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 |
|---|---|---|---|---|
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $709.01 – $3,458.04 | 21 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | not published | not published | $144.16 – $288.32 | 18 |
| Blind cor sinus reducer impl HCPCS C9783 | not published | not published | $10,719.33 – $21,438.66 | 18 |
| Blinded conv. tx mdd clin tr HCPCS G2000 | not published | not published | $501.53 – $1,003.06 | 18 |
| Blind interatrial shunt ide HCPCS C9758 | not published | not published | $16,000.64 – $33,083.64 | 18 |
| Blind myocar trpl bon marrow HCPCS C9782 | not published | not published | $12,480.64 – $33,083.64 | 18 |
| Blind/nonblind trans atrial HCPCS C9792 | not published | not published | $9,216.37 – $18,432.74 | 18 |
| Blink reflex test CPT 95933 | not published | not published | $56.15 – $112.30 | 18 |
| Blm gene CPT 81209 | not published | not published | $19.66 – $78.62 | 21 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | not published | not published | $12.26 – $34.28 | 18 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | not published | not published | $340.77 – $1,683.04 | 21 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | not published | not published | $443.63 – $1,683.04 | 21 |
| Block paracervical nrv CPT 64435 | not published | not published | $43.19 – $1,309.16 | 21 |
| Block tap inj(s) w/wo img bi CPT 64488 | not published | not published | $51.26 – $53.82 | 5 |
| Block tap inj(s) w/wo img uni CPT 64486 | not published | not published | $41.42 – $43.49 | 5 |
| Blood clot lysis time CPT 85175 | not published | not published | $10.19 – $40.74 | 21 |
| Blood clot retraction CPT 85170 | not published | not published | $8.15 – $32.60 | 21 |
| Blood component/product noc HCPCS P9099 | not published | not published | $46.25 – $92.50 | 18 |
| Blood count spun microhematocrit CPT 85013 | not published | not published | $3.50 – $14.00 | 21 |
| Blood, l/r, irradiated HCPCS P9056 | not published | not published | $79.56 – $159.12 | 21 |
| Blood mucoprotein HCPCS P2038 | not published | not published | $2.97 – $9.90 | 18 |
| Blood thymol turbidity HCPCS P2033 | not published | not published | $2.97 – $9.90 | 18 |
| Blood typing antigen system CPT 86911 | not published | not published | $12.58 – $44.94 | 3 |
| Blood typing paternity test CPT 86910 | not published | not published | $14.54 – $160.96 | 3 |
| Blood typing patient serum CPT 86904 | not published | not published | $9.80 – $112.30 | 21 |
| Blood typing rh phenotype complete reference CPT 86906 | not published | not published | $4.65 – $74.20 | 21 |
| Blood volume CPT 78122 | not published | not published | $178.08 – $1,017.56 | 21 |
| Body jacket mold to patient HCPCS L1300 | not published | not published | $2,169.20 – $4,338.40 | 18 |
| Bone biopsy open superficial CPT 20240 | not published | not published | $815.20 – $5,410.54 | 21 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $564.62 – $3,098.96 | 21 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $1,674.15 – $8,857.04 | 21 |
| Bone mineral dual photon CPT 78351 | not published | not published | $31.07 – $397.00 | 3 |
| Bone mineral single photon CPT 78350 | not published | not published | $50.99 – $397.00 | 3 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $2,398.52 – $13,504.80 | 21 |
| Bone/skin graft iliac crest CPT 20970 | not published | not published | $3,800.19 – $3,800.19 | 1 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $2,398.52 – $13,504.80 | 21 |
| Bone/skin graft microvasc CPT 20969 | not published | not published | $3,650.73 – $3,650.73 | 1 |
| Bone void filler nanoss 10cc HCPCS C9362 | not published | not published | $150.09 – $157.59 | 5 |
| Boot heel care softcare one sz HCPCS E0191 | not published | not published | $9.35 – $26.16 | 18 |
| Boot j walker l HCPCS L4386 | not published | not published | $192.04 – $384.08 | 18 |
| Boot mlti podous univ xlg HCPCS L4396 | not published | not published | $203.33 – $406.66 | 18 |
| Boot softgait shrt m HCPCS L4387 | not published | not published | $192.04 – $384.08 | 18 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | not published | not published | $311.94 – $623.88 | 18 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | not published | not published | $311.94 – $623.88 | 18 |
| Borrelia antibody CPT 86619 | not published | not published | $6.69 – $26.76 | 21 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $17.55 – $70.18 | 21 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $1.72 – $6.86 | 21 |
| Bpg axillary-pop/-tibial CPT 35623 | not published | not published | $1,745.10 – $1,745.10 | 1 |
| Bpg carotid-vertebral CPT 35642 | not published | not published | $1,312.86 – $1,312.86 | 1 |
| Bpg ilio-celiac CPT 35632 | not published | not published | $2,385.84 – $2,385.84 | 1 |
| Bpg ilio-mesenteric CPT 35633 | not published | not published | $2,666.78 – $2,666.78 | 1 |
| Bpg iliorenal CPT 35634 | not published | not published | $2,346.18 – $2,346.18 | 1 |
| Bpg pop-tibl/-prnl artery CPT 35671 | not published | not published | $1,489.54 – $1,489.54 | 1 |
| Bpg splenorenal CPT 35636 | not published | not published | $2,124.29 – $2,124.29 | 1 |
| Bpg subclavian-axillary CPT 35616 | not published | not published | $1,460.02 – $1,460.02 | 1 |
| Bpg subclavian-vertebral CPT 35645 | not published | not published | $1,259.81 – $1,259.81 | 1 |
| Brace adj motion lerman type HCPCS L2186 | not published | not published | $169.61 – $339.22 | 18 |
| Brace afo dbl upright cust HCPCS L1990 | not published | not published | $502.18 – $1,004.36 | 18 |
| Brace afo lg left 6607 HCPCS L1930 | not published | not published | $355.34 – $710.68 | 18 |
| Brace afopos solid ankle cust HCPCS L1960 | not published | not published | $624.46 – $1,248.92 | 18 |
| Brace afo spiral prefab HCPCS L1951 | not published | not published | $1,017.26 – $2,034.52 | 18 |
| Brace ank aftr bioskn med lg HCPCS L1906 | not published | not published | $135.49 – $270.98 | 18 |
| Brace ank air stirrup univ HCPCS L4350 | not published | not published | $103.57 – $207.14 | 18 |
| Brace ankle joint dflxn assist HCPCS L2210 | not published | not published | $75.73 – $151.46 | 18 |
| Brace ankle stablizing lg HCPCS L1902 | not published | not published | $119.91 – $239.82 | 18 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $293.21 – $586.42 | 18 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $847.27 – $1,694.54 | 18 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $709.28 – $1,418.56 | 18 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | not published | not published | $497.92 – $995.84 | 18 |
| Brace back pinnacle tlso 464 HCPCS L0464 | not published | not published | $1,800.47 – $3,600.94 | 18 |
| Brace back t-lso custom HCPCS L0486 | not published | not published | $2,160.40 – $4,320.80 | 18 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $732.27 – $1,464.54 | 18 |
| Brace cust back lso HCPCS L0631 | not published | not published | $1,243.50 – $2,487.00 | 18 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | not published | $1,109.63 – $2,219.26 | 18 |
| Brace fx hum ovr shldr sm HCPCS L3980 | not published | not published | $405.82 – $811.64 | 18 |
| Brace halo bremer l2830 HCPCS L2830 | not published | not published | $105.84 – $211.68 | 18 |
| Brace kafo dbl upright cust HCPCS L2036 | not published | not published | $2,196.33 – $4,392.66 | 18 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | not published | not published | $558.06 – $1,116.12 | 18 |
| Brace knee extender plus 22-30in HCPCS L1832 | not published | not published | $684.93 – $1,369.86 | 18 |
| Brace knee hing pat open med HCPCS L1820 | not published | not published | $162.09 – $324.18 | 18 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | not published | not published | $443.19 – $886.38 | 18 |
| Brace knee postop tscope xl HCPCS L1845 | not published | not published | $1,055.22 – $2,110.44 | 18 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | not published | not published | $120.49 – $240.98 | 18 |
| Brace m arm board HCPCS L3809 | not published | not published | $275.66 – $551.32 | 18 |
| Brace ortho exos 28-50in sm HCPCS L0637 | not published | not published | $1,471.59 – $2,943.18 | 18 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | not published | not published | $1,204.70 – $2,409.40 | 18 |
| Brace tlso flex cust HCPCS L0450 | not published | not published | $133.23 – $266.46 | 18 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $2,705.27 – $5,410.54 | 18 |
| Brachy linear, non-str,p-103 HCPCS C2636 | not published | not published | $50.01 – $100.02 | 18 |
| Brachy source i-125 injection HCPCS C2638 | not published | not published | $35.01 – $70.02 | 18 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | not published | not published | $33.19 – $66.38 | 18 |
| Brachy source palladium HCPCS C2640 | not published | not published | $65.87 – $131.74 | 18 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | not published | not published | $75.40 – $150.80 | 18 |
| Brachy src nonstrand c-131 HCPCS C2643 | not published | not published | $91.27 – $182.54 | 18 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | not published | not published | $323.63 – $647.26 | 18 |
| Brachy src stranded c-131 HCPCS C2642 | not published | not published | $101.95 – $203.90 | 18 |
| Brachytx isodose complex CPT 77318 | not published | not published | $173.01 – $692.04 | 18 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $173.01 – $692.04 | 18 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $173.01 – $692.04 | 18 |
| Brachytx, non-str, gold-198 HCPCS C1716 | not published | not published | $619.57 – $1,641.52 | 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.