CHRISTUS St. Michael Rehabilitation
2400 St Michael Dr, Texarkana, TX · Christushealth · · NPI 1467453902
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | not published | not published | $14.64 – $159.60 | 28 |
| 17-hydroxypregnenolone CPT 84143 | not published | not published | $11.41 – $123.99 | 28 |
| 17-ketosteroids CPT 83586 | not published | not published | $6.40 – $69.81 | 28 |
| 1pc ost pch drain hgh output HCPCS A4435 | not published | not published | $6.26 – $16.10 | 23 |
| 1 pc ost pouch w filter HCPCS A5056 | not published | not published | $5.01 – $13.06 | 23 |
| 1 pc ost pou w built-in conv HCPCS A5057 | not published | not published | $10.32 – $26.82 | 23 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $126.51 – $253.02 | 21 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | not published | not published | $2,020.28 – $2,020.28 | 1 |
| 1st psyc collab care mgmt CPT 99492 | not published | not published | $90.81 – $181.62 | 21 |
| 1st/sbsq psyc collab care CPT 99494 | not published | not published | $86.24 – $86.24 | 1 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $17.96 – $71.84 | 27 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $42.90 – $253.08 | 23 |
| 2vhpv vaccine 3 dose im CPT 90650 | not published | not published | $13.14 – $312.59 | 3 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $86.44 – $172.88 | 20 |
| 4-bar link above knee w/swng HCPCS L5614 | not published | not published | $1,368.38 – $4,095.88 | 23 |
| 5% dextrose and 0.45% saline HCPCS S5010 | not published | not published | $8.30 – $8.30 | 1 |
| 5% dextrose with potassium HCPCS S5012 | not published | not published | $4.99 – $4.99 | 1 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | not published | not published | $221.74 – $221.74 | 1 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | not published | not published | $231.94 – $231.94 | 1 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | not published | not published | $242.05 – $242.05 | 1 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | not published | not published | $199.07 – $199.07 | 1 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | not published | not published | $212.78 – $212.78 | 1 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | not published | not published | $212.09 – $212.09 | 1 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | not published | not published | $233.06 – $233.06 | 1 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | not published | not published | $273.12 – $273.12 | 1 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $18.70 – $86.00 | 23 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | not published | not published | $6.01 – $65.56 | 28 |
| Abciximab injection HCPCS J0130 | not published | not published | $459.02 – $2,515.46 | 4 |
| Abdominal pad HCPCS L1270 | not published | not published | $69.88 – $177.32 | 23 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $297.00 – $12,804.24 | 27 |
| Abduct control hip semi-flex HCPCS L1630 | not published | not published | $127.56 – $381.80 | 23 |
| Abduction bar jointed adjust HCPCS L2300 | not published | not published | $318.73 – $808.86 | 23 |
| Abduction bar-straight HCPCS L2310 | not published | not published | $123.47 – $369.58 | 23 |
| Abduction rotation bar shoe HCPCS L3140 | not published | not published | $85.01 – $215.74 | 22 |
| Abduct rotation bar without shoe HCPCS L3150 | not published | not published | $77.70 – $197.18 | 22 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Ablate atria without bypass ext CPT 33255 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $297.00 – $14,026.00 | 23 |
| Ablate bone tumor(s) perq CPT 20982 | not published | not published | $297.00 – $25,262.72 | 27 |
| Ablate heart dysrhythm focus CPT 33250 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Ablate heart dysrhythm focus CPT 33251 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Ablate heart dysrhythm focus CPT 33261 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $250.00 – $2,908.34 | 27 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $250.00 – $2,908.34 | 27 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $6,159.00 – $20,441.38 | 21 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $5,727.59 – $11,455.18 | 21 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $920.40 – $1,840.80 | 21 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $235.49 – $470.98 | 23 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $297.00 – $20,441.38 | 27 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $429.18 – $858.36 | 21 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $235.49 – $470.98 | 21 |
| Ablation of upper extremity nerves rf CPT 64999 | not published | not published | $289.79 – $579.58 | 21 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $297.00 – $3,181.18 | 22 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $6,159.00 – $18,155.86 | 21 |
| Ablt trurl prst8 tis thrm Ultrasound CPT 55881 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $2,922.00 – $25,509.32 | 20 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $8.08 – $16.74 | 23 |
| Abortion CPT 59850 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Abortion (mpr) CPT 59866 | not published | not published | $298.62 – $597.24 | 20 |
| Above elbow prosth tiss shap HCPCS L6500 | not published | not published | $2,942.51 – $7,467.62 | 23 |
| Above knee cushion socket HCPCS L5648 | not published | not published | $822.16 – $1,862.26 | 23 |
| Above knee flex cover system HCPCS L5964 | not published | not published | $885.83 – $2,248.12 | 23 |
| Above knee hydracadence HCPCS L5610 | not published | not published | $1,924.36 – $5,760.06 | 23 |
| Above knee leather socket HCPCS L5642 | not published | not published | $512.45 – $1,533.92 | 23 |
| Above knee manual lock HCPCS L5925 | not published | not published | $423.77 – $1,075.44 | 23 |
| Above knee wood socket HCPCS L5644 | not published | not published | $565.08 – $1,691.36 | 23 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $179.00 – $179.00 | 1 |
| Abrasion lesion single CPT 15786 | not published | not published | $179.00 – $390.12 | 20 |
| Absorpt drg >16<=48 in w/bdr HCPCS A6255 | not published | not published | $4.25 – $8.50 | 21 |
| Absorpt drg >16 <=48 without bdr HCPCS A6252 | not published | not published | $4.55 – $9.10 | 21 |
| Absorpt drg <=16 sq in w/bdr HCPCS A6254 | not published | not published | $1.67 – $3.34 | 21 |
| Absorpt drg <=16 sq in without b HCPCS A6251 | not published | not published | $2.78 – $5.56 | 21 |
| Absorpt drg > 48 sq in without b HCPCS A6253 | not published | not published | $8.85 – $17.70 | 21 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | not published | not published | $0.05 – $0.93 | 3 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | not published | not published | $19.06 – $43.99 | 5 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $6.15 – $61.27 | 28 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | not published | not published | $0.45 – $2.55 | 5 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $265.91 – $1,041.78 | 21 |
| Acne surgery 10040 CPT 10040 | not published | not published | $179.00 – $390.12 | 23 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $234.60 – $345.50 | 2 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | not published | not published | $183.90 – $233.39 | 2 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | not published | not published | $69.94 – $69.94 | 1 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | not published | not published | $92.78 – $105.11 | 2 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $157.73 – $315.46 | 21 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $126.51 – $253.02 | 21 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | not published | not published | $29.24 – $58.48 | 21 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | not published | not published | $24.35 – $81.00 | 3 |
| Acoustic immitance testing CPT 92570 | not published | not published | $65.43 – $307.20 | 21 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $1.60 – $77.06 | 23 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $363.00 – $6,370.46 | 27 |
| Acth stimulation panel CPT 80402 | not published | not published | $43.48 – $521.54 | 28 |
| Acth stimulation panel CPT 80406 | not published | not published | $39.13 – $548.62 | 28 |
| Actigraphy testing CPT 95803 | not published | not published | $58.31 – $116.62 | 21 |
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.