Ghs ed peritoneal lavage w guidance if performed cost in Texas
GHS ED PERITONEAL LAVAGE W GUIDANCE IF PERFORMED · CPT 49084
$149.28
lowest in Texas
$1,196.58
state median
$4,516.96
highest in Texas
$1,313.95
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $149.28 | $108.68 – $853.00 | 20 |
| St. Joseph Health Burleson Hospital | Caldwell | $149.28 | $187.66 – $853.00 | 18 |
| St. Joseph Health College Station Hospital | College Station | $149.28 | $469.15 – $853.00 | 5 |
| St. Joseph Health Grimes Hospital | Navasota | $149.28 | $309.30 – $946.83 | 16 |
| Ascension Providence | Waco | $221.85 | $334.95 – $1,485.39 | 26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,001.03 | $71.00 – $2,245.59 | 27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,001.03 | $85.00 – $2,245.59 | 26 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,001.03 | $334.95 – $2,245.59 | 15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $1,001.03 | $71.00 – $2,245.59 | 26 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $1,001.03 | $71.00 – $2,245.59 | 29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,094.95 | $71.00 – $2,245.59 | 18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $1,094.95 | $71.00 – $2,245.59 | 24 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,094.95 | $71.00 – $2,245.59 | 27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor | $1,094.95 | $71.00 – $2,245.59 | 27 |
| Covenant Hospital Levelland | Levelland | $1,097.88 | $883.78 – $2,079.41 | 5 |
| Covenant Medical Center | Lubbock | $1,196.58 | $587.23 – $2,681.00 | 6 |
| Covenant Children's Hospital | Lubbock | $1,196.58 | $577.47 – $4,524.00 | 3 |
| Covenant Specialty Hospital | Lubbock | $1,196.58 | not published | 0 |
| Covenant Hospital Plainview | Plainview | $1,199.94 | $883.78 – $1,283.72 | 5 |
| Ascension Seton Cedar Park Hospital | Cedar Park | $1,313.95 | $108.13 – $969.15 | 19 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,598.93 | $334.95 – $2,245.59 | 28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,598.93 | $334.95 – $2,245.59 | 26 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,598.93 | $334.95 – $2,245.59 | 26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $1,598.93 | $334.95 – $2,245.59 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $1,598.93 | $334.95 – $2,245.59 | 25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $1,598.93 | $334.95 – $2,245.59 | 27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $1,598.93 | $334.95 – $2,245.59 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $1,598.93 | $334.95 – $1,998.66 | 21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $1,598.93 | $334.95 – $2,245.59 | 26 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $1,598.93 | $334.95 – $2,245.59 | 24 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $1,598.93 | $334.95 – $2,245.59 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie | $1,598.93 | $334.95 – $2,245.59 | 24 |
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie | $1,598.93 | $334.95 – $2,245.59 | 24 |
| Texas Health Hospital Mansfield | Mansfield | $4,516.96 | $829.93 – $2,761.00 | 3 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | not published | $829.93 – $2,761.00 | 3 |
| Adventhealth Rollins Brook | Lampasas | not published | $982.40 – $2,234.24 | 2 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $334.95 – $1,367.50 | 7 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $328.25 – $1,367.50 | 8 |
| HCA HOUSTON WEST | HOUSTON | not published | $328.25 – $1,367.50 | 9 |
| HCA HOUSTON PEARLAND | Pearland | not published | $359.42 – $1,611.14 | 6 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $359.42 – $1,398.94 | 6 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $328.25 – $1,398.94 | 9 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $359.42 – $1,611.14 | 6 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $328.25 – $1,257.47 | 9 |
| HCA HOUSTON CONROE | CONROE | not published | $328.25 – $1,367.50 | 10 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | not published | $108.13 – $1,000.00 | 20 |
| Dell Children's Medical Center (Ascension Seton) | Austin | not published | $108.13 – $1,000.00 | 20 |
| Adventhealth Central Texas | Killeen | not published | $911.12 – $2,234.24 | 5 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | not published | $108.13 – $1,590.03 | 21 |
| Ascension Seton Northwest (Ascension Seton) | Austin | not published | $108.13 – $1,635.46 | 43 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | not published | $108.13 – $1,635.46 | 44 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | not published | $108.13 – $1,000.00 | 22 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | not published | $108.13 – $1,000.00 | 20 |