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 |
|---|---|---|---|---|
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $12.25 – $34.16 | 23 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $3.44 – $35.61 | 28 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | not published | not published | $0.24 – $0.54 | 5 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $592.78 – $2,908.34 | 25 |
| Irrigation syringe HCPCS A4322 | not published | not published | $2.56 – $7.88 | 23 |
| Irrigation tray HCPCS A4320 | not published | not published | $4.27 – $12.68 | 23 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $58.31 – $116.62 | 21 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $66.68 – $155.80 | 23 |
| Island pedicle flap graft CPT 15740 | not published | not published | $320.00 – $3,591.52 | 27 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $638.60 – $1,277.20 | 20 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $156.45 – $156.45 | 1 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $23.33 – $1,283.40 | 24 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $179.00 – $783.48 | 21 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $64.00 – $448.79 | 28 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $63.74 – $267.86 | 23 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $1,088.27 – $6,370.46 | 25 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $297.00 – $6,370.46 | 27 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $250.00 – $3,724.56 | 27 |
| J-tube placement CPT 44015 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | not published | not published | $1,036.68 – $2,630.92 | 23 |
| Kafo dbl solid stirrup without j HCPCS L2030 | not published | not published | $909.32 – $2,307.70 | 23 |
| Kafo fem fx cast molded to p HCPCS L2128 | not published | not published | $1,290.77 – $3,863.60 | 23 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | not published | not published | $856.78 – $2,564.54 | 23 |
| Kafo fem fx cast thermoplas HCPCS L2126 | not published | not published | $901.39 – $2,698.10 | 23 |
| Kafo femoral fx cast rigid HCPCS L2136 | not published | not published | $970.01 – $2,903.50 | 23 |
| Kafo femoral fx cast soft HCPCS L2132 | not published | not published | $685.03 – $2,050.46 | 23 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | not published | not published | $2,004.58 – $5,087.32 | 23 |
| Kafo plas sing free knee mol HCPCS L2037 | not published | not published | $1,478.77 – $3,752.88 | 23 |
| Kafo plastic pediatric size HCPCS L2035 | not published | not published | $140.21 – $419.70 | 23 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | not published | not published | $900.52 – $2,285.38 | 23 |
| Kafo sng/dbl mechanical act HCPCS L2005 | not published | not published | $3,911.54 – $9,926.88 | 23 |
| Kafo sng solid stirrup without j HCPCS L2010 | not published | not published | $879.38 – $2,231.72 | 23 |
| Kafo without joint multi-axis an HCPCS L2038 | not published | not published | $1,269.37 – $3,221.44 | 23 |
| Keratomileusis CPT 65760 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Keratophakia CPT 65765 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Keratoprosthesis CPT 65770 | not published | not published | $4,754.00 – $28,055.64 | 21 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $705.65 – $705.65 | 1 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $10.33 – $47.63 | 10 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $7.74 – $76.97 | 28 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | not published | not published | $0.50 – $9.93 | 23 |
| Kidney endoscopy CPT 50551 | not published | not published | $250.00 – $9,981.18 | 27 |
| Kidney endoscopy CPT 50553 | not published | not published | $250.00 – $9,981.18 | 27 |
| Kidney endoscopy CPT 50570 | not published | not published | $250.00 – $6,771.70 | 27 |
| Kidney endoscopy CPT 50575 | not published | not published | $250.00 – $9,981.18 | 27 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $1,545.00 – $18,155.86 | 25 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $1,142.90 – $6,771.70 | 25 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $1,545.00 – $18,155.86 | 25 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $250.00 – $9,981.18 | 27 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $250.00 – $18,155.86 | 27 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $250.00 – $9,981.18 | 27 |
| Kidney function study CPT 78725 | not published | not published | $28.00 – $788.96 | 28 |
| Kidney imaging morphology CPT 78700 | not published | not published | $35.00 – $788.96 | 28 |
| Kidney img w/bldflw sgl without rx CPT 78707 | not published | not published | $69.00 – $1,056.84 | 28 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | not published | not published | $51.45 – $102.90 | 21 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | not published | not published | $6.97 – $19.54 | 23 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | not published | not published | $21,200.00 – $21,200.00 | 1 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $62.44 – $498.76 | 26 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | not published | not published | $14.42 – $33.52 | 23 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $11.87 – $62.85 | 5 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | not published | not published | $1,683.65 – $4,180.18 | 25 |
| Kit trach suct cls 30.5cm HCPCS A4605 | not published | not published | $22.92 – $45.84 | 21 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $297.00 – $6,370.46 | 27 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $250.00 – $6,370.46 | 27 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $250.00 – $6,370.46 | 27 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $297.00 – $6,370.46 | 27 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $320.00 – $3,142.24 | 27 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $320.00 – $3,142.24 | 27 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $297.00 – $6,370.46 | 27 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $250.00 – $6,370.46 | 27 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $297.00 – $6,370.46 | 27 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $297.00 – $6,370.46 | 27 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $297.00 – $6,370.46 | 27 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $297.00 – $6,370.46 | 27 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $250.00 – $6,370.46 | 27 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $297.00 – $6,370.46 | 27 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $297.00 – $6,370.46 | 27 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $297.00 – $6,370.46 | 27 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $297.00 – $14,026.00 | 27 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $297.00 – $14,026.00 | 27 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $297.00 – $25,262.72 | 27 |
| Knee cap medial or lateral p HCPCS L2800 | not published | not published | $94.71 – $240.34 | 23 |
| Knee control condylar pad HCPCS L2810 | not published | not published | $77.18 – $195.88 | 23 |
| Knee control full kneecap HCPCS L2795 | not published | not published | $86.96 – $220.70 | 23 |
| Knee disart expand wall sock HCPCS L5653 | not published | not published | $477.78 – $1,430.08 | 23 |
| Knee disarticulat leather so HCPCS L5640 | not published | not published | $512.81 – $1,534.94 | 23 |
| Knee disc/dial lock/adj flex HCPCS L2425 | not published | not published | $136.84 – $347.28 | 23 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | not published | not published | $136.84 – $347.28 | 23 |
| Knee joint cam lock each joi HCPCS L2415 | not published | not published | $115.95 – $294.26 | 23 |
| Knee joint drop lock ea jnt HCPCS L2405 | not published | not published | $83.23 – $211.24 | 23 |
| Knee lift loop drop lock rin HCPCS L2492 | not published | not published | $85.69 – $256.46 | 23 |
| Knee orth pos locking joint HCPCS L1831 | not published | not published | $280.94 – $712.98 | 23 |
| Knee-shin exo fluid swing ph HCPCS L5724 | not published | not published | $1,903.63 – $4,831.10 | 23 |
| Knee-shin exo frct swg & sta HCPCS L5718 | not published | not published | $750.70 – $2,247.04 | 23 |
| Knee-shin exo frict swg & st HCPCS L5712 | not published | not published | $455.65 – $1,363.86 | 23 |
| Knee-shin exo mech stance ph HCPCS L5716 | not published | not published | $680.45 – $2,036.72 | 23 |
| Knee-shin exo mnl lock ultra HCPCS L5711 | not published | not published | $434.79 – $1,301.40 | 23 |
| Knee-shin exo variable frict HCPCS L5714 | not published | not published | $384.96 – $1,152.24 | 23 |
| Knee-shin ext jnts fld swg e HCPCS L5726 | not published | not published | $1,860.11 – $5,567.72 | 23 |
| Knee-shin fluid swg & stance HCPCS L5728 | not published | not published | $1,987.29 – $5,948.44 | 23 |
| Knee-shin pneum/hydra pneum HCPCS L5780 | not published | not published | $1,057.90 – $3,166.54 | 23 |
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.