Dilate ic vasospasm ea add vsl same territory cost in Texas
HC DILATE IC VASOSPASM EA ADD VSL SAME TERRITORY · CPT 61641
$657.13
lowest in Texas
$1,670.90
state median
$5,119.01
highest in Texas
$2,299.05
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $657.13 | $478.39 – $3,755.00 | 20 |
| St. Joseph Health Burleson Hospital | Caldwell | $657.13 | $826.10 – $3,755.00 | 18 |
| St. Joseph Health College Station Hospital | College Station | $657.13 | $306.41 – $3,755.00 | 6 |
| St. Joseph Health Grimes Hospital | Navasota | $657.13 | $1,361.57 – $4,168.05 | 16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,190.10 | $244.96 – $3,421.00 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,190.10 | $340.44 – $3,421.00 | 17 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,190.10 | $614.88 – $2,234.00 | 14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $1,190.10 | $238.02 – $3,421.00 | 18 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $1,190.10 | $278.38 – $3,421.00 | 20 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,670.90 | $299.65 – $4,063.00 | 19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,670.90 | $219.86 – $4,063.00 | 17 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,670.90 | $299.65 – $4,063.00 | 18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $1,670.90 | $299.65 – $4,063.00 | 16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $1,670.90 | $299.65 – $4,063.00 | 17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $1,670.90 | $219.86 – $4,063.00 | 18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $1,670.90 | $299.65 – $4,063.00 | 16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $1,670.90 | $299.65 – $4,063.00 | 15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $1,670.90 | $299.65 – $4,063.00 | 18 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $1,670.90 | $299.65 – $4,063.00 | 16 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $1,670.90 | $299.65 – $4,063.00 | 16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie | $1,670.90 | $299.65 – $4,063.00 | 16 |
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie | $1,670.90 | $222.79 – $4,063.00 | 16 |
| Covenant Medical Center | Lubbock | $1,898.40 | $270.40 – $4,574.00 | 5 |
| Covenant Children's Hospital | Lubbock | $1,898.40 | $265.91 – $377.67 | 2 |
| Covenant Specialty Hospital | Lubbock | $1,898.40 | not published | 0 |
| 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 |
| HCA HOUSTON KINGWOOD | HUMBLE | $5,119.01 | $1,625.93 – $1,625.93 | 1 |
| Covenant Hospital Levelland | Levelland | not published | $634.77 – $957.50 | 2 |
| Covenant Hospital Plainview | Plainview | not published | $356.39 – $591.11 | 2 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | not published | $187.24 – $9,124.00 | 2 |
| Texas Health Hospital Mansfield | Mansfield | not published | $187.24 – $9,124.00 | 2 |
| Adventhealth Rollins Brook | Lampasas | not published | $221.64 – $4,826.69 | 2 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $1,625.93 – $1,625.93 | 1 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $1,625.93 – $1,625.93 | 1 |
| HCA HOUSTON WEST | HOUSTON | not published | $1,625.93 – $1,625.93 | 1 |
| HCA HOUSTON PEARLAND | Pearland | not published | $1,625.93 – $1,625.93 | 1 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $1,625.93 – $1,625.93 | 1 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $1,625.93 – $1,625.93 | 1 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $1,625.93 – $1,625.93 | 1 |
| HCA HOUSTON CONROE | CONROE | not published | $1,625.93 – $1,625.93 | 1 |
| Ascension Providence | Waco | not published | $141.85 – $335.12 | 4 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | not published | $127.66 – $1,000.00 | 7 |
| Adventhealth Central Texas | Killeen | not published | $221.64 – $4,826.69 | 2 |
| Dell Children's Medical Center (Ascension Seton) | Austin | not published | $127.66 – $1,000.00 | 7 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | not published | $127.66 – $1,000.00 | 7 |
| Ascension Seton Northwest (Ascension Seton) | Austin | not published | $127.66 – $1,000.00 | 7 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | not published | $127.66 – $1,000.00 | 7 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | not published | $127.66 – $1,000.00 | 7 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | not published | $127.66 – $1,000.00 | 7 |
| Ascension Seton Cedar Park Hospital | Cedar Park | not published | $127.66 – $1,000.00 | 7 |