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 |
|---|---|---|---|---|
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $40.88 – $335.03 | 6 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $163.82 – $725.38 | 6 |
| Chemo ia push tecnique CPT 96420 | not published | not published | $99.70 – $441.23 | 6 |
| Chemo intralesional over 7 CPT 96406 | $179.64 | $499.00 | $45.76 – $195.92 | 6 |
| Chemo intralesional up to 7 96405 CPT 96405 | $179.64 | $499.00 | $29.40 – $250.95 | 6 |
| Chemotaxis assay CPT 86155 | not published | not published | $13.43 – $118.86 | 29 |
| Chemotherapy injection 96542 CPT 96542 | $241.92 | $672.00 | $41.55 – $177.99 | 6 |
| Chemotx admn pertl cav impl CPT 96446 | $432.81 | $1,202.25 | $26.35 – $270.78 | 6 |
| Chest 2 vws w oblique CPT 71048 | $250.56 | $696.00 | $26.37 – $453.92 | 30 |
| Chest apical lordotic proj CPT 71047 | $250.56 | $696.00 | $25.63 – $323.23 | 30 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,472.93 | $6,869.25 | $172.28 – $2,117.93 | 35 |
| Chest CT scan (with contrast) CPT 71260 | $1,765.35 | $4,903.75 | $139.21 – $1,627.20 | 35 |
| Chest CT scan (without contrast) CPT 71250 | $994.32 | $2,762.00 | $72.22 – $1,610.00 | 35 |
| Chest X-ray CPT 71046 | $214.29 | $595.25 | $20.12 – $323.23 | 31 |
| Chest X-ray (single view) CPT 71045 | $129.69 | $360.25 | $13.14 – $323.23 | 30 |
| Chg pr pul rehab for copd patients CPT 94626 | $92.43 | $256.75 | $48.68 – $118.15 | 4 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $302.13 | $839.25 | $102.25 – $773.28 | 28 |
| Chimerism anal no cell selec CPT 81267 | $104.67 | $290.75 | $116.30 – $1,542.51 | 34 |
| Chimerism anal w/cell select CPT 81268 | $384.39 | $1,067.75 | $219.06 – $1,939.00 | 34 |
| Chlamydia culture CPT 87110 | $188.28 | $523.00 | $16.46 – $145.68 | 35 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $10.06 – $89.16 | 30 |
| Chlamydia type CPT 87140 | $45.27 | $125.75 | $4.68 – $41.47 | 34 |
| Chlnggrphy intraop addl s&i CPT 74301 | $184.59 | $512.75 | $10.81 – $121.25 | 8 |
| Chloride CPT 82435 | $39.96 | $111.00 | $3.86 – $35.21 | 34 |
| Chloride 24 hour urine CPT 82436 | $67.68 | $188.00 | $4.83 – $67.84 | 34 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $44.10 | $122.50 | $29.19 – $29.19 | 1 |
| Chmotx admn plrl cav thrcnts CPT 96440 | $508.05 | $1,411.25 | $122.91 – $533.94 | 6 |
| Cholangiogram percutaneous compl CPT 47532 | not published | not published | $216.36 – $3,637.93 | 8 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $260.01 | $722.25 | $18.74 – $210.11 | 8 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $951.78 – $1,546.63 | 7 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $845.91 – $1,374.60 | 7 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $867.45 – $1,409.60 | 7 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | not published | not published | $331.66 – $3,637.93 | 8 |
| Cholesterol CPT 82465 | $62.10 | $172.50 | $3.65 – $69.30 | 35 |
| Cholesterol body fluid CPT 84999 | $32.76 | $91.00 | $40.64 – $148.73 | 2 |
| Cholesterol (Lipid) Test CPT 80061 | $144.72 | $402.00 | $11.25 – $180.90 | 35 |
| Cholinesterase CPT 82480 | $45.27 | $125.75 | $6.61 – $58.59 | 34 |
| Cholinesterase challenge CPT 95857 | not published | not published | $29.71 – $212.89 | 6 |
| Chorion biopsy CPT 59015 | not published | not published | $44.43 – $1,000.00 | 20 |
| Chrom analysis CPT 88273 | $135.81 | $377.25 | $29.24 – $238.93 | 34 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $6.80 – $212.55 | 29 |
| Chromatography CPT 83021 | $176.49 | $490.25 | $15.17 – $134.23 | 34 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $3.76 – $88.40 | 29 |
| Chromo high res and frag x - sendout CPT 81243 | $711.54 | $1,976.50 | $43.06 – $781.96 | 32 |
| Chromosome analys amniotic CPT 88269 | $162.54 | $451.50 | $105.41 – $1,236.66 | 34 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $10.98 – $1,287.62 | 29 |
| Chromosome analysis 15-20 cell count CPT 88262 | $1,232.19 | $3,422.75 | $105.41 – $926.72 | 34 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $120.75 – $1,106.84 | 29 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $126.24 – $1,117.41 | 29 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $10.16 – $1,440.65 | 29 |
| Chromosome analysis 50-100 CPT 88248 | $297.90 | $827.50 | $123.92 – $1,287.62 | 34 |
| Chromosome analys placenta CPT 88267 | not published | not published | $158.40 – $1,141.50 | 29 |
| Chromosome banding study CPT 88283 | not published | not published | $29.24 – $510.07 | 29 |
| Chromosome count additional CPT 88285 | not published | not published | $21.72 – $146.66 | 29 |
| Chromosome karyotype study CPT 88280 | $60.03 | $166.75 | $28.11 – $186.61 | 34 |
| Chromosome study additional CPT 88289 | not published | not published | $28.92 – $256.04 | 29 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $10.47 – $92.70 | 29 |
| Chylomicron screen, bf - sendout CPT 82664 | not published | not published | $29.89 – $335.18 | 29 |
| Cilastatin sodium injection HCPCS J0743 | $32.31 | $89.75 | $6.29 – $6.29 | 1 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $387.14 – $2,264.18 | 20 |
| Cine/video x-rays CPT 76120 | not published | not published | $64.64 – $936.18 | 30 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $14.42 – $196.97 | 8 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $4.84 | $13.45 | $1.36 – $1.36 | 1 |
| Circum 28 days or older CPT 54161 | not published | not published | $198.16 – $2,072.71 | 20 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $145.23 – $1,455.44 | 20 |
| Circumcision (newborn) CPT 54150 | not published | not published | $98.73 – $2,072.71 | 20 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $163.62 | $454.50 | $1.96 – $1.96 | 1 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $366.93 | $1,019.25 | $276.60 – $1,795.83 | 31 |
| Claviculectomy partial CPT 23120 | not published | not published | $577.06 – $3,202.82 | 20 |
| Claviculectomy total CPT 23125 | not published | not published | $699.03 – $3,202.82 | 20 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $113.29 – $1,000.00 | 20 |
| Clearance of airways CPT 31720 | not published | not published | $50.30 – $1,000.00 | 8 |
| Clearance of tear duct CPT 68530 | not published | not published | $98.41 – $1,000.00 | 20 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $46.19 – $452.47 | 6 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $21.86 – $452.47 | 6 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $32.86 – $228.29 | 6 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $21.86 – $138.73 | 6 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $969.15 – $2,922.78 | 20 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $969.15 – $3,417.53 | 7 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | $78.45 – $1,000.00 | 20 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $386.22 – $1,585.81 | 20 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $556.33 – $1,000.00 | 7 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $85.32 – $1,000.00 | 20 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $417.85 – $1,585.81 | 20 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $78.45 – $1,000.00 | 20 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | not published | not published | $441.60 – $1,585.81 | 20 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | not published | not published | $64.18 – $1,000.00 | 20 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $420.64 – $1,578.73 | 20 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $157.29 – $1,000.00 | 20 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $317.07 – $1,578.73 | 20 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $575.62 – $1,585.81 | 20 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $289.55 – $3,064.57 | 20 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $54.05 – $1,000.00 | 8 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $78.45 – $1,000.00 | 20 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $761.09 – $3,202.82 | 20 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | not published | not published | $87.58 – $1,000.00 | 20 |
| Close mastoid fistula CPT 69700 | not published | not published | $420.64 – $1,578.73 | 20 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $511.44 – $1,000.00 | 7 |
| Close tear duct opening CPT 68760 | not published | not published | $98.41 – $1,000.00 | 20 |
| Close tear duct opening CPT 68761 | not published | not published | $70.16 – $1,000.00 | 20 |
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.