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 |
|---|---|---|---|---|
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | not published | $63.62 – $63.62 | 1 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $3,066.87 – $6,133.74 | 18 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $60.35 – $60.35 | 1 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $1,750.44 – $1,997.50 | 2 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $65.41 – $90.70 | 2 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | not published | $105.46 – $115.58 | 2 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,457.72 – $1,457.72 | 1 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | not published | not published | $8.80 – $8.80 | 1 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $37.50 – $37.50 | 1 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $14.54 – $51.60 | 2 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.26 – $0.91 | 2 |
| Granulocyte pheresis ea unit HCPCS P9050 | not published | not published | $212.00 – $1,148.57 | 5 |
| Great toe-hand transfer CPT 26551 | not published | not published | $4,365.29 – $4,365.29 | 1 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $709.01 – $3,458.04 | 21 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $1,457.62 – $6,920.84 | 21 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $1,457.62 – $6,920.84 | 21 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $28.16 – $56.32 | 18 |
| Group health education CPT 99078 | not published | not published | $324.00 – $324.00 | 1 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $51.90 – $324.00 | 2 |
| Group train without patient HCPCS G0543 | not published | not published | $34.69 – $34.69 | 1 |
| Growth hormone antibody CPT 86277 | not published | not published | $7.87 – $31.48 | 21 |
| Growth hormone panel CPT 80428 | not published | not published | $33.35 – $133.40 | 21 |
| Growth hormone panel CPT 80430 | not published | not published | $64.67 – $258.66 | 21 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $37.80 – $151.20 | 21 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $28.16 – $56.32 | 18 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $28.16 – $56.32 | 18 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $2,574.52 – $2,574.52 | 1 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $1,688.36 – $1,688.36 | 1 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $2,168.58 – $2,168.58 | 1 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $2,403.38 – $2,403.38 | 1 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,595.64 – $1,595.64 | 1 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,793.07 – $3,586.14 | 18 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | not published | not published | $668.13 – $1,336.26 | 18 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $302.32 – $626.96 | 3 |
| Gum graft CPT 41870 | not published | not published | $420.64 – $2,800.28 | 21 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $963.66 – $7,239.02 | 21 |
| Hair analysis HCPCS P2031 | not published | not published | $2.97 – $9.90 | 18 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $321.46 – $1,157.20 | 18 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $377.64 – $755.28 | 18 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $377.64 – $755.28 | 18 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | not published | not published | $52.36 – $104.72 | 18 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $2,602.74 – $5,205.48 | 18 |
| Halo cervical into jckt vest HCPCS L0810 | not published | not published | $3,085.42 – $6,170.84 | 18 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $4,170.20 – $8,340.40 | 18 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | not published | $4.61 – $20.59 | 2 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $261.09 – $522.18 | 18 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $23.76 – $66.46 | 18 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $3.14 – $37.73 | 2 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $116.42 – $232.84 | 18 |
| Hand restoration multiple fi HCPCS L6905 | not published | not published | $1,762.21 – $3,524.42 | 18 |
| Hand restoration no fingers HCPCS L6910 | not published | not published | $1,736.52 – $3,473.04 | 18 |
| Hand restoration replacmnt g HCPCS L6915 | not published | not published | $751.38 – $1,502.76 | 18 |
| Hand restorat thumb/1 finger HCPCS L6900 | not published | not published | $1,855.75 – $3,711.50 | 18 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $2,398.52 – $13,504.80 | 21 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Harness chest/shlder saddle HCPCS L6672 | not published | not published | $213.54 – $427.08 | 18 |
| Harness figure of 8 dual con HCPCS L6676 | not published | not published | $157.43 – $314.86 | 18 |
| Harness figure of 8 sing con HCPCS L6675 | not published | not published | $149.75 – $299.50 | 18 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $109.79 – $109.79 | 1 |
| Harvest auto stem cells CPT 38206 | not published | not published | $564.62 – $3,098.96 | 21 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $709.01 – $3,458.04 | 21 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $2,205.16 – $4,410.32 | 18 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $413.23 – $826.46 | 18 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $121.84 – $243.68 | 18 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $121.84 – $243.68 | 18 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $187.63 – $750.50 | 21 |
| Hbb gene com variants CPT 81361 | not published | not published | $87.41 – $349.62 | 21 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $101.20 – $404.80 | 21 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $187.63 – $750.50 | 21 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $4.86 – $19.42 | 21 |
| Hc ea ha check monaural CPT 92594 | not published | not published | $55.36 – $365.00 | 2 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $84.14 – $336.54 | 21 |
| Hcg free betachain test CPT 84704 | not published | not published | $7.65 – $30.58 | 21 |
| Hc hearing aid chck binaurl CPT 92593 | not published | not published | $80.74 – $365.00 | 2 |
| Hc hearing aid chck monarl CPT 92592 | not published | not published | $55.36 – $365.00 | 2 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $224.90 – $365.00 | 2 |
| Hc hearing aid exam one ear CPT 92590 | not published | not published | $149.92 – $365.00 | 2 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $216.80 – $1,157.20 | 21 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $216.80 – $1,157.20 | 21 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $189.91 – $759.64 | 21 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $189.91 – $759.64 | 21 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $254.39 – $1,017.56 | 18 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $616.99 – $2,467.94 | 18 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $327.90 – $1,311.60 | 18 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $327.90 – $1,311.60 | 18 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $327.90 – $1,311.60 | 18 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $124.29 – $497.14 | 18 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $124.29 – $497.14 | 18 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $339.79 – $1,359.14 | 18 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $812.50 – $3,250.00 | 18 |
| Heart first pass add-on CPT 78496 | not published | not published | $46.82 – $397.00 | 2 |
| Heart first pass multiple CPT 78483 | not published | not published | $254.39 – $1,017.56 | 21 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $254.39 – $1,017.56 | 21 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $2,083.70 – $2,083.70 | 1 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $175.30 – $175.30 | 1 |
| Heavy duty control cable HCPCS L6660 | not published | not published | $123.90 – $247.80 | 18 |
| Heavy metal qual any number CPT 83015 | not published | not published | $10.47 – $41.88 | 21 |
| Heel leather reinforced HCPCS L3440 | not published | not published | $92.45 – $184.90 | 18 |
| Heinz bodies direct CPT 85441 | not published | not published | $2.10 – $8.40 | 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.