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 |
|---|---|---|---|---|
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $31.05 | $86.25 | $2.50 – $2.50 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $25.49 | $70.81 | $1.25 – $1.25 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $31.05 | $86.25 | $0.62 – $0.62 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $20.83 | $57.86 | $1.90 – $1.90 | 1 |
| Sodium serum/plasma/whole blood CPT 84295 | $44.10 | $122.50 | $4.04 – $53.55 | 34 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $502.24 – $2,816.16 | 17 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $502.24 – $2,816.16 | 17 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $502.24 – $2,816.16 | 17 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $502.24 – $2,816.16 | 17 |
| Somatosensory testing CPT 95927 | not published | not published | $113.28 – $442.72 | 6 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $502.24 – $2,816.16 | 17 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $502.24 – $2,816.16 | 17 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $167.41 – $1,000.00 | 3 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $184.48 – $1,000.00 | 3 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $736.76 – $1,000.00 | 3 |
| Special physics consult CPT 77370 | not published | not published | $118.38 – $1,225.89 | 16 |
| Special pump services CPT 99190 | not published | not published | $615.04 – $1,492.63 | 4 |
| Special pump services CPT 99191 | not published | not published | $457.27 – $1,109.75 | 4 |
| Special pump services CPT 99192 | not published | not published | $304.43 – $738.82 | 4 |
| Special radiation dosimetry CPT 77331 | not published | not published | $20.12 – $384.60 | 17 |
| Special radiation treatment CPT 77470 | not published | not published | $32.61 – $1,615.36 | 17 |
| Special teletx port plan CPT 77321 | not published | not published | $46.58 – $1,000.01 | 17 |
| Specific gravity body fluid CPT 84315 | $16.83 | $46.75 | $2.76 – $21.04 | 34 |
| Specimen fat stain CPT 89125 | $32.76 | $91.00 | $3.96 – $40.95 | 34 |
| Speech audiometry complete CPT 92556 | not published | not published | $29.48 – $138.73 | 6 |
| Speech evaluation complex CPT 70371 | $583.02 | $1,619.50 | $48.79 – $943.81 | 35 |
| Speech recep thresh CPT 92555 | not published | not published | $22.94 – $138.73 | 6 |
| Sperm antibody test CPT 89325 | not published | not published | $12.84 – $79.35 | 16 |
| Sperm evaluation test CPT 89329 | not published | not published | $23.55 – $155.92 | 16 |
| Sperm identification CPT 89257 | not published | not published | $46.14 – $1,133.55 | 10 |
| Sperm isolation complex CPT 89261 | not published | not published | $46.14 – $387.16 | 11 |
| Sperm isolation simple CPT 89260 | not published | not published | $46.14 – $416.56 | 11 |
| Sperm washing 58323 CPT 58323 | not published | not published | $4.42 – $1,000.00 | 11 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $640.66 – $5,675.12 | 20 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $748.47 – $2,742.69 | 20 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $111.18 – $1,000.00 | 3 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $969.15 – $1,137.28 | 3 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $780.03 | $2,166.75 | $262.86 – $969.15 | 17 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $141.29 – $1,050.37 | 6 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $252.54 | $701.50 | $49.52 – $212.89 | 6 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $87.13 – $574.15 | 6 |
| Spleen imaging CPT 78185 | not published | not published | $158.21 – $1,775.97 | 29 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $867.97 – $1,410.45 | 7 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $969.15 – $2,841.98 | 7 |
| Splicing of ureters CPT 50770 | not published | not published | $865.37 – $1,406.22 | 7 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $366.66 | $1,018.50 | $344.67 – $344.67 | 1 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $58.23 | $161.75 | $46.86 – $46.86 | 1 |
| Splint finger frog med HCPCS L3927 | $44.64 | $124.00 | $30.53 – $30.53 | 1 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $74.97 | $208.25 | $75.88 – $75.88 | 1 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $690.41 – $3,483.43 | 20 |
| Split blood or products CPT 86985 | $88.65 | $246.25 | $24.43 – $675.89 | 12 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $132.96 – $1,000.00 | 4 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $18.49 – $44.86 | 4 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $45.50 – $1,000.00 | 6 |
| Sputum specimen collection CPT 89220 | not published | not published | $15.50 – $675.89 | 17 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $969.15 – $1,710.25 | 8 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $771.70 – $1,254.01 | 7 |
| Srs cran les complex addl CPT 61799 | not published | not published | $233.01 – $1,000.00 | 8 |
| Srs cran les simple addl CPT 61797 | not published | not published | $168.14 – $1,000.00 | 8 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $1,443.11 – $3,577.39 | 4 |
| Srs linear based CPT 77372 | not published | not published | $1,021.43 – $25,768.25 | 15 |
| Srs multisource CPT 77371 | not published | not published | $1,972.57 – $25,768.25 | 10 |
| Srs spinal lesion CPT 63620 | not published | not published | $853.44 – $1,386.84 | 7 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $194.09 – $1,000.00 | 7 |
| Staggered spondaic word test CPT 92572 | not published | not published | $40.80 – $574.15 | 6 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $969.15 – $1,000.00 | 3 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $270.18 | $750.50 | $87.84 – $375.41 | 9 |
| Staph a dna amp probe CPT 87640 | $340.65 | $946.25 | $29.48 – $260.89 | 34 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $341.37 | $948.25 | $108.91 – $466.63 | 6 |
| Stem cells total count CPT 86367 | $104.67 | $290.75 | $39.46 – $423.90 | 34 |
| Stenger test pure tone CPT 92565 | not published | not published | $14.49 – $138.73 | 6 |
| Stenger test speech CPT 92577 | not published | not published | $13.14 – $2,015.28 | 6 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $731.93 – $18,649.76 | 20 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $498.89 – $11,592.92 | 20 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | not published | not published | $214.43 – $1,000.00 | 3 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $814.51 – $1,323.59 | 7 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $704.56 – $18,649.76 | 20 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $969.15 – $1,746.51 | 7 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $417.36 – $3,741.48 | 12 |
| Sternal debridement CPT 21627 | not published | not published | $401.94 – $1,000.00 | 7 |
| St evaluate speech sound production CPT 92522 | $270.18 | $750.50 | $90.83 – $388.86 | 9 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $285.66 | $793.50 | $190.66 – $828.59 | 9 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $312.57 | $868.25 | $87.61 – $381.39 | 6 |
| St evaluation swallow function CPT 92610 | $214.29 | $595.25 | $72.23 – $308.10 | 6 |
| Stimulants synthetic CPT 80371 | not published | not published | $0.04 – $326.60 | 18 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $580.76 – $2,011.64 | 20 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $98.75 – $675.89 | 10 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $202.34 – $1,334.86 | 10 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $98.75 – $675.89 | 10 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $98.75 – $675.89 | 11 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $362.24 – $1,000.00 | 7 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $81.09 | $225.25 | $10.13 – $969.15 | 19 |
| Strapping of chest CPT 29200 | not published | not published | $13.51 – $1,000.00 | 20 |
| Strapping of elbow or wrist 29260 CPT 29260 | $46.26 | $128.50 | $19.65 – $969.15 | 7 |
| Strapping of hand or finger CPT 29280 | $130.23 | $361.75 | $20.32 – $969.15 | 7 |
| Strapping of hip CPT 29520 | not published | not published | $19.36 – $1,000.00 | 8 |
| Strapping of knee CPT 29530 | $118.08 | $328.00 | $19.02 – $969.15 | 7 |
| Strapping of toes 29550 CPT 29550 | not published | not published | $11.61 – $1,000.00 | 8 |
| Strep a ag ia CPT 87430 | not published | not published | $11.87 – $91.61 | 29 |
| Strep a dna dir probe CPT 87650 | not published | not published | $16.84 – $149.11 | 29 |
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.