CHRISTUS Spohn Hospital - Alice
2500 E Main St, Alice, TX · Christushealth · · NPI 1003885641
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Low cost skin substitute app HCPCS C5274 | not published | not published | $2,761.00 – $2,761.00 | 1 |
| Low cost skin substitute app HCPCS C5276 | not published | not published | $2,761.00 – $2,761.00 | 1 |
| Low cost skin substitute app HCPCS C5278 | not published | not published | $2,761.00 – $2,761.00 | 1 |
| Lower jaw bone graft CPT 21215 | not published | not published | $2,788.09 – $11,974.16 | 25 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $141.00 – $402.20 | 24 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $18.00 – $47.70 | 2 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $1,888.85 – $21,073.84 | 25 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $6,894.00 – $21,073.84 | 22 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $3,110.01 – $21,073.84 | 25 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $6,894.00 – $21,073.84 | 22 |
| Lso corset front HCPCS L0972 | not published | not published | $146.26 – $146.26 | 1 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $88.38 – $176.76 | 22 |
| Lso full corset HCPCS L0976 | not published | not published | $207.05 – $207.05 | 1 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $191.54 – $191.54 | 1 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $1,560.12 – $1,560.12 | 1 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $1,269.17 – $2,538.34 | 22 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $170.63 – $341.26 | 22 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $1,170.38 – $1,170.38 | 1 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $1,586.62 – $1,586.62 | 1 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $339.22 – $339.22 | 1 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $302.16 – $604.32 | 22 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $1,237.72 – $1,237.72 | 1 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $1,437.10 – $1,437.10 | 1 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $1.84 – $3.54 | 2 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $93.31 – $93.31 | 1 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $92.25 – $92.25 | 1 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $97.55 – $97.55 | 1 |
| Lumbar sling HCPCS L1090 | not published | not published | $112.78 – $112.78 | 1 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $5,871.00 – $37,224.16 | 25 |
| Lumizyme injection HCPCS J0221 | not published | not published | $201.57 – $629.66 | 23 |
| Lung transplant double CPT 32853 | not published | not published | $2,761.00 – $6,688.60 | 3 |
| Lung transplant single CPT 32851 | not published | not published | $2,761.00 – $4,776.50 | 3 |
| Lung transplant with bypass CPT 32852 | not published | not published | $2,761.00 – $5,192.78 | 3 |
| Lung transplant with bypass CPT 32854 | not published | not published | $2,761.00 – $7,098.87 | 3 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,399.75 – $2,761.00 | 3 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $205.04 – $639.82 | 23 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $41.24 – $128.89 | 23 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $296.25 – $599.66 | 22 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $240.20 – $488.24 | 22 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $605.29 – $982.76 | 2 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $24.79 – $49.58 | 22 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $334.66 – $334.66 | 1 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $7.22 – $94.18 | 26 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $684.36 – $2,761.00 | 3 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $4.10 – $264.23 | 26 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $17.65 – $228.76 | 26 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $26.96 – $405.94 | 26 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $17.13 – $222.64 | 26 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $272.57 – $1,251.44 | 26 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $288.39 – $3,144.40 | 26 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $187.22 – $1,030.80 | 25 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $1,063.52 – $6,435.84 | 25 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $652.80 – $4,146.48 | 25 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $15.33 – $55.68 | 4 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $2.59 – $74.55 | 4 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $1.54 – $19.56 | 26 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $1.55 – $19.56 | 26 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $122.32 – $2,251.00 | 28 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $13.82 – $27.98 | 22 |
| Malaria antibody CPT 86750 | not published | not published | $4.75 – $61.18 | 26 |
| Male sling procedure CPT 53440 | not published | not published | $1,955.00 – $26,298.58 | 25 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $2,761.00 – $4,408.30 | 3 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $318.00 – $3,239.46 | 25 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $318.00 – $3,239.46 | 25 |
| Manipulation of hip joint CPT 27275 | not published | not published | $593.04 – $3,239.46 | 25 |
| Manipulation of spine CPT 22505 | not published | not published | $593.04 – $3,239.46 | 25 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $48.04 – $485.56 | 25 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $2.26 – $9.76 | 5 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $1.18 – $20.92 | 3 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $75.85 – $75.85 | 1 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $1.07 – $17.13 | 26 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $210.77 – $507.09 | 3 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $131.18 – $2,761.00 | 2 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $48.53 – $154.25 | 23 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $1.14 – $2,303.40 | 22 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $1,096.43 – $2,761.00 | 3 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $142.20 – $372.60 | 22 |
| Mastectomy form HCPCS L8020 | not published | not published | $266.30 – $266.30 | 1 |
| Mastectomy partial CPT 19301 | not published | not published | $963.66 – $7,751.02 | 25 |
| Mast mod rad CPT 19307 | not published | not published | $5,871.00 – $13,200.40 | 22 |
| Mastoidectomy CPT 69501 | not published | not published | $1,954.22 – $11,974.16 | 25 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $1,954.22 – $11,974.16 | 25 |
| Mastoid surgery revision CPT 69603 | not published | not published | $1,954.22 – $11,974.16 | 25 |
| Mastopexy CPT 19316 | not published | not published | $1,845.21 – $13,200.40 | 25 |
| Mast radical CPT 19305 | not published | not published | $1,112.40 – $2,761.00 | 3 |
| Mast rad urban type CPT 19306 | not published | not published | $1,178.95 – $2,761.00 | 3 |
| Mast simple complete CPT 19303 | not published | not published | $1,845.21 – $13,200.40 | 25 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $7.09 – $265.53 | 4 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $2,566.67 – $2,566.67 | 1 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $21.50 – $64.18 | 2 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $12.63 – $163.93 | 26 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $9.82 – $94.18 | 26 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $14.74 – $200.62 | 26 |
| Maxillofacial fixation CPT 21100 | not published | not published | $1,954.22 – $11,974.16 | 25 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $13.89 – $82.62 | 25 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $11.74 – $13.65 | 6 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $49.32 – $293.46 | 25 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | not published | not published | $9.85 – $45.79 | 7 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $9.48 – $45.79 | 7 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $26.86 – $571.25 | 26 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.