Repair & revise nerve add-on cost in Texas
REPAIR & REVISE NERVE ADD-ON · CPT 64874
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | not published | $174.69 – $1,000.00 | 4 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | not published | $174.69 – $1,000.00 | 4 |
| Covenant Hospital Levelland | Levelland | not published | $2,300.00 – $5,619.00 | 2 |
| St. Luke's Health - Springwoods Village Hospital | Spring | not published | $1,609.00 – $1,609.00 | 1 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | not published | $1,609.00 – $1,609.00 | 1 |
| Baylor St Luke's Medical Center | Houston | not published | $1,609.00 – $1,609.00 | 1 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | not published | $1,187.00 – $1,187.00 | 1 |
| Adventhealth Central Texas | Killeen | not published | $4,826.69 – $4,826.69 | 1 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | not published | $174.69 – $1,000.00 | 4 |
| Ascension Seton Cedar Park Hospital | Cedar Park | not published | $174.69 – $1,000.00 | 4 |
| Covenant Children's Hospital | Lubbock | not published | $2,300.00 – $11,141.85 | 4 |
| Covenant Hospital Plainview | Plainview | not published | $2,300.00 – $5,619.00 | 2 |
| Texas Health Hospital Mansfield | Mansfield | not published | $1,187.00 – $1,187.00 | 1 |
| Ascension Providence | Waco | not published | $859.35 – $859.35 | 1 |
| Covenant Medical Center | Lubbock | not published | $1,116.21 – $10,027.66 | 5 |
| St. Luke's Health - The Vintage Hospital | Houston | not published | $1,609.00 – $1,609.00 | 1 |
| Adventhealth Rollins Brook | Lampasas | not published | $4,826.69 – $4,826.69 | 1 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | not published | $174.69 – $1,000.00 | 4 |
| Dell Children's Medical Center (Ascension Seton) | Austin | not published | $174.69 – $1,000.00 | 4 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | not published | $174.69 – $1,000.00 | 4 |
| Ascension Seton Northwest (Ascension Seton) | Austin | not published | $174.69 – $1,000.00 | 4 |