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 |
|---|---|---|---|---|
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $250.00 – $3,142.24 | 27 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $250.00 – $2,922.00 | 3 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $85.32 – $470.98 | 25 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $297.00 – $2,908.34 | 27 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $187.22 – $999.86 | 27 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $548.63 – $2,908.34 | 25 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $250.00 – $6,367.44 | 27 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $227.00 – $470.98 | 21 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $85.32 – $470.98 | 25 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $497.00 – $6,370.46 | 25 |
| Close kidney-skin fistula CPT 50520 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Close mastoid fistula CPT 69700 | not published | not published | $297.00 – $2,908.34 | 27 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Close mult vsd CPT 33675 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Close mult vsd w/resection CPT 33676 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Close nephrovisceral fistula CPT 50525 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Close nephrovisceral fistula CPT 50526 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Close tear duct opening CPT 68760 | not published | not published | $108.29 – $586.92 | 25 |
| Close tear duct opening CPT 68761 | not published | not published | $78.62 – $586.92 | 27 |
| Close tear system fistula CPT 68770 | not published | not published | $698.30 – $4,580.54 | 25 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $8.00 – $65.56 | 28 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $250.00 – $1,901.64 | 27 |
| Closure of salivary fistula CPT 42600 | not published | not published | $250.00 – $6,367.44 | 27 |
| Closure of valve CPT 33600 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Closure of valve CPT 33602 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $250.00 – $6,367.44 | 27 |
| Closure ureter/bowel fistula CPT 50930 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Closure ureter/skin fistula CPT 50920 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $9.47 – $102.59 | 28 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $10.21 – $111.16 | 28 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $9.47 – $102.59 | 28 |
| Clot factor xiii fibrin scrn CPT 85291 | not published | not published | $4.56 – $48.44 | 28 |
| Clotting assay whole blood CPT 85396 | not published | not published | $11.20 – $54.15 | 4 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $0.68 – $2.07 | 2 |
| Clsd ostomy pouch w/flange HCPCS A5054 | not published | not published | $1.67 – $5.02 | 23 |
| Clsd ostomy pouch without barr HCPCS A5052 | not published | not published | $1.32 – $4.16 | 23 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $497.00 – $3,142.24 | 25 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $85.32 – $470.98 | 27 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | not published | not published | $297.00 – $3,142.24 | 27 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $85.32 – $470.98 | 25 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | not published | not published | $80.27 – $470.98 | 25 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $250.00 – $3,142.24 | 27 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | not published | not published | $79.18 – $580.00 | 27 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | not published | not published | $85.32 – $470.98 | 25 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | not published | not published | $85.32 – $470.98 | 27 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | not published | not published | $85.32 – $470.98 | 27 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | not published | not published | $99.86 – $521.44 | 27 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $250.00 – $999.86 | 27 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | not published | not published | $80.27 – $470.98 | 27 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $250.00 – $6,370.46 | 27 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $85.32 – $470.98 | 27 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $85.32 – $470.98 | 27 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | not published | not published | $85.32 – $470.98 | 25 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $85.32 – $470.98 | 25 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $85.32 – $470.98 | 27 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $85.32 – $470.98 | 27 |
| Clsr 1 vsd w/wo patch w/vlvt CPT 33684 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Clsr 1vsd w/wo ptch rmvl bnd CPT 33688 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $250.00 – $3,142.24 | 27 |
| Cltx craniofacial separation CPT 21431 | not published | not published | $320.00 – $2,922.00 | 3 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $297.00 – $3,142.24 | 27 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $85.32 – $470.98 | 27 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $85.32 – $470.98 | 27 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $363.00 – $11,614.80 | 27 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $250.00 – $2,908.34 | 27 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | $250.00 – $6,367.44 | 27 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $320.00 – $6,367.44 | 27 |
| Cltx post ankle fx CPT 27767 | not published | not published | $85.32 – $470.98 | 27 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $497.00 – $3,142.24 | 25 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $85.32 – $470.98 | 25 |
| Cltx thigh fx CPT 27267 | not published | not published | $297.00 – $6,370.46 | 27 |
| Cltx thigh fx w/mnpj CPT 27268 | not published | not published | $297.00 – $2,922.00 | 3 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $320.00 – $2,908.34 | 27 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $297.00 – $9,692.22 | 27 |
| C motor evoked lwr limbs CPT 95929 | not published | not published | $120.76 – $1,041.78 | 23 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $111.90 – $1,997.54 | 23 |
| C motor evoked upr&lwr limbs CPT 95939 | not published | not published | $241.00 – $1,997.54 | 23 |
| Cmp rpr tof wo plm atrs ptch CPT 33694 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $18.02 – $116.62 | 23 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $18.02 – $116.62 | 23 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $7.04 – $32.78 | 28 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $4.40 – $45.61 | 28 |
| #cmvcul-virus inoculation shell CPT 87254 | not published | not published | $6.99 – $106.87 | 28 |
| Cmv ig IV CPT 90291 | not published | not published | $1,844.69 – $2,215.17 | 3 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $68.50 – $274.00 | 23 |
| Cntct lens hydrophil photoch HCPCS V2524 | not published | not published | $176.59 – $353.18 | 20 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $0.87 – $5.00 | 23 |
| Coagulation time lee & white CPT 85345 | not published | not published | $2.35 – $22.78 | 28 |
| Coagulation time otr method CPT 85348 | not published | not published | $2.25 – $19.95 | 28 |
| Coccidioidomycosis skin test CPT 86490 | not published | not published | $72.85 – $293.47 | 3 |
| Coch imp ext proc/contr rplc HCPCS L8619 | not published | not published | $7,487.15 – $19,945.64 | 23 |
| Coch implant headset replace HCPCS L8615 | not published | not published | $410.95 – $1,094.78 | 23 |
| Coch implant microphone repl HCPCS L8616 | not published | not published | $95.71 – $255.00 | 23 |
| Coch implant tran cable repl HCPCS L8618 | not published | not published | $23.88 – $63.64 | 23 |
| Coch implant trans coil repl HCPCS L8617 | not published | not published | $83.61 – $222.78 | 23 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $153.60 – $307.20 | 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.