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 |
|---|---|---|---|---|
| Prep bk ptb open end socket HCPCS L5535 | not published | not published | $1,592.23 – $4,765.98 | 23 |
| Prep bk ptb plaster molded HCPCS L5510 | not published | not published | $1,368.21 – $4,095.38 | 23 |
| Prep bk ptb thermopls molded HCPCS L5530 | not published | not published | $1,874.29 – $4,756.64 | 23 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Prep donor liver/venous CPT 47146 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Prep donor liver whole CPT 47143 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Prep donor pancreas CPT 48551 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Prep donor renal graft CPT 50325 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $363.00 – $14,235.64 | 22 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $259.00 – $1,997.54 | 20 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Prep renal graft/venous CPT 50327 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Prep skin cell susp, automtd HCPCS C8002 | not published | not published | $7,117.82 – $14,235.64 | 20 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $1,545.00 – $1,545.00 | 1 |
| Pressure max expiratory/inspiratory CPT 94799 | not published | not published | $153.60 – $307.20 | 21 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Pre-tibial shell molded to p HCPCS L2340 | not published | not published | $492.06 – $1,248.76 | 23 |
| Pretreat rbc w enzyme reference CPT 86971 | not published | not published | $24.00 – $336.44 | 24 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | not published | not published | $157.73 – $315.46 | 21 |
| Preventive counseling group CPT 99411 | not published | not published | $32.46 – $32.46 | 1 |
| Preventive counseling group CPT 99412 | not published | not published | $42.64 – $42.64 | 1 |
| Prev med cnsl indiv apprx 15 CPT 99401 | not published | not published | $11.00 – $72.66 | 3 |
| Prev med cnsl indiv apprx 30 CPT 99402 | not published | not published | $28.60 – $124.72 | 3 |
| Prev med cnsl indiv apprx 45 CPT 99403 | not published | not published | $175.29 – $175.29 | 1 |
| Prev med cnsl indiv apprx 60 CPT 99404 | not published | not published | $225.92 – $225.92 | 1 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $126.51 – $253.02 | 21 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $74.19 – $3,181.18 | 27 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $250.00 – $3,181.18 | 27 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $97.73 – $1,547.00 | 3 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $97.73 – $1,547.00 | 3 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $97.73 – $1,547.00 | 3 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $97.73 – $1,547.00 | 3 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $97.73 – $1,547.00 | 3 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $72.83 – $1,547.00 | 3 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $90.81 – $181.62 | 21 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $126.51 – $253.02 | 21 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $126.51 – $253.02 | 21 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $320.00 – $5,247.00 | 27 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $108.29 – $586.92 | 27 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $250.00 – $4,580.54 | 27 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $250.00 – $4,580.54 | 27 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $297.00 – $4,580.54 | 27 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | not published | not published | $32.26 – $622.52 | 23 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $79.36 – $135.73 | 2 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | not published | not published | $2.92 – $20.22 | 5 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.08 – $0.79 | 3 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $320.00 – $5,384.40 | 27 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $297.00 – $2,315.00 | 27 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $250.00 – $2,315.00 | 27 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $82.50 – $1,790.06 | 27 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $250.00 – $5,384.40 | 27 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $250.00 – $2,315.00 | 27 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $250.00 – $2,315.00 | 27 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $250.00 – $5,384.40 | 27 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $250.00 – $2,315.00 | 27 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $250.00 – $5,384.40 | 27 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $297.00 – $11,687.74 | 27 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $135.93 – $135.93 | 1 |
| Prolng clin staff svc 1st hr CPT 99415 | not published | not published | $17.16 – $17.16 | 1 |
| Prolng clin staff svc ea add CPT 99416 | not published | not published | $8.96 – $8.96 | 1 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | not published | not published | $16.96 – $1,547.00 | 3 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | not published | not published | $16.96 – $16.96 | 1 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $325.62 – $651.24 | 21 |
| Prolong service without contact CPT 99358 | not published | not published | $227.82 – $227.82 | 1 |
| Prolong serv without contact add CPT 99359 | not published | not published | $109.54 – $109.54 | 1 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.05 – $0.28 | 3 |
| Promethazine hcl injection HCPCS J2550 | not published | not published | $3.31 – $5.55 | 5 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $108.29 – $586.92 | 27 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $119.87 – $1,077.12 | 27 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $2,366.00 – $25,262.72 | 25 |
| Prophylactic tx radius CPT 25490 | not published | not published | $2,366.00 – $14,026.00 | 25 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $250.00 – $6,370.46 | 27 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $2,366.00 – $25,262.72 | 25 |
| Propofol infusion 10 mg/ml HCPCS J2704 | not published | not published | $0.09 – $0.25 | 5 |
| _propoxygc/msur CPT 80367 | not published | not published | $10.51 – $47.63 | 10 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | not published | not published | $3.35 – $10.10 | 5 |
| Pros sheath/sock w gel cushn HCPCS L8417 | not published | not published | $71.92 – $182.52 | 23 |
| Pros soc insert gasket/seal HCPCS L7700 | not published | not published | $109.12 – $270.92 | 23 |
| Pros sock multi ply upper lm HCPCS L8435 | not published | not published | $22.81 – $57.88 | 23 |
| Pros sock single ply ak HCPCS L8480 | not published | not published | $9.95 – $25.24 | 23 |
| Pros sock single ply upper l HCPCS L8485 | not published | not published | $10.52 – $26.70 | 23 |
| Prostate ca screening; dre HCPCS G0102 | not published | not published | $32.09 – $39.45 | 2 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $363.00 – $9,981.18 | 27 |
| Prostate laser enucleation CPT 52649 | not published | not published | $363.00 – $9,981.18 | 27 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $363.00 – $6,771.70 | 27 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $993.06 – $6,771.70 | 25 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | not published | not published | $132.55 – $265.10 | 21 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | not published | not published | $40.06 – $101.66 | 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.