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 |
|---|---|---|---|---|
| Ob Ultrasound nuchal meas add-on CPT 76814 | not published | not published | $33.52 – $164.44 | 11 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $363.00 – $6,242.68 | 27 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | not published | not published | $57.08 – $115.38 | 23 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | not published | not published | $71.09 – $428.74 | 23 |
| Ocular function screen CPT 99172 | not published | not published | $34.49 – $34.49 | 1 |
| Ocular instrumnt screen bil CPT 99174 | not published | not published | $26.68 – $26.68 | 1 |
| Ocular instrumnt screen bil CPT 99177 | not published | not published | $7.73 – $7.73 | 1 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $117.38 – $1,077.12 | 27 |
| Ocular reconst transplant CPT 65780 | not published | not published | $1,427.68 – $7,403.98 | 25 |
| Ocular reconst transplant CPT 65781 | not published | not published | $3,327.00 – $10,130.58 | 21 |
| Ocular reconst transplant CPT 65782 | not published | not published | $3,327.00 – $7,403.98 | 21 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | not published | not published | $50.61 – $122.18 | 23 |
| Off base opioid tx, 60 m HCPCS G2087 | not published | not published | $157.73 – $315.46 | 20 |
| Off base opioid tx 70min HCPCS G2086 | not published | not published | $157.73 – $315.46 | 20 |
| Office emergency care CPT 99058 | not published | not published | $44.26 – $44.26 | 1 |
| Off/op cnsltj new/est low 30 CPT 99243 | not published | not published | $144.00 – $247.03 | 2 |
| Off/op cnsltj new/est mod 40 CPT 99244 | not published | not published | $214.64 – $370.45 | 2 |
| Off/op consltj new/est hi 55 CPT 99245 | not published | not published | $264.04 – $452.03 | 2 |
| Off/op consltj new/est sf 20 CPT 99242 | not published | not published | $104.64 – $180.28 | 2 |
| Offset knee joint each HCPCS L2390 | not published | not published | $97.19 – $246.64 | 23 |
| Offset knee joint heavy duty HCPCS L2395 | not published | not published | $185.22 – $470.06 | 23 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | not published | not published | $0.89 – $1.04 | 4 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $2.87 – $5.74 | 23 |
| Ol dig e/m svc 11-20 min CPT 99422 | not published | not published | $37.00 – $81.00 | 2 |
| Ol dig e/m svc 21+ min CPT 99423 | not published | not published | $60.00 – $81.00 | 2 |
| Ol dig e/m svc 5-10 min CPT 99421 | not published | not published | $19.00 – $81.00 | 2 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | not published | not published | $35.82 – $74.14 | 23 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $1,936.50 – $7,746.00 | 23 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $1,255.11 – $5,020.42 | 27 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $1,936.50 – $7,746.00 | 23 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $1,936.50 – $7,746.00 | 23 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $1,936.50 – $7,746.00 | 23 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $3,596.50 – $14,386.00 | 23 |
| Oncology colon mrna CPT 81525 | not published | not published | $1,558.00 – $12,411.58 | 22 |
| Oncology colorectal scr CPT 81528 | not published | not published | $254.44 – $2,034.87 | 28 |
| Oncology gynecologic CPT 81535 | not published | not published | $289.73 – $2,317.01 | 21 |
| Oncology gynecologic CPT 81536 | not published | not published | $88.78 – $709.64 | 21 |
| Oncology lung CPT 81538 | not published | not published | $1,435.50 – $8,444.43 | 21 |
| Oncology prostate prob score CPT 81539 | not published | not published | $380.00 – $2,391.10 | 21 |
| Oncology tissue of origin CPT 81504 | not published | not published | $260.00 – $1,040.00 | 21 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $1,875.00 – $11,595.07 | 22 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $448.50 – $1,794.00 | 22 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $130.25 – $521.00 | 21 |
| Oncoprotein dcp CPT 83951 | not published | not published | $32.21 – $350.53 | 28 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $32.21 – $350.53 | 28 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $1,015.00 – $4,060.00 | 21 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $1,936.50 – $7,746.00 | 21 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $1,936.50 – $7,746.00 | 21 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $1,800.00 – $7,200.00 | 21 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $3,888.00 – $15,552.00 | 21 |
| Ondansetron 4 mg s0119 HCPCS S0119 | not published | not published | $0.47 – $30.37 | 2 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | not published | not published | $0.01 – $0.08 | 5 |
| One-way allow prorated trip HCPCS P9604 | not published | not published | $20.39 – $20.39 | 1 |
| One way chest drain valve HCPCS A7040 | not published | not published | $56.82 – $113.64 | 21 |
| Oocyte identification CPT 89254 | not published | not published | $84.11 – $408.77 | 21 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Open aortofemor prosth repr CPT 34832 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $250.00 – $7,518.40 | 23 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $1,954.22 – $11,614.80 | 25 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $363.00 – $11,614.80 | 27 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $297.00 – $7,518.40 | 27 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $221.76 – $3,142.24 | 27 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $250.00 – $10,613.56 | 27 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $320.00 – $2,922.00 | 3 |
| Open tx iliac spine uni/bil HCPCS G0412 | not published | not published | $2,922.00 – $9,397.43 | 2 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $363.00 – $11,614.80 | 27 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $250.00 – $6,367.44 | 27 |
| Open tx post pelvic fxcture HCPCS G0415 | not published | not published | $2,922.00 – $19,822.14 | 2 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $363.00 – $14,026.00 | 23 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $363.00 – $14,026.00 | 23 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $363.00 – $3,142.24 | 23 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Ophthalmic biometry CPT 92136 | not published | not published | $51.00 – $253.08 | 23 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Ophthalmic mitomycin HCPCS J7315 | not published | not published | $451.50 – $650.25 | 2 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $14.00 – $77.06 | 23 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $63.27 – $324.79 | 28 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $27.00 – $239.33 | 28 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $48.00 – $209.50 | 28 |
| Opioids & opiate analogs 3/4 CPT 80363 | not published | not published | $17.83 – $30.14 | 9 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Opn ax/subcla art expos CPT 34715 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Opn exc/dst ntra-abd CPT 49189 | not published | not published | $320.00 – $2,922.00 | 3 |
| Opn exc/dst ntra-abd 10.1-20 CPT 49188 | not published | not published | $320.00 – $2,922.00 | 3 |
| Opn exc/dstr ntra-abd >30 cm CPT 49190 | not published | not published | $320.00 – $2,922.00 | 3 |
| Opn exc/dstr ntra-abd 5.1-10 CPT 49187 | not published | not published | $320.00 – $2,922.00 | 3 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | not published | not published | $320.00 – $2,922.00 | 3 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Opn ilac art expos cndt crtj CPT 34833 | 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.