Dilate ic vasospasm ea add vsl diff territory cost in Texas
HC DILATE IC VASOSPASM EA ADD VSL DIFF TERRITORY · CPT 61642
$1,139.60
lowest in Texas
$3,026.10
state median
$4,322.56
highest in Texas
$4,322.56
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $1,139.60 | $829.63 – $6,512.00 | 20 |
| St. Joseph Health Burleson Hospital | Caldwell | $1,139.60 | $1,432.64 – $6,512.00 | 18 |
| St. Joseph Health College Station Hospital | College Station | $1,139.60 | $531.38 – $6,512.00 | 6 |
| St. Joseph Health Grimes Hospital | Navasota | $1,139.60 | $2,361.26 – $7,228.32 | 16 |
| Covenant Medical Center | Lubbock | $2,022.30 | $539.92 – $4,574.00 | 5 |
| Covenant Children's Hospital | Lubbock | $2,022.30 | $530.95 – $755.34 | 2 |
| Covenant Specialty Hospital | Lubbock | $2,022.30 | not published | 0 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,932.13 | $556.75 – $4,398.20 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,932.13 | $680.87 – $4,398.20 | 17 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,932.13 | $1,514.94 – $4,398.20 | 14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $2,932.13 | $556.75 – $4,153.86 | 18 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $2,932.13 | $556.75 – $4,398.20 | 20 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $3,026.10 | $2,334.42 – $8,646.00 | 19 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $3,026.10 | $2,334.42 – $8,646.00 | 19 |
| St. Luke's Health - The Vintage Hospital | Houston | $3,026.10 | $2,334.42 – $8,646.00 | 19 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $3,026.10 | $2,334.42 – $8,646.00 | 19 |
| Baylor St Luke's Medical Center | Houston | $3,026.10 | $2,334.42 – $8,646.00 | 21 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,322.56 | $599.31 – $6,123.62 | 19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,322.56 | $439.73 – $6,123.62 | 17 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $4,322.56 | $599.31 – $6,123.62 | 18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $4,322.56 | $599.31 – $6,123.62 | 16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $4,322.56 | $599.31 – $6,123.62 | 17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $4,322.56 | $439.73 – $6,123.62 | 18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $4,322.56 | $599.31 – $6,123.62 | 16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $4,322.56 | $599.31 – $6,123.62 | 15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $4,322.56 | $599.31 – $6,123.62 | 18 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $4,322.56 | $599.31 – $6,123.62 | 16 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $4,322.56 | $599.31 – $6,123.62 | 16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie | $4,322.56 | $599.31 – $6,123.62 | 16 |
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie | $4,322.56 | $576.34 – $6,123.62 | 16 |
| Covenant Hospital Levelland | Levelland | not published | $1,269.54 – $1,911.91 | 2 |
| Covenant Hospital Plainview | Plainview | not published | $712.79 – $1,180.31 | 2 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | not published | $374.48 – $9,124.00 | 2 |
| Texas Health Hospital Mansfield | Mansfield | not published | $374.48 – $9,124.00 | 2 |
| Adventhealth Rollins Brook | Lampasas | not published | $443.28 – $4,826.69 | 2 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $3,251.87 – $3,251.87 | 1 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $3,251.87 – $3,251.87 | 1 |
| HCA HOUSTON WEST | HOUSTON | not published | $3,251.87 – $3,251.87 | 1 |
| HCA HOUSTON PEARLAND | Pearland | not published | $3,251.87 – $3,251.87 | 1 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $3,251.87 – $3,251.87 | 1 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $3,251.87 – $3,251.87 | 1 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $3,251.87 – $3,251.87 | 1 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $3,251.87 – $3,251.87 | 1 |
| HCA HOUSTON CONROE | CONROE | not published | $3,251.87 – $3,251.87 | 1 |
| Ascension Providence | Waco | not published | $283.71 – $670.23 | 4 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | not published | $255.33 – $1,000.00 | 7 |
| Adventhealth Central Texas | Killeen | not published | $443.28 – $4,826.69 | 2 |
| Dell Children's Medical Center (Ascension Seton) | Austin | not published | $255.33 – $1,000.00 | 7 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | not published | $255.33 – $1,000.00 | 7 |
| Ascension Seton Northwest (Ascension Seton) | Austin | not published | $255.33 – $1,000.00 | 7 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | not published | $255.33 – $1,000.00 | 7 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | not published | $255.33 – $1,000.00 | 7 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | not published | $255.33 – $1,000.00 | 7 |
| Ascension Seton Cedar Park Hospital | Cedar Park | not published | $255.33 – $1,000.00 | 7 |