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 |
|---|---|---|---|---|
| Dermabrasion total face CPT 15780 | not published | not published | $2,023.00 – $5,619.34 | 20 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $250.00 – $7,187.94 | 27 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $300.18 – $300.18 | 1 |
| Dermagraft HCPCS Q4106 | not published | not published | $38.45 – $68.79 | 4 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $227.00 – $3,591.52 | 21 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $52.82 – $54.62 | 2 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $363.00 – $7,187.94 | 27 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $363.00 – $3,591.52 | 27 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $128.08 – $176.22 | 2 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $1,644.99 – $1,644.99 | 1 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Design custom breast implant CPT 19396 | not published | not published | $963.66 – $7,518.40 | 25 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | not published | not published | $4.49 – $22.96 | 23 |
| Desoxycorticosterone CPT 82633 | not published | not published | $15.49 – $168.14 | 28 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $195.06 – $390.12 | 23 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $93.58 – $645.86 | 27 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $104.93 – $645.86 | 27 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $74.34 – $390.12 | 27 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $74.34 – $390.12 | 27 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $195.06 – $390.12 | 23 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $195.06 – $390.12 | 23 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $195.06 – $390.12 | 23 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $195.06 – $390.12 | 23 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $195.06 – $390.12 | 23 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $130.95 – $2,315.00 | 27 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $179.00 – $390.12 | 23 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $250.00 – $3,591.52 | 27 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $111.02 – $3,591.52 | 27 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $195.06 – $390.12 | 23 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $215.94 – $1,201.86 | 27 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $143.08 – $784.44 | 27 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $250.00 – $3,591.52 | 27 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $179.00 – $255.00 | 3 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $135.91 – $3,591.52 | 27 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $250.00 – $5,384.40 | 27 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $117.53 – $784.44 | 27 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $179.00 – $390.12 | 23 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $297.00 – $1,748.00 | 27 |
| Destruction ciliary body CPT 66700 | not published | not published | $849.94 – $4,477.98 | 25 |
| Destruction ciliary body CPT 66720 | not published | not published | $250.00 – $4,580.54 | 27 |
| Destruction ciliary body CPT 66740 | not published | not published | $698.30 – $4,580.54 | 25 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $61.51 – $390.12 | 25 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $297.00 – $5,384.40 | 27 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $64.08 – $4,580.54 | 25 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $107.42 – $784.44 | 27 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $120.15 – $784.44 | 27 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $109.08 – $784.44 | 27 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $120.15 – $784.44 | 27 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $227.00 – $784.44 | 23 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $320.00 – $3,591.52 | 27 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $97.18 – $784.44 | 27 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $250.00 – $5,384.40 | 27 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $297.00 – $6,242.68 | 27 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $98.83 – $6,242.68 | 27 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $52.87 – $3,591.52 | 27 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $15.02 – $109.71 | 28 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $21.84 – $218.04 | 28 |
| Determination venous press CPT 93770 | not published | not published | $16.62 – $2,387.00 | 2 |
| Determine refractive state CPT 92015 | not published | not published | $40.47 – $40.47 | 1 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $18.55 – $18.55 | 1 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $153.60 – $307.20 | 21 |
| Device intraute mirena HCPCS J7298 | not published | not published | $1,214.63 – $2,132.10 | 5 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $52.36 – $2,387.00 | 5 |
| Devise bowel pouch CPT 44316 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $18.55 – $181.62 | 21 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $88.99 – $88.99 | 1 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | not published | not published | $26.73 – $173.16 | 28 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $110.68 – $221.76 | 21 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $1.19 – $2.71 | 4 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.05 – $0.17 | 3 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | not published | not published | $0.09 – $7.55 | 5 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $197.58 – $403.60 | 27 |
| Dexamethasone panel CPT 80420 | not published | not published | $80.94 – $426.08 | 28 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.64 – $1.28 | 20 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $79.40 – $158.80 | 23 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $40.99 – $51.53 | 3 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $30.06 – $30.06 | 1 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $0.68 – $1.09 | 2 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | not published | not published | $1.25 – $1.84 | 3 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | not published | not published | $1.12 – $8.38 | 5 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | not published | not published | $1.82 – $4.28 | 3 |
| Dextrose 5 % IV bolus HCPCS J7070 | not published | not published | $3.64 – $8.07 | 3 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $29.24 – $58.48 | 20 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $178.04 – $532.94 | 23 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $26.40 – $90.52 | 23 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $26.40 – $90.52 | 23 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $26.40 – $90.52 | 23 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $22.23 – $81.00 | 3 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $59.36 – $177.70 | 23 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $26.40 – $90.52 | 23 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $297.00 – $3,385.82 | 27 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $363.00 – $11,455.18 | 27 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $206.91 – $783.48 | 23 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $250.00 – $2,315.00 | 23 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $56.20 – $381.18 | 27 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $43.22 – $230.63 | 26 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $2,922.00 – $2,922.00 | 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.