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 |
|---|---|---|---|---|
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $35.15 – $35.15 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $162.68 – $162.68 | 1 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $317.28 – $317.28 | 1 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $564.86 – $564.86 | 1 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $122.38 – $122.38 | 1 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $43.32 – $43.32 | 1 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $46.59 – $46.59 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $23.02 – $23.02 | 1 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $63.57 – $63.57 | 1 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $126.73 – $126.73 | 1 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $43.93 – $43.93 | 1 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $553.39 – $553.39 | 1 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $452.17 – $452.17 | 1 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $235.67 – $235.67 | 1 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $686.63 – $686.63 | 1 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $602.45 – $602.45 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $1,371.15 – $1,371.15 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $1,371.15 – $1,371.15 | 1 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $602.45 – $602.45 | 1 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $335.03 – $335.03 | 1 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $181.91 – $181.91 | 1 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $311.71 – $311.71 | 1 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.02 | 18 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $5,084.55 – $10,169.10 | 18 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $5,084.55 – $10,169.10 | 18 |
| Vag hyst including t/o CPT 58262 | not published | not published | $1,526.99 – $10,169.10 | 21 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $7,616.67 – $15,233.34 | 18 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $5,084.55 – $10,169.10 | 18 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $5,084.55 – $10,169.10 | 18 |
| Vaginal bx CPT 58999 | not published | not published | $207.21 – $414.42 | 18 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $3,274.92 – $6,549.84 | 18 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $3,310.32 – $3,310.32 | 1 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $1,526.99 – $10,169.10 | 21 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $3,274.92 – $6,549.84 | 18 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $65.65 – $65.65 | 1 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $2,792.65 – $2,792.65 | 1 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $1,390.85 – $1,390.85 | 1 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $178.58 – $178.58 | 1 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $1,897.55 – $1,897.55 | 1 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $1,872.91 – $1,872.91 | 1 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,434.30 – $2,868.60 | 18 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $5,872.58 – $11,745.16 | 18 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $3,061.07 – $3,061.07 | 1 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $3,622.57 – $3,622.57 | 1 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $11,680.81 – $23,361.62 | 18 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $11,680.81 – $23,361.62 | 18 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $4,903.31 – $4,903.31 | 1 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $3,873.45 – $3,873.45 | 1 |
| Vancomycin hcl injection HCPCS J3370 | not published | not published | $3.93 – $3.93 | 1 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $18.79 – $75.16 | 21 |
| Vantas implant HCPCS J9225 | not published | not published | $12,415.58 – $12,415.58 | 1 |
| Variable concentration mask HCPCS A4620 | not published | not published | $0.65 – $0.65 | 1 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $2,319.85 – $4,639.70 | 18 |
| Vasc emb/occ w/prs cath HCPCS C9797 | not published | not published | $18,495.46 – $36,990.92 | 18 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Vasectomy CPT 55250 | not published | not published | $652.80 – $4,219.94 | 21 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | not published | not published | $9.00 – $9.00 | 1 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $3,473.56 – $3,473.56 | 1 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $1,789.10 – $1,789.10 | 1 |
| Veeg intrmnt 2-12 hrs CPT 95712 | not published | not published | $296.13 – $641.48 | 18 |
| Veeg unmon 12-26 hrs CPT 95714 | not published | not published | $546.52 – $1,093.04 | 18 |
| Veeg unmon 2-12 hrs CPT 95711 | not published | not published | $296.13 – $641.48 | 18 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $2,291.98 – $2,291.98 | 1 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $2,655.17 – $2,655.17 | 1 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $2,164.33 – $2,164.33 | 1 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $2,649.13 – $2,649.13 | 1 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $1,620.97 – $6,483.86 | 21 |
| Vein x-ray adrenal glands CPT 75842 | not published | not published | $2,783.94 – $11,135.76 | 21 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $318.41 – $1,273.62 | 21 |
| Vein x-ray kidney CPT 75831 | not published | not published | $1,620.97 – $6,483.86 | 21 |
| Vein x-ray liver CPT 75891 | not published | not published | $1,620.97 – $6,483.86 | 21 |
| Vein x-ray liver w/hemodynam CPT 75885 | not published | not published | $1,620.97 – $6,483.86 | 21 |
| Vein x-ray liver w/hemodynam CPT 75889 | not published | not published | $1,620.97 – $6,483.86 | 21 |
| Vein x-ray liver without hemodyn CPT 75887 | not published | not published | $193.84 – $6,483.86 | 21 |
| Vein x-ray skull CPT 75870 | not published | not published | $282.64 – $6,483.86 | 21 |
| Vein x-ray skull epidural CPT 75872 | not published | not published | $318.41 – $1,273.62 | 21 |
| Vein x-ray spleen/liver CPT 75810 | not published | not published | $1,620.97 – $6,483.86 | 21 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $385.24 – $770.48 | 18 |
| Vemp test i&r cervical CPT 92517 | not published | not published | $161.15 – $322.30 | 18 |
| Vemp test i&r ocular CPT 92518 | not published | not published | $161.15 – $322.30 | 18 |
| Vemp tst i&r cervical&ocular CPT 92519 | not published | not published | $264.84 – $641.48 | 18 |
| Ven-artl shunt det mbubb njx CPT 93898 | not published | not published | $228.37 – $228.37 | 1 |
| Ven blood coll snf/hha HCPCS G0471 | not published | not published | $11.88 – $23.76 | 18 |
| Vendaje, per square centimet HCPCS Q4252 | not published | not published | $6.66 – $6.66 | 1 |
| Venous mech thrombectomy CPT 37187 | not published | not published | $5,348.63 – $23,361.62 | 21 |
| Venous m-thrombectomy add-on CPT 37188 | not published | not published | $1,544.74 – $6,483.86 | 21 |
| Venous sampling s&i CPT 75893 | not published | not published | $230.00 – $11,135.76 | 21 |
| Venous thrombosis imaging CPT 78457 | not published | not published | $277.21 – $1,108.84 | 21 |
| Ven thrombosis images bilat CPT 78458 | not published | not published | $206.95 – $827.78 | 21 |
| Vent mgmt nf per day CPT 94004 | not published | not published | $59.03 – $59.03 | 1 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | not published | not published | $340.77 – $1,834.00 | 21 |
| Ventriculomyotomy/ihss 33416 CPT 33416 | not published | not published | $3,210.07 – $3,210.07 | 1 |
| Verify external neurostimulato HCPCS A4290 | not published | not published | $490.36 – $514.88 | 5 |
| Vertebral corpectomy partial/complete 63082 CPT 63082 | not published | not published | $425.63 – $425.63 | 1 |
| Verteporfin injection HCPCS J3396 | not published | not published | $11.85 – $23.70 | 18 |
| Vesiculotomy complicated CPT 55605 | not published | not published | $827.17 – $827.17 | 1 |
| Vest wrp airway ther disp lg slot 1use HCPCS A7025 | not published | not published | $47.00 – $47.00 | 1 |
| V-exc/lip/w/pri linear closure 40520 CPT 40520 | not published | not published | $886.62 – $6,680.74 | 21 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | not published | not published | $8.25 – $8.25 | 1 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | not published | not published | $10.53 – $10.53 | 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.