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 |
|---|---|---|---|---|
| Unlisted urinalysis px CPT 81099 | $23.22 | $64.50 | $40.64 – $148.73 | 2 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $453.97 – $1,000.00 | 7 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $213.84 – $1,490.93 | 19 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $969.15 – $5,655.44 | 7 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $969.15 – $5,655.44 | 7 |
| Upgrade pm system CPT 33214 | not published | not published | $477.94 – $19,719.00 | 21 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,154.69 | $5,985.25 | $276.95 – $3,113.99 | 35 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,472.49 | $4,090.25 | $243.86 – $2,727.65 | 35 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $902.88 | $2,508.00 | $156.48 – $1,969.00 | 35 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $124.26 – $1,000.00 | 20 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $140.61 – $1,000.00 | 20 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $192.79 – $1,000.00 | 7 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $140.61 – $1,000.00 | 20 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $640.56 – $5,655.44 | 20 |
| Urea nitrogen CPT 84520 | $47.61 | $132.25 | $3.32 – $59.51 | 34 |
| Urea nitrogen 24 hour urine CPT 84540 | $87.48 | $243.00 | $3.32 – $109.35 | 34 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $4.31 – $49.10 | 29 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $4.30 – $28.01 | 29 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $199.46 – $1,000.00 | 3 |
| Ureteral reflux study CPT 78740 | not published | not published | $198.58 – $1,892.43 | 29 |
| Ureter endoscopy CPT 50970 | not published | not published | $374.38 – $3,531.69 | 20 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $356.08 – $4,951.00 | 20 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $478.09 – $4,951.00 | 20 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $362.04 – $3,531.69 | 20 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $358.15 – $4,951.00 | 20 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $320.11 – $4,951.00 | 20 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $471.76 – $4,951.00 | 20 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $359.97 – $4,951.00 | 20 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $829.82 – $1,348.46 | 7 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $846.95 – $1,376.29 | 7 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $475.92 | $1,322.00 | $74.96 – $1,171.28 | 30 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $749.29 – $3,531.69 | 8 |
| Urethrocystography void s&i CPT 74455 | $482.22 | $1,339.50 | $68.27 – $943.81 | 35 |
| Uric acid blood CPT 84550 | $55.44 | $154.00 | $3.80 – $69.30 | 34 |
| Uric acid urine CPT 84560 | $30.69 | $85.25 | $4.27 – $38.36 | 34 |
| Urinalysis glass test CPT 81020 | not published | not published | $3.95 – $27.41 | 29 |
| Urinalysis microscopic only CPT 81015 | $11.34 | $31.50 | $2.56 – $22.62 | 34 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $1.82 – $16.13 | 29 |
| Urinalysis (with microscopy) CPT 81001 | $134.01 | $372.25 | $2.66 – $167.51 | 34 |
| Urinalysis (without microscopy) CPT 81003 | $76.14 | $211.50 | $1.89 – $30.15 | 34 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $66.83 – $676.80 | 15 |
| Urinary reflex study CPT 51792 | not published | not published | $39.61 – $1,000.00 | 8 |
| Urine Culture Test CPT 87086 | $64.53 | $179.25 | $6.78 – $80.66 | 34 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $7.26 – $1,000.00 | 8 |
| Urine pregnancy test CPT 81025 | $56.16 | $156.00 | $7.23 – $67.72 | 34 |
| Urine screen for bacteria CPT 81007 | not published | not published | $2.93 – $163.39 | 29 |
| Urine shunt to intestine CPT 50815 | not published | not published | $917.78 – $1,491.40 | 7 |
| Urography, antegrade CPT 74425 | $255.15 | $708.75 | $69.81 – $2,150.02 | 33 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $89.59 – $1,139.04 | 30 |
| Use 1st target lesion CPT 76982 | $189.72 | $527.00 | $63.17 – $686.79 | 30 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $32,974.29 | $91,595.25 | $12.02 – $50.11 | 14 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $145.92 – $611.40 | 8 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $145.92 – $611.40 | 8 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $131.10 – $549.31 | 8 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $87.78 – $367.80 | 8 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $65.36 – $273.86 | 7 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $92.94 – $115.90 | 4 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $311.17 – $388.04 | 4 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $204.89 – $255.51 | 4 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $377.93 – $471.29 | 4 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $98.52 – $122.85 | 4 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $42.64 – $53.17 | 4 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $253.71 | $704.75 | $59.65 – $281.40 | 5 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $337.18 – $420.47 | 4 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $128.39 – $160.10 | 4 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $24.22 – $246.08 | 9 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $59.71 – $238.41 | 10 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $52.11 | $144.75 | $131.10 – $479.92 | 9 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $96.23 | $267.31 | $24.22 – $95.66 | 10 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $685.17 – $854.42 | 4 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $535.58 – $667.89 | 4 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $31.68 | $88.00 | $36.32 – $180.71 | 10 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $54.67 – $185.11 | 5 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $52.55 – $65.53 | 4 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $12.88 – $71.27 | 10 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $61.20 | $170.00 | $17.84 – $66.08 | 10 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $56.52 – $71.68 | 8 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $21.81 – $78.44 | 6 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $79.85 | $221.80 | $18.16 – $70.48 | 10 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $9.13 – $34.82 | 10 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $26.88 – $96.16 | 9 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $53.37 – $191.69 | 9 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $22.29 – $110.24 | 5 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $6.02 – $66.45 | 9 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $671.26 – $837.08 | 4 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $548.49 – $683.98 | 4 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $285.87 – $356.49 | 4 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $285.87 – $356.49 | 4 |
| Vaccine mmr live subcutaneous CPT 90707 | not published | not published | $236.07 – $294.39 | 4 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $160.00 – $848.06 | 8 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $183.33 | $509.25 | $82.51 – $491.15 | 10 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $173.15 – $774.31 | 10 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $246.20 – $1,038.62 | 8 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $110.97 | $308.25 | $288.66 – $1,038.62 | 8 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $106.55 – $132.86 | 4 |
| Vaccine rabies im CPT 90675 | $781.02 | $2,169.50 | $263.54 – $1,240.74 | 10 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $730.77 – $911.28 | 4 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $1,663.20 – $2,074.05 | 4 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $1,663.20 – $2,074.05 | 4 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $730.77 – $911.28 | 4 |
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.