CHRISTUS Good Shepherd Medical Center - Longview
700 E Marshall Ave, Longview, TX · Christushealth · · NPI 1124092036
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 |
|---|---|---|---|---|
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $709.01 – $3,493.82 | 21 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $0.03 – $133.83 | 3 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $96.18 – $1,644.99 | 4 |
| Description not available HCPCS S0013 | not published | not published | $12.92 – $193.20 | 2 |
| Design custom breast implant CPT 19396 | not published | not published | $963.66 – $7,313.92 | 21 |
| Design mlc device for imrt CPT 77338 | not published | not published | $332.12 – $699.20 | 18 |
| Desoxycorticosterone CPT 82633 | not published | not published | $18.59 – $61.96 | 22 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $419.85 – $427.66 | 2 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $1,192.61 – $1,211.37 | 2 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $180.27 – $379.52 | 18 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $93.58 – $379.52 | 21 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $104.93 – $379.52 | 21 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $74.34 – $379.52 | 21 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $74.34 – $379.52 | 21 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $180.27 – $379.52 | 18 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $180.27 – $379.52 | 18 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $180.27 – $379.52 | 18 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $180.27 – $379.52 | 18 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $180.27 – $379.52 | 18 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $180.27 – $379.52 | 18 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $709.01 – $3,493.82 | 21 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $107.72 – $3,493.82 | 21 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $180.27 – $379.52 | 18 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $215.94 – $1,169.16 | 21 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $143.08 – $763.10 | 21 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $280.45 – $3,493.82 | 21 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $1.88 – $1.88 | 1 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $135.91 – $3,493.82 | 21 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $939.93 – $5,237.96 | 21 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $117.53 – $763.10 | 21 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $340.77 – $1,700.46 | 21 |
| Destruction ciliary body CPT 66700 | not published | not published | $849.94 – $4,356.20 | 21 |
| Destruction ciliary body CPT 66720 | not published | not published | $698.30 – $4,455.96 | 21 |
| Destruction ciliary body CPT 66740 | not published | not published | $698.30 – $4,455.96 | 21 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $61.51 – $379.52 | 21 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $939.93 – $5,237.96 | 21 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $64.08 – $4,455.96 | 21 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $107.42 – $763.10 | 21 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $120.15 – $763.10 | 21 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $109.08 – $763.10 | 21 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $120.15 – $763.10 | 21 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $332.29 – $763.10 | 18 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $709.01 – $3,493.82 | 21 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $97.18 – $763.10 | 21 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $939.93 – $5,237.96 | 21 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $1,063.52 – $6,072.90 | 21 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $95.34 – $6,072.90 | 21 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $52.87 – $3,493.82 | 21 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $18.02 – $60.06 | 22 |
| Determination venous press CPT 93770 | not published | not published | $0.64 – $861.00 | 3 |
| Determine refractive state CPT 92015 | not published | not published | $16.27 – $31.91 | 2 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $9.61 – $16.24 | 2 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $141.95 – $298.84 | 18 |
| Device ablt adv novasure HCPCS C1886 | not published | not published | $1,960.00 – $1,960.00 | 1 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | not published | not published | $12.47 – $12.47 | 1 |
| Device intraute mirena HCPCS J7298 | not published | not published | $1,101.70 – $1,463.44 | 3 |
| Device sut capio slim opn HCPCS C2631 | not published | not published | $846.59 – $846.59 | 1 |
| Device tiss remov myosure reach HCPCS C1782 | not published | not published | $11.16 – $11.16 | 1 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $32.15 – $861.00 | 3 |
| Devise bowel pouch CPT 44316 | not published | not published | $1,342.97 – $1,539.71 | 2 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $83.92 – $176.68 | 18 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $52.67 – $95.73 | 2 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $102.48 – $216.88 | 18 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $1.13 – $2.71 | 3 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $4.72 – $392.62 | 21 |
| Dexamethasone panel CPT 80420 | not published | not published | $97.13 – $323.76 | 22 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.59 – $1.24 | 18 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $73.38 – $305.19 | 18 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $31.74 – $51.53 | 3 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $11.91 – $11.91 | 1 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $1.02 – $2.01 | 2 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $27.03 – $56.90 | 18 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $230.43 – $532.94 | 18 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $36.95 – $90.52 | 18 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $36.95 – $90.52 | 18 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $36.95 – $90.52 | 18 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $76.82 – $177.70 | 18 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $36.95 – $90.52 | 18 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $525.71 – $3,293.74 | 21 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $1,888.85 – $11,143.62 | 21 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $113.39 – $762.16 | 18 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,044.39 – $2,252.04 | 18 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $60.80 – $168.18 | 21 |
| Dialysis repeated eval CPT 90947 | not published | not published | $115.50 – $769.00 | 2 |
| Dialysis training complete CPT 90989 | not published | not published | $392.86 – $392.86 | 1 |
| Dialysis training incompl CPT 90993 | not published | not published | $85.09 – $85.09 | 1 |
| Diathermy eg microwave CPT 97024 | not published | not published | $4.49 – $225.00 | 5 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.09 – $0.29 | 18 |
| Digital analysis of eeg CPT 95957 | not published | not published | $148.33 – $1,744.00 | 3 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $155.20 – $155.20 | 1 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $3.98 – $9,683.66 | 18 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $2.66 – $312.53 | 4 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $291.18 – $368.80 | 2 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $145.59 – $184.40 | 2 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $414.45 – $525.11 | 2 |
| Dilate tear duct opening CPT 68801 | not published | not published | $362.03 – $762.16 | 18 |
| Dilate urethra stricture CPT 53600 | not published | not published | $34.88 – $464.54 | 21 |
| Dilate urethra stricture CPT 53601 | not published | not published | $39.07 – $246.20 | 21 |
| Dilate urethra stricture CPT 53605 | not published | not published | $1,142.90 – $6,587.54 | 21 |
| Dilate urethra stricture CPT 53621 | not published | not published | $93.08 – $464.54 | 21 |
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.