Texas Health Hospital Mansfield — price list
← Hospital overviewVerified from Texas Health Hospital Mansfield’s published price file
Includes cash prices, list prices. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
1,500 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 12 hour decongestant 0.05 % na soln Inpatient & outpatient | 259 RC | $26.25 | $26.25 | — | — | |
| 7 day vaginal 2 % va crea Inpatient & outpatient | 259 RC | $55.71 | $55.71 | — | — | |
| Acetaminophen 1000 mg/100 ml IV soln Inpatient & outpatient | J0131 HCPCS | $86.64 | $86.64 | — | — | |
| Acetaminophen 1000 mg/100 ml IV soln Inpatient & outpatient | J0134 HCPCS | $26.03 | $26.03 | — | — | |
| Acetaminophen 1000 mg/100 ml IV soln Inpatient & outpatient | J0136 HCPCS | $28.83 | $28.83 | — | — | |
| Acetaminophen 1000 mg/100 ml IV soln Inpatient & outpatient | J0137 HCPCS | $80.41 | $80.41 | — | — | |
| Acetaminophen 160 mg/5ml po soln Inpatient & outpatient | 259 RC | $42.65 | $42.65 | — | — | |
| Acetaminophen 500 mg/50 ml IV soln Inpatient & outpatient | J0136 HCPCS | $64.21 | $64.21 | — | — | |
| Acetaminophen 650 mg/20.3ml po soln Inpatient & outpatient | 259 RC | $16.00 | $16.00 | — | — | |
| Acetazolamide sodium 500 mg ij solr Inpatient & outpatient | J1120 HCPCS | $81.89 | $81.89 | — | — | |
| Acetic acid 3 % soln Inpatient & outpatient | 259 RC | $2.97 | $2.97 | — | — | |
| Acetylcysteine 20 % in soln Inpatient & outpatient | 259 RC | $104 | $104 | — | — | |
| Acetylcysteine 200 mg/ml IV soln Inpatient & outpatient | J0132 HCPCS | $88.79 | $88.79 | — | — | |
| Actemra 200 mg/10ml IV soln Inpatient & outpatient | J3262 HCPCS | $438 | $438 | — | — | |
| Actemra 400 mg/20ml IV soln Inpatient & outpatient | J3262 HCPCS | $2,899 | $2,899 | — | — | |
| Actemra 80 mg/4ml IV soln Inpatient & outpatient | J3262 HCPCS | $438 | $438 | — | — | |
| Actidose with sorbitol 25 gm/120ml po susp Inpatient & outpatient | 259 RC | $278 | $278 | — | — | |
| Actidose-aqua 25 gm/120ml po liqd Inpatient & outpatient | 259 RC | $278 | $278 | — | — | |
| Acyclovir sodium 50 mg/ml IV soln Inpatient & outpatient | J0133 HCPCS | $46.88 | $46.88 | — | — | |
| Adacel 5-2-15.5 lf-mcg/0.5 IM susp Inpatient & outpatient | 90715 HCPCS | $313 | $313 | — | — | |
| Adenosine (diagnostic) 3 mg/ml IV soln Inpatient & outpatient | J0153 HCPCS | $602 | $602 | — | — | |
| Adenosine 12 mg/4ml IV soln Inpatient & outpatient | J0153 HCPCS | $62.96 | $62.96 | — | — | |
| Adenosine 6 mg/2ml IV soln Inpatient & outpatient | J0153 HCPCS | $22.29 | $22.29 | — | — | |
| Admelog 100 unit/ml ij soln Inpatient & outpatient | J1815 HCPCS | $16.41 | $16.41 | — | — | |
| Adrenalin 0.1 % na soln Inpatient & outpatient | 259 RC | $542 | $542 | — | — | |
| Adrenalin 1 mg/ml ij soln Inpatient & outpatient | J0171 HCPCS | $20.46 | $20.46 | — | — | |
| Adrenalin 30 mg/30ml ij soln Inpatient & outpatient | J0171 HCPCS | $16.48 | $16.48 | — | — | |
| Adrenalin-nacl 4-0.9 mg/250ml-% IV soln Inpatient & outpatient | J3490 HCPCS | $227 | $227 | — | — | |
| Afluria preservative free 0.5 ml IM susy Inpatient & outpatient | 90656 HCPCS | $109 | $109 | — | — | |
| Afrin nodrip extra moisture 0.05 % na soln Inpatient & outpatient | 259 RC | $111 | $111 | — | — |