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 |
|---|---|---|---|---|
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $120.15 – $755.28 | 21 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $109.08 – $755.28 | 21 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $120.15 – $755.28 | 21 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $377.64 – $755.28 | 18 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $709.01 – $3,458.04 | 21 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $939.93 – $5,184.32 | 21 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $1,063.52 – $6,010.72 | 21 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $73.09 – $3,458.04 | 21 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $15.02 – $60.06 | 21 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $21.84 – $87.34 | 21 |
| Determination venous press CPT 93770 | not published | not published | $26.53 – $595.00 | 2 |
| Determine refractive state CPT 92015 | not published | not published | $63.42 – $63.42 | 1 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $147.89 – $295.78 | 18 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | not published | not published | $10.31 – $10.31 | 1 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $145.31 – $595.00 | 2 |
| Devise bowel pouch CPT 44316 | not published | not published | $1,895.03 – $1,895.03 | 1 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $87.43 – $174.86 | 18 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $190.27 – $190.27 | 1 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $106.76 – $213.52 | 18 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $2.03 – $2.71 | 2 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $194.30 – $388.60 | 21 |
| Dexamethasone panel CPT 80420 | not published | not published | $80.94 – $323.76 | 21 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.61 – $1.22 | 18 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $76.45 – $152.90 | 18 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $45.37 – $51.53 | 2 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $2.14 – $2.14 | 1 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $28.16 – $56.32 | 18 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $190.55 – $532.94 | 18 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $30.56 – $90.52 | 18 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $30.56 – $90.52 | 18 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $30.56 – $90.52 | 18 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $49.60 – $324.00 | 2 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $63.53 – $177.70 | 18 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $30.56 – $90.52 | 18 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $525.71 – $3,260.00 | 21 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $1,888.85 – $11,029.50 | 21 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $139.56 – $754.36 | 18 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,114.49 – $2,228.98 | 18 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $56.20 – $367.02 | 21 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $41.62 – $166.46 | 21 |
| Dialysis one evaluation CPT 90945 | not published | not published | $402.49 – $804.98 | 18 |
| Dialysis repeated eval CPT 90947 | not published | not published | $750.00 – $750.00 | 1 |
| Diathermy eg microwave CPT 97024 | not published | not published | $23.07 – $185.00 | 3 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.08 – $0.15 | 2 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.09 – $0.24 | 18 |
| Digital analysis of eeg CPT 95957 | not published | not published | $538.56 – $1,256.00 | 2 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $4,792.25 – $9,584.50 | 18 |
| Dilate esophagus CPT 43453 | not published | not published | $564.97 – $3,586.14 | 21 |
| Dilate urethra stricture CPT 53601 | not published | not published | $39.07 – $243.68 | 21 |
| Dilate urethra stricture CPT 53605 | not published | not published | $1,142.90 – $6,520.08 | 21 |
| Dilate urethra stricture CPT 53621 | not published | not published | $94.13 – $459.78 | 21 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $429.26 – $2,228.98 | 21 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $39.86 – $6,010.72 | 21 |
| Dilation of salivary duct CPT 42660 | not published | not published | $57.03 – $962.70 | 21 |
| Dilation of urethra CPT 53661 | not published | not published | $29.60 – $243.68 | 21 |
| Dilation of urethra CPT 53665 | not published | not published | $652.80 – $3,872.58 | 21 |
| Dilation of vagina CPT 57400 | not published | not published | $1,063.52 – $6,010.72 | 21 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $37.38 – $2,800.28 | 21 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $92.46 – $1,261.82 | 21 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $96.48 – $96.48 | 1 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $8.35 – $17.15 | 2 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $676.20 – $1,352.40 | 18 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $16.82 – $64.23 | 2 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $3.84 – $4.69 | 2 |
| Direct advanced life support CPT 99288 | not published | not published | $501.66 – $501.66 | 1 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $37.10 – $74.20 | 18 |
| Disability dlco CPT 94727 | not published | not published | $147.89 – $295.78 | 18 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $709.01 – $3,458.04 | 21 |
| Disarticulation shoulder CPT 23920 | not published | not published | $1,497.84 – $1,497.84 | 1 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $2,040.79 – $2,040.79 | 1 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $279.55 – $279.55 | 1 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $99.05 – $198.10 | 18 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $233.03 – $466.06 | 18 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $68.14 – $3,260.00 | 21 |
| Dissect brain w/scope CPT 62161 | not published | not published | $2,036.19 – $2,036.19 | 1 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $5,109.58 – $10,219.16 | 18 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $1,540.75 – $1,540.75 | 1 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $431.32 – $431.32 | 1 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $11.80 – $12.39 | 5 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $399.49 – $399.49 | 1 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $139.50 – $558.00 | 21 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $137.42 – $549.66 | 18 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $68.50 – $274.00 | 18 |
| Dna gardnerella CPT 87510 | not published | not published | $10.03 – $40.10 | 21 |
| Dna probe chlamydia CPT 87490 | not published | not published | $11.38 – $45.50 | 21 |
| Dna probe gc CPT 87590 | not published | not published | $13.44 – $53.76 | 21 |
| Dna trichomonas CPT 87660 | not published | not published | $10.03 – $40.10 | 21 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $0.61 – $4.14 | 2 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $1.90 – $98.70 | 18 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $3.56 – $9.99 | 2 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $143.77 – $163.32 | 2 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $0.65 – $1.23 | 2 |
| Dornhoffer fixed part w/window HCPCS L8614 | not published | not published | $19,316.01 – $46,461.66 | 21 |
| Dorsi & plantar flex ass/res HCPCS L2220 | not published | not published | $98.43 – $196.86 | 18 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $226.91 – $453.82 | 18 |
| Double transfer toe-hand CPT 26554 | not published | not published | $5,061.39 – $5,061.39 | 1 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $128.60 – $549.88 | 18 |
| Dpyd gene common variants CPT 81232 | not published | not published | $87.41 – $349.62 | 18 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $17.16 – $47.98 | 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.