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 |
|---|---|---|---|---|
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $150.68 – $602.70 | 21 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $92.60 – $370.40 | 21 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $23.50 – $94.00 | 21 |
| So airplane w/wo joint cf HCPCS L3674 | not published | not published | $1,303.06 – $2,606.12 | 18 |
| So cap design without jnts cf HCPCS L3671 | not published | not published | $993.31 – $1,986.62 | 18 |
| Socket insert above knee HCPCS L5658 | not published | not published | $436.40 – $872.80 | 18 |
| Socket insert below knee HCPCS L5655 | not published | not published | $368.09 – $736.18 | 18 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $456.24 – $912.48 | 18 |
| Socket insert symes HCPCS L5654 | not published | not published | $473.15 – $946.30 | 18 |
| Socket insert without lock mech HCPCS L5679 | not published | not published | $732.72 – $1,465.44 | 18 |
| Socket insert w lock mech HCPCS L5673 | not published | not published | $879.31 – $1,758.62 | 18 |
| Sock fracture or equal each HCPCS L3995 | not published | not published | $47.00 – $94.00 | 18 |
| Sock wool above knee HCPCS L8430 | not published | not published | $27.40 – $54.80 | 18 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | not published | not published | $1.94 – $2.74 | 2 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $73.96 – $144.73 | 2 |
| Soft interface below knee se HCPCS L2820 | not published | not published | $97.83 – $195.66 | 18 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $597.91 – $2,690.62 | 21 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $597.91 – $2,391.66 | 21 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $597.91 – $6,577.02 | 21 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $523.18 – $2,092.70 | 21 |
| Solid skin barrier HCPCS A4362 | not published | not published | $3.20 – $8.94 | 18 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $7.13 – $19.94 | 18 |
| Somatosensory testing CPT 95927 | not published | not published | $139.00 – $588.68 | 18 |
| Somatropin injection HCPCS J2941 | not published | not published | $46.24 – $92.48 | 18 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $597.91 – $5,979.10 | 21 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $448.44 – $1,793.74 | 21 |
| So vest canvas/web pre ots HCPCS L3675 | not published | not published | $193.46 – $386.92 | 18 |
| Special pump services CPT 99190 | not published | not published | $595.00 – $1,150.94 | 2 |
| Special pump services CPT 99191 | not published | not published | $595.00 – $855.71 | 2 |
| Special pump services CPT 99192 | not published | not published | $569.70 – $595.00 | 2 |
| Special radiation dosimetry CPT 77331 | not published | not published | $62.75 – $251.00 | 18 |
| Special teletx port plan CPT 77321 | not published | not published | $173.01 – $692.04 | 18 |
| Specific gravity body fluid CPT 84315 | not published | not published | $1.64 – $6.56 | 21 |
| Specimen fat stain CPT 89125 | not published | not published | $2.94 – $11.76 | 21 |
| Speech audiometry complete CPT 92556 | not published | not published | $56.15 – $112.30 | 18 |
| Speech evaluation complex CPT 70371 | not published | not published | $114.24 – $456.96 | 21 |
| Speech recep thresh CPT 92555 | not published | not published | $56.15 – $112.30 | 18 |
| Sperm antibody test CPT 89325 | not published | not published | $5.34 – $21.34 | 18 |
| Sperm evaluation test CPT 89329 | not published | not published | $9.80 – $39.18 | 18 |
| Sperm identification CPT 89257 | not published | not published | $25.25 – $101.00 | 18 |
| Sperm isolation complex CPT 89261 | not published | not published | $25.25 – $101.00 | 18 |
| Sperm isolation simple CPT 89260 | not published | not published | $25.25 – $101.00 | 18 |
| Sperm washing 58323 CPT 58323 | not published | not published | $7.86 – $380.30 | 18 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $1,954.22 – $11,183.20 | 21 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $939.93 – $5,184.32 | 21 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $12,161.98 – $24,323.96 | 18 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $294.34 – $588.68 | 18 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $147.89 – $295.78 | 18 |
| Spleen imaging CPT 78185 | not published | not published | $189.91 – $759.64 | 21 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $1,543.05 – $1,543.05 | 1 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $3,109.17 – $3,109.17 | 1 |
| Splicing of ureters CPT 50770 | not published | not published | $1,538.43 – $1,538.43 | 1 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | not published | not published | $59.24 – $118.48 | 18 |
| Splint finger fold over sm HCPCS L3924 | not published | not published | $95.90 – $191.80 | 18 |
| Splint finger frog med HCPCS L3927 | not published | not published | $38.57 – $77.14 | 18 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $1.88 – $12.84 | 18 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $1,457.62 – $6,920.84 | 21 |
| Split flat caliper stirr & p HCPCS L2230 | not published | not published | $90.95 – $181.90 | 18 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $34.59 – $34.59 | 1 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $80.90 – $627.04 | 18 |
| Spring-ass rot wrst with latch HCPCS L6623 | not published | not published | $808.48 – $1,616.96 | 18 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $3,286.94 – $7,838.40 | 18 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $1,871.04 – $1,871.04 | 1 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $1,371.90 – $1,371.90 | 1 |
| Srs cran les complex addl CPT 61799 | not published | not published | $414.25 – $414.25 | 1 |
| Srs cran les simple addl CPT 61797 | not published | not published | $298.92 – $298.92 | 1 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $87.70 – $350.80 | 18 |
| Srs multisource CPT 77371 | not published | not published | $3,612.86 – $14,451.44 | 18 |
| Srs spinal lesion CPT 63620 | not published | not published | $1,517.22 – $1,517.22 | 1 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $345.05 – $345.05 | 1 |
| Staggered spondaic word test CPT 92572 | not published | not published | $147.89 – $295.78 | 18 |
| Stainless steel any wrist HCPCS L6630 | not published | not published | $344.90 – $689.80 | 18 |
| St analysis behavior qualitative voice/resonance CPT 92524 | not published | not published | $155.00 – $289.47 | 3 |
| Stance phase only HCPCS L5858 | not published | not published | $22,555.79 – $45,111.58 | 18 |
| Standard control cable extra HCPCS L6655 | not published | not published | $111.12 – $222.24 | 18 |
| Static or dynami afo pre ots HCPCS L4397 | not published | not published | $203.33 – $406.66 | 18 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $56.05 – $132.08 | 18 |
| Stationary o2 contents, liq HCPCS E0442 | not published | not published | $56.05 – $132.08 | 18 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | not published | not published | $139.00 – $359.81 | 2 |
| Stem cells total count CPT 86367 | not published | not published | $38.89 – $155.56 | 21 |
| Stenger test pure tone CPT 92565 | not published | not published | $56.15 – $112.30 | 18 |
| Stenger test speech CPT 92577 | not published | not published | $365.00 – $1,003.06 | 18 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $1,448.03 – $1,448.03 | 1 |
| Stereoscopic x-ray guidance HCPCS G6002 | not published | not published | $160.10 – $375.00 | 3 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,910.71 – $1,910.71 | 1 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $2,310.32 – $2,310.32 | 1 |
| Sterile gauze <= 16 sq in HCPCS A6402 | not published | not published | $0.11 – $0.30 | 18 |
| Sterile water/saline, 500 ml HCPCS A4217 | not published | not published | $3.13 – $8.76 | 18 |
| Sternal debridement CPT 21627 | not published | not published | $714.56 – $714.56 | 1 |
| Sternal pad HCPCS L1050 | not published | not published | $120.92 – $241.84 | 18 |
| St evaluate speech sound production CPT 92522 | not published | not published | $155.00 – $299.84 | 3 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | not published | not published | $155.00 – $638.91 | 3 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | not published | not published | $294.08 – $294.08 | 1 |
| St evaluation swallow function CPT 92610 | not published | not published | $237.57 – $237.57 | 1 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $973.61 – $3,691.60 | 21 |
| Stocking sup grips 4 pre ots HCPCS L0982 | not published | not published | $24.46 – $48.92 | 18 |
| Stoma absorptive cover HCPCS A5083 | not published | not published | $0.65 – $1.80 | 18 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $80.99 – $323.94 | 18 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $80.99 – $323.94 | 18 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $80.99 – $323.94 | 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.