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 |
|---|---|---|---|---|
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $24.04 – $48.08 | 21 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | not published | not published | $29.24 – $58.48 | 21 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $143.49 – $315.46 | 21 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $448.81 – $10,408.50 | 23 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $62.75 – $595.64 | 28 |
| Alefacept HCPCS J0215 | not published | not published | $25.23 – $86.19 | 2 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $1,743.82 – $4,738.40 | 23 |
| Alginate dressing <=16 sq in HCPCS A6196 | not published | not published | $10.28 – $20.56 | 23 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | not published | not published | $22.98 – $45.96 | 23 |
| Alginate drsg wound filler HCPCS A6199 | not published | not published | $7.37 – $14.74 | 21 |
| Alglucerase injection HCPCS J0205 | not published | not published | $30.08 – $87.00 | 2 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $127.20 – $427.87 | 3 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $19.93 – $90.60 | 21 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $17.16 – $90.60 | 21 |
| Allergy Skin Testing CPT 95004 | not published | not published | $13.08 – $1,997.54 | 21 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $10.95 – $1,997.54 | 21 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $363.00 – $25,262.72 | 23 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | not published | not published | $19.54 – $19.54 | 1 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $82.76 – $97.88 | 2 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $102.18 – $122.66 | 2 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | not published | not published | $173.18 – $2,922.00 | 2 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $24.47 – $2,922.00 | 3 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | not published | not published | $158.33 – $180.68 | 4 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | not published | not published | $88.97 – $197.87 | 5 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | not published | not published | $503.60 – $2,922.00 | 8 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $128.43 – $147.72 | 2 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $247.02 – $279.19 | 2 |
| Alloskin HCPCS Q4115 | not published | not published | $12.38 – $19.29 | 3 |
| Alloskin ac, 1 cm HCPCS Q4141 | not published | not published | $37.87 – $84.01 | 2 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $38.53 – $77.06 | 21 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $15.46 – $49.65 | 21 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $2.09 – $10.00 | 23 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $32.21 – $350.53 | 28 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $8.50 – $91.21 | 28 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $0.47 – $13.31 | 3 |
| Alprostadil urethral suppos HCPCS J0275 | not published | not published | $29.12 – $140.47 | 2 |
| Als 1 HCPCS A0426 | not published | not published | $535.22 – $855.36 | 2 |
| Als1-emergency HCPCS A0427 | not published | not published | $847.44 – $1,575.94 | 2 |
| Als 2 HCPCS A0433 | not published | not published | $1,226.54 – $1,960.23 | 2 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.56 – $9.12 | 23 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $222.86 – $6,367.44 | 27 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | not published | not published | $37.11 – $180.22 | 23 |
| Ambl bp mntr w/software CPT 93784 | not published | not published | $71.79 – $2,387.00 | 3 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $10.27 – $253.08 | 23 |
| Ambl bp mntr w/sw i&r CPT 93790 | not published | not published | $29.02 – $2,387.00 | 3 |
| Amifostine HCPCS J0207 | not published | not published | $306.77 – $1,986.81 | 5 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | not published | not published | $0.60 – $3.37 | 5 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $3.00 – $19.95 | 28 |
| Amino acid single qual CPT 82127 | not published | not published | $7.09 – $75.51 | 28 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $9.81 – $91.21 | 28 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.69 – $3.38 | 21 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $111.47 – $776.06 | 23 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | not published | not published | $7.39 – $19.09 | 5 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | not published | not published | $2.59 – $3.13 | 4 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | not published | not published | $0.26 – $5.62 | 5 |
| Amitriptyline injection HCPCS J1320 | not published | not published | $1.06 – $1.06 | 1 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | not published | not published | $17.91 – $42.34 | 23 |
| Amnioarmor 1 sq cm HCPCS Q4188 | not published | not published | $493.30 – $493.30 | 1 |
| Amniocentesisdiagnostic 59000 CPT 59000 | not published | not published | $49.56 – $1,709.62 | 27 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $110.76 – $597.24 | 27 |
| Amniocore per sq cm HCPCS Q4227 | not published | not published | $1,192.50 – $1,192.50 | 1 |
| Amnio-maxx or lite per sq cm HCPCS Q4239 | not published | not published | $2,349.92 – $2,349.92 | 1 |
| Amniotic fluid scan CPT 82143 | not published | not published | $4.68 – $37.07 | 28 |
| Amniowrap2 per sq cm HCPCS Q4221 | not published | not published | $2,014.00 – $2,014.00 | 1 |
| Amobarbital 125 mg inj HCPCS J0300 | not published | not published | $3.49 – $331.92 | 5 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $363.00 – $6,370.46 | 27 |
| Ampho b cholesteryl sulfate HCPCS J0288 | not published | not published | $21.74 – $70.84 | 2 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | not published | not published | $50.07 – $176.80 | 5 |
| Amphotericin b lipid complex HCPCS J0287 | not published | not published | $10.11 – $20.22 | 23 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | not published | not published | $23.31 – $47.08 | 23 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $131.50 – $525.98 | 22 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $250.00 – $6,370.46 | 27 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Amputate hand at wrist CPT 25922 | not published | not published | $593.04 – $3,142.24 | 25 |
| Amputate hand at wrist CPT 25920 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Amputate leg at thigh CPT 27591 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Amputate leg at thigh CPT 27592 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Amputate lower leg at knee CPT 27598 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $250.00 – $6,370.46 | 27 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Amputate upper arm & implant CPT 24931 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $250.00 – $6,370.46 | 27 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $1,088.27 – $6,370.46 | 25 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $6,159.00 – $14,026.00 | 21 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $709.01 – $3,591.52 | 25 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $320.00 – $6,370.46 | 23 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $297.00 – $6,370.46 | 27 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $297.00 – $6,370.46 | 27 |
| Amputation follow-up surgery CPT 24930 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Amputation follow-up surgery CPT 25924 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $297.00 – $2,922.00 | 3 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $250.00 – $2,922.00 | 3 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $2,366.00 – $14,026.00 | 25 |
| Amputation of foot at ankle CPT 27888 | not published | not published | $250.00 – $2,922.00 | 3 |
| Amputation of forearm CPT 25900 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Amputation of forearm CPT 25905 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Amputation of forearm CPT 25915 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Amputation of hand CPT 25927 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Amputation of leg at hip CPT 27290 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Amputation of leg at hip CPT 27295 | not published | not published | $297.00 – $2,922.00 | 3 |
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.