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 |
|---|---|---|---|---|
| Revision of horseshoe kidney CPT 50540 | not published | not published | $1,526.90 – $1,526.90 | 1 |
| Revision of ileostomy complicated 44314 CPT 44314 | not published | not published | $1,342.39 – $1,342.39 | 1 |
| Revision of ileostomy; simple 44312 CPT 44312 | not published | not published | $1,457.62 – $6,920.84 | 21 |
| Revision of infusion pump CPT 36261 | not published | not published | $2,145.13 – $6,879.88 | 21 |
| Revision of iris CPT 66762 | not published | not published | $208.33 – $1,037.10 | 21 |
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $420.64 – $2,800.28 | 21 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $886.62 – $6,130.82 | 21 |
| Revision of kidney/ureter CPT 50400 | not published | not published | $1,548.12 – $1,548.12 | 1 |
| Revision of kidney/ureter CPT 50405 | not published | not published | $1,862.27 – $1,862.27 | 1 |
| Revision of knee joint CPT 27440 | not published | not published | $6,610.90 – $24,323.96 | 21 |
| Revision of knee joint CPT 27441 | not published | not published | $4,811.02 – $24,323.96 | 21 |
| Revision of knee joint CPT 27442 | not published | not published | $7,064.85 – $24,323.96 | 21 |
| Revision of knee joint CPT 27443 | not published | not published | $6,727.08 – $24,323.96 | 21 |
| Revision of knee joint CPT 27446 | not published | not published | $7,073.75 – $24,323.96 | 21 |
| Revision of knee joint CPT 27445 | not published | not published | $16,385.90 – $16,385.90 | 1 |
| Revision of larynx CPT 31400 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $1,118.22 – $5,950.16 | 21 |
| Revision of lung CPT 32940 | not published | not published | $1,633.92 – $1,633.92 | 1 |
| Revision of mitral valve CPT 33420 | not published | not published | $1,951.30 – $1,951.30 | 1 |
| Revision of mitral valve CPT 33422 | not published | not published | $2,214.25 – $2,214.25 | 1 |
| Revision of neck muscle CPT 21700 | not published | not published | $2,398.52 – $13,504.80 | 21 |
| Revision of neck muscle CPT 21720 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Revision of neck muscle CPT 21725 | not published | not published | $257.60 – $1,330.10 | 21 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $709.94 – $709.94 | 1 |
| Revision of nose CPT 30120 | not published | not published | $886.62 – $6,130.82 | 21 |
| Revision of nose CPT 30430 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Revision of nose CPT 30435 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Revision of nose CPT 30450 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Revision of nose CPT 30460 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Revision of nose CPT 30462 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Revision of pelvis CPT 27158 | not published | not published | $1,835.52 – $1,835.52 | 1 |
| Revision of penis CPT 54300 | not published | not published | $1,142.90 – $6,520.08 | 21 |
| Revision of penis CPT 54304 | not published | not published | $1,142.90 – $6,520.08 | 21 |
| Revision of penis CPT 54420 | not published | not published | $1,142.90 – $6,520.08 | 21 |
| Revision of penis CPT 54430 | not published | not published | $854.78 – $854.78 | 1 |
| Revision of penis CPT 54435 | not published | not published | $1,142.90 – $6,520.08 | 21 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $3,162.21 – $3,162.21 | 1 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $2,053.25 – $2,053.25 | 1 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $2,919.56 – $2,919.56 | 1 |
| Revision of radius CPT 25350 | not published | not published | $3,385.99 – $13,504.80 | 21 |
| Revision of radius CPT 25355 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $659.94 – $3,691.60 | 21 |
| Revision of scrotum CPT 55175 | not published | not published | $1,142.90 – $6,520.08 | 21 |
| Revision of scrotum CPT 55180 | not published | not published | $1,689.43 – $9,610.28 | 21 |
| Revision of spinal shunt CPT 63744 | not published | not published | $2,746.84 – $12,106.52 | 21 |
| Revision of testis CPT 54660 | not published | not published | $2,501.28 – $9,610.28 | 21 |
| Revision of thigh muscles CPT 27430 | not published | not published | $2,398.52 – $13,504.80 | 21 |
| Revision of toe CPT 28312 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $3,224.03 – $3,224.03 | 1 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $3,204.66 – $3,204.66 | 1 |
| Revision of ulna CPT 25360 | not published | not published | $3,132.35 – $13,504.80 | 21 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $2,398.52 – $13,504.80 | 21 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $2,398.52 – $13,504.80 | 21 |
| Revision of upper arm CPT 24940 | not published | not published | $1,026.85 – $1,026.85 | 1 |
| Revision of ureter CPT 50700 | not published | not published | $1,234.91 – $1,234.91 | 1 |
| Revision of urethra CPT 53450 | not published | not published | $1,142.90 – $6,520.08 | 21 |
| Revision of urethra CPT 53460 | not published | not published | $1,142.90 – $6,520.08 | 21 |
| Revision of urethra CPT 57220 | not published | not published | $1,526.99 – $9,332.06 | 21 |
| Revision of urinary tract CPT 51820 | not published | not published | $1,447.10 – $1,447.10 | 1 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $1,939.15 – $10,219.16 | 21 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $2,398.52 – $13,504.80 | 21 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $12,161.98 – $24,323.96 | 18 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $22,923.02 – $22,923.02 | 1 |
| Revitalon 1 square cm HCPCS Q4157 | not published | not published | $202.90 – $202.90 | 1 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $1,030.14 – $1,030.14 | 1 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $5,109.58 – $10,219.16 | 18 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $5,109.58 – $10,219.16 | 18 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $2,579.14 – $2,579.14 | 1 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $1,689.43 – $9,610.28 | 21 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $2,429.64 – $6,501.24 | 18 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $2,072.02 – $6,501.24 | 21 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $2,384.46 – $2,384.46 | 1 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $1,499.71 – $6,501.24 | 21 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $2,397.68 – $6,501.24 | 21 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $2,995.23 – $2,995.23 | 1 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $2,534.39 – $2,534.39 | 1 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $20,269.67 – $40,539.34 | 18 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $2,486.28 – $2,486.28 | 1 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $6,472.62 – $23,574.38 | 21 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $9.85 – $19.70 | 18 |
| Rh ig IV CPT 90386 | not published | not published | $16.62 – $662.73 | 2 |
| Rh ig minidose im CPT 90385 | not published | not published | $49.50 – $60.26 | 2 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $23.62 – $49.50 | 2 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $31.06 – $62.12 | 18 |
| Rho d immune globulin inj HCPCS J2790 | not published | not published | $77.16 – $129.14 | 2 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $130.53 – $188.10 | 2 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $3,040.22 – $6,080.44 | 18 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $3,040.22 – $6,080.44 | 18 |
| Rhythm ecg with report CPT 93040 | not published | not published | $41.50 – $331.00 | 2 |
| Rib cartilage graft CPT 21230 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Rib gusset (elastic) each HCPCS L1280 | not published | not published | $97.19 – $194.38 | 18 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $2,436.75 – $2,736.00 | 2 |
| Rilonacept injection HCPCS J2793 | not published | not published | $27.00 – $38.48 | 2 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $5.09 – $14.24 | 18 |
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.