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 |
|---|---|---|---|---|
| Drainage of mouth lesion CPT 41017 | not published | not published | $886.62 – $6,367.44 | 25 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $420.64 – $2,908.34 | 25 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $130.30 – $999.86 | 27 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $297.00 – $3,142.24 | 27 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $297.00 – $6,370.46 | 27 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $363.00 – $6,771.70 | 27 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $250.00 – $6,771.70 | 27 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $1,142.90 – $6,771.70 | 25 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $250.00 – $2,315.00 | 27 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $297.00 – $5,384.40 | 27 |
| Drainage of salivary gland CPT 42305 | not published | not published | $250.00 – $6,367.44 | 27 |
| Drainage of salivary gland CPT 42320 | not published | not published | $187.22 – $999.86 | 27 |
| Drainage of spinal cyst CPT 63172 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Drainage of throat abscess CPT 42725 | not published | not published | $250.00 – $11,614.80 | 27 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $250.00 – $6,771.70 | 27 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $347.00 – $4,022.04 | 21 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $238.15 – $1,310.52 | 25 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $2,011.02 – $4,022.04 | 21 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $98.83 – $1,997.54 | 27 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | not published | not published | $250.00 – $3,181.18 | 27 |
| Drain chest lesion CPT 21502 | not published | not published | $320.00 – $6,370.46 | 27 |
| Drain chst dry seal exp thorastat HCPCS A7041 | not published | not published | $106.79 – $213.58 | 21 |
| Drain lower leg bursa CPT 27604 | not published | not published | $1,088.27 – $6,370.46 | 25 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $297.00 – $5,619.34 | 27 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $250.00 – $5,619.34 | 27 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Drain ostomy pouch w/flange HCPCS A5063 | not published | not published | $2.40 – $7.56 | 23 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $297.00 – $6,242.68 | 27 |
| Drain ovary abscess open CPT 58820 | not published | not published | $250.00 – $6,242.68 | 27 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Drain penis lesion CPT 54015 | not published | not published | $250.00 – $3,181.18 | 27 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $297.00 – $3,142.24 | 27 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $815.20 – $5,619.34 | 25 |
| Drain shoulder lesion CPT 23030 | not published | not published | $250.00 – $5,619.34 | 27 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $250.00 – $5,619.34 | 27 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $420.64 – $3,040.00 | 25 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $1,545.00 – $1,545.00 | 1 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $179.00 – $1,201.86 | 23 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $18.85 – $84.25 | 5 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Driver pneumatic vad, rep HCPCS Q0480 | not published | not published | $99,999.96 – $199,999.92 | 21 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $1,545.00 – $1,545.00 | 1 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $1,545.00 – $1,545.00 | 1 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $250.00 – $6,370.46 | 27 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $46.73 – $1,381.42 | 27 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $187.22 – $999.86 | 27 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $250.00 – $6,242.68 | 27 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $250.00 – $6,370.46 | 27 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $250.00 – $6,370.46 | 27 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $320.00 – $2,315.00 | 27 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $250.00 – $6,367.44 | 27 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $1,545.00 – $1,545.00 | 1 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $420.64 – $2,908.34 | 25 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $187.22 – $999.86 | 27 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $1.48 – $8.82 | 3 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | not published | not published | $5.28 – $10.16 | 5 |
| Drop lock knee HCPCS L2182 | not published | not published | $101.84 – $258.46 | 23 |
| Drop lock retainer each HCPCS L2785 | not published | not published | $28.13 – $71.40 | 23 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $12.53 – $20.06 | 2 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $4.35 – $22.75 | 5 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $9.09 – $2,922.00 | 3 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | not published | not published | $33.82 – $35.27 | 2 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $8.26 – $30.56 | 23 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $89.92 – $89.92 | 1 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $23.16 – $29.93 | 2 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $11.87 – $80.50 | 5 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $80.54 – $80.54 | 1 |
| Drug assay caffeine CPT 80155 | not published | not published | $19.29 – $77.14 | 26 |
| Drug assay posaconazole CPT 80187 | not published | not published | $13.56 – $54.22 | 26 |
| Drug assay rufinamide CPT 80210 | not published | not published | $13.56 – $54.22 | 27 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $19.29 – $77.14 | 26 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $9.32 – $37.28 | 27 |
| Drug screening tapentadol CPT 80372 | not published | not published | $10.62 – $47.63 | 10 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $13.56 – $98.34 | 26 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $18.79 – $47.63 | 10 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $123.46 – $1,007.48 | 26 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $78.30 – $639.83 | 26 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $31.07 – $316.33 | 25 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $8.57 – $79.80 | 28 |
| Dry needling (97799) CPT 97799 | not published | not published | $185.00 – $299.00 | 3 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $133.72 – $7,403.98 | 27 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $133.72 – $784.44 | 27 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $117.10 – $784.44 | 27 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $128.74 – $1,201.86 | 27 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $153.38 – $1,201.86 | 27 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $208.33 – $1,077.12 | 25 |
| Ductogram sgl duct CPT 77053 | not published | not published | $55.14 – $474.60 | 28 |
| Duodenal exclusion CPT 48547 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Duodenal motility study CPT 91022 | not published | not published | $126.72 – $1,041.78 | 23 |
| Dup scan/hemodialysis access 93990 CPT 93990 | not published | not published | $104.39 – $542.75 | 26 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | not published | not published | $55.80 – $591.19 | 28 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $79.91 – $164.70 | 23 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $36.46 – $209.50 | 28 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $153.60 – $307.20 | 21 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $29.85 – $185.00 | 2 |
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.