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 |
|---|---|---|---|---|
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | not published | not published | $74.50 – $317.06 | 5 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $95.92 – $408.32 | 6 |
| Audiometry air + bone CPT 92553 | not published | not published | $36.46 – $574.15 | 6 |
| Auditory function 60 min CPT 92620 | not published | not published | $81.47 – $574.15 | 6 |
| Augmentation cheek bone CPT 21270 | not published | not published | $745.74 – $5,675.12 | 20 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $736.61 – $5,675.12 | 20 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $850.95 – $5,675.12 | 20 |
| Augmentation of facial bones CPT 21208 | not published | not published | $802.38 – $5,675.12 | 20 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | not published | not published | $223.27 – $1,000.00 | 3 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | not published | not published | $516.90 – $6,998.88 | 20 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $969.15 – $6,998.88 | 20 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $969.15 – $6,998.88 | 8 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $0.04 – $4,581.54 | 13 |
| Autologous blood op salvage CPT 86891 | not published | not published | $179.58 – $2,958.82 | 12 |
| Autologous blood process CPT 86890 | $220.23 | $611.75 | $127.36 – $675.89 | 11 |
| Automated diff wbc count CPT 85004 | not published | not published | $5.43 – $48.12 | 29 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $51.00 – $452.47 | 6 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $39.60 – $160.02 | 6 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $87.38 – $452.47 | 6 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $710.46 | $1,973.50 | $81.74 – $344.46 | 14 |
| Av fistula revision CPT 36833 | not published | not published | $810.91 – $5,377.54 | 20 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $730.31 – $5,377.54 | 20 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $692.76 – $5,377.54 | 20 |
| Av fusion direct any site CPT 36821 | not published | not published | $663.20 – $3,242.40 | 20 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $732.15 – $5,377.54 | 20 |
| Avul nail plate addl CPT 11732 | not published | not published | $17.94 – $1,000.00 | 3 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | not published | not published | $55.35 – $1,000.00 | 8 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $692.36 – $5,655.44 | 20 |
| Azacitidine injection HCPCS J9025 | $6.48 | $18.00 | $1.35 – $4.36 | 12 |
| Azathioprine parenteral HCPCS J7501 | $107.10 | $297.50 | $240.20 – $240.20 | 4 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $22.88 | $63.56 | $2.58 – $2.58 | 1 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $888.75 | $2,468.75 | $174.19 – $559.78 | 16 |
| Baclofen eval charges CPT 97750 | $67.77 | $188.25 | $33.57 – $148.07 | 6 |
| Bacterial meningitis antigen CPT 86403 | $90.36 | $251.00 | $9.69 – $112.95 | 34 |
| Bacterial vaginosis pcr CPT 87801 | $278.73 | $774.25 | $25.23 – $521.89 | 34 |
| Bactericidal level serum CPT 87197 | $221.49 | $615.25 | $7.27 – $276.86 | 34 |
| #bac vag cand-c. albicans naa CPT 87481 | $56.70 | $157.50 | $29.48 – $260.89 | 34 |
| Balloon dilate urtrl strix CPT 50706 | not published | not published | $186.26 – $1,000.00 | 3 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $178.71 – $2,922.78 | 20 |
| Bartonella dna pcr-sendout CPT 87471 | $553.14 | $1,536.50 | $10.06 – $260.89 | 34 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $22.69 – $212.89 | 6 |
| Basiliximab HCPCS J0480 | $1,935.90 | $5,377.50 | $2,851.52 – $5,111.82 | 7 |
| B cells total count CPT 86355 | $113.13 | $314.25 | $31.69 – $280.46 | 34 |
| Bckdhb gene CPT 81205 | not published | not published | $79.79 – $558.79 | 27 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $408.78 | $1,135.50 | $3.78 – $15.84 | 16 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $3,016.08 | $8,378.00 | $40.54 – $178.45 | 16 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $2,012.94 | $5,591.50 | $12.28 – $128.26 | 16 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $4,473.27 | $12,425.75 | $16.51 – $75.21 | 15 |
| Benign lesion paring 2-4 CPT 11056 | not published | not published | $22.94 – $1,000.00 | 8 |
| Benign lesion paring 4+ CPT 11057 | not published | not published | $29.98 – $1,000.00 | 20 |
| #_benzodiazconfur CPT 80346 | not published | not published | $0.04 – $112.54 | 18 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $16.11 | $44.75 | $18.75 – $18.75 | 1 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $82.80 | $230.00 | $4.35 – $138.70 | 34 |
| Beta-2 microglobulin CPT 82232 | $58.68 | $163.00 | $13.59 – $120.28 | 34 |
| Beta-amyloid 1-40 CPT 82233 | not published | not published | $92.99 – $92.99 | 1 |
| Beta-amyloid 1-42 CPT 82234 | not published | not published | $92.99 – $92.99 | 1 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $46.39 | $128.85 | $6.81 – $6.81 | 1 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $5,222.07 | $14,505.75 | $69.60 – $331.60 | 16 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $292.68 | $813.00 | $28.40 – $292.34 | 12 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $1,078.02 | $2,994.50 | $28.19 – $264.72 | 8 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | $99.36 | $276.00 | $77.65 – $188.45 | 4 |
| Bfb train ea addl 15 min 90913 CPT 90913 | $40.95 | $113.75 | $43.14 – $104.70 | 4 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $11.40 – $91.94 | 29 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | not published | $969.15 – $1,286.51 | 3 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | not published | not published | $80.30 – $1,000.00 | 20 |
| Bilateral n block inj occipital 64405 CPT 64405 | not published | not published | $23.90 – $1,000.00 | 20 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | not published | not published | $55.09 – $1,000.00 | 20 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $22.33 – $197.62 | 29 |
| Bile duct endoscopy add-on 47550 CPT 47550 | not published | not published | $124.55 – $1,000.00 | 7 |
| Biliary endo perq dx w/speci CPT 47552 | not published | not published | $315.03 – $3,637.93 | 20 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | $312.40 – $3,978.87 | 20 |
| Biliary endoscopy thru skin CPT 47554 | not published | not published | $515.41 – $5,655.44 | 20 |
| Biliary endoscopy thru skin CPT 47555 | not published | not published | $333.34 – $3,637.93 | 20 |
| Biliary endoscopy thru skin CPT 47556 | not published | not published | $377.70 – $5,655.44 | 20 |
| Bilicheck CPT 88720 | not published | not published | $4.22 – $37.28 | 29 |
| Bilirubin direct CPT 82248 | $71.82 | $199.50 | $4.22 – $89.78 | 34 |
| Bilirubin total CPT 82247 | $61.56 | $171.00 | $4.22 – $76.95 | 34 |
| Bilobectomy 32482 CPT 32482 | not published | not published | $969.15 – $1,924.02 | 7 |
| Biofeedback, pt CPT 90901 | not published | not published | $20.08 – $85.24 | 6 |
| Biopsy abdominal mass CPT 49180 | $1,234.08 | $3,428.00 | $86.26 – $1,605.94 | 19 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | $413.65 – $2,713.10 | 20 |
| Biopsy, bone open deep CPT 20245 | not published | not published | $350.73 – $2,713.10 | 20 |
| Biopsy bone trocar/needle superficial CPT 20220 | $2,041.56 | $5,671.00 | $71.91 – $1,605.94 | 19 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | not published | not published | $70.68 – $1,000.00 | 20 |
| Biopsy conjunctiva CPT 68100 | not published | not published | $93.54 – $1,353.74 | 20 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | not published | not published | $555.20 – $3,544.57 | 20 |
| Biopsy external ear 69100 CPT 69100 | not published | not published | $48.57 – $1,000.00 | 20 |
| Biopsy eyelid & lid margin CPT 67810 | not published | not published | $70.54 – $1,000.00 | 20 |
| Biopsy eye muscle CPT 67346 | not published | not published | $191.27 – $3,658.66 | 20 |
| Biopsy finger joint lining CPT 26105 | not published | not published | $331.95 – $3,202.82 | 20 |
| Biopsy finger joint lining CPT 26110 | not published | not published | $317.47 – $1,585.81 | 20 |
| Biopsy forearm soft tissues CPT 25066 | not published | not published | $353.58 – $2,713.10 | 20 |
| Biopsy hand joint lining CPT 26100 | not published | not published | $330.41 – $3,202.82 | 20 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $4,316.04 | $11,989.00 | $78.43 – $2,713.10 | 18 |
| Biopsy knee joint lining CPT 27330 | not published | not published | $410.89 – $3,202.82 | 20 |
| Biopsy lower leg soft tissue CPT 27613 | not published | not published | $122.64 – $1,000.00 | 20 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | not published | not published | $645.61 – $3,202.82 | 20 |
| Biopsy muscle percutaneous needle CPT 20206 | not published | not published | $58.55 – $1,605.94 | 20 |
| Biopsy needle liver percutaneous CPT 47000 | $921.96 | $2,561.00 | $90.13 – $1,605.94 | 19 |
| Biopsy needle lymph node superficial CPT 38505 | $943.11 | $2,619.75 | $70.27 – $1,605.94 | 19 |
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.