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 |
|---|---|---|---|---|
| X-ray knee 1-2 views (both sides) CPT 73560 | $132.84 | $369.00 | $23.43 – $323.23 | 35 |
| X-ray knee 3 views (both sides) CPT 73562 | $168.48 | $468.00 | $27.10 – $323.23 | 35 |
| X-ray knee ap standing bilateral CPT 73565 | $202.86 | $563.50 | $27.84 – $323.23 | 35 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $148.05 | $411.25 | $19.75 – $323.23 | 35 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $261.45 | $726.25 | $30.41 – $453.92 | 35 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $248.22 | $689.50 | $34.08 – $453.92 | 35 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $468.09 | $1,300.25 | $46.58 – $585.11 | 35 |
| X-ray male genital tract CPT 74440 | not published | not published | $64.22 – $943.81 | 30 |
| X-ray mandible complete > 4 views CPT 70110 | $171.45 | $476.25 | $26.00 – $453.92 | 35 |
| X-ray mandible ltd <4 views CPT 70100 | $160.92 | $447.00 | $24.53 – $323.23 | 35 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $19.75 – $250.63 | 24 |
| X-ray nasal bones complete > 3 views CPT 70160 | $140.67 | $390.75 | $24.90 – $323.23 | 35 |
| X-ray neck soft tissue CPT 70360 | $137.16 | $381.00 | $20.49 – $323.23 | 35 |
| X-ray nose to rectum for foreign body child CPT 76010 | $112.50 | $312.50 | $17.55 – $323.23 | 35 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $55.40 – $943.81 | 30 |
| X-ray optic foramina CPT 70190 | $93.78 | $260.50 | $25.27 – $323.23 | 35 |
| X-ray pelvis 1-2 views CPT 72170 | $159.03 | $441.75 | $23.79 – $453.92 | 35 |
| X-ray pelvis complete > 3 views CPT 72190 | $243.72 | $677.00 | $27.83 – $453.92 | 35 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $175.87 – $1,043.61 | 7 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $201.82 – $1,195.26 | 7 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $279.27 | $775.75 | $46.49 – $1,966.48 | 33 |
| X-ray ribs 2 views left CPT 71100 | $198.54 | $551.50 | $22.69 – $323.23 | 35 |
| X-ray ribs 3 views bilateral CPT 71110 | $277.74 | $771.50 | $26.00 – $453.92 | 35 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $234.81 | $652.25 | $25.27 – $453.92 | 35 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $270.81 | $752.25 | $31.51 – $453.92 | 35 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $132.84 | $369.00 | $24.16 – $453.92 | 35 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $154.71 | $429.75 | $20.12 – $323.23 | 35 |
| X-ray scapula complete (both sides) CPT 73010 | $183.60 | $510.00 | $21.95 – $453.92 | 35 |
| X-ray sella turcica CPT 70240 | $96.30 | $267.50 | $21.59 – $323.23 | 35 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $92.07 | $255.75 | $15.34 – $323.23 | 35 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $223.74 | $621.50 | $25.64 – $323.23 | 35 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $405.99 | $1,127.75 | $29.67 – $1,950.40 | 35 |
| X-ray skull < 4 views CPT 70250 | $188.82 | $524.50 | $24.53 – $453.92 | 35 |
| X-ray skull > 4 views complete CPT 70260 | $296.64 | $824.00 | $28.94 – $453.92 | 35 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $62.02 – $639.90 | 30 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $261.54 | $726.50 | $64.64 – $843.12 | 35 |
| X-ray small intestine follow-through study CPT 74248 | not published | not published | $47.93 – $498.87 | 23 |
| X-ray spine single view CPT 72020 | $192.96 | $536.00 | $14.98 – $323.23 | 35 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $112.95 | $313.75 | $25.63 – $323.23 | 35 |
| X-ray sternum > 2 views CPT 71120 | $160.92 | $447.00 | $20.12 – $323.23 | 35 |
| X-ray surgical specimen CPT 76098 | $265.05 | $736.25 | $9.09 – $1,950.40 | 35 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $583.02 | $1,619.50 | $64.64 – $1,045.98 | 35 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $196.11 | $544.75 | $35.93 – $404.10 | 35 |
| X-ray thoracic spine 2 views CPT 72070 | $192.96 | $536.00 | $23.42 – $453.92 | 35 |
| X-ray thoracic spine 3 views CPT 72072 | $266.13 | $739.25 | $24.53 – $453.92 | 35 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $253.71 | $704.75 | $23.05 – $323.23 | 35 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $111.42 | $309.50 | $26.00 – $323.23 | 32 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $184.41 | $512.25 | $47.68 – $530.46 | 32 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $172.44 | $479.00 | $20.85 – $323.23 | 35 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $123.48 | $343.00 | $22.32 – $323.23 | 35 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $302.13 | $839.25 | $64.64 – $979.47 | 35 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $302.13 | $839.25 | $64.64 – $843.12 | 35 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $64.64 – $796.86 | 19 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $121.20 – $1,244.70 | 19 |
| X-ray wrist 2 views (both sides) CPT 73100 | $157.23 | $436.75 | $23.42 – $323.23 | 35 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $62.02 – $737.99 | 30 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $205.31 – $508.96 | 4 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $85.81 – $375.41 | 6 |
| Xylose absorption test blood &/or urine CPT 84620 | $106.38 | $295.50 | $10.84 – $132.97 | 34 |
| Xyntha inj HCPCS J7185 | $6.03 | $16.75 | $1.24 – $4.23 | 16 |
| Yersinia antibody CPT 86793 | $52.02 | $144.50 | $9.35 – $71.89 | 34 |
| Zika virus dna/rna amp probe CPT 87662 | $89.64 | $249.00 | $35.08 – $279.64 | 30 |
| Zika virus igm antibody CPT 86794 | $56.70 | $157.50 | $14.15 – $91.83 | 30 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $97.74 | $271.51 | $17.89 – $17.89 | 1 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $286.65 | $796.25 | $10.55 – $34.97 | 2 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $714.57 – $891.09 | 4 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $1,443.11 – $3,577.39 | 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.