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 |
|---|---|---|---|---|
| Postop applicat rigid dsg on HCPCS L6388 | not published | not published | $599.65 – $1,199.30 | 18 |
| Postop app non-wgt bear dsg HCPCS L5450 | not published | not published | $651.98 – $1,303.96 | 18 |
| Postop app non-wgt bear dsg HCPCS L5460 | not published | not published | $872.63 – $1,745.26 | 18 |
| Postop dress & 1 cast chg bk HCPCS L5400 | not published | not published | $1,711.73 – $3,423.46 | 18 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | not published | not published | $2,192.12 – $4,384.24 | 18 |
| Postop dsg ak ea add cast ch HCPCS L5430 | not published | not published | $805.31 – $1,610.62 | 18 |
| Postop dsg bk ea add cast ch HCPCS L5410 | not published | not published | $668.64 – $1,337.28 | 18 |
| Postop dsg cast chg elb dis/ HCPCS L6382 | not published | not published | $1,869.17 – $3,738.34 | 18 |
| Postop dsg cast chg wrst/elb HCPCS L6380 | not published | not published | $1,575.58 – $3,151.16 | 18 |
| Postop ea cast chg & realign HCPCS L6386 | not published | not published | $536.57 – $1,073.14 | 18 |
| Post-operative body jacket HCPCS L1310 | not published | not published | $2,089.61 – $4,179.22 | 18 |
| Post-op hip abduct custom fa HCPCS L1685 | not published | not published | $1,340.06 – $2,680.12 | 18 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $365.00 – $1,003.06 | 18 |
| Postpartum Care Only CPT 59430 | not published | not published | $183.14 – $183.14 | 1 |
| Pouch clsd w barr attached HCPCS A5051 | not published | not published | $2.06 – $5.76 | 18 |
| Pouch drainable w barrier at HCPCS A5061 | not published | not published | $3.53 – $9.88 | 18 |
| Pouch high output 2pc 50mm red HCPCS A4413 | not published | not published | $5.50 – $15.40 | 18 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | not published | not published | $4.36 – $12.18 | 18 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | not published | not published | $2.08 – $5.80 | 18 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | not published | not published | $3.59 – $10.02 | 18 |
| Powder prem protct 1oz HCPCS A4371 | not published | not published | $3.64 – $10.20 | 18 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $68.50 – $274.00 | 18 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | not published | not published | $2,398.52 – $13,504.80 | 21 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $353.29 – $706.58 | 18 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | not published | not published | $104.04 – $148.26 | 2 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $3,508.38 – $24,323.96 | 21 |
| Pr correction hammertoe CPT 28285 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $1,142.90 – $6,520.08 | 21 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | not published | not published | $237.57 – $237.57 | 1 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | not published | not published | $348.29 – $348.29 | 1 |
| Pr ecg 12 lead report only CPT 93010 | not published | not published | $27.68 – $27.68 | 1 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $86.50 – $438.00 | 2 |
| Prefab glove for term device HCPCS L6890 | not published | not published | $221.28 – $442.56 | 18 |
| Prefab stnlss steel crown pe HCPCS D2931 | not published | not published | $1,571.55 – $3,143.10 | 18 |
| Prefab stnlss steel crwn pri HCPCS D2930 | not published | not published | $1,571.55 – $3,143.10 | 18 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | not published | $332.13 – $332.13 | 1 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $470.53 – $470.53 | 1 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $829.88 – $829.88 | 1 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $294.34 – $588.68 | 18 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $365.00 – $1,003.06 | 18 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $365.00 – $1,003.06 | 18 |
| Prep ak ischial direct form HCPCS L5570 | not published | not published | $3,033.88 – $6,067.76 | 18 |
| Prep ak ischial laminated HCPCS L5590 | not published | not published | $3,325.38 – $6,650.76 | 18 |
| Prep ak ischial plast molded HCPCS L5560 | not published | not published | $3,072.83 – $6,145.66 | 18 |
| Prep ak ischial thermo mold HCPCS L5580 | not published | not published | $3,387.54 – $6,775.08 | 18 |
| Preparation palate mold CPT 42280 | not published | not published | $155.21 – $962.70 | 18 |
| Prepare donor heart CPT 33944 | not published | not published | $2,432.90 – $2,432.90 | 1 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $3,514.19 – $3,514.19 | 1 |
| Prepare donor intestine CPT 44715 | not published | not published | $1,486.77 – $1,486.77 | 1 |
| Prepare donor lung double CPT 32856 | not published | not published | $3,108.70 – $3,108.70 | 1 |
| Prepare donor lung single CPT 32855 | not published | not published | $2,838.39 – $2,838.39 | 1 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $25.25 – $101.00 | 18 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $99.64 – $99.64 | 1 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $2,352.63 – $2,352.63 | 1 |
| Prep bk ptb laminated socket HCPCS L5540 | not published | not published | $2,555.00 – $5,110.00 | 18 |
| Prep bk ptb open end socket HCPCS L5535 | not published | not published | $2,382.99 – $4,765.98 | 18 |
| Prep bk ptb plaster molded HCPCS L5510 | not published | not published | $2,047.69 – $4,095.38 | 18 |
| Prep bk ptb thermopls molded HCPCS L5530 | not published | not published | $2,378.32 – $4,756.64 | 18 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $1,892.25 – $1,892.25 | 1 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $515.28 – $515.28 | 1 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $368.58 – $368.58 | 1 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $2,973.54 – $2,973.54 | 1 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $512.50 – $512.50 | 1 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $2,906.19 – $2,906.19 | 1 |
| Prep donor liver/venous CPT 47146 | not published | not published | $435.01 – $435.01 | 1 |
| Prep donor liver whole CPT 47143 | not published | not published | $3,108.70 – $3,108.70 | 1 |
| Prep donor pancreas CPT 48551 | not published | not published | $2,432.90 – $2,432.90 | 1 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $316.92 – $316.92 | 1 |
| Prep donor renal graft CPT 50325 | not published | not published | $2,027.42 – $2,027.42 | 1 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $4,294.98 – $13,706.64 | 18 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $306.00 – $1,923.32 | 18 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $254.18 – $254.18 | 1 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $241.72 – $241.72 | 1 |
| Prep renal graft/venous CPT 50327 | not published | not published | $290.16 – $290.16 | 1 |
| Prep skin cell susp, automtd HCPCS C8002 | not published | not published | $5,375.43 – $13,706.64 | 18 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $286.92 – $286.92 | 1 |
| Pre-tibial shell molded to p HCPCS L2340 | not published | not published | $624.38 – $1,248.76 | 18 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $70.51 – $323.94 | 18 |
| Preventive counseling group CPT 99411 | not published | not published | $25.38 – $25.38 | 1 |
| Preventive counseling group CPT 99412 | not published | not published | $41.50 – $41.50 | 1 |
| Prev med cnsl indiv apprx 15 CPT 99401 | not published | not published | $80.74 – $80.74 | 1 |
| Prev med cnsl indiv apprx 30 CPT 99402 | not published | not published | $163.78 – $163.78 | 1 |
| Prev med cnsl indiv apprx 45 CPT 99403 | not published | not published | $244.48 – $244.48 | 1 |
| Prev med cnsl indiv apprx 60 CPT 99404 | not published | not published | $324.06 – $324.06 | 1 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $1,819.37 – $1,819.37 | 1 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $657.34 – $657.34 | 1 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $445.15 – $445.15 | 1 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $329.82 – $329.82 | 1 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $337.89 – $337.89 | 1 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $236.42 – $236.42 | 1 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $128.00 – $128.00 | 1 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $87.43 – $174.86 | 18 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $659.94 – $3,691.60 | 21 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $698.30 – $4,410.32 | 21 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $698.30 – $4,410.32 | 21 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $698.30 – $4,410.32 | 21 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | not published | not published | $165.92 – $346.00 | 18 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $172.47 – $172.47 | 1 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $2,491.94 – $2,491.94 | 1 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $2,460.12 – $2,460.12 | 1 |
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.