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 |
|---|---|---|---|---|
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $1,323.01 – $1,323.01 | 1 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $189.91 – $759.64 | 21 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $886.62 – $6,130.82 | 21 |
| Puraply 1 sq cm HCPCS Q4195 | not published | not published | $100.17 – $115.58 | 2 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $73.54 – $115.58 | 2 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $262.86 – $1,309.16 | 21 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $262.86 – $1,309.16 | 21 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $832.75 – $1,736.03 | 18 |
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $19,727.48 – $39,454.96 | 17 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $1,311.48 – $1,311.48 | 1 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $1,266.73 – $1,266.73 | 1 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $1,377.91 – $1,377.91 | 1 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $1,245.06 – $1,245.06 | 1 |
| Pyridoxine hcl 100 mg HCPCS J3415 | not published | not published | $12.57 – $13.22 | 2 |
| Quadrilateral brim HCPCS L2188 | not published | not published | $394.68 – $789.36 | 18 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $121.84 – $243.68 | 18 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | not published | not published | $254.39 – $1,017.56 | 21 |
| Quick disconn hook adapter o HCPCS L6628 | not published | not published | $619.54 – $1,239.08 | 18 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $4.03 – $8.06 | 18 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $328.29 – $656.58 | 18 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $236.80 – $473.60 | 18 |
| Rabies vaccine id CPT 90676 | not published | not published | $249.98 – $499.96 | 18 |
| Radial keratotomy CPT 65771 | not published | not published | $852.94 – $852.94 | 1 |
| Radiation therapy management CPT 77431 | not published | not published | $567.54 – $567.54 | 1 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $62.75 – $251.00 | 18 |
| Radiation treatment delivery CPT 77401 | not published | not published | $51.75 – $207.00 | 18 |
| Radiation treatment delivery CPT 77402 | not published | not published | $51.75 – $207.00 | 18 |
| Radiation treatment delivery CPT 77412 | not published | not published | $124.29 – $497.14 | 18 |
| Radiation tx management x5 CPT 77427 | not published | not published | $1,029.58 – $1,029.58 | 1 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $2,464.27 – $2,464.27 | 1 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $2,013.12 – $2,013.12 | 1 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $2,598.50 – $2,598.50 | 1 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $2,364.62 – $2,364.62 | 1 |
| Radical resection of elbow CPT 24149 | not published | not published | $2,398.52 – $13,504.80 | 21 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $1,634.39 – $1,634.39 | 1 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $815.20 – $5,410.54 | 21 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $815.20 – $5,410.54 | 21 |
| Radiesse injection HCPCS Q2026 | not published | not published | $315.16 – $630.32 | 17 |
| Radiofq trsmtr for implt neu HCPCS L8683 | not published | not published | $4,558.23 – $12,737.44 | 21 |
| Radiof trsmtr implt scrl neu HCPCS L8684 | not published | not published | $670.64 – $1,874.00 | 21 |
| Radiology port images(s) CPT 77417 | not published | not published | $61.34 – $375.00 | 2 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $159.47 – $318.94 | 18 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $99.97 – $193.14 | 6 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $6,752.40 – $13,504.80 | 18 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $815.20 – $5,410.54 | 21 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $815.20 – $5,410.54 | 21 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $815.20 – $5,410.54 | 21 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $815.20 – $5,410.54 | 21 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $815.20 – $5,410.54 | 21 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $815.20 – $5,410.54 | 21 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $815.20 – $5,410.54 | 21 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $2,398.52 – $13,504.80 | 21 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $815.20 – $5,410.54 | 21 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | not published | not published | $68.92 – $137.84 | 18 |
| Range of motion measurements CPT 95852 | not published | not published | $19.62 – $139.00 | 2 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $90.41 – $234.38 | 18 |
| Rapid desensitization CPT 95180 | not published | not published | $79.00 – $754.36 | 18 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $413.23 – $826.46 | 18 |
| Rbc irradiated each unit HCPCS P9038 | not published | not published | $93.30 – $282.10 | 21 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $4.30 – $17.20 | 21 |
| Rbc o2 co2 reduced HCPCS P9027 | not published | not published | $460.42 – $920.84 | 18 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $63.59 – $754.36 | 18 |
| Rcm img acquisj&i&r 1st les CPT 96931 | not published | not published | $554.72 – $554.72 | 1 |
| Rcm img acquisj&i&r ea addl CPT 96934 | not published | not published | $316.00 – $316.00 | 1 |
| Rcm img acquisj only 1st les CPT 96932 | not published | not published | $55.36 – $55.36 | 1 |
| Rcm img acquisj only ea addl CPT 96935 | not published | not published | $145.31 – $145.31 | 1 |
| Rcm i&r only 1st lesion CPT 96933 | not published | not published | $152.22 – $152.22 | 1 |
| Rcm i&r only ea addl lesion CPT 96936 | not published | not published | $145.31 – $145.31 | 1 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $5,591.60 – $11,183.20 | 18 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $2,263.14 – $2,263.14 | 1 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $2,011.26 – $2,011.26 | 1 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $2,133.06 – $2,133.06 | 1 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $2,217.93 – $2,217.93 | 1 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $2,889.59 – $2,889.59 | 1 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $2,604.51 – $2,604.51 | 1 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $2,420.90 – $2,420.90 | 1 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $3,757.29 – $3,757.29 | 1 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $3,463.91 – $3,463.91 | 1 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $886.62 – $6,130.82 | 21 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Realignment of knee CPT 27457 | not published | not published | $1,277.34 – $1,277.34 | 1 |
| Realignment of knee CPT 27455 | not published | not published | $1,245.06 – $1,245.06 | 1 |
| Realignment of tendons CPT 26437 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Realignment of thigh bone CPT 27454 | not published | not published | $1,723.88 – $1,723.88 | 1 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Rechanneling of artery CPT 35361 | not published | not published | $2,020.49 – $2,020.49 | 1 |
| Rechanneling of artery CPT 35306 | not published | not published | $592.77 – $592.77 | 1 |
| Rechanneling of artery CPT 35311 | not published | not published | $2,080.00 – $2,080.00 | 1 |
| Rechanneling of artery CPT 35363 | not published | not published | $2,160.27 – $2,160.27 | 1 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $1,642.69 – $1,642.69 | 1 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $1,842.43 – $1,842.43 | 1 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $1,707.74 – $1,707.74 | 1 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $1,953.61 – $1,953.61 | 1 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $1,308.71 – $1,308.71 | 1 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $1,658.38 – $1,658.38 | 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.