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 |
|---|---|---|---|---|
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $124.34 – $315.56 | 23 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | not published | not published | $395.11 – $1,002.72 | 23 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $90.45 – $180.90 | 23 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | not published | not published | $290.31 – $736.76 | 23 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | not published | not published | $861.52 – $2,186.38 | 23 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $30.35 – $77.00 | 22 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $21.83 – $55.42 | 22 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $81.32 – $206.38 | 22 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $52.49 – $157.14 | 22 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $8.51 – $21.60 | 22 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $43.23 – $129.44 | 22 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $250.00 – $6,370.46 | 27 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $320.00 – $6,370.46 | 27 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $363.00 – $25,262.72 | 27 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $363.00 – $14,026.00 | 27 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $363.00 – $14,026.00 | 27 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $24.84 – $49.68 | 21 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $24.84 – $49.68 | 21 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $24.84 – $49.68 | 21 |
| Osteoplasty humerus CPT 24420 | not published | not published | $363.00 – $14,026.00 | 27 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $363.00 – $2,922.00 | 3 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $363.00 – $2,922.00 | 3 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $363.00 – $2,922.00 | 3 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $297.00 – $14,026.00 | 27 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $363.00 – $2,922.00 | 3 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $363.00 – $14,026.00 | 27 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $3.31 – $6.62 | 21 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $46.87 – $136.56 | 23 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $3.81 – $7.62 | 21 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $3.85 – $10.00 | 23 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $6.65 – $13.30 | 21 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $2.41 – $4.82 | 21 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $12.63 – $25.26 | 21 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $11.90 – $23.80 | 21 |
| Ot evaluation high complexity patient/family CPT 97167 | not published | not published | $148.26 – $299.00 | 7 |
| Ot evaluation low complexity patient/family CPT 97165 | not published | not published | $98.88 – $299.00 | 7 |
| Ot evaluation moderate complexity patient/family CPT 97166 | not published | not published | $148.26 – $299.00 | 7 |
| Other bone graft microvasc CPT 20962 | not published | not published | $363.00 – $2,922.00 | 3 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $11.57 – $121.12 | 28 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | not published | not published | $74.83 – $299.00 | 5 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | not published | not published | $68.51 – $299.00 | 5 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | not published | not published | $55.00 – $299.00 | 5 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $40.97 – $58.83 | 2 |
| Otoplasty 69300 CPT 69300 | not published | not published | $297.00 – $6,367.44 | 26 |
| Ot re-evaluation patient/family CPT 97168 | not published | not published | $98.88 – $299.00 | 7 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | not published | not published | $21.76 – $299.00 | 7 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | not published | not published | $32.09 – $299.00 | 5 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | not published | not published | $33.57 – $299.00 | 5 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | not published | not published | $21.76 – $299.00 | 7 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | not published | not published | $90.00 – $299.00 | 5 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | not published | not published | $40.00 – $299.00 | 5 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Out of office emerg med serv CPT 99060 | not published | not published | $48.52 – $48.52 | 1 |
| Outrigger HCPCS L1080 | not published | not published | $43.14 – $129.16 | 23 |
| Outrigger bil with vert extens HCPCS L1085 | not published | not published | $130.30 – $390.02 | 23 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $363.00 – $9,692.22 | 23 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $106.42 – $285.25 | 2 |
| Ovulation tests CPT 84830 | not published | not published | $6.35 – $54.15 | 24 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $0.64 – $4.87 | 5 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | not published | not published | $0.05 – $8.62 | 5 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $2.26 – $5.90 | 4 |
| Oxytetracycline injection HCPCS J2460 | not published | not published | $0.37 – $0.37 | 1 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | not published | not published | $0.60 – $2.61 | 5 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $151.38 – $721.52 | 4 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $80.77 – $351.68 | 22 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $68.50 – $274.00 | 22 |
| Packing strips, non-impreg HCPCS A6407 | not published | not published | $2.61 – $5.22 | 21 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | not published | not published | $0.11 – $0.25 | 5 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | not published | not published | $9.84 – $26.58 | 23 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $282.88 – $1,353.00 | 22 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $150.68 – $602.70 | 22 |
| Palifermin injection HCPCS J2425 | not published | not published | $11.47 – $66.74 | 23 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $360.51 – $391.60 | 2 |
| Palingen or promatrx HCPCS Q4174 | not published | not published | $329.74 – $1,441.50 | 2 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | not published | not published | $7.24 – $28.92 | 23 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $387.24 – $1,413.40 | 21 |
| Palonosetron hcl HCPCS J2469 | not published | not published | $0.50 – $43.26 | 5 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | not published | not published | $13.88 – $259.91 | 5 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Pancreatectomy CPT 48146 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Pancreatectomy CPT 48152 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Pancreatectomy CPT 48154 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | not published | not published | $82.87 – $325.36 | 23 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | not published | not published | $4.78 – $9.78 | 4 |
| Papaverin hcl injection HCPCS J2440 | not published | not published | $5.01 – $45.94 | 5 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Parathyrd planar w/spect&ct CPT 78072 | not published | not published | $38.86 – $1,406.09 | 24 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $320.00 – $2,922.00 | 3 |
| Parathyroid planar img w/tomo spect CPT 78071 | not published | not published | $197.24 – $1,250.78 | 28 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $320.00 – $9,692.22 | 23 |
| Parenteral 50% dextrose solu HCPCS B4164 | not published | not published | $30.10 – $40.65 | 2 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $363.00 – $12,804.24 | 27 |
| Paricalcitol HCPCS J2501 | not published | not published | $0.81 – $4.58 | 5 |
| Parotid duct diversion CPT 42507 | not published | not published | $363.00 – $11,614.80 | 27 |
| Parotid duct diversion CPT 42509 | not published | not published | $363.00 – $11,614.80 | 27 |
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.