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 |
|---|---|---|---|---|
| Strep a dna quant CPT 87652 | not published | not published | $29.48 – $227.59 | 29 |
| Strep b assay w/optic CPT 87802 | not published | not published | $10.69 – $89.16 | 29 |
| Strep b dna amp probe CPT 87653 | $332.91 | $924.75 | $29.48 – $416.14 | 34 |
| Streptokinase antibody CPT 86590 | not published | not published | $10.63 – $82.13 | 29 |
| Streptozocin injection HCPCS J9320 | $131.76 | $366.00 | $324.02 – $344.85 | 2 |
| Stress test pulmonary CPT 94618 | $141.66 | $393.50 | $11.66 – $452.47 | 5 |
| Stress tte complete CPT 93351 | not published | not published | $154.82 – $620.67 | 6 |
| Str markers spec anal addl CPT 81266 | not published | not published | $204.51 – $1,661.21 | 27 |
| Str markers specimen anal CPT 81265 | $2,084.58 | $5,790.50 | $116.30 – $1,598.92 | 34 |
| St treatment speech individual CPT 92507 | $246.87 | $685.75 | $78.04 – $357.96 | 14 |
| St treatment swallow dysfunction/oral CPT 92526 | $246.87 | $685.75 | $85.23 – $364.95 | 6 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $108.75 – $1,000.00 | 20 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | not published | not published | $395.26 – $1,681.08 | 5 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $33.52 – $1,000.00 | 20 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $55.61 – $1,000.00 | 20 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | not published | not published | $123.76 – $526.47 | 5 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | not published | not published | $118.51 – $504.02 | 5 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $116.94 – $1,000.00 | 4 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $672.72 – $3,202.82 | 20 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $521.70 – $6,998.88 | 20 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $626.01 – $3,202.82 | 20 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $867.20 – $13,923.83 | 20 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $969.15 – $1,746.51 | 7 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $45.81 | $127.25 | $4.58 – $5.57 | 3 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $969.15 – $3,483.43 | 7 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $969.15 – $3,483.43 | 7 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $969.15 – $3,843.50 | 8 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $969.15 – $2,065.16 | 7 |
| Sugars multiple quant CPT 84379 | $57.24 | $159.00 | $3.29 – $71.55 | 34 |
| Sugars single quant CPT 84378 | $111.06 | $308.50 | $3.29 – $138.82 | 34 |
| Sulfonylurea screen qn-sendout CPT 80377 | $111.69 | $310.25 | $0.04 – $544.19 | 23 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $3.12 – $158.16 | 6 |
| Suprv interfacilty transport CPT 99485 | not published | not published | $76.24 – $324.53 | 6 |
| Suprv interfac trnsport addl CPT 99486 | not published | not published | $66.04 – $281.16 | 6 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $106.79 – $2,742.69 | 20 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $597.84 – $1,000.00 | 7 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $598.62 – $1,000.00 | 7 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $426.95 – $3,531.69 | 20 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $867.19 – $1,409.18 | 7 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $655.92 – $6,998.88 | 20 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $727.61 – $6,998.88 | 8 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $913.73 – $6,998.88 | 20 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $664.95 – $6,998.88 | 8 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $882.71 – $4,951.00 | 20 |
| Surgical opening esophagus CPT 43351 | not published | not published | $969.15 – $1,588.80 | 7 |
| Surgical opening esophagus CPT 43352 | not published | not published | $801.28 – $1,302.08 | 7 |
| Surgical opening of stomach CPT 43510 | not published | not published | $565.86 – $1,000.00 | 8 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $590.06 – $1,000.00 | 7 |
| Surgical opening of throat CPT 42955 | not published | not published | $420.64 – $1,578.73 | 20 |
| Surgical pathology level 1 gross examination only CPT 88300 | $172.08 | $478.00 | $12.40 – $108.28 | 17 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $109.80 | $305.00 | $24.53 – $143.99 | 17 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $347.13 | $964.25 | $30.04 – $233.00 | 17 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $298.44 | $829.00 | $30.78 – $233.00 | 17 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $608.94 | $1,691.50 | $185.79 – $1,334.86 | 17 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $716.31 | $1,989.75 | $259.20 – $2,958.82 | 17 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $969.15 – $1,646.15 | 7 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $969.15 – $1,855.29 | 7 |
| Surgical revision intestine CPT 44680 | not published | not published | $806.21 – $1,310.08 | 7 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $412.47 – $2,742.69 | 20 |
| Susceptibility agar dilution per agent CPT 87181 | $302.85 | $841.25 | $3.62 – $35.32 | 34 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $49.50 | $137.50 | $3.99 – $37.80 | 34 |
| Susceptibility mic per plate CPT 87186 | $108.63 | $301.75 | $7.27 – $64.31 | 34 |
| Suscept studies macrobroth dilution ea CPT 87188 | $65.52 | $182.00 | $5.58 – $50.06 | 34 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $756.65 – $1,229.55 | 7 |
| Suspension of testis CPT 54620 | not published | not published | $301.47 – $3,531.69 | 20 |
| Suspension of uterus CPT 58410 | not published | not published | $591.36 – $1,000.00 | 7 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $329.54 – $1,000.00 | 7 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $796.87 – $1,294.91 | 7 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $969.15 – $1,676.08 | 7 |
| Svc venogram s&i CPT 75827 | not published | not published | $85.54 – $2,553.57 | 30 |
| Sweat collection by iontophoresis CPT 89230 | $43.56 | $121.00 | $2.65 – $233.00 | 17 |
| Sympathectomy cervical CPT 64802 | not published | not published | $659.94 – $2,011.64 | 20 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $659.94 – $2,011.64 | 20 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $585.13 – $1,000.00 | 7 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $782.38 – $3,202.82 | 20 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $805.17 – $1,308.40 | 7 |
| Synch audio-only est high 40 CPT 98015 | not published | not published | $435.51 – $435.51 | 1 |
| Synch audio-only est low 20 CPT 98013 | not published | not published | $199.31 – $199.31 | 1 |
| Synch audio-only est mod 30 CPT 98014 | not published | not published | $294.95 – $294.95 | 1 |
| Synch audio-only est sf 10 CPT 98012 | not published | not published | $109.45 – $109.45 | 1 |
| Synch audio-only new high 60 CPT 98011 | not published | not published | $534.62 – $534.62 | 1 |
| Synch audio-only new low 30 CPT 98009 | not published | not published | $258.09 – $258.09 | 1 |
| Synch audio-only new mod 45 CPT 98010 | not published | not published | $406.71 – $406.71 | 1 |
| Synch audio-only new sf 15 CPT 98008 | not published | not published | $148.61 – $148.61 | 1 |
| Synthetic sentence id test CPT 92576 | not published | not published | $29.48 – $138.73 | 6 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $46.44 | $129.00 | $3.70 – $32.70 | 35 |
| T3 (triiodothyronine) free CPT 84481 | $55.08 | $153.00 | $5.43 – $125.95 | 34 |
| T3 (triiodothyronine) total CPT 84480 | $124.83 | $346.75 | $4.82 – $156.04 | 34 |
| T4 (thyroxine) free CPT 84439 | $94.05 | $261.25 | $5.77 – $67.04 | 34 |
| T4 (thyroxine) total CPT 84436 | $89.19 | $247.75 | $5.77 – $111.49 | 34 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $7.11 | $19.75 | $0.48 – $0.48 | 1 |
| Tacrolimus therapeutic drug level CPT 80197 | $246.69 | $685.25 | $11.53 – $308.36 | 34 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $969.15 – $2,697.76 | 7 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $969.15 – $2,484.40 | 7 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $923.49 – $1,500.68 | 7 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $57.57 – $1,000.00 | 15 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $47.45 – $1,000.00 | 15 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,414.26 | $3,928.50 | $548.47 – $4,139.44 | 31 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $1,723.77 – $15,911.82 | 26 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $647.12 – $3,258.61 | 13 |
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.