Ascension Seton Edgar B. Davis (Ascension Seton)
130 Hays St, Luling, TX · Ascension · · NPI 1356446686
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 |
|---|---|---|---|---|
| Bx bone trocar/ndl deep CPT 20225 | not published | not published | $107.04 – $1,605.94 | 20 |
| Bx breast 1st lesion mr imag CPT 19085 | not published | not published | $185.66 – $1,605.94 | 20 |
| Bx breast 1st lesion strtctc CPT 19081 | not published | not published | $169.46 – $1,605.94 | 20 |
| Bx breast add lesion mr imag CPT 19086 | not published | not published | $92.83 – $1,000.00 | 4 |
| Bx breast add lesion strtctc CPT 19082 | not published | not published | $85.25 – $1,000.00 | 4 |
| Bx breast add lesion Ultrasound imag CPT 19084 | not published | not published | $79.72 – $1,000.00 | 4 |
| Bx breast perq without image 19100 CPT 19100 | not published | not published | $69.93 – $1,605.94 | 20 |
| Bx breast pq tomo guide CPT 19499 | not published | not published | $969.15 – $3,544.57 | 7 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | not published | not published | $52.23 – $1,000.00 | 20 |
| Bx/exc idrl spine lesn crvl CPT 63280 | not published | not published | $969.15 – $2,612.17 | 7 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | $416.87 – $3,544.57 | 20 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $252.82 – $3,544.57 | 20 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | not published | not published | $969.15 – $1,912.63 | 7 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | not published | not published | $401.74 – $2,713.10 | 20 |
| Bx liver with other CPT 47001 | not published | not published | $104.09 – $1,000.00 | 3 |
| Bx muscle CPT 20200 | not published | not published | $93.71 – $1,605.94 | 20 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | not published | not published | $131.21 – $3,064.57 | 20 |
| Bx of breast open 19101 CPT 19101 | not published | not published | $219.49 – $3,544.57 | 20 |
| Bx of cervix w/scope leep 57460 CPT 57460 | not published | not published | $143.17 – $1,798.19 | 20 |
| Bx pancreas pq ndl CPT 48102 | $891.00 | $2,475.00 | $243.29 – $1,605.94 | 19 |
| Bx perianal mass CPT 46999 | not published | not published | $475.79 – $1,000.00 | 7 |
| Bx pleura pq ndl CPT 32400 | not published | not published | $87.63 – $1,605.94 | 20 |
| Bx prst8 ndl sat sampling CPT 55706 | not published | not published | $375.02 – $3,531.69 | 20 |
| Bx shoulder tissues deep 23066 CPT 23066 | not published | not published | $356.57 – $2,713.10 | 20 |
| Bx shoulder tissues supf 23065 CPT 23065 | not published | not published | $97.96 – $1,366.42 | 20 |
| Bx skin incisnl ea sep/add l les CPT 11107 | not published | not published | $32.29 – $1,000.00 | 3 |
| Bx skin punch ea sep/ addl les CPT 11105 | not published | not published | $27.07 – $1,000.00 | 3 |
| Bx skin tangential ea sep/ addl les CPT 11103 | not published | not published | $22.91 – $1,000.00 | 3 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | not published | not published | $131.48 – $1,000.00 | 20 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | not published | not published | $196.91 – $1,605.94 | 20 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | not published | not published | $486.45 – $1,605.94 | 20 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | not published | not published | $353.52 – $1,605.94 | 20 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | not published | not published | $128.10 – $1,000.00 | 20 |
| Bx spinal cord pq ndl CPT 62269 | not published | not published | $267.94 – $1,605.94 | 20 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | not published | not published | $177.20 – $1,605.94 | 20 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | not published | not published | $38.71 – $1,000.00 | 20 |
| Bx vag mucos smpl (sep proc) CPT 57100 | not published | not published | $35.86 – $1,000.00 | 20 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | not published | not published | $34.30 – $1,000.00 | 20 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | not published | not published | $29.55 – $1,000.00 | 3 |
| Bypass temp external fem-fem CPT 37799 | not published | not published | $453.97 – $1,000.00 | 7 |
| C1 esterase inhibitor func - sendout CPT 86161 | $52.11 | $144.75 | $6.77 – $89.27 | 34 |
| Cabg 2 arterial grafts 33534 CPT 33534 | not published | not published | $969.15 – $2,682.59 | 7 |
| Cabg 3 arterial grafts 33535 CPT 33535 | not published | not published | $969.15 – $2,992.93 | 7 |
| Cabg arterial four or more 33536 CPT 33536 | not published | not published | $969.15 – $3,209.24 | 7 |
| Cabgsingle artery graft 33533 CPT 33533 | not published | not published | $969.15 – $2,280.74 | 7 |
| Cabgsingle coronary venous graft 33510 CPT 33510 | not published | not published | $969.15 – $2,359.18 | 7 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | not published | not published | $395.71 – $1,000.00 | 7 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | not published | not published | $969.15 – $2,591.08 | 7 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | not published | not published | $969.15 – $2,950.34 | 7 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | not published | not published | $969.15 – $3,038.47 | 7 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | not published | not published | $140.38 – $1,000.00 | 7 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | not published | not published | $309.56 – $1,000.00 | 7 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | not published | not published | $409.46 – $1,000.00 | 7 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | not published | not published | $491.20 – $1,000.00 | 7 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | not published | not published | $551.66 – $1,000.00 | 7 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | not published | not published | $622.76 – $1,011.98 | 7 |
| Cacna1a gene full gene seq CPT 81185 | not published | not published | $710.87 – $4,612.17 | 25 |
| Cadd pump refill CPT 96521 | not published | not published | $139.67 – $617.69 | 6 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $4,392.54 | $12,201.50 | $1,366.44 – $11,325.86 | 16 |
| Calcium 24 hour urine CPT 82340 | $26.55 | $73.75 | $5.07 – $44.85 | 34 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $85.41 | $237.25 | $0.17 – $0.21 | 4 |
| Calcium ionized CPT 82330 | $153.90 | $427.50 | $11.49 – $101.64 | 34 |
| Calcium total CPT 82310 | $44.73 | $124.25 | $4.33 – $55.91 | 34 |
| Calculi urinary-sendout CPT 82360 | $299.43 | $831.75 | $10.81 – $95.70 | 34 |
| Calculus analysis qual CPT 82355 | not published | not published | $9.73 – $86.06 | 29 |
| Caloric vstblr test w/rec CPT 92538 | not published | not published | $5.05 – $212.89 | 6 |
| Calprotectin fecal CPT 83993 | $113.13 | $314.25 | $14.11 – $145.95 | 34 |
| Campylobacter antibody CPT 86625 | not published | not published | $9.35 – $71.50 | 29 |
| Candida dna CPT 87480 | $42.84 | $119.00 | $16.84 – $149.11 | 34 |
| Candida skin test CPT 86485 | not published | not published | $25.47 – $108.28 | 12 |
| Cannula declotting 36861 CPT 36861 | not published | not published | $138.41 – $5,377.54 | 20 |
| Canthotomy 67715 CPT 67715 | not published | not published | $106.24 – $2,264.18 | 20 |
| Capsular contracture release CPT 23020 | not published | not published | $682.63 – $3,202.82 | 20 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | not published | not published | $182.41 – $1,406.01 | 20 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $334.49 – $3,202.82 | 20 |
| Carbamazepine free CPT 80157 | $86.31 | $239.75 | $11.13 – $98.59 | 34 |
| Carbamazepine free -sendout CPT 80161 | not published | not published | $15.66 – $87.79 | 17 |
| Carbamazepine total therapeutic drug level CPT 80156 | $86.31 | $239.75 | $12.24 – $108.29 | 34 |
| Carbohydrate deficient transf - sendout CPT 82373 | $191.25 | $531.25 | $15.17 – $239.06 | 34 |
| Carbohydrate urine - sendout CPT 84377 | $29.61 | $82.25 | $4.62 – $37.01 | 34 |
| Carbon dioxide CPT 82374 | $27.09 | $75.25 | $4.10 – $36.35 | 34 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $163.80 | $455.00 | $3.09 – $3.09 | 1 |
| Carboxyhemoglobin quantitative CPT 82375 | $34.02 | $94.50 | $10.35 – $91.61 | 34 |
| Carcinoembryonic ag (cea) CPT 82378 | $144.36 | $401.00 | $15.93 – $141.05 | 34 |
| Cardiac drug stress test CPT 93024 | not published | not published | $56.40 – $1,508.90 | 6 |
| Cardiac MRI w/stress img CPT 75559 | not published | not published | $232.31 – $3,438.42 | 30 |
| Cardiac perf planar mult/ef/wm CPT 78454 | not published | not published | $384.54 – $3,606.84 | 29 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | not published | not published | $265.61 – $3,008.42 | 29 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | not published | not published | $283.27 – $3,008.42 | 29 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $268.02 | $744.50 | $14.05 – $187.00 | 7 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $112.14 | $311.50 | $8.80 – $100.41 | 6 |
| Cardiac shunt imaging CPT 78428 | not published | not published | $152.09 – $1,456.74 | 29 |
| Cardiac Stress Test CPT 93015 | not published | not published | $69.42 – $300.63 | 5 |
| Cardioassist internal CPT 92970 | not published | not published | $143.24 – $232.76 | 5 |
| Cardiolipin antibody iga CPT 86147 | $83.34 | $231.50 | $8.97 – $138.70 | 34 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $1,215.00 | $3,375.00 | $109.56 – $627.66 | 6 |
| Cardioversion/elective/internal 92961 CPT 92961 | $413.64 | $1,149.00 | $249.09 – $627.66 | 6 |
| Card MRI veloc flow mapping CPT 75565 | not published | not published | $41.81 – $1,750.00 | 14 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | not published | not published | $92.13 – $223.60 | 4 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | not published | not published | $42.31 – $102.67 | 4 |
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.