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 |
|---|---|---|---|---|
| Ghs reticulocyte count CPT 85044 | not published | not published | $3.62 – $31.99 | 29 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $72.90 | $202.50 | $11.68 – $91.13 | 34 |
| Ghs sedimentation rate CPT 85651 | $18.09 | $50.25 | $3.59 – $26.38 | 34 |
| Ghs semen analysis fert CPT 89320 | $55.08 | $153.00 | $14.49 – $67.09 | 16 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $10.74 – $53.63 | 16 |
| Ghs sensitivity (per antimicro) CPT 87184 | $77.31 | $214.75 | $3.59 – $89.78 | 34 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $94.63 – $1,000.00 | 20 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $113.84 – $1,000.00 | 20 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $113.84 – $1,000.00 | 20 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $113.84 – $1,000.00 | 20 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $74.72 – $1,000.00 | 8 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $72.90 – $1,000.00 | 8 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $74.34 – $1,000.00 | 20 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $74.34 – $1,000.00 | 20 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $74.34 – $1,000.00 | 20 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $125.36 – $536.93 | 6 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $106.76 – $423.26 | 6 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $311.40 – $1,266.79 | 6 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $109.26 | $303.50 | $51.16 – $219.87 | 6 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $51.45 – $1,000.00 | 20 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $3.58 – $452.47 | 6 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $108.99 | $302.75 | $107.21 – $460.65 | 6 |
| Ghs st - eval for alt comm CPT 92567 | $22.23 | $61.75 | $10.87 – $138.73 | 6 |
| Ghs strapping shoulder - 29240 CPT 29240 | $176.85 | $491.25 | $19.02 – $969.15 | 7 |
| Ghs st - re-eval for alt comm CPT 92597 | $193.95 | $538.75 | $72.15 – $308.10 | 6 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $15.23 – $65.82 | 6 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $158.91 – $701.43 | 6 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $186.75 – $1,000.00 | 20 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $137.18 – $1,000.00 | 20 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $322.80 – $1,578.73 | 20 |
| Ghs trypsin (fecal) CPT 84488 | $102.78 | $285.50 | $6.13 – $128.47 | 34 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $85.32 – $1,000.00 | 20 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $85.32 – $1,000.00 | 20 |
| Ghs urine, hydroxproline total CPT 83505 | $334.35 | $928.75 | $20.41 – $417.94 | 34 |
| Ghs urine, porphyrins quant CPT 84120 | $73.71 | $204.75 | $11.22 – $109.38 | 34 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $941.59 – $2,922.78 | 8 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $830.39 – $2,015.28 | 4 |
| Ghs windowing of cast CPT 29730 | not published | not published | $23.39 – $1,000.00 | 20 |
| Giardia ag if CPT 87269 | $114.03 | $316.75 | $11.43 – $142.54 | 34 |
| Giardia lamblia antibody CPT 86674 | $202.50 | $562.50 | $11.89 – $253.13 | 34 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $98.60 – $943.81 | 25 |
| Gi inhouse confirmation CPT 87045 | $257.13 | $714.25 | $7.93 – $321.41 | 34 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $241.14 – $3,822.10 | 20 |
| Gi protein loss CPT 78282 | not published | not published | $43.14 – $2,031.49 | 24 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $449.27 – $3,160.27 | 19 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $831.04 – $3,418.36 | 17 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $449.27 – $3,160.27 | 19 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $302.60 – $4,892.19 | 19 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $84.94 – $710.28 | 27 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $51.68 – $335.28 | 27 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $29.40 – $190.75 | 27 |
| Glaucoma surgery CPT 66150 | not published | not published | $862.73 – $4,467.45 | 20 |
| Glaucoma surgery CPT 66155 | not published | not published | $862.02 – $4,467.45 | 20 |
| Glaucoma surgery CPT 66160 | not published | not published | $849.94 – $2,365.58 | 20 |
| Glaucoma surgery CPT 66170 | not published | not published | $849.94 – $2,365.58 | 20 |
| Glucagon plasma - sendout CPT 82943 | $53.10 | $147.50 | $10.00 – $77.88 | 34 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $38.70 – $342.59 | 29 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $42.42 – $375.45 | 29 |
| Glucagon tolerance test CPT 82946 | not published | not published | $14.93 – $100.99 | 29 |
| Glucose 1 hr post dose CPT 82950 | $19.89 | $55.25 | $3.99 – $35.32 | 35 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $71.82 | $199.50 | $5.08 – $89.78 | 34 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $14.49 | $40.25 | $3.55 – $17.88 | 16 |
| Glucose blood quantitative CPT 82947 | $44.10 | $122.50 | $3.30 – $30.15 | 35 |
| Glucose body fluid CPT 82945 | $83.34 | $231.50 | $3.30 – $104.17 | 34 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $52.58 – $233.31 | 5 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $117.09 | $325.25 | $10.81 – $146.36 | 35 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $17.37 | $48.25 | $3.29 – $29.16 | 34 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $56.54 | $157.06 | $2.28 – $2.85 | 4 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $3,078.36 | $8,551.00 | $13.29 – $148.12 | 16 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $65.70 | $182.50 | $15.61 – $138.16 | 34 |
| Gonadotropin hormone panel CPT 80426 | $1,655.37 | $4,598.25 | $124.66 – $2,069.21 | 34 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $179.91 | $499.75 | $15.56 – $137.67 | 34 |
| Gonioscopy CPT 92020 | not published | not published | $21.05 – $452.47 | 6 |
| Goniotomy CPT 65820 | not published | not published | $744.73 – $4,467.45 | 20 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $513.81 | $1,427.25 | $281.05 – $1,002.54 | 12 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $858.48 – $3,202.82 | 8 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $819.96 – $1,332.44 | 7 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $6,210.45 | $17,251.25 | $134.11 – $134.11 | 1 |
| Granisetron hcl injection HCPCS J1626 | $21.42 | $59.50 | $0.35 – $0.35 | 1 |
| Great toe-hand transfer CPT 26551 | not published | not published | $969.15 – $3,990.14 | 7 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $78.45 – $1,000.00 | 20 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $709.01 – $1,898.61 | 18 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $969.15 – $3,483.43 | 18 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $969.15 – $1,000.00 | 2 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $969.15 – $3,483.43 | 18 |
| Group health education CPT 99078 | not published | not published | $135.63 – $135.63 | 1 |
| Growth hormone antibody CPT 86277 | not published | not published | $10.12 – $117.01 | 29 |
| Growth hormone panel CPT 80428 | not published | not published | $56.03 – $495.95 | 29 |
| Growth hormone panel CPT 80430 | not published | not published | $89.71 – $704.85 | 29 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $25.21 – $412.02 | 27 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $46.72 – $113.38 | 4 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $46.72 – $113.38 | 4 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $969.15 – $2,353.27 | 7 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $949.70 – $1,543.27 | 7 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $969.15 – $1,982.21 | 7 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $969.15 – $2,196.84 | 7 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $897.54 – $1,458.51 | 7 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $697.63 – $1,913.41 | 8 |
| G-tube reposition CPT 43761 | not published | not published | $103.95 – $1,000.00 | 20 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $69.01 – $7,174.78 | 30 |
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.