Ghs nerve blk intercostal, ea addtl level cost in Texas
GHS NERVE BLK INTERCOSTAL, EA ADDTL LEVEL · CPT 64421
$317.97
lowest in Texas
$1,445.51
state median
$2,107.76
highest in Texas
$1,618.50
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension Providence | Waco | $317.97 | $340.77 – $1,534.77 | 27 |
| St. Joseph Health Madison Hospital | Madisonville | $592.55 | $13.25 – $104.00 | 20 |
| St. Joseph Health Burleson Hospital | Caldwell | $592.55 | $22.88 – $104.00 | 19 |
| St. Joseph Health College Station Hospital | College Station | $592.55 | $57.20 – $104.00 | 5 |
| St. Joseph Health Grimes Hospital | Navasota | $592.55 | $37.72 – $115.44 | 16 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,445.51 | $340.77 – $2,257.97 | 28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,445.51 | $340.77 – $2,257.97 | 26 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,445.51 | $340.77 – $2,257.97 | 26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $1,445.51 | $340.77 – $2,257.97 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $1,445.51 | $340.77 – $2,257.97 | 25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $1,445.51 | $340.77 – $2,257.97 | 27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $1,445.51 | $340.77 – $2,257.97 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $1,445.51 | $340.77 – $1,806.88 | 21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $1,445.51 | $340.77 – $2,257.97 | 26 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $1,445.51 | $340.77 – $2,257.97 | 24 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $1,445.51 | $340.77 – $2,257.97 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie | $1,445.51 | $340.77 – $2,257.97 | 24 |
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie | $1,445.51 | $340.77 – $2,257.97 | 24 |
| Covenant Hospital Plainview | Plainview | $1,505.70 | $861.85 – $1,763.03 | 6 |
| Covenant Hospital Levelland | Levelland | $1,571.22 | $861.85 – $2,855.82 | 6 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,639.50 | $71.00 – $2,257.97 | 18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $1,639.50 | $71.00 – $2,459.25 | 24 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,639.50 | $71.00 – $2,459.25 | 27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor | $1,639.50 | $71.00 – $2,257.97 | 27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,768.93 | $71.00 – $2,653.40 | 27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,768.93 | $85.00 – $2,653.40 | 26 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,768.93 | $340.77 – $2,653.40 | 15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $1,768.93 | $71.00 – $2,257.97 | 26 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $1,768.93 | $71.00 – $2,653.40 | 29 |
| Covenant Medical Center | Lubbock | $1,970.64 | $806.48 – $4,121.53 | 9 |
| Covenant Children's Hospital | Lubbock | $1,970.64 | $793.08 – $4,579.48 | 6 |
| Covenant Specialty Hospital | Lubbock | $1,970.64 | not published | 0 |
| Texas Health Hospital Mansfield | Mansfield | $2,107.76 | $857.52 – $2,265.00 | 3 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | $2,107.76 | $857.52 – $2,265.00 | 3 |
| Adventhealth Rollins Brook | Lampasas | not published | $1,015.06 – $2,234.24 | 2 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $340.77 – $1,412.97 | 7 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $333.95 – $1,412.97 | 8 |
| Baylor St Luke's Medical Center | Houston | not published | $958.00 – $958.00 | 1 |
| St. Luke's Health - Springwoods Village Hospital | Spring | not published | $958.00 – $958.00 | 1 |
| St. Luke's Health - The Vintage Hospital | Houston | not published | $958.00 – $958.00 | 1 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | not published | $958.00 – $958.00 | 1 |
| HCA HOUSTON WEST | HOUSTON | not published | $333.95 – $1,412.97 | 9 |
| HCA HOUSTON PEARLAND | Pearland | not published | $365.66 – $1,664.70 | 6 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $365.66 – $1,445.45 | 6 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $333.95 – $1,445.45 | 9 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $365.66 – $1,664.70 | 6 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $333.95 – $1,299.28 | 9 |
| HCA HOUSTON CONROE | CONROE | not published | $333.95 – $1,412.97 | 10 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | not published | $92.28 – $1,000.00 | 20 |
| Adventhealth Central Texas | Killeen | not published | $888.50 – $2,234.24 | 5 |
| Dell Children's Medical Center (Ascension Seton) | Austin | not published | $92.28 – $1,000.00 | 20 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | not published | $92.28 – $1,509.87 | 21 |
| Ascension Seton Northwest (Ascension Seton) | Austin | not published | $92.28 – $1,553.00 | 43 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | not published | $92.28 – $1,553.00 | 44 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | not published | $92.28 – $1,000.00 | 22 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | not published | $92.28 – $1,000.00 | 20 |
| Ascension Seton Cedar Park Hospital | Cedar Park | not published | $92.28 – $1,000.00 | 20 |