CHRISTUS Trinity Mother Frances Hospital - South Tyler
8389 S Broadway Ave, Tyler, TX · Christushealth · · NPI 1679578439
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 |
|---|---|---|---|---|
| Closure ureter/skin fistula CPT 50920 | not published | not published | $1,170.78 – $1,170.78 | 1 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $9.47 – $37.86 | 21 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $10.21 – $40.84 | 21 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $9.47 – $37.86 | 21 |
| Clot factor xiii fibrin scrn CPT 85291 | not published | not published | $4.56 – $18.22 | 21 |
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $8.17 – $32.68 | 21 |
| Clotting assay whole blood CPT 85396 | not published | not published | $11.20 – $64.37 | 3 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $0.80 – $0.80 | 1 |
| Clsd ostomy pouch w/flange HCPCS A5054 | not published | not published | $1.80 – $5.02 | 18 |
| Clsd ostomy pouch without barr HCPCS A5052 | not published | not published | $1.49 – $4.16 | 18 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $593.04 – $3,025.48 | 21 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $250.84 – $962.70 | 21 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | not published | not published | $886.62 – $6,130.82 | 21 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $85.32 – $453.48 | 21 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Clsr 1 vsd w/wo patch w/vlvt CPT 33684 | not published | not published | $2,532.08 – $2,532.08 | 1 |
| Clsr 1vsd w/wo ptch rmvl bnd CPT 33688 | not published | not published | $2,527.92 – $2,527.92 | 1 |
| Cltx craniofacial separation CPT 21431 | not published | not published | $950.28 – $950.28 | 1 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | not published | not published | $593.04 – $3,025.48 | 21 |
| Cltx post ankle fx CPT 27767 | not published | not published | $85.32 – $453.48 | 21 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $85.32 – $453.48 | 21 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $420.64 – $2,800.28 | 21 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $1,526.99 – $9,332.06 | 21 |
| C motor evoked lwr limbs CPT 95929 | not published | not published | $139.00 – $1,003.06 | 18 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $139.00 – $1,923.32 | 18 |
| C motor evoked upr&lwr limbs CPT 95939 | not published | not published | $139.00 – $1,923.32 | 18 |
| Cmp rpr tof wo plm atrs ptch CPT 33694 | not published | not published | $2,616.04 – $2,616.04 | 1 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $7.04 – $28.14 | 21 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $4.40 – $17.60 | 21 |
| Cmv ig IV CPT 90291 | not published | not published | $1,977.62 – $2,108.22 | 2 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $68.50 – $274.00 | 18 |
| Cntct lens hydrophil photoch HCPCS V2524 | not published | not published | $176.59 – $353.18 | 18 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $2.41 – $4.82 | 18 |
| Coagulation time lee & white CPT 85345 | not published | not published | $2.35 – $9.38 | 21 |
| Coagulation time otr method CPT 85348 | not published | not published | $2.25 – $8.98 | 21 |
| Cocaine 4 % nasal solution HCPCS C9046 | not published | not published | $2.07 – $2.07 | 1 |
| Cocaine hcl nasal (numbrino) HCPCS C9143 | not published | not published | $2.07 – $2.07 | 1 |
| Coccidioidomycosis skin test CPT 86490 | not published | not published | $171.48 – $171.48 | 1 |
| Coch imp ext proc/contr rplc HCPCS L8619 | not published | not published | $9,972.82 – $19,945.64 | 18 |
| Coch implant headset replace HCPCS L8615 | not published | not published | $547.39 – $1,094.78 | 18 |
| Coch implant microphone repl HCPCS L8616 | not published | not published | $127.50 – $255.00 | 18 |
| Coch implant tran cable repl HCPCS L8618 | not published | not published | $31.82 – $63.64 | 18 |
| Coch implant trans coil repl HCPCS L8617 | not published | not published | $111.39 – $222.78 | 18 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $147.89 – $295.78 | 18 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $147.89 – $295.78 | 18 |
| Cocm by rhc/fqhc 60 min mo HCPCS G0512 | not published | not published | $198.37 – $198.37 | 1 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $0.97 – $2.15 | 2 |
| Cogenex amnio memb per sq cm HCPCS Q4229 | not published | not published | $6.16 – $501.55 | 2 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $4.04 – $16.14 | 21 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $2,226.70 – $2,226.70 | 1 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $2,495.17 – $2,495.17 | 1 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $2,774.72 – $2,774.72 | 1 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $1,795.38 – $1,795.38 | 1 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $2,599.42 – $2,599.42 | 1 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $2,216.55 – $2,216.55 | 1 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $2,830.54 – $2,830.54 | 1 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $1,661.15 – $1,661.15 | 1 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $2,441.20 – $2,441.20 | 1 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $2,368.32 – $2,368.32 | 1 |
| Colectomy w/ileoanal anast CPT 44157 | not published | not published | $2,933.88 – $2,933.88 | 1 |
| Colectomy w/neo-rectum pouch CPT 44158 | not published | not published | $3,011.83 – $3,011.83 | 1 |
| Colistimethate sodium inj HCPCS J0770 | not published | not published | $11.94 – $27.58 | 2 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $67.01 – $134.02 | 18 |
| Collagen based wound filler HCPCS A6010 | not published | not published | $30.94 – $86.54 | 18 |
| Collagen dressing <=16 sq in HCPCS A6021 | not published | not published | $21.00 – $58.76 | 18 |
| Collagen drsg>16<=48 sq in HCPCS A6022 | not published | not published | $21.00 – $58.76 | 18 |
| Collagen dsg wound filler HCPCS A6024 | not published | not published | $6.18 – $17.28 | 18 |
| Collagen gel/paste wound fil HCPCS A6011 | not published | not published | $2.28 – $6.38 | 18 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | not published | not published | $525.58 – $1,051.16 | 18 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | not published | not published | $29.90 – $59.80 | 18 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | not published | not published | $73.58 – $147.16 | 18 |
| Collar cerv ascend 172 reg HCPCS L0172 | not published | not published | $158.78 – $317.56 | 18 |
| Collar cerv patriot adlt HCPCS L0150 | not published | not published | $121.74 – $243.48 | 18 |
| Collar extrication adult univ HCPCS L0200 | not published | not published | $671.01 – $1,342.02 | 18 |
| Coll-e-derm 1 sq cm HCPCS Q4193 | not published | not published | $6.16 – $1,608.27 | 2 |
| Collj & interpj data ea 30 d CPT 99091 | not published | not published | $186.82 – $186.82 | 1 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $294.34 – $588.68 | 18 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $429.26 – $2,228.98 | 21 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $328.50 – $1,723.54 | 21 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $429.26 – $2,228.98 | 21 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $429.26 – $2,228.98 | 21 |
| Colonoscopy w/stent plcmt CPT 44402 | not published | not published | $5,626.72 – $11,253.44 | 18 |
| Colonoscopy w/ultrasound CPT 44406 | not published | not published | $429.26 – $2,228.98 | 21 |
| Colostomy skin level cecostomy 44320 CPT 44320 | not published | not published | $1,607.63 – $1,607.63 | 1 |
| Colostomy with biopsies CPT 44322 | not published | not published | $1,336.38 – $1,336.38 | 1 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | not published | not published | $1,316.56 – $1,316.56 | 1 |
| Colpocentesis 57020 CPT 57020 | not published | not published | $1,526.99 – $9,332.06 | 21 |
| Colpocleisis (le forte type) 57120 CPT 57120 | not published | not published | $1,526.99 – $9,332.06 | 21 |
| Colpopexy abdominal approach 57280 CPT 57280 | not published | not published | $1,257.97 – $1,257.97 | 1 |
| Colpopexy extraperitoneal CPT 57282 | not published | not published | $6,989.72 – $13,979.44 | 18 |
| Colpopexy intraperitoneal CPT 57283 | not published | not published | $6,989.72 – $13,979.44 | 18 |
| Colpopexy, min/inv, ex-perit HCPCS C9778 | not published | not published | $3,357.71 – $9,332.06 | 18 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | not published | not published | $76.14 – $1,646.08 | 21 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | not published | not published | $185.22 – $6,010.72 | 21 |
| Colposcopy vulva 56820 CPT 56820 | not published | not published | $55.10 – $380.30 | 21 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | not published | not published | $72.54 – $575.06 | 21 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | not published | not published | $70.04 – $575.06 | 21 |
| Colpotomy drng of abscess 57010 CPT 57010 | not published | not published | $1,063.52 – $6,010.72 | 21 |
| Combination bilateral ho HCPCS L1690 | not published | not published | $2,342.32 – $4,684.64 | 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.