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 |
|---|---|---|---|---|
| Lat retinacular release open CPT 27425 | not published | not published | $443.51 – $3,202.82 | 20 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $74.08 – $1,000.00 | 20 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $969.15 – $9,843.34 | 20 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $728.97 – $2,713.10 | 8 |
| Lead capillary CPT 83655 | $67.68 | $188.00 | $10.17 – $90.03 | 34 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $969.15 – $1,663.86 | 7 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $969.15 – $1,710.25 | 7 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $969.15 – $2,143.71 | 7 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $969.15 – $1,784.45 | 7 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $969.15 – $5,675.12 | 8 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $16.84 – $149.11 | 29 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $29.48 – $227.59 | 29 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $902.37 – $3,242.40 | 8 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $610.74 | $1,696.50 | $145.03 – $983.97 | 31 |
| Leishmania antibody CPT 86717 | not published | not published | $9.35 – $66.76 | 29 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $597.05 – $3,202.82 | 20 |
| Lengthening of palate CPT 42227 | not published | not published | $821.14 – $5,675.12 | 20 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $872.20 – $5,675.12 | 20 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $883.27 – $1,435.32 | 7 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $504.22 – $6,998.88 | 20 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $637.55 – $6,998.88 | 20 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $868.98 – $3,202.82 | 20 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $801.28 – $1,302.08 | 7 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $868.74 – $6,998.88 | 20 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $969.15 – $13,923.83 | 20 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $969.15 – $6,998.88 | 20 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $163.62 | $454.50 | $3.32 – $3.32 | 1 |
| Leukacyte transfusion CPT 86950 | not published | not published | $97.43 – $675.89 | 11 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $8.73 – $59.41 | 29 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $4,313.88 | $11,983.00 | $165.86 – $1,839.41 | 16 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $12,824.28 | $35,623.00 | $900.87 – $3,184.86 | 16 |
| Leuprolide acetate injeciton HCPCS J9218 | $365.85 | $1,016.25 | $10.06 – $153.52 | 15 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $0.43 | $1.18 | $0.12 – $0.12 | 1 |
| Levetiracetam therapeutic drug level CPT 80177 | $159.03 | $441.75 | $11.13 – $198.79 | 34 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $47.07 | $130.75 | $1.21 – $1.21 | 1 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $2,132.29 – $3,464.98 | 4 |
| Lidocaine therapeutic drug level CPT 80176 | $214.74 | $596.50 | $12.34 – $268.43 | 34 |
| Ligate esophagus veins CPT 43400 | not published | not published | $969.15 – $1,865.41 | 7 |
| Ligate leg veins open CPT 37761 | not published | not published | $417.54 – $2,171.28 | 20 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $622.69 – $3,242.40 | 20 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $56.30 – $1,000.00 | 7 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $969.15 – $1,770.54 | 7 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $472.31 – $3,242.40 | 20 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $428.41 – $3,242.40 | 20 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $379.04 – $2,922.78 | 20 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $204.49 – $1,605.94 | 20 |
| Ligation common iliac vein CPT 37660 | not published | not published | $969.15 – $1,605.25 | 7 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $243.09 – $3,242.40 | 20 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $728.96 – $3,242.40 | 8 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $732.76 – $3,242.40 | 8 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $717.25 – $2,171.28 | 8 |
| Ligation major artery chest CPT 37616 | not published | not published | $831.64 – $1,351.41 | 7 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $288.28 – $1,000.00 | 7 |
| Ligation major artery neck CPT 37615 | not published | not published | $520.49 – $3,666.84 | 8 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $569.94 – $3,242.40 | 20 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $969.15 – $1,637.72 | 7 |
| Ligation of femoral vein CPT 37650 | not published | not published | $456.18 – $3,242.40 | 20 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $969.15 – $5,377.54 | 8 |
| Ligation of neck artery CPT 37606 | not published | not published | $694.64 – $3,242.40 | 8 |
| Ligation of salivary duct CPT 42665 | not published | not published | $205.40 – $3,064.57 | 20 |
| Ligation of shunt CPT 49428 | not published | not published | $324.61 – $1,000.00 | 7 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $829.03 – $3,242.40 | 20 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $256.07 – $3,242.40 | 20 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $372.80 – $3,242.40 | 20 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $577.68 – $3,242.40 | 20 |
| Limb exercise test CPT 95875 | not published | not published | $74.15 – $308.10 | 6 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $218.39 – $1,000.00 | 4 |
| Limited autopsy CPT 88036 | not published | not published | $184.12 – $2,189.68 | 10 |
| Limited autopsy CPT 88037 | not published | not published | $163.40 – $1,778.92 | 10 |
| Limited visual field xm CPT 92081 | not published | not published | $18.65 – $228.29 | 6 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $67.26 | $186.83 | $9.05 – $31.62 | 2 |
| Lipase CPT 83690 | $67.68 | $188.00 | $5.79 – $84.60 | 34 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $351.35 – $3,064.57 | 20 |
| Lipoprotein blood high res frac & quant CPT 83701 | $115.65 | $321.25 | $9.46 – $184.54 | 34 |
| Lipoprotein blood quant CPT 83704 | not published | not published | $28.44 – $234.57 | 29 |
| Lipoprotein direct measurement hdl CPT 83718 | $47.34 | $131.50 | $6.88 – $60.88 | 35 |
| Lipoprotein direct measurement ldl CPT 83721 | $31.14 | $86.50 | $8.82 – $70.96 | 34 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $8.82 – $186.34 | 25 |
| Lip surgery procedure CPT 40799 | not published | not published | $124.92 – $1,000.00 | 7 |
| Listeria monocytogenes CPT 86723 | not published | not published | $9.35 – $71.89 | 29 |
| Lithium therapeutic drug level CPT 80178 | $55.08 | $153.00 | $5.55 – $68.85 | 34 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $693.33 – $1,126.66 | 6 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $825.93 – $1,342.13 | 6 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $912.60 – $1,482.98 | 7 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $956.46 – $2,371.01 | 4 |
| Liver elastography 91200 CPT 91200 | $248.31 | $689.75 | $27.10 – $574.15 | 24 |
| Liver Function Test CPT 80076 | $196.29 | $545.25 | $6.86 – $245.36 | 34 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $969.15 – $1,776.02 | 7 |
| Liver image (3d) with flow CPT 78206 | not published | not published | $265.13 – $2,730.60 | 18 |
| Liver imaging CPT 78201 | not published | not published | $176.23 – $1,659.60 | 29 |
| Liver imaging (3d) CPT 78205 | not published | not published | $191.93 – $1,668.06 | 18 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $185.60 – $1,812.60 | 29 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $177.31 – $1,682.91 | 29 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $104.51 – $1,001.16 | 29 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $71.97 – $2,264.18 | 6 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $461.45 – $3,202.82 | 20 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $1.98 | $5.50 | $1.01 – $1.01 | 1 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $6.37 | $17.69 | $0.73 – $0.73 | 1 |
| Loudness balance test CPT 92562 | not published | not published | $43.22 – $574.15 | 6 |
| Low back disk surgery CPT 63030 | not published | not published | $961.76 – $6,998.88 | 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.