.18 | 18 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | not published | not published | $23.69 – $47.38 | 18 |
| Bevacizumab injection HCPCS C9257 | not published | not published | $1.88 – $3.76 | 18 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | not published | not published | $53.13 – $53.13 | 1 |
| Bfb train ea addl 15 min 90913 CPT 90913 | not published | not published | $29.52 – $29.52 | 1 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $9.04 – $36.14 | 21 |
| Bhv id assmt by phys/qhp CPT 97151 | not published | not published | $31.96 – $190.56 | 18 |
| Bhv id suprt assmt by 1 tech CPT 97152 | not published | not published | $31.96 – $190.56 | 18 |
| Bile duct endoscopy add-on 47550 CPT 47550 | not published | not published | $262.94 – $262.94 | 1 |
| Bile duct revision CPT 47701 | not published | not published | $2,714.87 – $2,714.87 | 1 |
| Biliary endo perq dx w/speci CPT 47552 | not published | not published | $1,151.54 – $12,853.92 | 21 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | $1,151.54 – $12,853.92 | 21 |
| Biliary endoscopy thru skin CPT 47554 | not published | not published | $1,888.85 – $21,447.16 | 21 |
| Biliary endoscopy thru skin CPT 47555 | not published | not published | $1,559.13 – $7,269.88 | 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.