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 |
|---|---|---|---|---|
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $24.04 – $48.08 | 20 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | not published | not published | $62.68 – $62.68 | 1 |
| Acup 1/> without estim ea add 15 CPT 97811 | not published | not published | $55.52 – $55.52 | 1 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $24.04 – $48.08 | 20 |
| Acute venous thrombus image CPT 78456 | not published | not published | $159.39 – $2,705.86 | 28 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | not published | not published | $0.02 – $0.14 | 5 |
| Adalimumab injection HCPCS J0135 | not published | not published | $1,882.09 – $2,091.32 | 2 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $157.73 – $315.46 | 21 |
| Adapter b 8 channel 10cm HCPCS C1883 | not published | not published | $733.90 – $770.60 | 7 |
| Adaptive behavior tx by tech CPT 97153 | not published | not published | $90.81 – $181.62 | 21 |
| Adding walker to prev cast CPT 29440 | not published | not published | $17.17 – $309.80 | 25 |
| Additional switch, ext power HCPCS L6611 | not published | not published | $393.79 – $999.38 | 23 |
| Add le poly knee custom kafo HCPCS L2387 | not published | not published | $146.93 – $372.88 | 23 |
| Add ue prost a/e acrylic HCPCS L7404 | not published | not published | $531.59 – $1,349.08 | 23 |
| Add ue prost a/e ultlite mat HCPCS L7401 | not published | not published | $328.17 – $832.84 | 23 |
| Add ue prost b/e acrylic HCPCS L7403 | not published | not published | $349.80 – $893.88 | 23 |
| Add ue prost be/wd, ultlite HCPCS L7400 | not published | not published | $296.12 – $743.94 | 23 |
| Add ue prost s/d acrylic HCPCS L7405 | not published | not published | $695.27 – $1,764.48 | 23 |
| Add ue prost s/d ultlite mat HCPCS L7402 | not published | not published | $354.38 – $899.38 | 23 |
| Add up-ex prosthes lock mech HCPCS L6698 | not published | not published | $540.10 – $1,380.16 | 23 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | not published | not published | $0.39 – $1.26 | 5 |
| Adenovirus ag ia CPT 87301 | not published | not published | $5.99 – $65.56 | 28 |
| Adenovirus antibody,serum - quest CPT 86603 | not published | not published | $6.44 – $69.81 | 28 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $10.88 – $65.56 | 28 |
| Adenovirus vaccine type 4 CPT 90476 | not published | not published | $124.72 – $124.72 | 1 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Adhesive, liquid or equal HCPCS A4364 | not published | not published | $2.50 – $7.56 | 23 |
| Adh-sendout CPT 84588 | not published | not published | $16.97 – $185.26 | 28 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $250.00 – $14,026.00 | 27 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $320.00 – $4,460.00 | 27 |
| Adjustment gastric band HCPCS S2083 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Admin ecg contrast agent CPT 93352 | not published | not published | $53.52 – $551.00 | 3 |
| Administration immunization each additional component CPT 90461 | not published | not published | $12.93 – $32.00 | 3 |
| Administration immunization first component each vaccine CPT 90460 | not published | not published | $32.00 – $50.51 | 3 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $32.00 – $139.74 | 21 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | not published | not published | $17.36 – $32.00 | 3 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $32.00 – $32.57 | 2 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $28.04 – $32.00 | 2 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $29.17 – $80.44 | 23 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $37.00 – $2,705.86 | 28 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Adrenalin epinephrine inject HCPCS J0171 | not published | not published | $0.95 – $1.68 | 4 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $105.38 – $146.08 | 2 |
| Adv prim care mgmt lvl 1 HCPCS G0556 | not published | not published | $29.24 – $58.48 | 20 |
| Adv prim care mgmt lvl 2 HCPCS G0557 | not published | not published | $29.24 – $58.48 | 20 |
| Adv prim care mgmt lvl 3 HCPCS G0558 | not published | not published | $90.81 – $181.62 | 20 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $90.34 – $611.40 | 23 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $87.94 – $611.40 | 23 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $119.81 – $611.40 | 23 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $2,820.75 – $5,641.50 | 21 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $3.66 – $31.36 | 28 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $68.50 – $274.00 | 23 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $137.42 – $549.66 | 23 |
| Aflibercept injection HCPCS J0178 | not published | not published | $786.41 – $1,572.82 | 23 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $24.78 – $36.62 | 2 |
| Afo molded ankle gauntlet HCPCS L1904 | not published | not published | $417.49 – $1,059.52 | 23 |
| Afo molded plas rig ant tib HCPCS L1945 | not published | not published | $821.86 – $2,085.74 | 23 |
| Afo molded to patient plasti HCPCS L1940 | not published | not published | $449.57 – $1,140.94 | 23 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | not published | not published | $851.85 – $2,161.86 | 23 |
| Afo sing bar clasp attach sh HCPCS L1910 | not published | not published | $226.79 – $678.84 | 23 |
| Afo sing solid stirrup calf HCPCS L1980 | not published | not published | $340.62 – $864.46 | 23 |
| Afo sing upright with adjust s HCPCS L1920 | not published | not published | $321.37 – $815.60 | 23 |
| Afo spiral molded to pt plas HCPCS L1950 | not published | not published | $663.55 – $1,683.98 | 23 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | not published | not published | $260.79 – $780.56 | 23 |
| Afo supramalleolar custom HCPCS L1907 | not published | not published | $537.14 – $1,363.16 | 23 |
| Afo tib fx cast molded to pt HCPCS L2108 | not published | not published | $875.12 – $2,619.48 | 23 |
| Afo tib fx cast plaster mold HCPCS L2106 | not published | not published | $629.90 – $1,885.50 | 23 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $582.15 – $1,477.38 | 23 |
| Afo tibial fracture rigid HCPCS L2116 | not published | not published | $697.44 – $1,769.98 | 23 |
| Afo tibial fracture soft HCPCS L2112 | not published | not published | $502.88 – $1,276.22 | 23 |
| Afo, walk boot type, cus fab HCPCS L4631 | not published | not published | $1,411.97 – $3,583.34 | 23 |
| Afo w/ankle joint, prefab HCPCS L1971 | not published | not published | $447.43 – $1,135.50 | 23 |
| After cataract laser surgery CPT 66821 | not published | not published | $208.33 – $1,077.12 | 27 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $121.11 – $438.86 | 23 |
| Air conduction bilat CPT 92552 | not published | not published | $4.80 – $253.08 | 23 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $31.89 – $307.20 | 23 |
| Ak 4 bar ling w/hydraul swig HCPCS L5613 | not published | not published | $1,990.24 – $5,957.24 | 23 |
| Ak 4 bar link w/fric swing HCPCS L5611 | not published | not published | $1,523.97 – $3,867.60 | 23 |
| Ak/bk self-aligning unit ea HCPCS L5617 | not published | not published | $535.12 – $1,358.04 | 23 |
| Ak flex inner socket ext fra HCPCS L5651 | not published | not published | $1,514.56 – $3,843.70 | 23 |
| Ak/knee disartic acrylic soc HCPCS L5631 | not published | not published | $554.13 – $1,406.30 | 23 |
| Ak/knee disartic pelvic band HCPCS L5697 | not published | not published | $64.38 – $192.70 | 23 |
| Ak/knee disartic pelvic join HCPCS L5696 | not published | not published | $178.02 – $532.82 | 23 |
| Ak/knee disartic silesian ba HCPCS L5698 | not published | not published | $95.98 – $287.28 | 23 |
| Ak open end sach HCPCS L5321 | not published | not published | $3,639.45 – $9,236.34 | 23 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $167.58 – $425.28 | 23 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $228.80 – $580.64 | 23 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | not published | not published | $205.67 – $521.96 | 23 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $1,452.27 – $4,346.98 | 23 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $20.84 – $41.68 | 27 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | not published | not published | $52.11 – $104.22 | 27 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $10.49 – $52.22 | 11 |
| Albumin ischemia modified CPT 82045 | not published | not published | $16.97 – $185.26 | 28 |
| Albuterol comp con HCPCS J7610 | not published | not published | $2.01 – $2.01 | 1 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $0.62 – $0.79 | 2 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | not published | $0.19 – $0.29 | 3 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.18 – $0.29 | 3 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.08 – $0.10 | 3 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $9.58 – $15.38 | 9 |
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.