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 |
|---|---|---|---|---|
| Ghs quinidine CPT 80194 | not published | not published | $7.30 – $79.80 | 28 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $57.75 – $651.24 | 23 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $297.00 – $3,142.24 | 27 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $250.00 – $6,370.46 | 27 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $7.95 – $69.81 | 28 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $2.16 – $22.78 | 28 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $6.16 – $65.56 | 24 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $4.92 – $48.44 | 24 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $143.08 – $784.44 | 27 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $74.34 – $390.12 | 27 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $153.60 – $307.20 | 21 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $31.85 – $611.40 | 23 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $241.00 – $1,041.78 | 23 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $22.13 – $106.96 | 3 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $39.53 – $579.58 | 27 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $18.00 – $253.08 | 23 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $222.79 – $222.79 | 1 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $15.00 – $77.06 | 23 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $126.54 – $255.00 | 23 |
| Ghs st - re-eval for alt comm CPT 92597 | not published | not published | $106.69 – $185.00 | 3 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $30.53 – $90.60 | 21 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $196.81 – $413.66 | 23 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $143.08 – $784.44 | 25 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $3.65 – $39.90 | 28 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $80.27 – $470.98 | 27 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $12.15 – $132.53 | 28 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $344.82 – $1,041.78 | 23 |
| Ghs windowing of cast CPT 29730 | not published | not published | $25.90 – $309.80 | 25 |
| Giardia ag if CPT 87269 | not published | not published | $6.81 – $65.56 | 28 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $7.36 – $79.80 | 28 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $103.04 – $474.60 | 26 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $289.86 – $6,367.44 | 25 |
| Gi protein loss CPT 78282 | not published | not published | $28.00 – $788.96 | 28 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $672.12 – $1,840.80 | 27 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $895.03 – $1,790.06 | 25 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $583.03 – $1,840.80 | 27 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $761.55 – $1,840.80 | 27 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $50.56 – $421.05 | 28 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $30.76 – $165.74 | 27 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $17.50 – $249.64 | 27 |
| Glassia injection HCPCS J0257 | not published | not published | $3.92 – $10.82 | 23 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $24.04 – $48.08 | 21 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $38.53 – $77.06 | 21 |
| Glaucoma surgery CPT 66150 | not published | not published | $363.00 – $7,898.48 | 27 |
| Glaucoma surgery CPT 66155 | not published | not published | $363.00 – $7,898.48 | 27 |
| Glaucoma surgery CPT 66160 | not published | not published | $363.00 – $4,477.98 | 27 |
| Glaucoma surgery CPT 66170 | not published | not published | $363.00 – $4,477.98 | 27 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $108.32 – $274.88 | 23 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $38.55 – $361.62 | 23 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $109.86 – $219.72 | 23 |
| Glucagon plasma - sendout CPT 82943 | not published | not published | $7.15 – $78.39 | 28 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $23.04 – $289.26 | 28 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $25.25 – $289.26 | 28 |
| Glucagon tolerance test CPT 82946 | not published | not published | $8.89 – $82.64 | 28 |
| Glucose 1 hr post dose CPT 82950 | not published | not published | $2.38 – $25.66 | 28 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $3.03 – $32.78 | 28 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $58.31 – $116.62 | 21 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $0.51 – $1.14 | 22 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $11.65 – $62.41 | 4 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $10.35 – $27.83 | 23 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $74.21 – $800.85 | 28 |
| Gonioscopy CPT 92020 | not published | not published | $54.32 – $253.08 | 21 |
| Goniotomy CPT 65820 | not published | not published | $363.00 – $7,898.48 | 27 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $318.75 – $1,380.38 | 23 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | not published | $30.36 – $63.96 | 5 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $1,055.97 – $1,493.91 | 2 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | not published | $63.62 – $92.86 | 2 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $363.00 – $6,370.46 | 23 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $35.22 – $65.62 | 2 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $311.36 – $2,922.00 | 5 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $34.27 – $104.99 | 5 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | not published | $105.46 – $105.46 | 1 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $136.37 – $287.48 | 3 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $23.13 – $94.43 | 5 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $170.18 – $170.18 | 1 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $37.50 – $287.61 | 3 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $1.66 – $51.60 | 5 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.26 – $18.82 | 5 |
| Granulocyte pheresis ea unit HCPCS P9050 | not published | not published | $1,093.88 – $3,143.25 | 9 |
| Great toe-hand transfer CPT 26551 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $709.01 – $3,591.52 | 25 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $1,457.62 – $7,187.94 | 25 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $250.00 – $7,187.94 | 27 |
| Ground mileage HCPCS A0425 | not published | not published | $15.09 – $21.83 | 2 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $25.98 – $58.48 | 21 |
| Group health education CPT 99078 | not published | not published | $81.00 – $81.00 | 1 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $23.57 – $81.00 | 3 |
| Growth hormone antibody CPT 86277 | not published | not published | $7.87 – $85.51 | 28 |
| Growth hormone panel CPT 80428 | not published | not published | $33.35 – $443.16 | 28 |
| Growth hormone panel CPT 80430 | not published | not published | $64.67 – $443.16 | 28 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $29.93 – $151.20 | 27 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $29.24 – $58.48 | 21 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $29.24 – $58.48 | 21 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $2,922.00 – $19,226.00 | 2 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $2,922.00 – $19,226.00 | 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.