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 |
|---|---|---|---|---|
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $815.20 – $5,410.54 | 21 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $815.20 – $5,410.54 | 21 |
| Drainage of abdomen CPT 48000 | not published | not published | $2,522.85 – $2,522.85 | 1 |
| Drainage of bone lesion CPT 26992 | not published | not published | $1,287.03 – $1,287.03 | 1 |
| Drainage of bone lesion CPT 27303 | not published | not published | $850.18 – $850.18 | 1 |
| Drainage of eye CPT 65810 | not published | not published | $849.94 – $4,311.58 | 21 |
| Drainage of eye CPT 65815 | not published | not published | $849.94 – $4,311.58 | 21 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $593.04 – $3,025.48 | 21 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $420.64 – $2,800.28 | 21 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $420.64 – $2,800.28 | 21 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $593.04 – $3,025.48 | 21 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $1,142.90 – $6,520.08 | 21 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $1,142.90 – $6,520.08 | 21 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $1,142.90 – $6,520.08 | 21 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $939.93 – $5,184.32 | 21 |
| Drainage of salivary gland CPT 42305 | not published | not published | $886.62 – $6,130.82 | 21 |
| Drainage of salivary gland CPT 42320 | not published | not published | $187.22 – $962.70 | 21 |
| Drainage of spinal cyst CPT 63172 | not published | not published | $1,866.42 – $1,866.42 | 1 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $2,311.58 – $2,311.58 | 1 |
| Drainage of throat abscess CPT 42725 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $1,142.90 – $6,520.08 | 21 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $104.86 – $3,872.58 | 18 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $238.15 – $1,261.82 | 21 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $1,936.29 – $3,872.58 | 18 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $98.83 – $1,923.32 | 21 |
| Drain chest lesion CPT 21502 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Drain chst dry seal exp thorastat HCPCS A7041 | not published | not published | $106.79 – $213.58 | 18 |
| Drain lower leg bursa CPT 27604 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $815.20 – $5,410.54 | 21 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $815.20 – $5,410.54 | 21 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $1,510.30 – $1,510.30 | 1 |
| Drain ostomy pouch w/flange HCPCS A5063 | not published | not published | $2.70 – $7.56 | 18 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $1,063.52 – $6,010.72 | 21 |
| Drain ovary abscess open CPT 58820 | not published | not published | $1,063.52 – $6,010.72 | 21 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $1,466.47 – $1,466.47 | 1 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $593.04 – $3,025.48 | 21 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $815.20 – $5,410.54 | 21 |
| Drain shoulder lesion CPT 23030 | not published | not published | $815.20 – $5,410.54 | 21 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $420.64 – $2,800.28 | 21 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $986.73 – $986.73 | 1 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $578.60 – $1,157.20 | 18 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $50.48 – $66.66 | 2 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $1,200.77 – $1,200.77 | 1 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $424.40 – $424.40 | 1 |
| Driver pneumatic vad, rep HCPCS Q0480 | not published | not published | $15,986.14 – $199,999.92 | 18 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $1,033.78 – $1,033.78 | 1 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $1,063.52 – $6,010.72 | 21 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $429.26 – $2,228.98 | 21 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $886.62 – $6,130.82 | 21 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $1,468.77 – $1,468.77 | 1 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $1,333.16 – $1,333.16 | 1 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $913.83 – $913.83 | 1 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $2,127.97 – $2,127.97 | 1 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $420.64 – $2,800.28 | 21 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $1.48 – $2.77 | 2 |
| Drop lock knee HCPCS L2182 | not published | not published | $129.23 – $258.46 | 18 |
| Drop lock retainer each HCPCS L2785 | not published | not published | $35.70 – $71.40 | 18 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $2.63 – $12.53 | 2 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $12.01 – $20.04 | 2 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $9.09 – $9.09 | 1 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $10.92 – $30.56 | 18 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $11.45 – $89.92 | 2 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $29.93 – $32.64 | 2 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $49.79 – $68.78 | 2 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | not published | not published | $0.48 – $0.48 | 1 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $8.14 – $80.54 | 2 |
| Drug assay posaconazole CPT 80187 | not published | not published | $13.56 – $54.22 | 21 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $13.56 – $54.22 | 21 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $22.37 – $23.49 | 5 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $148.15 – $493.84 | 21 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $93.95 – $313.18 | 21 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $37.28 – $124.28 | 21 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $8.57 – $34.28 | 21 |
| Dry needling (97799) CPT 97799 | not published | not published | $155.00 – $185.00 | 2 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $133.72 – $7,128.84 | 21 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $133.72 – $755.28 | 21 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $117.10 – $755.28 | 21 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $128.74 – $1,157.20 | 21 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $153.38 – $1,157.20 | 21 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $208.33 – $1,037.10 | 21 |
| Duodenal exclusion CPT 48547 | not published | not published | $2,394.15 – $2,394.15 | 1 |
| Duodenal motility study CPT 91022 | not published | not published | $306.75 – $1,003.06 | 18 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $79.29 – $158.58 | 18 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $50.26 – $201.02 | 21 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $147.89 – $295.78 | 18 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $56.38 – $365.00 | 2 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $377.18 – $754.36 | 18 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $886.20 – $1,772.40 | 18 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $334.95 – $1,772.40 | 21 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $294.34 – $588.68 | 18 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $147.89 – $295.78 | 18 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $82.55 – $232.00 | 2 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $220.91 – $232.00 | 2 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $72.34 – $232.00 | 2 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $155.59 – $734.08 | 21 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $525.71 – $3,260.00 | 21 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $140.73 – $232.00 | 2 |
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.