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 |
|---|---|---|---|---|
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $1,224.28 – $4,897.12 | 18 |
| Genioplasty augmentation CPT 21120 | not published | not published | $5,591.60 – $11,183.20 | 18 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $886.62 – $6,130.82 | 21 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $886.62 – $6,130.82 | 21 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | not published | not published | $5,320.93 – $5,320.93 | 1 |
| Genome re-evaluation CPT 81427 | not published | not published | $1,168.83 – $4,675.30 | 18 |
| Genome sequence analysis CPT 81425 | not published | not published | $2,515.60 – $10,062.40 | 18 |
| Genome sequence analysis CPT 81426 | not published | not published | $1,354.98 – $5,419.90 | 18 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $5.83 – $11.66 | 18 |
| Ghs acetylcholinesterase, rbc CPT 82482 | not published | not published | $4.91 – $19.62 | 21 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | not published | not published | $51.13 – $204.52 | 21 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $36.54 – $459.78 | 21 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $2.41 – $9.64 | 21 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $313.52 – $627.04 | 18 |
| Ghs community re-entry 15 minutes CPT 97537 | not published | not published | $107.26 – $185.00 | 3 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $377.18 – $754.36 | 18 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $7.61 – $30.42 | 21 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | not published | not published | $334.95 – $1,772.40 | 21 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | not published | not published | $147.89 – $295.78 | 18 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $29.98 – $295.78 | 18 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $147.89 – $295.78 | 18 |
| Ghs elect vertical elct CPT 92547 | not published | not published | $24.22 – $24.22 | 1 |
| Ghs eye exam CPT 92002 | not published | not published | $121.81 – $243.62 | 18 |
| Ghs fat & muscle CPT 89160 | not published | not published | $2.43 – $9.70 | 21 |
| Ghs flow volume loop CPT 94375 | not published | not published | $294.34 – $588.68 | 18 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $11.49 – $45.94 | 21 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $7.75 – $30.98 | 21 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $4.74 – $18.94 | 21 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $53.07 – $212.28 | 21 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $14.96 – $59.84 | 21 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $68.14 – $367.02 | 21 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | not published | not published | $43.61 – $87.22 | 18 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | not published | not published | $141.00 – $851.64 | 18 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | not published | not published | $141.00 – $851.64 | 18 |
| Ghs IV infusion sotrovimab HCPCS M0247 | not published | not published | $141.00 – $851.64 | 18 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $216.80 – $1,157.20 | 21 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $143.08 – $755.28 | 21 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $4.30 – $17.20 | 21 |
| Ghs low level laser therapy CPT 97039 | not published | not published | $35.74 – $185.00 | 3 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $147.89 – $295.78 | 18 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $56.15 – $112.30 | 18 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $43.61 – $87.22 | 18 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $223.75 – $1,168.78 | 21 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $446.27 – $2,936.68 | 21 |
| Ghs optokenetic CPT 92544 | not published | not published | $9.22 – $295.78 | 18 |
| Ghs oscillating trac CPT 92545 | not published | not published | $9.22 – $588.68 | 18 |
| Ghs ot dds rom CPT 95851 | not published | not published | $25.38 – $139.00 | 2 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $72.64 – $72.64 | 1 |
| Ghs ot prosthetic training/15 min CPT 97761 | not published | not published | $133.79 – $185.00 | 3 |
| Ghs ot sensory integrative tech/15min CPT 97533 | not published | not published | $139.55 – $185.00 | 3 |
| Ghs ot work hardening-additional hours CPT 97546 | not published | not published | $151.07 – $185.00 | 3 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $2.16 – $8.62 | 21 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $121.84 – $243.68 | 18 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $6.13 – $24.50 | 21 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | not published | not published | $155.00 – $299.84 | 3 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $302.14 – $627.04 | 18 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $7.95 – $31.78 | 21 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $2.16 – $8.62 | 21 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $4.92 – $19.68 | 18 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $143.08 – $755.28 | 21 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $169.54 – $169.54 | 1 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $121.84 – $243.68 | 18 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $355.20 – $355.20 | 1 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $37.10 – $74.20 | 18 |
| Ghs st - re-eval for alt comm CPT 92597 | not published | not published | $237.57 – $365.00 | 2 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $43.61 – $87.22 | 18 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $141.00 – $398.30 | 18 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $3.65 – $14.60 | 21 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $85.32 – $453.48 | 21 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $12.15 – $48.60 | 21 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $501.53 – $1,003.06 | 18 |
| Giardia ag if CPT 87269 | not published | not published | $6.81 – $27.22 | 21 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $7.36 – $29.44 | 21 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $114.24 – $456.96 | 21 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $289.86 – $6,130.82 | 21 |
| Gi protein loss CPT 78282 | not published | not published | $189.91 – $759.64 | 21 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $886.20 – $1,772.40 | 21 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $50.56 – $202.24 | 21 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $30.76 – $123.04 | 21 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $17.50 – $70.00 | 21 |
| Glassia injection HCPCS J0257 | not published | not published | $5.21 – $10.42 | 18 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $23.15 – $46.30 | 18 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $37.10 – $74.20 | 18 |
| Glaucoma surgery CPT 66150 | not published | not published | $1,533.49 – $7,604.98 | 21 |
| Glaucoma surgery CPT 66155 | not published | not published | $2,206.78 – $7,604.98 | 21 |
| Glaucoma surgery CPT 66160 | not published | not published | $849.94 – $4,311.58 | 21 |
| Glaucoma surgery CPT 66170 | not published | not published | $849.94 – $4,311.58 | 21 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $137.44 – $274.88 | 18 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $23.04 – $92.14 | 21 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $25.25 – $101.00 | 21 |
| Glucagon tolerance test CPT 82946 | not published | not published | $8.89 – $35.54 | 21 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $3.03 – $12.10 | 21 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $13.26 – $24.85 | 2 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $9.96 – $19.92 | 18 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $74.21 – $296.82 | 21 |
| Goniotomy CPT 65820 | not published | not published | $1,533.49 – $7,604.98 | 21 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $664.55 – $1,329.10 | 18 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $8.80 – $1,055.97 | 2 |
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.