Texas Health Hospital Mansfield
2300 Lone Star Road, Mansfield, TX 76063 · 109 Priced Procedures · 80% Patient Recommendation
Typical commercial prices here are +21% above the fair benchmark (1.21×) even after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 1.21× fair market pricing.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Texas Health Hospital Mansfield prices routine shoppable procedures near 1.2× Medicare (p50 0.94×) while skewing captive emergency, lab, and upper-quartile codes to 2.0× Medicare (p75 0.99×, +5% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.76× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 59% of shoppable procedures (99/100 Cash Honesty)
- 5-Star CMS clinical rating with 80% patient recommendation (74/100 safety score)
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.3× markup over Medicare rates
- Captive ER (0.8×) & laboratory (4.2×) services average 1.67× higher multiples than routine shoppable care (1.2×)
- Specialty infusion drugs (J-codes) average 1.4× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 15.5× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Texas Health Hospital Mansfield
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 109 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $5,772 | 0.9× |
| Inguinal hernia repair CPT Code: 49505 | $3,461 | 1.0× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,238 | 1.0× |
| Bunion correction surgery CPT Code: 28296 | $3,238 | 0.9× |
| Cataract surgery with lens implant CPT Code: 66984 | $2,331 | 0.9× |
| Trauma team activation HCPCS Code: G0390 | $1,370 | 0.9× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,181 | 0.9× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,046 | 1.0× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $914 | 0.9× |
| Upper endoscopy with biopsy CPT Code: 43239 | $907 | 0.9× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $778 | unverified |
| Injection procedure for pain management HCPCS Code: G0260 | $692 | 0.8× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $687 | unverified |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $654 | unverified |
| Psychological testing by technician CPT Code: 96138 | $572 | 1.4× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $552 | 0.9× |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $537 | unverified |
| Blood transfusion CPT Code: 36430 | $434 | 0.9× |
| Psychotherapy session (45 minutes) CPT Code: 90834 | $446 | unverified |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $433 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $385 | 0.9× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $385 | 0.8× |
| Hepatitis B immune globulin HCPCS Code: 90371 | $327 | 2.2× |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $328 | unverified |
| Breathing treatment (nebulizer) CPT Code: 94640 | $348 | unverified |
Audit a Bill or Quote at Texas Health Hospital Mansfield (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Self-Pay Cash Rate ($19,242) Beats Your Bill
Texas Health Hospital Mansfield's published 45 CFR § 180 self-pay cash rate is $19,242 (vs. $5,772 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $6,109 Fair BaseRate ($6,176 Medicare)
Your bill ($38,484) is $32,375 above the denoised Fair BaseRate ($6,109) and 6.2× the $6,176 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Texas Health Hospital Mansfield as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Texas Health Hospital Mansfield. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-08-19·administrative_or_closure
Met Requirements
Recorded - 2024-02-16·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (187 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Texas Health Hospital Mansfield.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.