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 |
|---|---|---|---|---|
| Lithium ion battery charger HCPCS L7368 | not published | not published | $482.72 – $1,225.08 | 23 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $88.10 – $352.38 | 20 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Liver imaging CPT 78201 | not published | not published | $102.00 – $1,056.84 | 28 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $40.00 – $1,056.84 | 28 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $57.00 – $788.96 | 28 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $147.86 – $4,580.54 | 23 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $297.00 – $6,370.46 | 27 |
| Lockingelbow forearm cntrbal HCPCS L6693 | not published | not published | $2,715.30 – $6,891.00 | 23 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $0.93 – $1.78 | 3 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $39.33 – $118.11 | 2 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $186.83 – $416.48 | 23 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $139.41 – $353.80 | 23 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | not published | not published | $1.53 – $4.73 | 5 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $55.60 – $111.20 | 23 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | not published | not published | $74.41 – $188.84 | 23 |
| Loudness balance test CPT 92562 | not published | not published | $2.40 – $611.40 | 23 |
| Low back disk surgery CPT 63030 | not published | not published | $297.00 – $14,026.00 | 27 |
| Low cost skin substitute app HCPCS C5271 | not published | not published | $600.93 – $1,201.86 | 21 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $1,795.76 – $3,591.52 | 21 |
| Low cost skin substitute app HCPCS C5275 | not published | not published | $600.93 – $1,201.86 | 21 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $600.93 – $1,201.86 | 21 |
| Low cost skin substitute app HCPCS C5272 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Low cost skin substitute app HCPCS C5274 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Low cost skin substitute app HCPCS C5276 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Low cost skin substitute app HCPCS C5278 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Lower jaw bone graft CPT 21215 | not published | not published | $2,788.09 – $11,614.80 | 25 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $185.00 – $500.00 | 23 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $17.10 – $18.00 | 3 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $363.00 – $20,441.38 | 27 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $363.00 – $20,441.38 | 23 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $363.00 – $20,441.38 | 27 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $363.00 – $20,441.38 | 23 |
| Lso corset front HCPCS L0972 | not published | not published | $100.08 – $299.54 | 23 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $59.83 – $119.66 | 23 |
| Lso full corset HCPCS L0976 | not published | not published | $141.67 – $424.04 | 23 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $154.58 – $392.28 | 23 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $1,258.99 – $3,195.12 | 23 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $847.27 – $1,694.54 | 23 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $115.52 – $231.04 | 23 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $800.80 – $2,396.94 | 23 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $1,280.38 – $3,249.40 | 23 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $232.08 – $694.72 | 23 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $204.55 – $409.10 | 23 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $998.82 – $2,534.86 | 23 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $1,159.71 – $2,943.18 | 23 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $11.00 – $119.70 | 28 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $2.23 – $4.46 | 23 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $75.30 – $191.10 | 23 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $74.44 – $188.92 | 23 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $91.89 – $3,834.06 | 26 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $66.76 – $199.78 | 23 |
| Lumbar sling HCPCS L1090 | not published | not published | $77.17 – $230.98 | 23 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $6,159.00 – $36,107.02 | 25 |
| Lumizyme injection HCPCS J0221 | not published | not published | $153.60 – $395.90 | 23 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $16.00 – $116.62 | 23 |
| Lung transplant double CPT 32853 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Lung transplant single CPT 32851 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Lung transplant with bypass CPT 32852 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Lung transplant with bypass CPT 32854 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $189.04 – $402.30 | 23 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $40.52 – $81.04 | 21 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $290.83 – $581.66 | 21 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $236.80 – $473.60 | 23 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $619.82 – $1,239.64 | 21 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $24.04 – $48.23 | 21 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $228.98 – $685.38 | 23 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $10.03 – $109.71 | 27 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $250.00 – $2,922.00 | 3 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $18.28 – $307.80 | 28 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $24.52 – $266.48 | 28 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $74.67 – $379.02 | 28 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $23.80 – $259.36 | 28 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $262.09 – $1,213.90 | 26 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $277.30 – $3,050.02 | 26 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $285.91 – $6,179.80 | 26 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $138.46 – $6,179.80 | 26 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $187.22 – $999.86 | 27 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $250.00 – $6,242.68 | 27 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $250.00 – $4,022.04 | 27 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $15.33 – $15.33 | 1 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $4.32 – $77.54 | 4 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $2.14 – $22.78 | 28 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | not published | not published | $0.49 – $1.95 | 5 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $118.65 – $2,251.00 | 30 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $13.57 – $37.34 | 23 |
| Malaria antibody CPT 86750 | not published | not published | $6.60 – $71.26 | 28 |
| Male sling procedure CPT 53440 | not published | not published | $363.00 – $25,509.32 | 27 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $250.00 – $3,142.24 | 27 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $250.00 – $3,142.24 | 27 |
| Manipulation of hip joint CPT 27275 | not published | not published | $250.00 – $3,142.24 | 27 |
| Manipulation of spine CPT 22505 | not published | not published | $593.04 – $3,142.24 | 25 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $46.19 – $470.98 | 25 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $2.26 – $6.21 | 5 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $1.18 – $7.64 | 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.