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 |
|---|---|---|---|---|
| Vulvectomy simple partial CPT 56620 | not published | not published | $1,063.52 – $6,010.72 | 21 |
| Vutrisiran 25 mg/0.5 ml subcutaneous syringe HCPCS J0225 | not published | not published | $4,648.36 – $9,296.72 | 18 |
| Vyjuvek 5x10^9pfu/ml, 0.1 ml HCPCS J3401 | not published | not published | $961.08 – $1,922.16 | 18 |
| Waist belt HCPCS L2190 | not published | not published | $112.78 – $225.56 | 18 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | not published | not published | $71.32 – $285.26 | 21 |
| Warde haloperidol therapeutic drug level CPT 80173 | not published | not published | $7.89 – $31.56 | 21 |
| Warde lipoprotein-associated phospholipase a2 CPT 83698 | not published | not published | $23.16 – $92.62 | 21 |
| Warfarin respon genetic test HCPCS G9143 | not published | not published | $72.43 – $241.44 | 18 |
| Wash harvest stem cells CPT 38209 | not published | not published | $413.23 – $826.46 | 18 |
| Water distilled w/nebulizer HCPCS A7018 | not published | not published | $0.32 – $0.74 | 18 |
| Wcd device interrogate CPT 93292 | not published | not published | $35.25 – $70.50 | 18 |
| Wedge biopsy of liver 47100 CPT 47100 | not published | not published | $1,130.19 – $1,130.19 | 1 |
| Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 | not published | not published | $6,989.72 – $13,979.44 | 18 |
| Wedge resect of lung add-on 32506 CPT 32506 | not published | not published | $208.97 – $208.97 | 1 |
| Wedge resect of lung diag 32507 CPT 32507 | not published | not published | $208.51 – $208.51 | 1 |
| Wedge resect of lung initial 32505 CPT 32505 | not published | not published | $1,239.97 – $1,239.97 | 1 |
| Wedging of clubfoot cast CPT 29750 | not published | not published | $71.14 – $502.06 | 18 |
| Whfo electric custom fitted HCPCS L3904 | not published | not published | $3,228.39 – $6,456.78 | 18 |
| Whfo nontorsion joint prefab HCPCS L3931 | not published | not published | $226.45 – $452.90 | 18 |
| Whfo w/joint(s) custom fab HCPCS L3806 | not published | not published | $500.75 – $1,001.50 | 18 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | not published | not published | $75.00 – $325.54 | 21 |
| Whole body photography CPT 96904 | not published | not published | $209.89 – $209.89 | 1 |
| Whole mitochondrial genome CPT 81460 | not published | not published | $643.50 – $2,574.00 | 18 |
| Whole mitochondrial genome CPT 81465 | not published | not published | $468.00 – $1,872.00 | 18 |
| Who nontorsion jnts pre cst HCPCS L3915 | not published | not published | $586.00 – $1,172.00 | 18 |
| Who nontorsion jnts pre ots HCPCS L3916 | not published | not published | $586.00 – $1,172.00 | 18 |
| Wilate injection HCPCS J7183 | not published | not published | $1.21 – $2.42 | 18 |
| Wipe adh remover univ ostomy adh/barrier remover HCPCS A4456 | not published | not published | $0.24 – $0.68 | 18 |
| Woman's shoe oxford brace HCPCS L3224 | not published | not published | $66.25 – $132.50 | 18 |
| Wound closure by adhesive HCPCS G0168 | not published | not published | $30.45 – $30.45 | 1 |
| Woundfix biowound plus xplus HCPCS Q4217 | not published | not published | $8.80 – $273.51 | 2 |
| Wound pouch each HCPCS A6154 | not published | not published | $13.92 – $38.94 | 18 |
| Wrist arthroscopy CPT 29840 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $2,398.52 – $13,504.80 | 21 |
| Wrist/elbow bowden cable mol HCPCS L6580 | not published | not published | $1,972.29 – $3,944.58 | 18 |
| Wrist/elbow bowden cbl dir f HCPCS L6582 | not published | not published | $1,829.11 – $3,658.22 | 18 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $593.04 – $3,025.48 | 21 |
| Wrst mld sck flx hng tri pad HCPCS L6050 | not published | not published | $2,761.92 – $5,523.84 | 18 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $1,996.38 – $7,604.98 | 21 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $849.94 – $4,311.58 | 21 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $2,595.66 – $9,754.12 | 21 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $1,996.38 – $7,604.98 | 21 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $8.14 – $15.60 | 2 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $2,595.66 – $9,754.12 | 21 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $709.01 – $3,458.04 | 21 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $457.00 – $1,828.00 | 18 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $457.00 – $1,828.00 | 18 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $11.58 – $46.30 | 18 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | not published | not published | $276.77 – $276.77 | 1 |
| X-ray assay calculus CPT 82370 | not published | not published | $6.26 – $25.04 | 21 |
| X-ray bone survey infant CPT 77076 | not published | not published | $50.26 – $201.02 | 21 |
| X-ray consultation CPT 76140 | not published | not published | $38.47 – $38.47 | 1 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $114.24 – $456.96 | 21 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $50.26 – $201.02 | 21 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $259.13 – $1,036.52 | 21 |
| X-ray exam of penis CPT 74445 | not published | not published | $50.26 – $201.02 | 21 |
| X-ray exam of perineum CPT 74775 | not published | not published | $114.24 – $456.96 | 21 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $41.62 – $166.46 | 21 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $114.24 – $456.96 | 21 |
| X-ray exam of teeth CPT 70300 | not published | not published | $41.62 – $166.46 | 21 |
| X-ray exam of teeth CPT 70310 | not published | not published | $114.24 – $456.96 | 21 |
| X-ray fallopian tube CPT 74742 | not published | not published | $73.57 – $73.57 | 1 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $41.62 – $166.46 | 21 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $50.26 – $201.02 | 21 |
| X-ray male genital tract CPT 74440 | not published | not published | $114.24 – $456.96 | 21 |
| X-ray optic foramina CPT 70190 | not published | not published | $41.62 – $166.46 | 21 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $306.00 – $408.02 | 2 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | not published | not published | $107.86 – $675.14 | 21 |
| X-ray sella turcica CPT 70240 | not published | not published | $41.62 – $166.46 | 21 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $50.26 – $201.02 | 21 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $84.14 – $336.54 | 21 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $331.00 – $332.82 | 2 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $289.47 – $438.00 | 2 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $6.16 – $2,929.02 | 2 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $6.46 – $25.82 | 21 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.42 – $2.84 | 18 |
| Yersinia antibody CPT 86793 | not published | not published | $6.60 – $26.38 | 21 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $53,711.70 – $107,423.40 | 18 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $6.16 – $71.50 | 2 |
| Ziconotide injection HCPCS J2278 | not published | not published | $9.24 – $18.48 | 18 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.51 – $2.43 | 2 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $0.50 – $0.50 | 1 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $1.26 – $3.50 | 18 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $7.54 – $15.08 | 18 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $96.63 – $386.50 | 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.