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 |
|---|---|---|---|---|
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $1.44 | $4.00 | $0.08 – $0.08 | 1 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $105.12 | $292.00 | $6.85 – $25.98 | 4 |
| Dicyclomine injection HCPCS J0500 | $275.61 | $765.59 | $82.33 – $82.33 | 1 |
| Diffusing capacity CPT 94729 | $196.56 | $546.00 | $47.32 – $194.43 | 5 |
| Digital analysis of eeg CPT 95957 | not published | not published | $190.84 – $698.45 | 5 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $20.98 | $58.28 | $5.75 – $5.75 | 1 |
| Digoxin total therapeutic drug level CPT 80162 | $61.56 | $171.00 | $11.16 – $98.75 | 34 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $138.28 – $1,000.00 | 3 |
| Dilate esophagus CPT 43453 | not published | not published | $86.69 – $1,822.16 | 20 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $80.08 – $1,000.00 | 20 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $255.33 – $1,000.00 | 7 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $127.66 – $1,000.00 | 7 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $363.54 – $1,000.00 | 7 |
| Dilate tear duct opening CPT 68801 | not published | not published | $76.63 – $1,000.00 | 8 |
| Dilate urethra stricture CPT 53600 | not published | not published | $28.32 – $1,000.00 | 20 |
| Dilate urethra stricture CPT 53601 | not published | not published | $39.07 – $1,000.00 | 20 |
| Dilate urethra stricture CPT 53605 | not published | not published | $65.36 – $2,072.71 | 20 |
| Dilate urethra stricture CPT 53621 | not published | not published | $64.44 – $1,000.00 | 20 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $31.70 – $1,000.00 | 20 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $167.73 – $1,605.27 | 20 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $29.10 – $1,798.19 | 20 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $190.91 – $1,605.27 | 20 |
| Dilation of salivary duct CPT 42660 | not published | not published | $54.31 – $1,000.00 | 20 |
| Dilation of urethra CPT 53661 | not published | not published | $29.60 – $1,000.00 | 20 |
| Dilation of urethra CPT 53665 | not published | not published | $39.10 – $2,072.71 | 20 |
| Dilation of vagina CPT 57400 | not published | not published | $132.23 – $2,922.78 | 20 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $35.60 – $1,000.00 | 20 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $62.88 – $1,000.00 | 20 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $152.56 – $2,072.71 | 19 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $254.97 – $3,531.69 | 19 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $4.80 | $13.34 | $0.66 – $0.66 | 1 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $126.20 – $157.38 | 4 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $24.97 – $138.73 | 6 |
| Disability dlco CPT 94727 | $192.96 | $536.00 | $32.98 – $574.15 | 6 |
| Disaccharidases CPT 82657 | $176.85 | $491.25 | $18.62 – $134.23 | 34 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $462.15 – $1,898.61 | 20 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $969.15 – $1,865.41 | 7 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $157.25 – $1,000.00 | 7 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $53.93 – $8,790.80 | 30 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $61.39 – $1,000.00 | 18 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $284.91 – $462.98 | 5 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $969.15 – $5,377.54 | 8 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $781.53 – $5,675.12 | 20 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $242.62 – $1,000.00 | 7 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $0.04 – $42.08 | 18 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $224.71 – $1,000.00 | 7 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $118.54 – $1,520.55 | 27 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $148.28 – $746.65 | 12 |
| Dna antibody native/double stranded CPT 86225 | $144.36 | $401.00 | $10.88 – $102.13 | 34 |
| Dna gardnerella CPT 87510 | $67.68 | $188.00 | $16.84 – $149.11 | 34 |
| Dna probe chlamydia CPT 87490 | $27.72 | $77.00 | $19.11 – $149.11 | 35 |
| Dna probe gc CPT 87590 | $225.09 | $625.25 | $22.58 – $149.11 | 35 |
| Dna trichomonas CPT 87660 | $42.84 | $119.00 | $16.84 – $149.11 | 34 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $3.15 | $8.75 | $7.32 – $7.32 | 1 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $131.40 | $365.00 | $1.16 – $3.49 | 2 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $4.92 | $13.65 | $0.88 – $0.88 | 1 |
| Doppler echo complete CPT 93320 | $457.11 | $1,269.75 | $37.49 – $148.07 | 5 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $471.42 | $1,309.50 | $81.60 – $759.51 | 31 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $187.47 | $520.75 | $78.92 – $452.47 | 8 |
| Dornhoffer fixed part w/window HCPCS L8614 | $72,859.32 | $202,387.00 | $19,316.01 – $91,074.15 | 15 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $22.68 | $63.00 | $3.10 – $3.10 | 1 |
| Dpyd gene common variants CPT 81232 | not published | not published | $189.20 – $952.71 | 12 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $119.79 – $1,000.00 | 20 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $124.73 – $1,000.00 | 20 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $96.40 – $1,366.42 | 20 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $93.80 – $1,000.00 | 20 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $200.17 – $2,713.10 | 20 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $479.95 – $2,713.10 | 20 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $87.58 – $1,000.00 | 20 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $153.92 – $1,605.94 | 20 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $410.49 – $2,713.10 | 20 |
| Drainage of eye CPT 65800 | not published | not published | $90.41 – $2,365.58 | 20 |
| Drainage of eye CPT 65810 | not published | not published | $458.09 – $2,365.58 | 20 |
| Drainage of eye CPT 65815 | not published | not published | $469.93 – $2,365.58 | 20 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $343.73 – $1,585.81 | 20 |
| Drainage of kidney lesion CPT 50390 | not published | not published | $97.49 – $1,000.00 | 20 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $87.58 – $1,000.00 | 20 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $253.40 – $1,578.73 | 20 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $245.08 – $1,578.73 | 20 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $266.51 – $3,064.57 | 20 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $187.22 – $1,000.00 | 20 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $187.22 – $1,000.00 | 20 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $345.95 – $5,675.12 | 20 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $349.29 – $3,064.57 | 20 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $408.23 – $1,578.73 | 20 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $74.08 – $1,000.00 | 20 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $116.15 – $1,000.00 | 20 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $516.72 – $2,314.52 | 20 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $628.96 – $3,202.82 | 20 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $443.84 – $3,531.69 | 20 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $454.51 – $2,072.71 | 20 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $597.54 – $3,531.69 | 20 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $159.89 – $1,605.27 | 20 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $570.35 – $2,742.69 | 20 |
| Drainage of salivary gland CPT 42305 | not published | not published | $425.42 – $3,064.57 | 20 |
| Drainage of salivary gland CPT 42320 | not published | not published | $174.29 – $1,000.00 | 20 |
| Drainage of throat abscess CPT 42725 | not published | not published | $811.91 – $5,675.12 | 20 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $394.63 – $2,167.56 | 20 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $58.98 – $1,455.44 | 8 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $238.15 – $1,455.44 | 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.