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 |
|---|---|---|---|---|
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $1,178.16 – $1,178.16 | 1 |
| Adhesive, liquid or equal HCPCS A4364 | not published | not published | $2.70 – $7.56 | 18 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $2,398.52 – $13,504.80 | 21 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $709.01 – $3,458.04 | 21 |
| Admin ecg contrast agent CPT 93352 | not published | not published | $109.57 – $416.00 | 2 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $24.00 – $134.54 | 18 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | not published | not published | $24.00 – $41.50 | 2 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $24.00 – $128.00 | 2 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $24.00 – $128.00 | 2 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $38.73 – $77.46 | 18 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,630.69 – $1,630.69 | 1 |
| Adrenalin epinephrine inject HCPCS J0171 | not published | not published | $0.15 – $0.15 | 1 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $242.18 – $242.18 | 1 |
| Adv prim care mgmt lvl 1 HCPCS G0556 | not published | not published | $28.16 – $56.32 | 18 |
| Adv prim care mgmt lvl 2 HCPCS G0557 | not published | not published | $28.16 – $56.32 | 18 |
| Adv prim care mgmt lvl 3 HCPCS G0558 | not published | not published | $87.43 – $174.86 | 18 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $293.03 – $588.68 | 18 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $2,715.93 – $5,431.86 | 18 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $3.66 – $14.62 | 21 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $68.50 – $274.00 | 18 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $137.42 – $549.66 | 18 |
| Aflibercept injection HCPCS J0178 | not published | not published | $757.19 – $1,514.38 | 18 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $24.78 – $26.74 | 2 |
| Afo molded ankle gauntlet HCPCS L1904 | not published | not published | $529.76 – $1,059.52 | 18 |
| Afo molded plas rig ant tib HCPCS L1945 | not published | not published | $1,042.87 – $2,085.74 | 18 |
| Afo molded to patient plasti HCPCS L1940 | not published | not published | $570.47 – $1,140.94 | 18 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | not published | not published | $1,080.93 – $2,161.86 | 18 |
| Afo sing bar clasp attach sh HCPCS L1910 | not published | not published | $339.42 – $678.84 | 18 |
| Afo sing solid stirrup calf HCPCS L1980 | not published | not published | $432.23 – $864.46 | 18 |
| Afo sing upright with adjust s HCPCS L1920 | not published | not published | $407.80 – $815.60 | 18 |
| Afo spiral molded to pt plas HCPCS L1950 | not published | not published | $841.99 – $1,683.98 | 18 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | not published | not published | $390.28 – $780.56 | 18 |
| Afo supramalleolar custom HCPCS L1907 | not published | not published | $681.58 – $1,363.16 | 18 |
| Afo tib fx cast molded to pt HCPCS L2108 | not published | not published | $1,309.74 – $2,619.48 | 18 |
| Afo tib fx cast plaster mold HCPCS L2106 | not published | not published | $942.75 – $1,885.50 | 18 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $738.69 – $1,477.38 | 18 |
| Afo tibial fracture rigid HCPCS L2116 | not published | not published | $884.99 – $1,769.98 | 18 |
| Afo tibial fracture soft HCPCS L2112 | not published | not published | $638.11 – $1,276.22 | 18 |
| Afo, walk boot type, cus fab HCPCS L4631 | not published | not published | $1,791.67 – $3,583.34 | 18 |
| Afo w/ankle joint, prefab HCPCS L1971 | not published | not published | $567.75 – $1,135.50 | 18 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $211.28 – $422.56 | 18 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $147.89 – $295.78 | 18 |
| Ak 4 bar ling w/hydraul swig HCPCS L5613 | not published | not published | $2,978.62 – $5,957.24 | 18 |
| Ak 4 bar link w/fric swing HCPCS L5611 | not published | not published | $1,933.80 – $3,867.60 | 18 |
| Ak/bk self-aligning unit ea HCPCS L5617 | not published | not published | $679.02 – $1,358.04 | 18 |
| Ak flex inner socket ext fra HCPCS L5651 | not published | not published | $1,921.85 – $3,843.70 | 18 |
| Ak/knee disartic acrylic soc HCPCS L5631 | not published | not published | $703.15 – $1,406.30 | 18 |
| Ak/knee disartic pelvic band HCPCS L5697 | not published | not published | $96.35 – $192.70 | 18 |
| Ak/knee disartic pelvic join HCPCS L5696 | not published | not published | $266.41 – $532.82 | 18 |
| Ak/knee disartic silesian ba HCPCS L5698 | not published | not published | $143.64 – $287.28 | 18 |
| Ak open end sach HCPCS L5321 | not published | not published | $4,618.17 – $9,236.34 | 18 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $212.64 – $425.28 | 18 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $290.32 – $580.64 | 18 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | not published | not published | $260.98 – $521.96 | 18 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $2,173.49 – $4,346.98 | 18 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $10.62 – $21.27 | 6 |
| Albumin ischemia modified CPT 82045 | not published | not published | $16.97 – $67.88 | 21 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $0.17 – $0.17 | 1 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $11.40 – $11.97 | 5 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $23.15 – $46.30 | 18 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | not published | not published | $28.16 – $56.32 | 18 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $151.87 – $303.74 | 18 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $5,010.86 – $10,021.72 | 18 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $62.75 – $251.00 | 21 |
| Alefacept HCPCS J0215 | not published | not published | $25.23 – $66.91 | 2 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,281.16 – $4,562.32 | 18 |
| Alginate dressing <=16 sq in HCPCS A6196 | not published | not published | $7.35 – $20.56 | 18 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | not published | not published | $16.43 – $45.96 | 18 |
| Alginate drsg wound filler HCPCS A6199 | not published | not published | $5.28 – $14.74 | 18 |
| Alglucerase injection HCPCS J0205 | not published | not published | $30.08 – $67.53 | 2 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $126.22 – $126.22 | 1 |
| Allergy Skin Testing CPT 95004 | not published | not published | $79.00 – $1,923.32 | 18 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $79.00 – $1,923.32 | 18 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $12,161.98 – $24,323.96 | 18 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $82.76 – $82.76 | 1 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $102.18 – $102.18 | 1 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $24.47 – $24.47 | 1 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | not published | not published | $158.33 – $188.16 | 2 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | not published | not published | $136.47 – $176.25 | 2 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | not published | not published | $517.77 – $543.66 | 5 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $128.43 – $128.43 | 1 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $188.16 – $247.02 | 2 |
| Alloskin HCPCS Q4115 | not published | not published | $12.38 – $25.70 | 2 |
| Alloskin ac, 1 cm HCPCS Q4141 | not published | not published | $37.87 – $37.87 | 1 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $37.10 – $74.20 | 18 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $23.15 – $46.30 | 18 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $4.81 – $9.62 | 18 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $8.50 – $34.00 | 21 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $0.32 – $0.47 | 2 |
| Alprostadil urethral suppos HCPCS J0275 | not published | not published | $106.05 – $106.05 | 1 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.39 – $8.78 | 18 |
| Aluminum - quest CPT 82108 | not published | not published | $12.74 – $50.96 | 21 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $222.86 – $6,130.82 | 21 |
| Ambl bp mntr w/software CPT 93784 | not published | not published | $174.14 – $595.00 | 2 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $121.84 – $243.68 | 18 |
| Ambl bp mntr w/sw i&r CPT 93790 | not published | not published | $61.12 – $595.00 | 2 |
| Amifostine HCPCS J0207 | not published | not published | $814.11 – $1,887.07 | 2 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $3.00 – $11.98 | 21 |
| Amino acid single qual CPT 82127 | not published | not published | $7.09 – $28.36 | 21 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $9.81 – $39.22 | 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.