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 |
|---|---|---|---|---|
| Intracranial vessel surgery CPT 61690 | not published | not published | $2,937.10 – $2,937.10 | 1 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $5,019.40 – $5,019.40 | 1 |
| Intranasal reconstruction CPT 30620 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Intraop hipec px 1st 60 min CPT 96547 | not published | not published | $91.10 – $436.00 | 2 |
| Intraoral periapical first HCPCS D0220 | not published | not published | $83.23 – $166.46 | 18 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $413.23 – $826.46 | 18 |
| Intro long gi tube w/mult fluo CPT 74340 | not published | not published | $64.38 – $64.38 | 1 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $525.71 – $3,260.00 | 21 |
| Io anal gast n-stim init CPT 95980 | not published | not published | $139.00 – $139.00 | 1 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $56.15 – $112.30 | 18 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $197.15 – $394.30 | 18 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $514.35 – $514.35 | 1 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $35.25 – $70.50 | 18 |
| Ionm in operatng room 15 min CPT 95940 | not published | not published | $107.26 – $139.00 | 2 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | not published | $139.00 – $592.77 | 2 |
| Io radiation tx management CPT 77469 | not published | not published | $375.00 – $1,725.54 | 2 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $375.00 – $14,451.44 | 18 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $375.00 – $14,451.44 | 18 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $0.55 – $0.55 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $170.19 – $340.38 | 18 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | not published | not published | $374.82 – $374.82 | 1 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | not published | not published | $544.32 – $544.32 | 1 |
| Ip/obs consltj new/est hi 80 CPT 99255 | not published | not published | $655.04 – $655.04 | 1 |
| Ip/obs consltj new/est sf 35 CPT 99252 | not published | not published | $243.33 – $243.33 | 1 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $1.64 – $4.89 | 2 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $60.70 – $121.40 | 18 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $16.45 – $32.90 | 18 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $3.44 – $13.76 | 21 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $592.78 – $2,800.28 | 21 |
| Irrigation syringe HCPCS A4322 | not published | not published | $2.81 – $7.88 | 18 |
| Irrigation tray HCPCS A4320 | not published | not published | $4.54 – $12.68 | 18 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $56.15 – $112.30 | 18 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $75.00 – $150.00 | 18 |
| Island pedicle flap graft CPT 15740 | not published | not published | $709.01 – $3,458.04 | 21 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $614.87 – $1,229.74 | 18 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $141.37 – $141.37 | 1 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $189.91 – $759.64 | 18 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $377.18 – $754.36 | 18 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $84.14 – $336.54 | 21 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $128.96 – $257.92 | 18 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| J-tube placement CPT 44015 | not published | not published | $190.52 – $190.52 | 1 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | not published | not published | $1,315.46 – $2,630.92 | 18 |
| Kafo dbl solid stirrup without j HCPCS L2030 | not published | not published | $1,153.85 – $2,307.70 | 18 |
| Kafo fem fx cast molded to p HCPCS L2128 | not published | not published | $1,931.80 – $3,863.60 | 18 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | not published | not published | $1,282.27 – $2,564.54 | 18 |
| Kafo fem fx cast thermoplas HCPCS L2126 | not published | not published | $1,349.05 – $2,698.10 | 18 |
| Kafo femoral fx cast rigid HCPCS L2136 | not published | not published | $1,451.75 – $2,903.50 | 18 |
| Kafo femoral fx cast soft HCPCS L2132 | not published | not published | $1,025.23 – $2,050.46 | 18 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | not published | not published | $2,543.66 – $5,087.32 | 18 |
| Kafo plas sing free knee mol HCPCS L2037 | not published | not published | $1,876.44 – $3,752.88 | 18 |
| Kafo plastic pediatric size HCPCS L2035 | not published | not published | $209.85 – $419.70 | 18 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | not published | not published | $1,142.69 – $2,285.38 | 18 |
| Kafo sng/dbl mechanical act HCPCS L2005 | not published | not published | $4,963.44 – $9,926.88 | 18 |
| Kafo sng solid stirrup without j HCPCS L2010 | not published | not published | $1,115.86 – $2,231.72 | 18 |
| Kafo without joint multi-axis an HCPCS L2038 | not published | not published | $1,610.72 – $3,221.44 | 18 |
| Keratomileusis CPT 65760 | not published | not published | $1,948.07 – $1,948.07 | 1 |
| Keratophakia CPT 65765 | not published | not published | $2,130.75 – $2,130.75 | 1 |
| Keratoprosthesis CPT 65770 | not published | not published | $7,935.12 – $27,013.08 | 18 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $49.29 – $705.65 | 2 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $7.74 – $30.94 | 21 |
| Kidney endoscopy CPT 50551 | not published | not published | $1,689.43 – $9,610.28 | 21 |
| Kidney endoscopy CPT 50553 | not published | not published | $1,689.43 – $9,610.28 | 21 |
| Kidney endoscopy CPT 50570 | not published | not published | $1,142.90 – $6,520.08 | 21 |
| Kidney endoscopy CPT 50575 | not published | not published | $1,689.43 – $9,610.28 | 21 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $3,322.27 – $17,481.18 | 21 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $1,142.90 – $6,520.08 | 21 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $3,322.27 – $17,481.18 | 21 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $1,689.43 – $9,610.28 | 21 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $1,689.43 – $17,481.18 | 21 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $1,689.43 – $9,610.28 | 21 |
| Kidney function study CPT 78725 | not published | not published | $189.91 – $759.64 | 21 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $254.39 – $1,017.56 | 21 |
| Kit case 4.2mm spinejack HCPCS C1062 | not published | not published | $3,980.52 – $3,980.52 | 1 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | not published | not published | $22.56 – $102.90 | 18 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | not published | not published | $6.98 – $19.54 | 18 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $62.44 – $249.74 | 21 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | not published | not published | $11.99 – $33.52 | 18 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $23.25 – $79.45 | 2 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | not published | not published | $1,683.65 – $4,180.18 | 21 |
| Kit trach suct cls 30.5cm HCPCS A4605 | not published | not published | $16.38 – $45.84 | 18 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $593.04 – $3,025.48 | 21 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $593.04 – $3,025.48 | 21 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $1,088.27 – $6,133.74 | 21 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $2,398.52 – $13,504.80 | 21 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $3,300.05 – $13,504.80 | 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.