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 |
|---|---|---|---|---|
| Radiation treatment aid(s) CPT 77334 | not published | not published | $72.68 – $1,000.01 | 17 |
| Radiation treatment delivery CPT 77401 | not published | not published | $23.61 – $363.53 | 14 |
| Radiation treatment delivery CPT 77402 | not published | not published | $106.60 – $1,277.46 | 14 |
| Radiation treatment delivery CPT 77412 | not published | not published | $187.78 – $2,202.57 | 14 |
| Radiation tx management x5 CPT 77427 | not published | not published | $186.38 – $1,663.38 | 12 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $969.15 – $2,252.50 | 7 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $969.15 – $1,840.12 | 7 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $969.15 – $2,375.19 | 7 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $969.15 – $2,161.41 | 7 |
| Radical resection of elbow CPT 24149 | not published | not published | $969.15 – $6,998.88 | 20 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $919.35 – $1,493.94 | 7 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $815.20 – $2,713.10 | 20 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $815.20 – $2,713.10 | 20 |
| Radiology port images(s) CPT 77417 | not published | not published | $10.76 – $126.72 | 11 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $992.06 – $14,374.35 | 17 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $363.78 | $1,010.50 | $288.69 – $2,690.55 | 34 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | not published | not published | $536.98 – $5,984.82 | 29 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $643.66 – $6,111.18 | 23 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | not published | not published | $275.50 – $3,287.61 | 29 |
| Radphm lcl tumor plr sgl day CPT 78800 | not published | not published | $167.22 – $2,195.10 | 29 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $83.25 – $786.51 | 23 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $969.15 – $6,998.88 | 8 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $815.20 – $2,713.10 | 20 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $815.20 – $2,713.10 | 20 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $815.20 – $2,713.10 | 20 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $724.82 – $2,713.10 | 20 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $815.20 – $2,713.10 | 20 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $735.61 – $2,713.10 | 20 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $815.20 – $2,713.10 | 20 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $969.15 – $6,998.88 | 20 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $815.20 – $2,713.10 | 20 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $9,810.27 | $27,250.75 | $57.68 – $249.22 | 15 |
| Range of motion measurements CPT 95852 | $30.06 | $83.50 | $5.94 – $25.44 | 6 |
| Ranibizumab injection HCPCS J2778 | $3,907.35 | $10,853.75 | $236.58 – $1,568.74 | 16 |
| Rapid desensitization CPT 95180 | not published | not published | $88.09 – $1,508.90 | 6 |
| Rapid Strep Test CPT 87880 | $105.66 | $293.50 | $12.84 – $90.09 | 34 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $10,143.99 | $28,177.75 | $221.88 – $894.44 | 13 |
| Rbc count only automated CPT 85041 | $9.72 | $27.00 | $2.54 – $22.40 | 34 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $49.78 – $1,012.30 | 8 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $5.78 – $63.98 | 29 |
| Rbc osmotic fragility CPT 85555 | $92.07 | $255.75 | $6.27 – $115.09 | 34 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $29.48 – $513.53 | 11 |
| Rcm img acquisj&i&r 1st les CPT 96931 | not published | not published | $164.19 – $719.40 | 5 |
| Rcm img acquisj&i&r ea addl CPT 96934 | not published | not published | $76.12 – $409.81 | 5 |
| Rcm img acquisj only 1st les CPT 96932 | not published | not published | $16.18 – $71.80 | 6 |
| Rcm img acquisj only ea addl CPT 96935 | not published | not published | $36.29 – $188.45 | 5 |
| Rcm i&r only 1st lesion CPT 96933 | not published | not published | $41.54 – $197.42 | 5 |
| Rcm i&r only ea addl lesion CPT 96936 | not published | not published | $39.73 – $188.45 | 5 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $969.15 – $5,675.12 | 8 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $969.15 – $2,068.65 | 7 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $969.15 – $1,838.42 | 7 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $969.15 – $1,949.75 | 7 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $969.15 – $2,027.33 | 7 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $969.15 – $2,641.26 | 7 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $969.15 – $2,380.68 | 7 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $969.15 – $2,212.86 | 7 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $969.15 – $3,434.39 | 7 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $969.15 – $3,166.23 | 7 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $744.84 – $3,064.57 | 20 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $910.33 – $5,675.12 | 20 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $969.15 – $5,675.12 | 20 |
| Realignment of knee CPT 27457 | not published | not published | $718.50 – $1,167.57 | 7 |
| Realignment of knee CPT 27455 | not published | not published | $700.34 – $1,138.06 | 7 |
| Realignment of tendons CPT 26437 | not published | not published | $601.71 – $3,202.82 | 20 |
| Realignment of thigh bone CPT 27454 | not published | not published | $969.15 – $1,575.73 | 7 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $969.15 – $5,675.12 | 20 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $969.15 – $5,675.12 | 20 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $969.15 – $5,675.12 | 20 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $969.15 – $5,675.12 | 20 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $969.15 – $5,675.12 | 20 |
| Rechanneling of artery CPT 35361 | not published | not published | $969.15 – $1,846.86 | 7 |
| Rechanneling of artery CPT 35306 | not published | not published | $333.43 – $1,000.00 | 7 |
| Rechanneling of artery CPT 35311 | not published | not published | $969.15 – $1,901.25 | 7 |
| Rechanneling of artery CPT 35363 | not published | not published | $969.15 – $1,974.62 | 7 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $924.01 – $1,501.52 | 7 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $969.15 – $1,684.10 | 7 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $960.60 – $1,560.98 | 7 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $969.15 – $1,785.72 | 7 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $736.15 – $1,196.24 | 7 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $932.84 – $1,515.86 | 7 |
| Recipient nephrectomy CPT 50340 | not published | not published | $712.79 – $1,158.29 | 7 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $969.15 – $1,778.55 | 7 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $969.15 – $1,787.41 | 7 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $969.15 – $5,675.12 | 8 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $969.15 – $5,675.12 | 8 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $969.15 – $1,618.32 | 7 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $771.18 – $1,253.16 | 7 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $969.15 – $5,675.12 | 20 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $969.15 – $5,675.12 | 20 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $719.02 – $1,168.41 | 7 |
| Reconstruct bronchus CPT 31775 | not published | not published | $969.15 – $1,706.87 | 7 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $969.15 – $6,998.88 | 8 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $938.87 – $5,675.12 | 20 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $886.62 – $3,822.10 | 20 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $969.15 – $5,675.12 | 20 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $712.40 – $5,675.12 | 20 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $586.80 – $5,675.12 | 20 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $969.15 – $5,675.12 | 20 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $969.15 – $2,572.54 | 7 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $969.15 – $2,814.56 | 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.