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 |
|---|---|---|---|---|
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $709.01 – $1,898.61 | 20 |
| Ped crit care age 2-5 init CPT 99475 | not published | not published | $556.97 – $2,369.07 | 5 |
| Ped crit care age 2-5 subsq CPT 99476 | not published | not published | $345.53 – $1,474.70 | 5 |
| Ped crit care transport CPT 99466 | not published | not published | $237.29 – $237.29 | 1 |
| Ped crit care transport addl CPT 99467 | not published | not published | $118.51 – $118.51 | 1 |
| Ped critical care initial CPT 99471 | not published | not published | $791.43 – $3,366.65 | 5 |
| Ped critical care subsq CPT 99472 | not published | not published | $404.50 – $1,724.45 | 5 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $125.36 – $574.15 | 5 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $125.36 – $574.15 | 5 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $662.11 – $1,898.61 | 20 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $9,454.23 | $26,261.75 | $85.71 – $849.06 | 8 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $8,172.18 | $22,700.50 | $111.15 – $1,403.82 | 13 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,568.51 | $7,134.75 | $152.06 – $3,210.64 | 35 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,049.03 | $5,691.75 | $152.06 – $2,561.29 | 35 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,955.25 | $5,431.25 | $72.22 – $2,444.06 | 35 |
| Pelvic exenteration CPT 45126 | not published | not published | $969.15 – $3,396.87 | 7 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,212.93 | $3,369.25 | $291.67 – $4,613.24 | 35 |
| Pelvic MRI (with contrast) CPT 72196 | $1,010.70 | $2,807.50 | $271.06 – $3,815.31 | 35 |
| Pelvic MRI (without contrast) CPT 72195 | $786.96 | $2,186.00 | $175.61 – $3,197.98 | 35 |
| Pelvic Ultrasound (complete) CPT 76856 | $295.02 | $819.50 | $79.30 – $829.53 | 35 |
| Pelvic Ultrasound (limited) CPT 76857 | $348.66 | $968.50 | $24.53 – $453.92 | 35 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $3,459.42 | $9,609.50 | $49.20 – $201.12 | 15 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $1,157.76 | $3,216.00 | $7.93 – $295.31 | 16 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $432.36 | $1,201.00 | $7.84 – $52.79 | 16 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $5.13 | $14.25 | $1.03 – $1.03 | 1 |
| Penile injection CPT 54235 | not published | not published | $31.44 – $1,000.00 | 20 |
| Penile vascular study CPT 93980 | not published | not published | $67.17 – $500.17 | 21 |
| Penile vascular study CPT 93981 | not published | not published | $57.61 – $500.17 | 21 |
| Penile venous occlusion CPT 37790 | not published | not published | $490.38 – $3,531.69 | 8 |
| Penis plastic surgery CPT 54360 | not published | not published | $725.93 – $3,531.69 | 20 |
| Penis study CPT 54240 | not published | not published | $27.28 – $1,000.00 | 8 |
| Pentobarbital sodium inj HCPCS J2515 | $152.91 | $424.75 | $30.33 – $152.98 | 15 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $466.80 – $9,843.34 | 20 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $347.40 – $5,655.44 | 20 |
| Percut ablate liver rf CPT 47382 | not published | not published | $754.95 – $5,655.44 | 20 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $117.90 | $327.50 | $48.27 – $320.34 | 3 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $170.48 – $1,000.00 | 6 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $969.15 – $3,017.80 | 7 |
| Pericardiocentesis wwo imaging CPT 33016 | not published | not published | $446.27 – $1,908.42 | 18 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $658.56 – $1,070.16 | 7 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $777.00 – $3,544.57 | 20 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $260.07 – $2,922.78 | 20 |
| Peripheral vascular rehab CPT 93668 | $78.93 | $219.25 | $16.75 – $74.78 | 6 |
| Peri-proc device eval icd CPT 93287 | not published | not published | $15.34 – $83.75 | 5 |
| Peri-proc device eval pm CPT 93286 | not published | not published | $15.34 – $83.75 | 5 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $440.09 – $5,377.54 | 20 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $75.50 – $2,150.02 | 25 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $213.84 – $2,048.76 | 29 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $631.32 – $1,025.89 | 7 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $597.07 – $1,000.00 | 7 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $130.28 – $1,000.00 | 8 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $102.44 – $1,000.00 | 8 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $969.15 – $9,439.48 | 20 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $876.45 – $9,439.48 | 20 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $969.15 – $12,419.91 | 18 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $969.15 – $20,097.79 | 18 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $969.15 – $12,419.91 | 18 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $969.15 – $12,419.91 | 18 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $969.15 – $1,000.00 | 2 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $241.04 – $5,655.44 | 20 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $435.76 – $5,655.44 | 20 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $449.80 – $5,655.44 | 20 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $83.59 – $1,000.00 | 19 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $521.24 – $3,202.82 | 20 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $478.82 – $3,202.82 | 20 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $91.21 – $1,000.00 | 4 |
| Perq transcath closure each CPT 93592 | not published | not published | $400.05 – $400.05 | 1 |
| Perq transcath closure pda CPT 93582 | not published | not published | $669.05 – $18,649.76 | 6 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $661.87 – $18,649.76 | 17 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $801.09 – $18,649.76 | 17 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $600.52 – $1,489.59 | 5 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $437.75 – $1,000.00 | 6 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $241.09 – $3,202.82 | 20 |
| Perq tx malar fracture CPT 21355 | not published | not published | $316.66 – $3,822.10 | 20 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $387.90 – $5,675.12 | 20 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $738.62 – $3,822.10 | 20 |
| Pertussis ag if CPT 87265 | $21.87 | $60.75 | $10.06 – $89.16 | 34 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $5,489.46 | $15,248.50 | $68.21 – $304.65 | 8 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $848.42 – $6,457.50 | 26 |
| Pet CT whole body initial CPT 78816 | not published | not published | $848.42 – $6,457.50 | 26 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $848.42 – $6,457.50 | 25 |
| Pet image full body CPT 78813 | not published | not published | $848.42 – $6,457.50 | 26 |
| Pet image ltd area CPT 78811 | not published | not published | $731.20 – $6,457.50 | 26 |
| Pet image skull-thigh CPT 78812 | not published | not published | $848.42 – $6,457.50 | 26 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $848.42 – $6,457.50 | 25 |
| Pet scan brain perf study CPT 78609 | not published | not published | $80.98 – $6,457.50 | 11 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $25.30 – $107.69 | 5 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $37.98 – $161.52 | 5 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $12.67 – $53.83 | 5 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $279.24 – $3,202.82 | 20 |
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $83.24 – $83.24 | 1 |
| Ph body fluid CPT 83986 | $48.96 | $136.00 | $3.01 – $29.36 | 34 |
| Phencyclidine (pcp) CPT 83992 | $114.03 | $316.75 | $0.04 – $126.34 | 31 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $169.85 | $471.81 | $39.38 – $39.42 | 5 |
| Phenobarbital therapeutic drug level CPT 80184 | $263.61 | $732.25 | $0.04 – $329.51 | 34 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $28.92 | $80.32 | $0.03 – $0.04 | 4 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $2.14 | $5.95 | $0.65 – $0.65 | 1 |
| Phenytoin total therapeutic drug level CPT 80185 | $217.35 | $603.75 | $11.13 – $271.69 | 34 |
| Phlebotomy therapeutic CPT 99195 | $45.72 | $127.00 | $78.50 – $127.57 | 6 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $178.52 – $2,171.28 | 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.