CHRISTUS Trinity Mother Frances Louis & Peaches Owens Heart Hospital
703 S Fleishel Ave, Tyler, TX · Christushealth · · NPI 1356892277
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 |
|---|---|---|---|---|
| 17-ketosteroids CPT 83586 | not published | not published | $6.40 – $25.60 | 21 |
| 1pc ost pch drain hgh output HCPCS A4435 | not published | not published | $5.76 – $16.10 | 18 |
| 1 pc ost pouch w filter HCPCS A5056 | not published | not published | $4.67 – $13.06 | 18 |
| 1 pc ost pou w built-in conv HCPCS A5057 | not published | not published | $9.60 – $26.82 | 18 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $121.81 – $243.62 | 18 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | not published | not published | $2,998.46 – $2,998.46 | 1 |
| 1st psyc collab care mgmt CPT 99492 | not published | not published | $87.43 – $174.86 | 18 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $21.55 – $71.84 | 20 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $121.84 – $243.68 | 18 |
| 2vhpv vaccine 3 dose im CPT 90650 | not published | not published | $217.55 – $217.55 | 1 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $83.23 – $166.46 | 18 |
| 4-bar link above knee w/swng HCPCS L5614 | not published | not published | $2,047.94 – $4,095.88 | 18 |
| 5% dextrose with potassium HCPCS S5012 | not published | not published | $4.39 – $4.39 | 1 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | not published | not published | $250.24 – $250.24 | 1 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | not published | not published | $267.55 – $267.55 | 1 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | not published | not published | $283.71 – $283.71 | 1 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | not published | not published | $228.35 – $228.35 | 1 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | not published | not published | $250.24 – $250.24 | 1 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | not published | not published | $250.24 – $250.24 | 1 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | not published | not published | $283.71 – $283.71 | 1 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | not published | not published | $332.13 – $332.13 | 1 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $4,215.82 – $4,215.82 | 1 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $41.40 – $82.80 | 18 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | not published | not published | $6.01 – $24.02 | 21 |
| Abciximab injection HCPCS J0130 | not published | not published | $558.62 – $2,305.39 | 2 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $1,597.94 – $1,597.94 | 1 |
| Abdominal pad HCPCS L1270 | not published | not published | $88.66 – $177.32 | 18 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $1,845.21 – $12,328.42 | 21 |
| Abduct control hip semi-flex HCPCS L1630 | not published | not published | $190.90 – $381.80 | 18 |
| Abduction bar jointed adjust HCPCS L2300 | not published | not published | $404.43 – $808.86 | 18 |
| Abduction bar-straight HCPCS L2310 | not published | not published | $184.79 – $369.58 | 18 |
| Abduction rotation bar shoe HCPCS L3140 | not published | not published | $107.87 – $215.74 | 18 |
| Abduct rotation bar without shoe HCPCS L3150 | not published | not published | $98.59 – $197.18 | 18 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $1,812.92 – $1,812.92 | 1 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $2,592.05 – $2,592.05 | 1 |
| Ablate atria without bypass ext CPT 33255 | not published | not published | $2,182.87 – $2,182.87 | 1 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $870.02 – $870.02 | 1 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $2,466.57 – $2,466.57 | 1 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $6,752.40 – $13,504.80 | 18 |
| Ablate heart dysrhythm focus CPT 33250 | not published | not published | $1,927.77 – $1,927.77 | 1 |
| Ablate heart dysrhythm focus CPT 33251 | not published | not published | $2,164.88 – $2,164.88 | 1 |
| Ablate heart dysrhythm focus CPT 33261 | not published | not published | $2,157.04 – $2,157.04 | 1 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $420.64 – $2,800.28 | 21 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $420.64 – $2,800.28 | 21 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $5,514.75 – $11,029.50 | 18 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $2,813.82 – $19,681.78 | 21 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $413.23 – $826.46 | 18 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,531.48 – $3,062.96 | 18 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $5,649.79 – $17,481.18 | 18 |
| Ablt trurl prst8 tis thrm Ultrasound CPT 55881 | not published | not published | $631.55 – $631.55 | 1 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $12,280.70 – $24,561.40 | 18 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $8.06 – $16.12 | 18 |
| Abortion CPT 59850 | not published | not published | $470.07 – $470.07 | 1 |
| Abortion (mpr) CPT 59866 | not published | not published | $287.53 – $575.06 | 18 |
| Above elbow prosth tiss shap HCPCS L6500 | not published | not published | $3,733.81 – $7,467.62 | 18 |
| Above knee cushion socket HCPCS L5648 | not published | not published | $931.13 – $1,862.26 | 18 |
| Above knee flex cover system HCPCS L5964 | not published | not published | $1,124.06 – $2,248.12 | 18 |
| Above knee hydracadence HCPCS L5610 | not published | not published | $2,880.03 – $5,760.06 | 18 |
| Above knee leather socket HCPCS L5642 | not published | not published | $766.96 – $1,533.92 | 18 |
| Above knee manual lock HCPCS L5925 | not published | not published | $537.72 – $1,075.44 | 18 |
| Above knee wood socket HCPCS L5644 | not published | not published | $845.68 – $1,691.36 | 18 |
| Abrasion lesion single CPT 15786 | not published | not published | $187.82 – $375.64 | 18 |
| Absorpt drg >16<=48 in w/bdr HCPCS A6255 | not published | not published | $3.04 – $8.50 | 18 |
| Absorpt drg >16 <=48 without bdr HCPCS A6252 | not published | not published | $3.25 – $9.10 | 18 |
| Absorpt drg <=16 sq in w/bdr HCPCS A6254 | not published | not published | $1.20 – $3.34 | 18 |
| Absorpt drg <=16 sq in without b HCPCS A6251 | not published | not published | $1.99 – $5.56 | 18 |
| Absorpt drg > 48 sq in without b HCPCS A6253 | not published | not published | $6.33 – $17.70 | 18 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $6.15 – $24.58 | 21 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $295.23 – $1,003.06 | 18 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | not published | not published | $93.41 – $93.41 | 1 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | not published | not published | $85.34 – $85.34 | 1 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $151.87 – $303.74 | 18 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | not published | not published | $51.90 – $324.00 | 2 |
| Acoustic immitance testing CPT 92570 | not published | not published | $147.89 – $295.78 | 18 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $37.10 – $74.20 | 18 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Acth stimulation panel CPT 80402 | not published | not published | $43.48 – $173.92 | 21 |
| Acth stimulation panel CPT 80406 | not published | not published | $39.13 – $156.52 | 21 |
| Actigraphy testing CPT 95803 | not published | not published | $56.15 – $112.30 | 18 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $23.15 – $46.30 | 18 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | not published | not published | $91.10 – $91.10 | 1 |
| Acup 1/> without estim ea add 15 CPT 97811 | not published | not published | $83.04 – $83.04 | 1 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $23.15 – $46.30 | 18 |
| Acute venous thrombus image CPT 78456 | not published | not published | $397.00 – $2,467.94 | 21 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $87.42 – $303.74 | 18 |
| Adapter b 8 channel 10cm HCPCS C1883 | not published | not published | $733.90 – $770.60 | 5 |
| Adaptive behavior tx by tech CPT 97153 | not published | not published | $87.42 – $174.86 | 18 |
| Adding walker to prev cast CPT 29440 | not published | not published | $17.17 – $298.30 | 21 |
| Additional switch, ext power HCPCS L6611 | not published | not published | $499.69 – $999.38 | 18 |
| Add le poly knee custom kafo HCPCS L2387 | not published | not published | $186.44 – $372.88 | 18 |
| Add ue prost a/e acrylic HCPCS L7404 | not published | not published | $674.54 – $1,349.08 | 18 |
| Add ue prost a/e ultlite mat HCPCS L7401 | not published | not published | $416.42 – $832.84 | 18 |
| Add ue prost b/e acrylic HCPCS L7403 | not published | not published | $446.94 – $893.88 | 18 |
| Add ue prost be/wd, ultlite HCPCS L7400 | not published | not published | $371.97 – $743.94 | 18 |
| Add ue prost s/d acrylic HCPCS L7405 | not published | not published | $882.24 – $1,764.48 | 18 |
| Add ue prost s/d ultlite mat HCPCS L7402 | not published | not published | $449.69 – $899.38 | 18 |
| Add up-ex prosthes lock mech HCPCS L6698 | not published | not published | $690.08 – $1,380.16 | 18 |
| Adenovirus ag ia CPT 87301 | not published | not published | $5.99 – $23.96 | 21 |
| Adenovirus antibody,serum - quest CPT 86603 | not published | not published | $6.44 – $25.74 | 21 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $10.88 – $43.52 | 21 |
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.