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 |
|---|---|---|---|---|
| Unlisted neurological dx px CPT 95999 | not published | not published | $139.00 – $295.78 | 18 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $189.91 – $759.64 | 21 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $23.15 – $46.30 | 18 |
| Unlisted orl service/px CPT 92700 | not published | not published | $23.15 – $46.30 | 18 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $282.55 – $565.10 | 18 |
| Unlisted procedure liver CPT 47399 | not published | not published | $665.05 – $1,330.10 | 18 |
| Unlisted procedure microbiology CPT 87999 | not published | not published | $70.66 – $70.66 | 1 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $282.55 – $565.10 | 18 |
| Unlisted procedure spine CPT 22899 | not published | not published | $226.74 – $453.48 | 18 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $1,176.32 – $1,176.32 | 1 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | $28.16 – $56.32 | 18 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $226.74 – $453.48 | 18 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $226.74 – $453.48 | 18 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $282.55 – $565.10 | 18 |
| Unlisted px diaphragm CPT 39599 | not published | not published | $1,383.73 – $1,383.73 | 1 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $665.05 – $1,330.10 | 18 |
| Unlisted px external ear CPT 69399 | not published | not published | $219.50 – $439.00 | 18 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $282.55 – $565.10 | 18 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $226.74 – $453.48 | 18 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $226.74 – $453.48 | 18 |
| Unlisted px inner ear CPT 69949 | not published | not published | $219.50 – $439.00 | 18 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $282.55 – $565.10 | 18 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $226.74 – $453.48 | 18 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $1,383.73 – $1,383.73 | 1 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $62.75 – $251.00 | 18 |
| Unlisted px middle ear CPT 69799 | not published | not published | $219.50 – $439.00 | 18 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $219.50 – $439.00 | 18 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $2,155.79 – $4,311.58 | 18 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $219.50 – $439.00 | 18 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $219.50 – $439.00 | 18 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $62.75 – $251.00 | 18 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $219.50 – $439.00 | 18 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $25.25 – $101.00 | 18 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $189.91 – $759.64 | 21 |
| Unlisted surgical path px CPT 88399 | not published | not published | $25.25 – $101.00 | 18 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $11.58 – $46.30 | 18 |
| Unlisted urinalysis px CPT 81099 | not published | not published | $70.66 – $70.66 | 1 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $584.39 – $1,168.78 | 18 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $189.91 – $759.64 | 21 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $5,514.75 – $11,029.50 | 18 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $5,514.75 – $11,029.50 | 18 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $342.75 – $342.75 | 1 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $1,888.85 – $11,029.50 | 21 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $2.57 – $10.26 | 21 |
| Ureter endoscopy CPT 50970 | not published | not published | $1,142.90 – $6,520.08 | 21 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $1,689.43 – $9,610.28 | 21 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $1,689.43 – $9,610.28 | 21 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $1,142.90 – $6,520.08 | 21 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $1,689.43 – $9,610.28 | 21 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $1,689.43 – $9,610.28 | 21 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $1,689.43 – $9,610.28 | 21 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $1,689.43 – $9,610.28 | 21 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,475.24 – $1,475.24 | 1 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,505.69 – $1,505.69 | 1 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $3,260.04 – $6,520.08 | 18 |
| Urinalysis glass test CPT 81020 | not published | not published | $2.35 – $9.40 | 21 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $166.39 – $397.00 | 3 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $3.17 – $8.88 | 18 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $6.00 – $16.80 | 18 |
| Urinary reflex study CPT 51792 | not published | not published | $56.15 – $112.30 | 18 |
| Urinary suspensory HCPCS A5105 | not published | not published | $40.74 – $113.94 | 18 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $121.84 – $243.68 | 18 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $6.51 – $18.22 | 18 |
| Urine screen for bacteria CPT 81007 | not published | not published | $14.99 – $59.96 | 21 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,631.62 – $1,631.62 | 1 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $5.30 – $18.18 | 18 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $59.19 – $214.01 | 2 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $84.14 – $336.54 | 21 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $735.45 – $735.45 | 1 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $14.71 – $14.71 | 1 |
| Use 1st target lesion CPT 76982 | not published | not published | $50.26 – $201.02 | 21 |
| User adjustable heel height HCPCS L5990 | not published | not published | $2,201.77 – $4,403.54 | 18 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $12.06 – $24.12 | 18 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $147.34 – $294.68 | 18 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $12,161.98 – $24,323.96 | 18 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $161.65 – $249.52 | 2 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $147.06 – $249.52 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $87.78 – $150.10 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $65.55 – $111.77 | 2 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $374.19 – $374.19 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $134.99 – $192.34 | 2 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $29.11 – $29.11 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $75.15 – $100.43 | 2 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $177.56 – $195.86 | 2 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $348.70 – $368.98 | 2 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $75.55 – $83.49 | 2 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $21.86 – $26.74 | 2 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $28.76 – $28.76 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $14.21 – $14.21 | 1 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $30.39 – $39.24 | 2 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $78.23 – $78.23 | 1 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $10.93 – $27.12 | 2 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $248.63 – $279.14 | 2 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $145.49 – $206.21 | 2 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $368.16 – $371.91 | 2 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $846.45 – $1,334.72 | 2 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $667.36 – $846.45 | 2 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $352.80 – $371.91 | 2 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $176.58 – $192.43 | 2 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.02 | 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.