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 |
|---|---|---|---|---|
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $939.93 – $5,184.32 | 21 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $429.26 – $2,228.98 | 21 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $429.26 – $2,228.98 | 21 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $82.50 – $1,723.54 | 21 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $939.93 – $5,184.32 | 21 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $429.26 – $2,228.98 | 21 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $429.26 – $2,228.98 | 21 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $939.93 – $5,184.32 | 21 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $429.26 – $2,228.98 | 21 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $939.93 – $5,184.32 | 21 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $2,179.56 – $11,253.44 | 21 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $8.80 – $135.93 | 2 |
| Prolng clin staff svc 1st hr CPT 99415 | not published | not published | $32.29 – $32.29 | 1 |
| Prolng clin staff svc ea add CPT 99416 | not published | not published | $13.82 – $13.82 | 1 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | not published | not published | $133.79 – $133.79 | 1 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | not published | not published | $107.26 – $107.26 | 1 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $141.00 – $627.04 | 18 |
| Prolong home eval add 15m HCPCS G0318 | not published | not published | $101.47 – $101.47 | 1 |
| Prolong service without contact CPT 99358 | not published | not published | $363.26 – $363.26 | 1 |
| Prolong serv without contact add CPT 99359 | not published | not published | $175.30 – $175.30 | 1 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.10 – $0.28 | 2 |
| Promethazine hcl injection HCPCS J2550 | not published | not published | $0.51 – $3.31 | 2 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $108.29 – $565.10 | 21 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $6,453.50 – $24,323.96 | 21 |
| Prophylactic tx radius CPT 25490 | not published | not published | $2,398.52 – $13,504.80 | 21 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $6,263.30 – $24,323.96 | 21 |
| Pros sheath/sock w gel cushn HCPCS L8417 | not published | not published | $91.26 – $182.52 | 18 |
| Pros soc insert gasket/seal HCPCS L7700 | not published | not published | $135.46 – $270.92 | 18 |
| Pros sock multi ply upper lm HCPCS L8435 | not published | not published | $28.94 – $57.88 | 18 |
| Pros sock single ply ak HCPCS L8480 | not published | not published | $12.62 – $25.24 | 18 |
| Pros sock single ply upper l HCPCS L8485 | not published | not published | $13.35 – $26.70 | 18 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $1,689.43 – $9,610.28 | 21 |
| Prostate laser enucleation CPT 52649 | not published | not published | $1,689.43 – $9,610.28 | 21 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $1,038.74 – $6,520.08 | 21 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $993.06 – $6,520.08 | 21 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | not published | not published | $132.55 – $265.10 | 18 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | not published | not published | $50.83 – $101.66 | 18 |
| Prosthetic sock multi ply bk HCPCS L8420 | not published | not published | $24.95 – $49.90 | 18 |
| Prosthetic type socket molde HCPCS L2350 | not published | not published | $1,069.69 – $2,139.38 | 18 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | not published | not published | $9.61 – $19.22 | 18 |
| Protect body sock ea pre ots HCPCS L0984 | not published | not published | $68.40 – $136.80 | 18 |
| Protein c concentrate HCPCS J2724 | not published | not published | $14.21 – $28.42 | 18 |
| Prothrombin complex kcentra HCPCS J7168 | not published | not published | $2.09 – $4.18 | 18 |
| Prothrombin time substitution plasma fractions each CPT 85611 | not published | not published | $1.97 – $7.88 | 21 |
| Proton treatment complex CPT 77525 | not published | not published | $375.00 – $2,411.28 | 18 |
| Proton trmt intermediate CPT 77523 | not published | not published | $375.00 – $2,411.28 | 18 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $375.00 – $2,411.28 | 18 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $273.39 – $1,093.56 | 18 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $4.87 – $19.48 | 21 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $121.81 – $243.62 | 18 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $586.32 – $586.32 | 1 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $1,151.54 – $6,671.48 | 21 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $1,939.15 – $33,946.10 | 21 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $1,939.15 – $33,946.10 | 21 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $2,398.52 – $13,504.80 | 21 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $593.04 – $3,025.48 | 21 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $2,398.52 – $13,504.80 | 21 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $3,122.54 – $13,504.80 | 21 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $6,752.40 – $13,504.80 | 18 |
| Pr robotic surgical system HCPCS S2900 | not published | not published | $1,383.73 – $1,383.73 | 1 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $709.01 – $3,458.04 | 21 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $137.25 – $137.25 | 1 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $2,398.52 – $13,504.80 | 21 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $2,398.52 – $13,504.80 | 21 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $2,398.52 – $13,504.80 | 21 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | not published | not published | $56.51 – $56.51 | 1 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $23.15 – $46.30 | 18 |
| Psychoanalysis CPT 90845 | not published | not published | $151.87 – $303.74 | 18 |
| Psychoeducation 45 min + HCPCS G0177 | not published | not published | $324.00 – $324.00 | 1 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $139.00 – $272.16 | 2 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $73.57 – $754.36 | 18 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $63.42 – $139.00 | 2 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $124.54 – $139.00 | 2 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | not published | not published | $48.45 – $185.00 | 3 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | not published | not published | $20.77 – $185.00 | 3 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | not published | not published | $68.03 – $185.00 | 3 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | not published | not published | $44.99 – $185.00 | 3 |
| Pt application of modality traction mechanical CPT 97012 | not published | not published | $48.45 – $185.00 | 3 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $170.69 – $170.69 | 1 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $150.00 – $600.00 | 21 |
| Pten gene full sequence CPT 81321 | not published | not published | $300.00 – $1,200.00 | 21 |
| Pten gene known fam variant CPT 81322 | not published | not published | $23.30 – $93.20 | 21 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Pt evaluation high complexity patient/family CPT 97163 | not published | not published | $155.00 – $276.77 | 3 |
| Pt evaluation low complexity patient/family CPT 97161 | not published | not published | $155.00 – $276.77 | 3 |
| Pt evaluation moderate complexity patient/family CPT 97162 | not published | not published | $155.00 – $276.77 | 3 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $83.04 – $365.00 | 2 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $926.72 – $2,589.64 | 21 |
| Pt re-evaluation patient/family CPT 97164 | not published | not published | $155.00 – $187.97 | 3 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | not published | not published | $123.39 – $123.39 | 1 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $46.14 – $185.00 | 3 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | not published | not published | $99.17 – $185.00 | 3 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | not published | not published | $93.41 – $185.00 | 3 |
| Pt wheelchair management each 15 minutes CPT 97542 | not published | not published | $108.42 – $185.00 | 3 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $10,719.33 – $21,438.66 | 18 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $13,065.00 – $13,065.00 | 1 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $2,722.50 – $10,890.00 | 18 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $5,681.84 – $5,681.84 | 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.