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 |
|---|---|---|---|---|
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $195.06 – $390.12 | 21 |
| Unlisted surgical path px CPT 88399 | not published | not published | $26.23 – $156.22 | 22 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $12.02 – $49.66 | 22 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $43.22 – $230.63 | 26 |
| Unlisted urinalysis px CPT 81099 | not published | not published | $3.26 – $49.66 | 3 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $606.95 – $1,213.90 | 21 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $197.24 – $1,283.40 | 26 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $2,922.00 – $11,455.18 | 21 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $5,727.59 – $11,455.18 | 21 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | not published | not published | $360.91 – $915.92 | 23 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $297.00 – $11,455.18 | 27 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $3.60 – $35.61 | 28 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $2.57 – $19.95 | 28 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Ureteral reflux study CPT 78740 | not published | not published | $16.00 – $800.58 | 28 |
| Ureter endoscopy CPT 50970 | not published | not published | $250.00 – $6,771.70 | 27 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $250.00 – $9,981.18 | 27 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $250.00 – $9,981.18 | 27 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $250.00 – $6,771.70 | 27 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $250.00 – $9,981.18 | 27 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $250.00 – $9,981.18 | 27 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $250.00 – $9,981.18 | 27 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $250.00 – $9,981.18 | 27 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | not published | not published | $75.06 – $474.60 | 26 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $297.00 – $6,771.70 | 23 |
| Urinalysis glass test CPT 81020 | not published | not published | $2.35 – $19.95 | 26 |
| Urinalysis microscopic only CPT 81015 | not published | not published | $1.53 – $17.12 | 28 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $1.09 – $11.41 | 28 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $42.00 – $675.00 | 6 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $2.72 – $8.88 | 23 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $4.26 – $16.80 | 23 |
| Urinary reflex study CPT 51792 | not published | not published | $58.31 – $302.94 | 23 |
| Urinary suspensory HCPCS A5105 | not published | not published | $34.58 – $113.94 | 23 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $126.54 – $255.00 | 23 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $9.11 – $18.22 | 21 |
| Urine screen for bacteria CPT 81007 | not published | not published | $3.67 – $59.96 | 28 |
| Urine shunt to intestine CPT 50815 | not published | not published | $2,922.00 – $2,922.00 | 1 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $3.00 – $18.18 | 24 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $59.19 – $310.87 | 2 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $782.13 – $782.13 | 1 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $15.65 – $15.65 | 1 |
| Use 1st target lesion CPT 76982 | not published | not published | $52.20 – $209.50 | 25 |
| User adjustable heel height HCPCS L5990 | not published | not published | $1,735.16 – $4,403.54 | 23 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $12.53 – $25.06 | 23 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $113.40 – $306.06 | 22 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $12,631.36 – $25,262.72 | 21 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $161.65 – $184.28 | 4 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $147.06 – $167.65 | 4 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $131.10 – $177.73 | 4 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $87.78 – $100.07 | 4 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $65.36 – $74.73 | 4 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $21.47 – $50.78 | 5 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $13.14 – $192.92 | 5 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $13.14 – $153.17 | 5 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $15.45 – $374.19 | 4 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $15.45 – $233.68 | 5 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $25.09 – $59.28 | 5 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $12.65 – $23.91 | 5 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $61.05 – $110.52 | 5 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $91.28 – $224.14 | 5 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $24.79 – $70.84 | 5 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $29.11 – $71.08 | 4 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $13.14 – $85.67 | 5 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $56.70 – $131.03 | 5 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $160.28 – $191.86 | 4 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $25.80 – $54.11 | 5 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $215.02 – $456.64 | 5 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $13.14 – $377.67 | 4 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $83.49 – $103.96 | 5 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $12.06 – $33.70 | 5 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $13.12 – $39.85 | 5 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $16.15 – $36.93 | 4 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $71.38 – $71.38 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $15.45 – $43.88 | 4 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $16.14 – $39.39 | 4 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $9.68 – $19.46 | 2 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $24.60 – $55.64 | 5 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $46.31 – $95.86 | 4 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $36.85 – $46.14 | 5 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $10.93 – $15.76 | 5 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $183.11 – $341.07 | 5 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $131.81 – $260.24 | 5 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $161.09 – $206.21 | 4 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $65.60 – $280.22 | 5 |
| Vaccine mmr live subcutaneous CPT 90707 | not published | not published | $34.64 – $157.30 | 5 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $24.51 – $472.58 | 5 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $133.47 – $204.62 | 5 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $257.99 – $398.76 | 5 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $246.20 – $289.06 | 4 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $283.71 – $339.77 | 4 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $19.43 – $72.99 | 5 |
| Vaccine rabies im CPT 90675 | not published | not published | $262.98 – $643.56 | 23 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $309.75 – $368.16 | 4 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $13.14 – $1,334.72 | 4 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $13.14 – $667.36 | 4 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $308.70 – $352.80 | 4 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $13.14 – $258.67 | 5 |
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.