Suprv interfac trnsport addl cost in Texas
SUPRV INTERFAC TRNSPORT ADDL · CPT 99486
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | not published | $66.04 – $281.16 | 6 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | not published | $66.04 – $281.16 | 6 |
| Covenant Hospital Levelland | Levelland | not published | $146.80 – $161.92 | 2 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $53.02 – $645.86 | 3 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | not published | $92.89 – $92.89 | 1 |
| Adventhealth Central Texas | Killeen | not published | $260.84 – $260.84 | 1 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | not published | $66.04 – $281.16 | 6 |
| Ascension Seton Cedar Park Hospital | Cedar Park | not published | $66.04 – $281.16 | 6 |
| Covenant Hospital Plainview | Plainview | not published | $142.95 – $146.80 | 2 |
| Covenant Children's Hospital | Lubbock | not published | $231.03 – $231.03 | 1 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $53.02 – $645.86 | 4 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $48.12 – $645.86 | 4 |
| HCA HOUSTON CONROE | CONROE | not published | $46.52 – $645.86 | 3 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $53.02 – $645.86 | 4 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $53.02 – $645.86 | 4 |
| HCA HOUSTON PEARLAND | Pearland | not published | $51.88 – $645.86 | 4 |
| Texas Health Hospital Mansfield | Mansfield | not published | $92.89 – $92.89 | 1 |
| Ascension Providence | Waco | not published | $112.46 – $167.34 | 4 |
| Covenant Medical Center | Lubbock | not published | $231.03 – $315.19 | 2 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $53.02 – $645.86 | 4 |
| Adventhealth Rollins Brook | Lampasas | not published | $260.84 – $260.84 | 1 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | not published | $66.04 – $281.16 | 6 |
| Dell Children's Medical Center (Ascension Seton) | Austin | not published | $66.04 – $281.16 | 6 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | not published | $66.04 – $281.16 | 6 |
| Ascension Seton Northwest (Ascension Seton) | Austin | not published | $66.04 – $281.16 | 6 |
| HCA HOUSTON WEST | HOUSTON | not published | $48.12 – $645.86 | 4 |