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 |
|---|---|---|---|---|
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $289.86 – $6,194.26 | 21 |
| Gi protein loss CPT 78282 | not published | not published | $43.14 – $767.50 | 21 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $827.15 – $1,741.36 | 21 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $761.55 – $1,790.74 | 21 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $761.55 – $1,897.93 | 21 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $60.67 – $202.24 | 22 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $36.91 – $123.04 | 22 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $21.00 – $70.00 | 22 |
| Glassia injection HCPCS J0257 | not published | not published | $5.00 – $10.52 | 18 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $22.22 – $91.67 | 18 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $35.61 – $74.96 | 18 |
| Glaucoma surgery CPT 66150 | not published | not published | $1,533.49 – $7,683.66 | 21 |
| Glaucoma surgery CPT 66155 | not published | not published | $2,206.78 – $7,683.66 | 21 |
| Glaucoma surgery CPT 66160 | not published | not published | $849.94 – $4,356.20 | 21 |
| Glaucoma surgery CPT 66170 | not published | not published | $849.94 – $4,356.20 | 21 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $130.57 – $274.88 | 17 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $133.05 – $351.78 | 18 |
| Glucagon plasma - sendout CPT 82943 | not published | not published | $8.57 – $28.58 | 22 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $27.64 – $92.14 | 22 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $30.30 – $101.00 | 22 |
| Glucagon tolerance test CPT 82946 | not published | not published | $10.66 – $35.54 | 22 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $3.63 – $12.10 | 22 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $53.89 – $113.46 | 18 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $11.11 – $23.39 | 3 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $9.57 – $56.91 | 18 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $89.05 – $296.82 | 22 |
| Gonioscopy CPT 92020 | not published | not published | $116.95 – $246.20 | 18 |
| Goniotomy CPT 65820 | not published | not published | $1,533.49 – $7,683.66 | 21 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $94.47 – $1,342.84 | 18 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | not published | $30.36 – $135.08 | 4 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $10.64 – $1,377.60 | 4 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | not published | $63.62 – $168.10 | 2 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $2,846.95 – $6,197.20 | 18 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $25.51 – $56.82 | 2 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $735.95 – $1,648.08 | 3 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | not published | not published | $2,178.09 – $2,178.09 | 1 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | not published | not published | $322.77 – $322.77 | 1 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $42.87 – $85.39 | 3 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | not published | $33.69 – $139.78 | 4 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $930.10 – $1,184.39 | 2 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $1.26 – $137.37 | 3 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $46.98 – $122.78 | 4 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $162.08 – $162.08 | 1 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | not published | not published | $5.66 – $5.66 | 1 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | not published | not published | $10.64 – $10.64 | 1 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $26.32 – $285.75 | 3 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | not published | not published | $452.76 – $452.76 | 1 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | not published | not published | $226.31 – $226.31 | 1 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $2.95 – $51.60 | 3 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.26 – $44.98 | 4 |
| Granulocyte pheresis ea unit HCPCS P9050 | not published | not published | $293.00 – $1,148.57 | 6 |
| Great toe-hand transfer CPT 26551 | not published | not published | $3,096.74 – $3,546.80 | 2 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $709.01 – $3,493.82 | 21 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $1,457.62 – $6,992.46 | 21 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $130.34 – $130.34 | 1 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $1,457.62 – $6,992.46 | 21 |
| Ground mileage HCPCS A0425 | not published | not published | $5.29 – $5.29 | 1 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $27.03 – $56.90 | 17 |
| Group health education CPT 99078 | not published | not published | $25.00 – $451.00 | 2 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $14.73 – $451.00 | 3 |
| Group train without patient HCPCS G0543 | not published | not published | $17.45 – $17.45 | 1 |
| Growth hormone antibody CPT 86277 | not published | not published | $9.44 – $31.48 | 22 |
| Growth hormone panel CPT 80428 | not published | not published | $40.02 – $133.40 | 22 |
| Growth hormone panel CPT 80430 | not published | not published | $77.60 – $258.66 | 22 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $45.36 – $151.20 | 22 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $27.03 – $56.90 | 18 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $27.03 – $56.90 | 18 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,820.03 – $2,091.79 | 2 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $1,220.96 – $1,371.79 | 2 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,568.96 – $1,761.97 | 2 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,716.90 – $1,952.75 | 2 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,117.10 – $1,296.45 | 2 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,619.70 – $3,623.26 | 18 |
| G-tube reposition CPT 43761 | not published | not published | $110.15 – $464.54 | 21 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | not published | not published | $634.72 – $1,336.26 | 17 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | not published | not published | $55.13 – $55.13 | 1 |
| Guide worley csg 9fx50cm std HCPCS C1892 | not published | not published | $0.57 – $0.57 | 1 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $66.88 – $383.00 | 4 |
| Gum graft CPT 41870 | not published | not published | $420.64 – $2,829.24 | 21 |
| Gw stiffened micro access kit HCPCS C1894 | not published | not published | $82.29 – $82.29 | 1 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $963.66 – $7,313.92 | 21 |
| Hair analysis HCPCS P2031 | not published | not published | $2.97 – $9.90 | 18 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $261.19 – $1,169.16 | 18 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $332.29 – $763.10 | 18 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $332.29 – $763.10 | 18 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | not published | not published | $49.74 – $104.72 | 17 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $2,472.60 – $5,205.48 | 17 |
| Halo cervical into jckt vest HCPCS L0810 | not published | not published | $2,931.15 – $6,170.84 | 17 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $3,961.69 – $8,340.40 | 17 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | not published | $4.61 – $268.49 | 4 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $248.04 – $522.18 | 17 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $28.74 – $66.46 | 18 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $3.14 – $19.72 | 3 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $110.60 – $232.84 | 17 |
| Hand restoration multiple fi HCPCS L6905 | not published | not published | $1,674.10 – $3,524.42 | 17 |
| Hand restoration no fingers HCPCS L6910 | not published | not published | $1,649.69 – $3,473.04 | 17 |
| Hand restoration replacmnt g HCPCS L6915 | not published | not published | $713.81 – $1,502.76 | 17 |
| Hand restorat thumb/1 finger HCPCS L6900 | not published | not published | $1,762.96 – $3,711.50 | 17 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $1,088.27 – $6,197.20 | 21 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $2,398.52 – $13,644.52 | 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.