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 |
|---|---|---|---|---|
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | not published | not published | $125.92 – $265.10 | 17 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | not published | not published | $48.29 – $101.66 | 17 |
| Prosthetic sock multi ply bk HCPCS L8420 | not published | not published | $23.70 – $49.90 | 17 |
| Prosthetic type socket molde HCPCS L2350 | not published | not published | $1,016.21 – $2,139.38 | 17 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | not published | not published | $9.13 – $19.22 | 17 |
| Protect body sock ea pre ots HCPCS L0984 | not published | not published | $64.98 – $136.80 | 17 |
| Protector nerve neurawrap 4cm HCPCS C9353 | not published | not published | $988.31 – $988.31 | 1 |
| Protein analysis w/probe CPT 88372 | not published | not published | $15.73 – $52.44 | 22 |
| Protein c concentrate HCPCS J2724 | not published | not published | $13.63 – $28.70 | 18 |
| Protein western blot tissue CPT 88371 | not published | not published | $13.34 – $44.46 | 22 |
| Prothrombin complex kcentra HCPCS J7168 | not published | not published | $2.00 – $4.22 | 18 |
| Proton treatment complex CPT 77525 | not published | not published | $383.00 – $2,436.22 | 18 |
| Proton trmt intermediate CPT 77523 | not published | not published | $383.00 – $2,436.22 | 18 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $383.00 – $2,436.22 | 18 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $383.00 – $1,104.88 | 18 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $5.84 – $19.48 | 22 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $116.92 – $246.14 | 18 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $430.04 – $476.38 | 2 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $1,151.54 – $6,740.50 | 21 |
| Pr planning advance care 1st 30 minutes CPT 99497 | not published | not published | $83.92 – $176.68 | 18 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | not published | not published | $22.66 – $53.97 | 2 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $1,939.15 – $34,297.34 | 21 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $1,939.15 – $34,297.34 | 21 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $2,398.52 – $13,644.52 | 21 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $593.04 – $3,056.78 | 21 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $2,398.52 – $13,644.52 | 21 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $3,122.54 – $13,644.52 | 21 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $6,221.23 – $13,644.52 | 18 |
| Pr robotic surgical system HCPCS S2900 | not published | not published | $318.14 – $1,124.28 | 2 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $709.01 – $3,493.82 | 21 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $32.58 – $69.05 | 2 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $1,088.27 – $6,197.20 | 21 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $2,398.52 – $13,644.52 | 21 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $2,398.52 – $13,644.52 | 21 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $2,398.52 – $13,644.52 | 21 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | not published | not published | $28.43 – $28.43 | 1 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $22.22 – $46.78 | 18 |
| Psychoanalysis CPT 90845 | not published | not published | $145.77 – $306.88 | 17 |
| Psychoeducation 45 min + HCPCS G0177 | not published | not published | $64.80 – $451.00 | 2 |
| Psychophysiological therapy CPT 90875 | not published | not published | $55.81 – $55.81 | 1 |
| Psychophysiological therapy CPT 90876 | not published | not published | $88.65 – $88.65 | 1 |
| Psychotherapy group therapy CPT 90853 | not published | not published | $83.92 – $176.68 | 17 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | not published | not published | $145.77 – $306.88 | 17 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | not published | not published | $145.77 – $306.88 | 17 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | not published | not published | $145.77 – $306.88 | 17 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $142.00 – $594.78 | 18 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $74.64 – $142.00 | 3 |
| Psychthrp grp 45-50min mcr HCPCS G0410 | not published | not published | $30.54 – $30.54 | 1 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $37.01 – $762.16 | 18 |
| Psy evaluation of records CPT 90885 | not published | not published | $45.23 – $45.23 | 1 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $37.01 – $246.20 | 18 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $17.39 – $142.00 | 3 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $32.53 – $142.00 | 3 |
| Psytx complex interactive CPT 90785 | not published | not published | $15.88 – $15.88 | 1 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $76.89 – $76.89 | 1 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | not published | $115.29 – $115.29 | 1 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $136.02 – $136.02 | 1 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | not published | not published | $9.41 – $225.00 | 5 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | not published | not published | $3.84 – $225.00 | 5 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | not published | not published | $12.64 – $225.00 | 5 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | not published | not published | $9.15 – $225.00 | 5 |
| Pt application of modality traction mechanical CPT 97012 | not published | not published | $9.19 – $225.00 | 5 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $58.54 – $85.88 | 2 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $180.00 – $600.00 | 22 |
| Pten gene full sequence CPT 81321 | not published | not published | $360.00 – $1,200.00 | 22 |
| Pten gene known fam variant CPT 81322 | not published | not published | $27.96 – $93.20 | 22 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $1,954.22 – $11,298.92 | 21 |
| Pt evaluation high complexity patient/family CPT 97163 | not published | not published | $64.56 – $225.00 | 5 |
| Pt evaluation low complexity patient/family CPT 97161 | not published | not published | $64.56 – $225.00 | 5 |
| Pt evaluation moderate complexity patient/family CPT 97162 | not published | not published | $64.56 – $225.00 | 5 |
| Pt-focused hlth risk assmt CPT 96160 | not published | not published | $5.22 – $56.90 | 18 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $23.13 – $529.00 | 3 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $926.72 – $2,589.64 | 20 |
| Pt re-evaluation patient/family CPT 97164 | not published | not published | $44.46 – $225.00 | 5 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | not published | not published | $34.22 – $62.08 | 2 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $7.83 – $225.00 | 5 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | not published | not published | $18.98 – $225.00 | 5 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | not published | not published | $19.17 – $225.00 | 5 |
| Pt wheelchair management each 15 minutes CPT 97542 | not published | not published | $20.51 – $225.00 | 5 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $10,288.73 – $21,660.48 | 17 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $264.11 – $13,470.00 | 2 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $3,300.00 – $10,890.00 | 18 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $4,479.88 – $4,616.50 | 2 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $1,021.86 – $1,074.94 | 2 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $886.62 – $6,194.26 | 21 |
| Puraply 1 sq cm HCPCS Q4195 | not published | not published | $71.23 – $139.78 | 3 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $73.54 – $196.31 | 4 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $73.02 – $1,322.72 | 21 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $791.11 – $1,665.50 | 17 |
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $18,741.11 – $39,454.96 | 17 |
| Pyelotomy complicated CPT 50135 | not published | not published | $1,104.15 – $1,104.15 | 1 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $968.43 – $1,065.57 | 2 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $935.40 – $1,029.22 | 2 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $1,017.04 – $1,119.55 | 2 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $884.81 – $1,011.61 | 2 |
| Pyruvate CPT 84210 | not published | not published | $8.69 – $28.96 | 22 |
| Pyruvate kinase CPT 84220 | not published | not published | $5.66 – $18.88 | 22 |
| Quadrilateral brim HCPCS L2188 | not published | not published | $374.95 – $789.36 | 17 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $116.95 – $246.20 | 18 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $193.46 – $767.50 | 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.