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 |
|---|---|---|---|---|
| Lmtd oph exam general anes CPT 92019 | not published | not published | $2,205.16 – $4,410.32 | 18 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Lockingelbow forearm cntrbal HCPCS L6693 | not published | not published | $3,445.50 – $6,891.00 | 18 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $0.93 – $1.15 | 2 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $147.95 – $147.95 | 1 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $200.50 – $401.00 | 18 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $176.90 – $353.80 | 18 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $55.60 – $111.20 | 18 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | not published | not published | $94.42 – $188.84 | 18 |
| Loudness balance test CPT 92562 | not published | not published | $294.34 – $588.68 | 18 |
| Low back disk surgery CPT 63030 | not published | not published | $2,398.52 – $13,504.80 | 21 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $1,729.02 – $3,458.04 | 18 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $578.60 – $1,157.20 | 18 |
| Lower jaw bone graft CPT 21215 | not published | not published | $2,788.09 – $11,183.20 | 21 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $155.00 – $375.64 | 18 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $18.00 – $25.65 | 2 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $1,888.85 – $19,681.78 | 21 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $9,840.89 – $19,681.78 | 18 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $3,110.01 – $19,681.78 | 21 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $9,840.89 – $19,681.78 | 18 |
| Lso corset front HCPCS L0972 | not published | not published | $149.77 – $299.54 | 18 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $59.83 – $119.66 | 18 |
| Lso full corset HCPCS L0976 | not published | not published | $212.02 – $424.04 | 18 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $196.14 – $392.28 | 18 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $1,597.56 – $3,195.12 | 18 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $847.27 – $1,694.54 | 18 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $115.52 – $231.04 | 18 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $1,198.47 – $2,396.94 | 18 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $1,624.70 – $3,249.40 | 18 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $347.36 – $694.72 | 18 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $204.55 – $409.10 | 18 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $1,267.43 – $2,534.86 | 18 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $1,471.59 – $2,943.18 | 18 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $11.00 – $43.98 | 21 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $1.60 – $4.46 | 18 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $95.55 – $191.10 | 18 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $94.46 – $188.92 | 18 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $99.89 – $199.78 | 18 |
| Lumbar sling HCPCS L1090 | not published | not published | $115.49 – $230.98 | 18 |
| Lumizyme injection HCPCS J0221 | not published | not published | $190.59 – $381.18 | 18 |
| Lung transplant double CPT 32853 | not published | not published | $6,159.28 – $6,159.28 | 1 |
| Lung transplant single CPT 32851 | not published | not published | $4,398.50 – $4,398.50 | 1 |
| Lung transplant with bypass CPT 32852 | not published | not published | $4,781.84 – $4,781.84 | 1 |
| Lung transplant with bypass CPT 32854 | not published | not published | $6,537.09 – $6,537.09 | 1 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,960.06 – $1,960.06 | 1 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $193.68 – $387.36 | 18 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $39.02 – $78.04 | 18 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $280.02 – $560.04 | 18 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $228.00 – $456.00 | 18 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $40.77 – $1,239.64 | 18 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $23.15 – $46.30 | 18 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $342.69 – $685.38 | 18 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $10.03 – $40.10 | 21 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $945.20 – $945.20 | 1 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $18.28 – $73.12 | 21 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $24.52 – $98.06 | 21 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $94.76 – $379.02 | 21 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $23.80 – $95.18 | 21 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $292.20 – $1,168.78 | 21 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $734.17 – $2,936.68 | 21 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $1,487.54 – $5,950.16 | 21 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $1,487.54 – $5,950.16 | 21 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $187.22 – $962.70 | 21 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $1,063.52 – $6,010.72 | 21 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $15.33 – $29.94 | 2 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $4.32 – $21.10 | 3 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $2.14 – $8.54 | 21 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $114.24 – $456.96 | 21 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $13.06 – $26.12 | 18 |
| Malaria antibody CPT 86750 | not published | not published | $6.60 – $26.38 | 21 |
| Male sling procedure CPT 53440 | not published | not published | $7,582.22 – $24,561.40 | 21 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $4,059.44 – $4,059.44 | 1 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $593.04 – $3,025.48 | 21 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $593.04 – $3,025.48 | 21 |
| Manipulation of hip joint CPT 27275 | not published | not published | $593.04 – $3,025.48 | 21 |
| Manipulation of spine CPT 22505 | not published | not published | $593.04 – $3,025.48 | 21 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $1.18 – $11.25 | 2 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $77.67 – $155.34 | 18 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $2.54 – $10.14 | 21 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $139.00 – $289.47 | 2 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $46.69 – $93.38 | 18 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $0.62 – $2,151.24 | 18 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $1,513.06 – $1,513.06 | 1 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $106.77 – $213.54 | 18 |
| Mastectomy form HCPCS L8020 | not published | not published | $272.69 – $545.38 | 18 |
| Mastectomy partial CPT 19301 | not published | not published | $963.66 – $7,239.02 | 21 |
| Mast mod rad CPT 19307 | not published | not published | $6,164.21 – $12,328.42 | 18 |
| Mastoidectomy CPT 69501 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Mastoid surgery revision CPT 69603 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Mastopexy CPT 19316 | not published | not published | $1,845.21 – $12,328.42 | 21 |
| Mast radical CPT 19305 | not published | not published | $1,509.84 – $1,509.84 | 1 |
| Mast rad urban type CPT 19306 | not published | not published | $1,599.80 – $1,599.80 | 1 |
| Mast simple complete CPT 19303 | not published | not published | $1,845.21 – $12,328.42 | 21 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $6.16 – $86.35 | 2 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $2,566.67 – $2,566.67 | 1 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $17.55 – $70.18 | 21 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $13.65 – $54.58 | 21 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $21.42 – $85.68 | 21 |
| Maxillofacial fixation CPT 21100 | not published | not published | $1,954.22 – $11,183.20 | 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.