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 |
|---|---|---|---|---|
| Excision of gum lesion CPT 41822 | not published | not published | $325.21 – $2,800.28 | 18 |
| Excision of gum lesion CPT 41823 | not published | not published | $467.96 – $11,183.20 | 18 |
| Excision of gum lesion CPT 41827 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Excision of gum lesion CPT 41828 | not published | not published | $188.81 – $2,800.28 | 21 |
| Excision of gum lesion 41825 CPT 41825 | not published | not published | $139.54 – $6,130.82 | 21 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | $1,119.58 – $1,119.58 | 1 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $1,025.47 – $1,025.47 | 1 |
| Excision of mouth lesion complex 40816 CPT 40816 | not published | not published | $886.62 – $6,130.82 | 21 |
| Excision of neck cyst CPT 42815 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Excision of neck cyst confined 42810 CPT 42810 | not published | not published | $886.62 – $6,130.82 | 21 |
| Excision of penis lesion(s) 54060 CPT 54060 | not published | not published | $709.01 – $3,458.04 | 21 |
| Excision of rectal lesion CPT 45160 | not published | not published | $939.93 – $5,184.32 | 21 |
| Excision of rectal prolapse CPT 45135 | not published | not published | $1,738.64 – $1,738.64 | 1 |
| Excision of rectal stricture CPT 45150 | not published | not published | $429.26 – $2,228.98 | 21 |
| Excision of salivary cyst CPT 42408 | not published | not published | $886.62 – $6,130.82 | 21 |
| Excision of skull/sutures CPT 61558 | not published | not published | $2,550.07 – $2,550.07 | 1 |
| Excision of skull/sutures CPT 61559 | not published | not published | $3,068.57 – $3,068.57 | 1 |
| Excision of skull tumor CPT 61563 | not published | not published | $2,653.86 – $2,653.86 | 1 |
| Excision of skull tumor CPT 61564 | not published | not published | $3,272.92 – $3,272.92 | 1 |
| Excision of stomach lesion CPT 43610 | not published | not published | $1,315.16 – $1,315.16 | 1 |
| Excision of stomach lesion CPT 43611 | not published | not published | $1,640.84 – $1,640.84 | 1 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | not published | not published | $886.62 – $6,130.82 | 21 |
| Excision of tonsil tags CPT 42860 | not published | not published | $886.62 – $6,130.82 | 21 |
| Excision of umbilicus 49250 CPT 49250 | not published | not published | $1,151.54 – $6,671.48 | 21 |
| Excision of uvula CPT 42140 | not published | not published | $886.62 – $6,130.82 | 21 |
| Excision of vaginal septum 57130 CPT 57130 | not published | not published | $1,063.52 – $6,010.72 | 21 |
| Excision olecranon bursa CPT 24105 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Excision perinephric cyst CPT 50290 | not published | not published | $1,198.92 – $1,198.92 | 1 |
| Excision radial head CPT 24130 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Excision tongue lesion without closure 41110 CPT 41110 | not published | not published | $142.30 – $6,130.82 | 21 |
| Excis partial tal calc CPT 28120 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Excis uppr jaw cyst w/repair CPT 21049 | not published | not published | $5,591.60 – $11,183.20 | 18 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | not published | not published | $815.20 – $5,410.54 | 21 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | not published | not published | $815.20 – $5,410.54 | 21 |
| Exc les conjunctiva <1 cm CPT 68110 | not published | not published | $140.09 – $4,410.32 | 21 |
| Exc les conjunctiva >1 cm CPT 68115 | not published | not published | $698.30 – $4,410.32 | 21 |
| Exc les conjunctiva adj scl CPT 68130 | not published | not published | $698.30 – $4,410.32 | 21 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | not published | not published | $137.59 – $6,130.82 | 21 |
| Excl laa open any method 33267 CPT 33267 | not published | not published | $1,419.42 – $1,419.42 | 1 |
| Excl laa opn oth px any meth 33268 CPT 33268 | not published | not published | $177.14 – $177.14 | 1 |
| Excl laa thrscp any method CPT 33269 | not published | not published | $1,122.80 – $1,122.80 | 1 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | not published | not published | $486.45 – $3,062.96 | 21 |
| Exc mandible 21025 CPT 21025 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Exc neck tum deep < 5 cm CPT 21556 | not published | not published | $815.20 – $5,410.54 | 21 |
| Exc neck tum deep 5 cm/> CPT 21554 | not published | not published | $815.20 – $5,410.54 | 21 |
| Exc of facial bones/osteomy/abcess 21026 CPT 21026 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Exc of rectal prlpse 45130 CPT 45130 | not published | not published | $1,451.25 – $1,451.25 | 1 |
| Exc of residual cervix 57540 CPT 57540 | not published | not published | $1,013.94 – $1,013.94 | 1 |
| Exc of residual cervix via aginal approach 57550 CPT 57550 | not published | not published | $1,526.99 – $9,332.06 | 21 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | not published | not published | $815.20 – $5,410.54 | 21 |
| Exc rect tum transanal full CPT 45172 | not published | not published | $939.93 – $5,184.32 | 21 |
| Exc rect tum transanal part CPT 45171 | not published | not published | $939.93 – $5,184.32 | 21 |
| Exc sac pr ulc prim str ostc CPT 15933 | not published | not published | $815.20 – $5,410.54 | 21 |
| Exc sac pr ulc skn flp ostc CPT 15935 | not published | not published | $1,457.62 – $6,920.84 | 21 |
| Exc sacral pr ulc prim sutr CPT 15931 | not published | not published | $815.20 – $5,410.54 | 21 |
| Exc sacral pr ulc skn flap CPT 15934 | not published | not published | $1,457.62 – $6,920.84 | 21 |
| Exc shoulder tum deep < 5 cm CPT 23076 | not published | not published | $815.20 – $5,410.54 | 21 |
| Exc skn hdrdnt ax complex CPT 11451 | not published | not published | $815.20 – $5,410.54 | 21 |
| Exc skn hdrdnt ing complex CPT 11463 | not published | not published | $815.20 – $5,410.54 | 21 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | not published | not published | $486.45 – $3,062.96 | 21 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | not published | not published | $815.20 – $5,410.54 | 21 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | not published | not published | $486.45 – $3,062.96 | 21 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | not published | not published | $815.20 – $5,410.54 | 21 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | not published | not published | $486.45 – $3,062.96 | 21 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | not published | not published | $815.20 – $5,410.54 | 21 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | not published | not published | $486.45 – $3,062.96 | 21 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | not published | not published | $815.20 – $5,410.54 | 21 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | not published | not published | $486.45 – $3,062.96 | 21 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | not published | not published | $815.20 – $5,410.54 | 21 |
| Exc sq tum/vasc malform/hand/fngr 26111 CPT 26111 | not published | not published | $486.45 – $3,062.96 | 21 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | not published | not published | $815.20 – $5,410.54 | 21 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | not published | not published | $486.45 – $3,062.96 | 21 |
| Exc thigh/knee tum deep <5cm CPT 27328 | not published | not published | $815.20 – $5,410.54 | 21 |
| Exc thigh/knee tum dep 5cm/> CPT 27339 | not published | not published | $815.20 – $5,410.54 | 21 |
| Exc tmr sft tiss shldr subq <3cm CPT 23075 | not published | not published | $486.45 – $3,062.96 | 21 |
| Exc torus mandibularis 21031 CPT 21031 | not published | not published | $217.05 – $6,130.82 | 21 |
| Exc trchntric pr ulcer w/prim sutr w/ostectomy 15951 CPT 15951 | not published | not published | $815.20 – $5,410.54 | 21 |
| Exc trchntr pr ulc flp clsr CPT 15952 | not published | not published | $709.01 – $3,458.04 | 21 |
| Exc trchntr pr ulc flp ostc CPT 15953 | not published | not published | $1,457.62 – $6,920.84 | 21 |
| Exc trchntr pr ulc prep flap CPT 15956 | not published | not published | $709.01 – $3,458.04 | 21 |
| Exc trchntr pr ulc prep ostc CPT 15958 | not published | not published | $1,457.62 – $6,920.84 | 21 |
| Exc trchntr pr ulc prim sutr CPT 15950 | not published | not published | $486.45 – $3,062.96 | 21 |
| Exc/unroofing cyst kidney CPT 50280 | not published | not published | $1,276.42 – $1,276.42 | 1 |
| Excursion amplifier lever ty HCPCS L6642 | not published | not published | $278.72 – $557.44 | 18 |
| Excursion amplifier pulley t HCPCS L6641 | not published | not published | $234.13 – $468.26 | 18 |
| Exc vagina lesion 57135 CPT 57135 | not published | not published | $1,063.52 – $6,010.72 | 21 |
| Exemestane, 25 mg HCPCS S0156 | not published | not published | $12.55 – $12.55 | 1 |
| Exercise tst brncspsm w/ecg CPT 94617 | not published | not published | $121.84 – $243.68 | 18 |
| Exercise tst brncspsm wo ecg CPT 94619 | not published | not published | $56.15 – $112.30 | 18 |
| Exercise w/hemodynamic meas CPT 93464 | not published | not published | $523.58 – $990.00 | 2 |
| Exhaled breath condensate CPT 83987 | not published | not published | $1.79 – $7.16 | 18 |
| Exome re-evaluation CPT 81417 | not published | not published | $160.00 – $640.00 | 18 |
| Exome sequence analysis CPT 81415 | not published | not published | $2,390.00 – $9,560.00 | 18 |
| Exome sequence analysis CPT 81416 | not published | not published | $6,000.00 – $24,000.00 | 18 |
| Exoskeletal ak ultra-light m HCPCS L5790 | not published | not published | $1,150.66 – $2,301.32 | 18 |
| Exoskeletal axial rotation u HCPCS L5982 | not published | not published | $751.24 – $1,502.48 | 18 |
| Exoskeletal bk ultralt mater HCPCS L5785 | not published | not published | $695.28 – $1,390.56 | 18 |
| Exoskel hip ultra-light mate HCPCS L5795 | not published | not published | $1,718.25 – $3,436.50 | 18 |
| Ex palate/uvula lesion without closure 42104 CPT 42104 | not published | not published | $126.80 – $6,130.82 | 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.