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 |
|---|---|---|---|---|
| Prep bk ptb laminated socket HCPCS L5540 | not published | not published | $2,427.25 – $5,110.00 | 17 |
| Prep bk ptb open end socket HCPCS L5535 | not published | not published | $2,263.84 – $4,765.98 | 17 |
| Prep bk ptb plaster molded HCPCS L5510 | not published | not published | $1,945.31 – $4,095.38 | 17 |
| Prep bk ptb thermopls molded HCPCS L5530 | not published | not published | $2,259.40 – $4,756.64 | 17 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $204.22 – $1,537.45 | 2 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $127.49 – $127.49 | 1 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $360.43 – $418.66 | 2 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $257.57 – $299.47 | 2 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $446.57 – $2,416.00 | 2 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $358.58 – $416.41 | 2 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $459.77 – $2,361.28 | 2 |
| Prep donor liver/venous CPT 47146 | not published | not published | $308.33 – $353.44 | 2 |
| Prep donor liver whole CPT 47143 | not published | not published | $350.07 – $2,525.82 | 2 |
| Prep donor pancreas CPT 48551 | not published | not published | $227.51 – $1,976.73 | 2 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $221.48 – $257.49 | 2 |
| Prep donor renal graft CPT 50325 | not published | not published | $195.32 – $1,647.28 | 2 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $3,489.67 – $13,848.46 | 18 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $144.12 – $144.12 | 1 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $258.00 – $1,943.22 | 18 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $184.14 – $206.52 | 2 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $174.82 – $196.39 | 2 |
| Prep renal graft/venous CPT 50327 | not published | not published | $209.99 – $235.76 | 2 |
| Prep skin cell susp, automtd HCPCS C8002 | not published | not published | $6,500.52 – $13,848.46 | 18 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $203.49 – $233.13 | 2 |
| Pre-tibial shell molded to p HCPCS L2340 | not published | not published | $593.16 – $1,248.76 | 17 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $46.77 – $327.30 | 19 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | not published | not published | $145.77 – $306.88 | 17 |
| Preventive counseling group CPT 99411 | not published | not published | $6.34 – $12.77 | 2 |
| Preventive counseling group CPT 99412 | not published | not published | $10.63 – $20.88 | 2 |
| Prev med cnsl indiv apprx 15 CPT 99401 | not published | not published | $20.38 – $40.62 | 2 |
| Prev med cnsl indiv apprx 30 CPT 99402 | not published | not published | $41.53 – $82.40 | 2 |
| Prev med cnsl indiv apprx 45 CPT 99403 | not published | not published | $61.28 – $123.00 | 2 |
| Prev med cnsl indiv apprx 60 CPT 99404 | not published | not published | $82.31 – $163.04 | 2 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $116.92 – $246.14 | 18 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $1,291.26 – $1,478.24 | 2 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $33.83 – $71.22 | 18 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $33.83 – $71.22 | 18 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $33.83 – $71.22 | 18 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $33.83 – $71.22 | 18 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $33.83 – $71.22 | 18 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $33.83 – $71.22 | 18 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $153.33 – $330.73 | 2 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $104.37 – $223.97 | 2 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $77.17 – $165.94 | 2 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $79.31 – $170.00 | 2 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $55.17 – $118.95 | 2 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $29.84 – $64.40 | 2 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $83.92 – $176.68 | 18 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $116.92 – $246.14 | 18 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $116.92 – $246.14 | 18 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $659.94 – $3,729.80 | 21 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | not published | not published | $239.19 – $239.19 | 1 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $108.29 – $570.96 | 21 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $698.30 – $4,455.96 | 21 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $698.30 – $4,455.96 | 21 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $698.30 – $4,455.96 | 21 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | not published | not published | $1.99 – $349.58 | 18 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $127.20 – $162.38 | 2 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.23 – $0.79 | 3 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $1,764.93 – $2,024.70 | 2 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $1,738.33 – $1,998.85 | 2 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $939.93 – $5,237.96 | 21 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $429.26 – $2,252.04 | 21 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $429.26 – $2,252.04 | 21 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $82.50 – $1,741.36 | 21 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $939.93 – $5,237.96 | 21 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $429.26 – $2,252.04 | 21 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $429.26 – $2,252.04 | 21 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $939.93 – $5,237.96 | 21 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $429.26 – $2,252.04 | 21 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $939.93 – $5,237.96 | 21 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $2,179.56 – $11,369.86 | 21 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $10.64 – $566.47 | 4 |
| Prolng clin staff svc 1st hr CPT 99415 | not published | not published | $8.42 – $16.24 | 2 |
| Prolng clin staff svc ea add CPT 99416 | not published | not published | $4.83 – $6.96 | 2 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | not published | not published | $30.77 – $67.31 | 2 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | not published | not published | $25.84 – $53.97 | 2 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $195.00 – $633.52 | 18 |
| Prolong home eval add 15m HCPCS G0318 | not published | not published | $21.25 – $51.05 | 2 |
| Prolong service without contact CPT 99358 | not published | not published | $85.78 – $182.77 | 2 |
| Prolong serv without contact add CPT 99359 | not published | not published | $41.57 – $88.20 | 2 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.08 – $0.28 | 3 |
| Promethazine hcl injection HCPCS J2550 | not published | not published | $0.48 – $3.31 | 4 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $108.29 – $570.96 | 21 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $119.87 – $1,047.82 | 21 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $6,453.50 – $24,575.62 | 21 |
| Prophylactic tx radius CPT 25490 | not published | not published | $2,398.52 – $13,644.52 | 21 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $1,088.27 – $6,197.20 | 21 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $6,263.30 – $24,575.62 | 21 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | not published | not published | $7.87 – $11.21 | 3 |
| Pros sheath/sock w gel cushn HCPCS L8417 | not published | not published | $86.70 – $182.52 | 17 |
| Pros soc insert gasket/seal HCPCS L7700 | not published | not published | $128.69 – $270.92 | 17 |
| Pros sock multi ply upper lm HCPCS L8435 | not published | not published | $27.49 – $57.88 | 17 |
| Pros sock single ply ak HCPCS L8480 | not published | not published | $11.99 – $25.24 | 17 |
| Pros sock single ply upper l HCPCS L8485 | not published | not published | $12.68 – $26.70 | 17 |
| Prostate ca screening; dre HCPCS G0102 | not published | not published | $6.38 – $14.51 | 2 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $1,689.43 – $9,709.72 | 21 |
| Prostate laser enucleation CPT 52649 | not published | not published | $1,689.43 – $9,709.72 | 21 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $1,038.74 – $6,587.54 | 21 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $993.06 – $6,587.54 | 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.