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 |
|---|---|---|---|---|
| Fluoroestradiol f 18 HCPCS A9591 | not published | not published | $41.61 – $979.08 | 23 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $9.46 – $102.59 | 28 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | not published | not published | $1.62 – $3.35 | 5 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | not published | not published | $8.83 – $38.73 | 5 |
| Flutamide 125 mg HCPCS S0175 | not published | not published | $3.46 – $35.94 | 2 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $858.40 – $3,360.00 | 21 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | not published | not published | $11.97 – $36.62 | 2 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | not published | not published | $24.92 – $49.62 | 2 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $118.65 – $2,251.00 | 24 |
| Fmri brain by tech CPT 70554 | not published | not published | $118.65 – $2,251.00 | 28 |
| Fna bx w/ct gdn ea addl CPT 10010 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $221.93 – $1,381.42 | 27 |
| Fna bx w/mr gdn ea addl CPT 10012 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | not published | not published | $10.76 – $29.68 | 3 |
| Foam drg >16<=48 sq in without b HCPCS A6210 | not published | not published | $21.79 – $55.68 | 23 |
| Foam drg <=16 sq in w/border HCPCS A6212 | not published | not published | $7.09 – $27.14 | 23 |
| Foam drg > 48 sq in w/border HCPCS A6214 | not published | not published | $14.39 – $28.78 | 21 |
| Foam drg > 48 sq in without brdr HCPCS A6211 | not published | not published | $40.27 – $82.08 | 23 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | not published | not published | $7.09 – $20.88 | 23 |
| Foam/fabric leg strap HCPCS A5114 | not published | not published | $9.89 – $25.00 | 23 |
| Foam stability fetal lung CPT 83662 | not published | not published | $9.46 – $102.59 | 28 |
| Follow-up angiography CPT 75898 | not published | not published | $127.04 – $6,179.80 | 28 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $76.65 – $253.02 | 21 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $363.00 – $4,580.54 | 27 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | not published | not published | $6.05 – $12.12 | 23 |
| Fondaparinux sodium HCPCS J1652 | not published | not published | $0.86 – $7.55 | 5 |
| Fo nontorsion joint cf HCPCS L3935 | not published | not published | $191.96 – $487.18 | 23 |
| Foot arch support remov prem HCPCS L3030 | not published | not published | $72.86 – $184.90 | 23 |
| Foot arch supp premold metat HCPCS L3050 | not published | not published | $44.92 – $114.00 | 22 |
| Foot drp splt w/exp heel lg HCPCS L4398 | not published | not published | $73.75 – $187.16 | 23 |
| Foot external keel sach foot HCPCS L5970 | not published | not published | $182.54 – $546.36 | 23 |
| Foot insert plastazote or eq HCPCS L3002 | not published | not published | $154.15 – $391.20 | 23 |
| Foot insert remov molded spe HCPCS L3001 | not published | not published | $126.25 – $320.38 | 22 |
| Foot insert silicone gel eac HCPCS L3003 | not published | not published | $166.33 – $422.12 | 23 |
| Foot lamin/prepreg composite HCPCS L3031 | not published | not published | $116.90 – $296.68 | 22 |
| Foot longitudinal arch suppo HCPCS L3010 | not published | not published | $166.33 – $422.12 | 22 |
| Foot longitud/metatarsal sup HCPCS L3020 | not published | not published | $189.38 – $480.62 | 22 |
| Foot plas heel stabi pre ots HCPCS L3170 | not published | not published | $48.56 – $123.22 | 22 |
| Foot plate molded stirrup at HCPCS L2250 | not published | not published | $315.47 – $800.62 | 23 |
| Foot single axis ankle/foot HCPCS L5974 | not published | not published | $250.73 – $636.32 | 23 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | not published | not published | $964.13 – $2,446.82 | 23 |
| Forearm/arm cuffs free motio HCPCS L3720 | not published | not published | $659.16 – $1,672.84 | 23 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $297.00 – $7,187.94 | 27 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $345.78 – $1,588.05 | 3 |
| Forensic cytopathology CPT 88125 | not published | not published | $26.23 – $104.90 | 23 |
| Formoterol comp unit HCPCS J7640 | not published | not published | $1.71 – $4.55 | 2 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $1.70 – $22.27 | 3 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | not published | not published | $0.12 – $4.20 | 5 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $13.20 – $75.16 | 23 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | not published | not published | $2.77 – $7.68 | 5 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $14.25 – $143.94 | 28 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $23.78 – $173.16 | 28 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $1,142.90 – $6,771.70 | 27 |
| Frame typ sock above elb/dis HCPCS L6688 | not published | not published | $644.84 – $1,636.50 | 23 |
| Frame typ socket bel elbow/w HCPCS L6687 | not published | not published | $545.59 – $1,384.62 | 23 |
| Frame typ socket shoulder di HCPCS L6689 | not published | not published | $572.11 – $1,712.46 | 23 |
| Frame typ sock interscap-tho HCPCS L6690 | not published | not published | $620.76 – $1,858.06 | 23 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Free omental flap microvasc CPT 49906 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Free skin flap microvasc CPT 15757 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Frenectomy 41115 CPT 41115 | not published | not published | $162.23 – $2,908.34 | 27 |
| Frenotomy 40806 CPT 40806 | not published | not published | $72.81 – $999.86 | 27 |
| Frenulotomy of penis CPT 54164 | not published | not published | $250.00 – $4,022.04 | 27 |
| Fr frz plasma donor retested HCPCS P9060 | not published | not published | $24.02 – $96.06 | 25 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $19.27 – $389.01 | 24 |
| Frozen blood prep CPT 86930 | not published | not published | $32.00 – $457.40 | 24 |
| Frozen blood thaw CPT 86931 | not published | not published | $32.00 – $343.41 | 24 |
| Frozen cell preparation CPT 88241 | not published | not published | $6.05 – $55.56 | 27 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $30.59 – $122.34 | 21 |
| Ft arch suprt premold longit HCPCS L3040 | not published | not published | $44.92 – $114.00 | 22 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $320.00 – $1,545.00 | 3 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $320.00 – $1,545.00 | 3 |
| Ft insert ucb berkeley shell HCPCS L3000 | not published | not published | $299.86 – $761.02 | 23 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $169.36 – $2,974.74 | 22 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $34.76 – $281.39 | 22 |
| Ftl cgen abnor four anal CPT 81511 | not published | not published | $76.75 – $307.00 | 22 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $27.77 – $255.89 | 22 |
| Ftl cgen abnor two proteins CPT 81508 | not published | not published | $27.15 – $180.58 | 22 |
| Ft prosth multiaxial ankl/ft HCPCS L5978 | not published | not published | $272.93 – $816.98 | 23 |
| Full field erg w/i&r CPT 92273 | not published | not published | $102.44 – $611.40 | 23 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $19.00 – $474.60 | 28 |
| Full sole/heel wedge btween HCPCS L3420 | not published | not published | $44.25 – $132.46 | 22 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $320.00 – $3,591.52 | 27 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $320.00 – $3,591.52 | 27 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $1,545.00 – $1,545.00 | 1 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $320.00 – $3,591.52 | 27 |
| Functional brain mapping CPT 96020 | not published | not published | $231.43 – $784.26 | 3 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $14.00 – $253.08 | 23 |
| Furnsh initial orthosis only HCPCS L1200 | not published | not published | $1,599.87 – $4,060.20 | 23 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | not published | $0.46 – $2.17 | 2 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Fuse gallbladder & bowel CPT 47741 | 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.