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 |
|---|---|---|---|---|
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $1.72 – $18.53 | 28 |
| Bpg axillary-pop/-tibial CPT 35623 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Bpg carotid-vertebral CPT 35642 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Bpg ilio-celiac CPT 35632 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Bpg ilio-mesenteric CPT 35633 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Bpg iliorenal CPT 35634 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Bpg pop-tibl/-prnl artery CPT 35671 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Bpg splenorenal CPT 35636 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Bpg subclavian-axillary CPT 35616 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Bpg subclavian-vertebral CPT 35645 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Brace adj motion lerman type HCPCS L2186 | not published | not published | $113.33 – $339.22 | 23 |
| Brace afo dbl upright cust HCPCS L1990 | not published | not published | $395.75 – $1,004.36 | 23 |
| Brace afo lg left 6607 HCPCS L1930 | not published | not published | $280.04 – $710.68 | 23 |
| Brace afopos solid ankle cust HCPCS L1960 | not published | not published | $492.12 – $1,248.92 | 23 |
| Brace afo spiral prefab HCPCS L1951 | not published | not published | $801.68 – $2,034.52 | 23 |
| Brace ank aftr bioskn med lg HCPCS L1906 | not published | not published | $106.78 – $270.98 | 23 |
| Brace ank air stirrup univ HCPCS L4350 | not published | not published | $81.62 – $207.14 | 23 |
| Brace ankle joint dflxn assist HCPCS L2210 | not published | not published | $59.68 – $151.46 | 23 |
| Brace ankle stablizing lg HCPCS L1902 | not published | not published | $94.50 – $239.82 | 23 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $293.21 – $586.42 | 23 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $847.27 – $1,694.54 | 23 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $709.28 – $1,418.56 | 23 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | not published | not published | $392.40 – $995.84 | 23 |
| Brace back pinnacle tlso 464 HCPCS L0464 | not published | not published | $1,418.90 – $3,600.94 | 23 |
| Brace back t-lso custom HCPCS L0486 | not published | not published | $1,702.56 – $4,320.80 | 23 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $732.27 – $1,464.54 | 23 |
| Brace cust back lso HCPCS L0631 | not published | not published | $979.97 – $2,487.00 | 23 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | not published | $1,109.63 – $2,219.26 | 21 |
| Brace fx hum ovr shldr sm HCPCS L3980 | not published | not published | $319.82 – $811.64 | 23 |
| Brace halo bremer l2830 HCPCS L2830 | not published | not published | $83.41 – $211.68 | 23 |
| Brace kafo dbl upright cust HCPCS L2036 | not published | not published | $1,730.86 – $4,392.66 | 23 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | not published | not published | $558.06 – $1,116.12 | 23 |
| Brace knee extender plus 22-30in HCPCS L1832 | not published | not published | $539.78 – $1,369.86 | 23 |
| Brace knee hing pat open med HCPCS L1820 | not published | not published | $127.74 – $324.18 | 23 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | not published | not published | $443.19 – $886.38 | 23 |
| Brace knee postop tscope xl HCPCS L1845 | not published | not published | $831.59 – $2,110.44 | 23 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | not published | not published | $94.96 – $240.98 | 23 |
| Brace m arm board HCPCS L3809 | not published | not published | $217.24 – $551.32 | 23 |
| Brace ortho exos 28-50in sm HCPCS L0637 | not published | not published | $1,159.71 – $2,943.18 | 23 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | not published | not published | $949.39 – $2,409.40 | 23 |
| Brace oths wrist hnd fngr without HCPCS L3807 | not published | not published | $217.24 – $551.32 | 23 |
| Brace tlso flex cust HCPCS L0450 | not published | not published | $131.17 – $266.46 | 23 |
| Brace wrist classic lft sm HCPCS L3908 | not published | not published | $52.05 – $132.10 | 23 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $2,366.00 – $5,619.34 | 20 |
| Brach/thor cath 3rd CPT 36217 | not published | not published | $320.00 – $2,922.00 | 3 |
| Brach/thor cath addl CPT 36218 | not published | not published | $250.00 – $2,922.00 | 3 |
| Brachy linear, non-str,p-103 HCPCS C2636 | not published | not published | $51.94 – $103.88 | 21 |
| Brachy source i-125 injection HCPCS C2638 | not published | not published | $36.36 – $72.72 | 21 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | not published | not published | $34.47 – $68.94 | 21 |
| Brachy source palladium HCPCS C2640 | not published | not published | $68.41 – $136.82 | 21 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | not published | not published | $78.31 – $156.62 | 21 |
| Brachy source yttrium-90 HCPCS C2616 | not published | not published | $17,165.12 – $34,330.24 | 21 |
| Brachy src nonstrand c-131 HCPCS C2643 | not published | not published | $94.79 – $189.58 | 21 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | not published | not published | $336.12 – $672.24 | 21 |
| Brachy src stranded c-131 HCPCS C2642 | not published | not published | $105.89 – $211.78 | 21 |
| Brachytx isodose complex CPT 77318 | not published | not published | $179.69 – $827.37 | 24 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $157.48 – $718.74 | 24 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $120.66 – $718.74 | 24 |
| Brachytx, non-str, gold-198 HCPCS C1716 | not published | not published | $460.55 – $1,704.88 | 21 |
| Brachytx, non-str, ha, i-125 HCPCS C2634 | not published | not published | $159.86 – $319.72 | 21 |
| Brachytx, non-str, ha, p-103 HCPCS C2635 | not published | not published | $68.11 – $136.22 | 21 |
| Brachytx, ns, non-hdrir-192 HCPCS C1719 | not published | not published | $554.17 – $1,108.34 | 21 |
| Brain aneurysm repr complx CPT 61697 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Brain aneurysm repr complx CPT 61698 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Brain aneurysm repr simple CPT 61700 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Brain image < 4 views CPT 78600 | not published | not published | $42.00 – $788.96 | 28 |
| Brain image 4+ views CPT 78605 | not published | not published | $43.00 – $1,056.84 | 28 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $46.00 – $793.45 | 28 |
| Brain image w/flow 4 + views CPT 78606 | not published | not published | $56.00 – $1,247.95 | 28 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | not published | not published | $175.30 – $2,251.00 | 29 |
| Bra surgical elizabeth pink sm HCPCS L8000 | not published | not published | $35.48 – $90.04 | 23 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $234.00 – $936.00 | 27 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $292.12 – $1,168.46 | 27 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $187.63 – $750.50 | 28 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $150.68 – $602.70 | 27 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $141.44 – $565.76 | 27 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $92.56 – $1,503.17 | 28 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $187.63 – $750.50 | 28 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $141.44 – $565.76 | 27 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $220.00 – $880.00 | 28 |
| Brcassure comprehensive panel-sendout CPT 81162 | not published | not published | $912.44 – $9,939.26 | 28 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $363.00 – $18,787.88 | 27 |
| Breast prosthesis bra & form HCPCS L8001 | not published | not published | $119.96 – $304.46 | 23 |
| Breast prosthesis w adhesive HCPCS L8031 | not published | not published | $400.37 – $800.74 | 21 |
| Breast prosthes without adhesive HCPCS L8030 | not published | not published | $315.52 – $800.74 | 23 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $320.00 – $34,159.92 | 27 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $2,922.00 – $10,000.00 | 2 |
| Breast reduction CPT 19318 | not published | not published | $320.00 – $12,804.24 | 27 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $146.49 – $307.20 | 21 |
| Breathing response hypoxia CPT 94450 | not published | not published | $9.20 – $307.20 | 23 |
| Breath recording infant CPT 94772 | not published | not published | $34.00 – $1,041.78 | 23 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $47.21 – $366.23 | 26 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $5.53 – $42.73 | 28 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | not published | not published | $106.86 – $488.74 | 23 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $454,860.00 – $958,240.34 | 23 |
| Brief alcohol misuse counsel HCPCS G0443 | not published | not published | $52.50 – $181.62 | 21 |
| Brief chkin, 5-10, non-e/m HCPCS G2251 | not published | not published | $19.97 – $19.97 | 1 |
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.