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 |
|---|---|---|---|---|
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $36.66 – $452.47 | 6 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $969.15 – $3,982.13 | 7 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $819.44 – $1,331.59 | 7 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $702.12 – $3,202.82 | 20 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $793.14 – $6,998.88 | 20 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $969.15 – $13,923.83 | 20 |
| Fusion of big toe joint CPT 28750 | not published | not published | $582.35 – $6,998.88 | 20 |
| Fusion of big toe joint CPT 28755 | not published | not published | $331.41 – $6,998.88 | 20 |
| Fusion of finger joint CPT 26860 | not published | not published | $544.18 – $3,202.82 | 20 |
| Fusion of finger tendons CPT 26471 | not published | not published | $594.71 – $3,202.82 | 20 |
| Fusion of finger tendons CPT 26474 | not published | not published | $579.96 – $1,585.81 | 20 |
| Fusion of foot bones CPT 28730 | not published | not published | $730.74 – $13,923.83 | 20 |
| Fusion of foot bones CPT 28735 | not published | not published | $777.80 – $13,923.83 | 20 |
| Fusion of foot bones CPT 28740 | not published | not published | $619.90 – $6,998.88 | 20 |
| Fusion of hand joint CPT 26843 | not published | not published | $713.70 – $6,998.88 | 20 |
| Fusion of knuckle CPT 26850 | not published | not published | $668.46 – $6,998.88 | 20 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $677.70 – $3,202.82 | 20 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $796.72 – $3,202.82 | 20 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $809.19 – $6,998.88 | 20 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $769.64 – $6,998.88 | 20 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $806.95 – $2,072.71 | 8 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $969.15 – $3,531.69 | 8 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $673.73 – $3,202.82 | 20 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $636.20 – $3,202.82 | 20 |
| Fusion of thumb CPT 26841 | not published | not published | $702.27 – $6,998.88 | 20 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $681.74 – $13,923.83 | 20 |
| Fusion of toes CPT 28280 | not published | not published | $347.63 – $3,202.82 | 20 |
| G6pc gene CPT 81250 | not published | not published | $49.13 – $318.77 | 27 |
| G6pd full gene sequence CPT 81249 | not published | not published | $504.00 – $3,270.00 | 25 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $146.84 – $952.71 | 25 |
| G6pd known familial variant CPT 81248 | not published | not published | $315.21 – $2,045.11 | 25 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $171.54 | $476.50 | $402.16 – $456.02 | 3 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $1,037.88 | $2,883.00 | $0.39 – $0.39 | 1 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $2.16 | $6.00 | $0.21 – $0.84 | 5 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $19.44 | $54.00 | $14.79 – $14.79 | 1 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $108.63 | $301.75 | $17.70 – $156.63 | 34 |
| Galactokinase - sendout CPT 82759 | $132.84 | $369.00 | $10.32 – $166.05 | 34 |
| Galactose transferase test CPT 82776 | not published | not published | $9.35 – $63.98 | 29 |
| Galectin-3 CPT 82777 | not published | not published | $47.89 – $241.16 | 16 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $655.46 – $5,655.44 | 19 |
| Gammaglobulin iga CPT 82784 | $121.23 | $336.75 | $7.81 – $69.11 | 34 |
| Gammaglobulin ige CPT 82785 | $147.87 | $410.75 | $13.83 – $122.46 | 34 |
| Gamma glutamyltransferase CPT 82977 | $64.53 | $179.25 | $6.05 – $80.66 | 34 |
| Gamunex-c/gammaked HCPCS J1561 | $28.17 | $78.25 | $38.75 – $71.62 | 9 |
| Gardner vag dna quant CPT 87512 | not published | not published | $32.43 – $227.59 | 29 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $5.64 – $40.55 | 29 |
| Gastric emptying imag study CPT 78265 | $539.37 | $1,498.25 | $213.84 – $3,377.34 | 31 |
| Gastric emptying imag study CPT 78266 | $715.68 | $1,988.00 | $275.50 – $3,778.11 | 31 |
| Gastric motility studies CPT 91020 | not published | not published | $167.41 – $729.86 | 6 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $180.56 – $2,030.94 | 29 |
| Gastrin test CPT 82938 | not published | not published | $14.86 – $131.56 | 29 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $213.84 – $2,045.43 | 29 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $143.25 – $589.26 | 6 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $969.15 – $1,643.19 | 7 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $565.86 – $1,000.00 | 8 |
| Gated heart multiple CPT 78473 | not published | not published | $213.84 – $2,148.48 | 29 |
| Gba gene CPT 81251 | not published | not published | $39.69 – $257.51 | 27 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $152.10 | $422.50 | $5.19 – $5.19 | 1 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $15,276.60 | $42,435.00 | $221.84 – $809.21 | 13 |
| General health panel CPT 80050 | not published | not published | $53.28 – $166.36 | 12 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $2,650.07 – $13,344.65 | 12 |
| Genioplasty augmentation CPT 21120 | not published | not published | $521.90 – $5,675.12 | 8 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $886.62 – $3,064.57 | 20 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $615.12 – $3,064.57 | 20 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $768.49 – $5,675.12 | 20 |
| Genome sequence analysis CPT 81425 | not published | not published | $0.04 – $27,420.04 | 13 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $17.73 | $49.25 | $1.74 – $1.74 | 1 |
| Gentamicin peak therapeutic drug level CPT 80170 | $61.56 | $171.00 | $13.76 – $121.86 | 34 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $383.10 – $1,690.05 | 6 |
| Ghs abscess perianal iandd CPT 46050 | not published | not published | $96.92 – $1,000.00 | 20 |
| Ghs abscess postoperative iandd complex CPT 10180 | not published | not published | $175.04 – $2,713.10 | 20 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $48.96 | $136.00 | $8.24 – $61.20 | 34 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $144.18 | $400.50 | $14.33 – $153.22 | 34 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | not published | not published | $85.90 – $602.78 | 27 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $18.54 – $452.47 | 6 |
| Ghs antibodies (torch) igm CPT 86694 | $77.85 | $216.25 | $12.09 – $107.04 | 34 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $28.07 – $1,000.00 | 20 |
| Ghs bladder cath - complex-foley CPT 51703 | not published | not published | $50.34 – $1,000.00 | 20 |
| Ghs bleeding time (ivy) CPT 85002 | $79.65 | $221.25 | $4.05 – $65.59 | 34 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | not published | not published | $54.05 – $1,000.00 | 20 |
| Ghs central line insert < age 5, failed CPT 36555 | not published | not published | $86.71 – $1,908.42 | 20 |
| Ghs change cysto/gastrost CPT 43762 | not published | not published | $37.96 – $1,000.00 | 19 |
| Ghs chemo >8 hrs CPT 96416 | $392.76 | $1,091.00 | $134.66 – $595.28 | 6 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $173.52 – $768.75 | 6 |
| Ghs chemo IV push, ea addtl CPT 96411 | $198.00 | $550.00 | $56.07 – $246.76 | 6 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $37.71 | $104.75 | $16.84 – $260.89 | 34 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | not published | not published | $85.32 – $1,000.00 | 20 |
| Ghs closed reduction ankle dislocation CPT 27840 | not published | not published | $85.32 – $1,000.00 | 20 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | not published | not published | $416.60 – $1,585.81 | 20 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $85.32 – $1,000.00 | 20 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | not published | not published | $485.86 – $1,585.81 | 20 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $709.01 – $2,065.16 | 20 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | not published | not published | $85.32 – $1,000.00 | 20 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | not published | not published | $425.39 – $1,585.81 | 20 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | not published | not published | $489.60 – $1,585.81 | 20 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | not published | not published | $85.32 – $1,000.00 | 20 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | not published | not published | $78.45 – $1,000.00 | 20 |
| Ghs community re-entry 15 minutes CPT 97537 | $33.21 | $92.25 | $32.41 – $146.89 | 13 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | not published | not published | $42.40 – $1,000.00 | 8 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | not published | not published | $35.42 – $1,000.00 | 8 |
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.