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 |
|---|---|---|---|---|
| Sterile water/saline, 500 ml HCPCS A4217 | not published | not published | $3.39 – $3.39 | 1 |
| Sternal debridement CPT 21627 | not published | not published | $848.54 – $848.54 | 1 |
| St evaluate speech sound production CPT 92522 | not published | not published | $109.63 – $109.63 | 1 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | not published | not published | $233.60 – $233.60 | 1 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | not published | not published | $107.52 – $107.52 | 1 |
| St evaluation swallow function CPT 92610 | not published | not published | $86.86 – $86.86 | 1 |
| Stimulants synthetic CPT 80371 | not published | not published | $14.06 – $14.76 | 5 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $973.61 – $4,022.72 | 21 |
| Stoma absorptive cover HCPCS A5083 | not published | not published | $0.70 – $0.70 | 1 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $88.25 – $353.00 | 18 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $88.25 – $353.00 | 18 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $88.25 – $353.00 | 18 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $88.25 – $353.00 | 18 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $764.73 – $764.73 | 1 |
| Strap chin dlx f/cpap HCPCS A7036 | not published | not published | $12.62 – $35.26 | 18 |
| Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 | not published | not published | $3.56 – $3.56 | 1 |
| Strapping of chest CPT 29200 | not published | not published | $15.78 – $325.04 | 21 |
| Strapping of hip CPT 29520 | not published | not published | $83.62 – $265.54 | 18 |
| Strep a dna dir probe CPT 87650 | not published | not published | $10.74 – $42.94 | 21 |
| Strep a dna quant CPT 87652 | not published | not published | $22.37 – $89.46 | 21 |
| Strep b dna amp probe CPT 87653 | not published | not published | $18.79 – $75.16 | 21 |
| Streptokinase antibody CPT 86590 | not published | not published | $6.78 – $27.12 | 21 |
| Streptomycin injection HCPCS J3000 | not published | not published | $207.75 – $207.75 | 1 |
| Streptozocin injection HCPCS J9320 | not published | not published | $996.40 – $996.40 | 1 |
| Str markers spec anal addl CPT 81266 | not published | not published | $163.23 – $652.90 | 21 |
| Str markers specimen anal CPT 81265 | not published | not published | $124.81 – $499.24 | 21 |
| St treatment speech individual CPT 92507 | not published | not published | $94.03 – $94.03 | 1 |
| St treatment swallow dysfunction/oral CPT 92526 | not published | not published | $102.89 – $102.89 | 1 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $262.86 – $1,426.60 | 21 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | not published | not published | $473.94 – $473.94 | 1 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $38.48 – $409.32 | 21 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $62.29 – $1,261.00 | 21 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | not published | not published | $148.43 – $148.43 | 1 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | not published | not published | $142.10 – $142.10 | 1 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $3,165.05 – $14,716.12 | 21 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $6,263.30 – $26,505.70 | 21 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $2,268.96 – $2,268.96 | 1 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $3,770.81 – $7,541.62 | 18 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $3,770.81 – $7,541.62 | 18 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $3,770.81 – $7,541.62 | 18 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $1,884.11 – $3,768.22 | 18 |
| Sugars multiple quant CPT 84379 | not published | not published | $6.18 – $24.70 | 21 |
| Sugars single quant CPT 84378 | not published | not published | $6.18 – $24.70 | 21 |
| Sup/ext non-ins inf pump syr HCPCS K0552 | not published | not published | $2.70 – $7.52 | 18 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $44.59 – $95.04 | 18 |
| Supply of digital device HCPCS G0552 | not published | not published | $40.39 – $265.48 | 18 |
| Supp non-insulin inf cath/wk HCPCS A4221 | not published | not published | $21.81 – $60.86 | 18 |
| Supprelin la implant HCPCS J9226 | not published | not published | $46,619.75 – $93,239.50 | 18 |
| Suprv interfacilty transport CPT 99485 | not published | not published | $91.49 – $91.49 | 1 |
| Suprv interfac trnsport addl CPT 99486 | not published | not published | $79.27 – $79.27 | 1 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $939.93 – $5,649.34 | 21 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $1,262.12 – $1,262.12 | 1 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $1,263.76 – $1,263.76 | 1 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $1,142.90 – $7,104.90 | 21 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $1,830.73 – $1,830.73 | 1 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $2,398.52 – $14,716.12 | 21 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $7,358.06 – $14,716.12 | 18 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $2,398.52 – $14,716.12 | 21 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $7,358.06 – $14,716.12 | 18 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $1,689.43 – $10,472.28 | 21 |
| Surgical opening esophagus CPT 43351 | not published | not published | $2,064.08 – $2,064.08 | 1 |
| Surgical opening esophagus CPT 43352 | not published | not published | $1,691.59 – $1,691.59 | 1 |
| Surgical opening of stomach CPT 43510 | not published | not published | $965.69 – $1,931.38 | 18 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $1,245.69 – $1,245.69 | 1 |
| Surgical opening of throat CPT 42955 | not published | not published | $420.64 – $3,051.44 | 21 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $2,138.59 – $2,138.59 | 1 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $2,410.29 – $2,410.29 | 1 |
| Surgical revision intestine CPT 44680 | not published | not published | $1,701.99 – $1,701.99 | 1 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $6.66 – $6.66 | 1 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $939.93 – $5,649.34 | 21 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $1,597.37 – $1,597.37 | 1 |
| Suspension of testis CPT 54620 | not published | not published | $1,142.90 – $7,104.90 | 21 |
| Suspension of uterus CPT 58410 | not published | not published | $1,248.42 – $1,248.42 | 1 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $695.70 – $695.70 | 1 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $1,682.28 – $1,682.28 | 1 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $2,177.48 – $2,177.48 | 1 |
| Svc venogram s&i CPT 75827 | not published | not published | $800.03 – $3,200.10 | 21 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $27.52 – $110.06 | 18 |
| Sympathectomy cervical CPT 64802 | not published | not published | $659.94 – $4,022.72 | 21 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $659.94 – $4,022.72 | 21 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $1,235.27 – $1,235.27 | 1 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $1,699.80 – $1,699.80 | 1 |
| Synch audio-only est high 40 CPT 98015 | not published | not published | $149.87 – $149.87 | 1 |
| Synch audio-only est low 20 CPT 98013 | not published | not published | $68.59 – $68.59 | 1 |
| Synch audio-only est mod 30 CPT 98014 | not published | not published | $101.50 – $101.50 | 1 |
| Synch audio-only est sf 10 CPT 98012 | not published | not published | $37.66 – $37.66 | 1 |
| Synch audio-only new high 60 CPT 98011 | not published | not published | $183.97 – $183.97 | 1 |
| Synch audio-only new low 30 CPT 98009 | not published | not published | $88.81 – $88.81 | 1 |
| Synch audio-only new mod 45 CPT 98010 | not published | not published | $139.96 – $139.96 | 1 |
| Synch audio-only new sf 15 CPT 98008 | not published | not published | $51.14 – $51.14 | 1 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $15.87 – $15.87 | 1 |
| Synthetic sentence id test CPT 92576 | not published | not published | $39.11 – $80.86 | 18 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $9.43 – $18.86 | 18 |
| System recell skin grafting/harvesting HCPCS C1832 | not published | not published | $2.97 – $2.97 | 1 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $1.30 – $1.30 | 1 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $3.60 – $3.60 | 1 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $262.31 – $524.62 | 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.