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 |
|---|---|---|---|---|
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $963.04 – $5,675.12 | 20 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $540.44 – $5,675.12 | 20 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $619.47 – $5,675.12 | 20 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $492.24 – $1,000.00 | 7 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $576.57 – $1,000.00 | 7 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $969.15 – $13,923.83 | 20 |
| Optx post ankle fx CPT 27769 | not published | not published | $722.99 – $6,998.88 | 20 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $875.82 – $13,923.83 | 20 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $969.15 – $18,656.91 | 20 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $661.75 – $6,998.88 | 20 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $621.78 – $6,998.88 | 20 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $598.65 – $6,998.88 | 20 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $780.11 – $6,998.88 | 20 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $944.59 – $6,998.88 | 20 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $892.75 – $6,998.88 | 20 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $666.28 – $6,998.88 | 20 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $969.15 – $6,998.88 | 20 |
| Optx sho dislc fx CPT 23670 | not published | not published | $867.38 – $6,998.88 | 20 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $920.17 – $13,923.83 | 20 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $612.19 – $6,998.88 | 20 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $563.32 – $6,998.88 | 20 |
| Optx thigh fx CPT 27269 | not published | not published | $929.98 – $1,511.22 | 7 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $881.72 – $3,822.10 | 20 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $727.80 – $6,998.88 | 20 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $615.46 – $6,998.88 | 20 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $615.52 – $6,998.88 | 20 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $969.15 – $3,530.11 | 7 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $969.15 – $4,014.18 | 7 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $969.15 – $3,902.86 | 7 |
| Orchiectomy partial CPT 54522 | not published | not published | $593.54 – $3,531.69 | 20 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $716.13 – $3,637.93 | 8 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $480.27 – $3,637.93 | 20 |
| Organic acids total quant ea spec CPT 83918 | $242.64 | $674.00 | $18.81 – $128.62 | 34 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $74.32 – $1,000.00 | 20 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $62.56 | $173.79 | $5.34 – $5.34 | 1 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $284.85 | $791.25 | $251.88 – $251.88 | 1 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | $725.31 | $2,014.75 | $1,118.41 – $1,118.41 | 1 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $539.73 | $1,499.25 | $610.67 – $610.67 | 1 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $231.66 | $643.50 | $236.24 – $236.24 | 1 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $249.12 | $692.00 | $280.15 – $280.15 | 1 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $210.96 | $586.00 | $236.24 – $236.24 | 1 |
| Orthopantogram CPT 70355 | $104.13 | $289.25 | $9.83 – $323.23 | 35 |
| Orthop traing pfrmd phys/qhp CPT 92065 | not published | not published | $37.39 – $228.29 | 6 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $109.21 – $270.73 | 4 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $267.57 | $743.25 | $291.48 – $291.48 | 1 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $585.45 | $1,626.25 | $864.98 – $864.98 | 1 |
| Oscillation chest wall mechanical per session CPT 94669 | $125.46 | $348.50 | $30.28 – $763.43 | 6 |
| Osmolality blood CPT 83930 | $147.87 | $410.75 | $5.55 – $184.84 | 34 |
| Osmolality urine CPT 83935 | $115.65 | $321.25 | $5.55 – $144.56 | 34 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $323.85 – $3,202.82 | 20 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $564.63 – $3,202.82 | 20 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $712.92 – $1,000.00 | 3 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $969.15 – $13,923.83 | 20 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $964.91 – $6,998.88 | 20 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $969.15 – $6,998.88 | 20 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $22.17 – $101.76 | 6 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $22.17 – $101.76 | 6 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $22.17 – $101.76 | 6 |
| Osteoplasty humerus CPT 24420 | not published | not published | $969.15 – $6,998.88 | 20 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $969.15 – $1,983.48 | 7 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $274.53 – $1,000.00 | 7 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $969.15 – $1,935.40 | 7 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $969.15 – $2,109.56 | 7 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $815.75 – $6,998.88 | 20 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $820.74 – $1,333.71 | 7 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $660.73 – $6,998.88 | 20 |
| Ot evaluation high complexity patient/family CPT 97167 | $161.64 | $449.00 | $89.64 – $447.23 | 11 |
| Ot evaluation low complexity patient/family CPT 97165 | $161.64 | $449.00 | $89.64 – $447.23 | 11 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $141.39 | $392.75 | $89.64 – $447.23 | 11 |
| Other bone graft microvasc CPT 20962 | not published | not published | $969.15 – $3,248.45 | 7 |
| Other immunoelectrophoresis CPT 86325 | $119.61 | $332.25 | $12.59 – $166.28 | 34 |
| Oth resp proc, group HCPCS G0239 | $57.78 | $160.50 | $12.44 – $52.33 | 7 |
| Oth resp proc, indiv HCPCS G0238 | $207.18 | $575.50 | $9.74 – $54.04 | 7 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $110.52 | $307.00 | $49.31 – $213.89 | 5 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $139.14 | $386.50 | $38.69 – $201.90 | 6 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $137.52 | $382.00 | $27.61 – $134.43 | 14 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $9.48 – $40.38 | 5 |
| Otoplasty 69300 CPT 69300 | not published | not published | $477.67 – $3,064.57 | 20 |
| Ot re-evaluation patient/family CPT 97168 | $70.74 | $196.50 | $61.36 – $302.07 | 11 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $84.06 | $233.50 | $35.49 – $180.18 | 14 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $51.93 | $144.25 | $40.07 – $99.23 | 9 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $54.00 | $150.00 | $41.30 – $104.00 | 9 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $63.45 | $176.25 | $30.31 – $144.05 | 14 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $69.84 | $194.00 | $34.02 – $159.89 | 14 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $271.53 | $754.25 | $33.70 – $157.00 | 14 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $969.15 – $1,912.63 | 7 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $743.40 – $4,997.70 | 8 |
| Ovulation tests CPT 84830 | not published | not published | $13.75 – $74.56 | 16 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $3.51 | $9.75 | $1.60 – $1.60 | 1 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $17.82 | $49.50 | $0.16 – $0.48 | 2 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $30.78 | $85.50 | $1.86 – $2.26 | 3 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $148.28 – $746.65 | 12 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $210.87 | $585.75 | $0.15 – $0.15 | 1 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $537.47 – $3,686.93 | 10 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $497.23 – $1,642.36 | 10 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $1,541.88 | $4,283.00 | $8.45 – $46.30 | 16 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $4,666.77 | $12,963.25 | $373.65 – $5,690.10 | 8 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $60.38 | $167.72 | $16.18 – $16.18 | 1 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $778.35 – $1,264.82 | 6 |
| Pancreatectomy CPT 48146 | not published | not published | $969.15 – $2,298.45 | 7 |
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.