Supplies, drugs & other prices at Ascension Seton Edgar B Davis
Luling, TX · every code in this section with a posted price and a Medicare benchmark.
41 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,co (C8923) | $1,031.85 | $2,866.25 | 1.3× |
| 2d tte w or w/o fol w/con,fu (C8924) | $544.23 | $1,511.75 | 1.6× |
| Admin hepatitis b vaccine (G0010) | $32.31 | $89.75 | 0.7× |
| Admin influenza virus vac (G0008) range across 6 matching MRF lines |
$52.20–$132.66 | $145–$368.50 | varies |
| Admin pneumococcal vaccine (G0009) range across 4 matching MRF lines |
$37.80–$52.20 | $105–$145 | varies |
| Covid-19 lab test non-cdc (U0002) | $84.87 | $235.75 | 1.7× |
| Drug test def 1-7 classes (G0480) range across 31 matching MRF lines |
$49.95–$541.08 | $138.75–$1,503 | varies |
| Elec stim other than wound (G0283) range across 5 matching MRF lines |
$38.61–$49.68 | $107.25–$138 | varies |
| Elec stim unattend for press (G0281) range across 2 matching MRF lines |
$38.61–$39.78 | $107.25–$110.50 | varies |
| Hospital outpt clinic visit (G0463) range across 22 matching MRF lines |
$44.64–$401.67 | $124–$1,115.75 | varies |
| Inj for sacroiliac jt anesth (G0260) | $959.13 | $2,664.25 | 1.4× |
| Intens cardiac rehab no exer (G0423) | $103.95 | $288.75 | 0.8× |
| Intens cardiac rehab w/exerc (G0422) | $401.67 | $1,115.75 | 3.1× |
| Mra w/cont, abd (C8900) range across 2 matching MRF lines |
$1,240.02–$1,341.90 | $3,444.50–$3,727.50 | varies |
| Mra w/cont, chest (C8909) range across 2 matching MRF lines |
$1,446.75–$1,556.46 | $4,018.75–$4,323.50 | varies |
| Mra w/cont, lwr ext (C8912) range across 4 matching MRF lines |
$1,556.46–$1,752.48 | $4,323.50–$4,868 | varies |
| Mra w/o cont, abd (C8901) range across 2 matching MRF lines |
$994.23–$1,435.05 | $2,761.75–$3,986.25 | varies |
| Mra w/o cont, chest (C8910) range across 2 matching MRF lines |
$1,259.10–$1,452.60 | $3,497.50–$4,035 | varies |
| Mra w/o cont, lwr ext (C8913) range across 6 matching MRF lines |
$1,044.09–$1,766.79 | $2,900.25–$4,907.75 | varies |
| Mra w/o fol w/cont, abd (C8902) range across 2 matching MRF lines |
$1,543.77–$1,892.07 | $4,288.25–$5,255.75 | varies |
| Mra w/o fol w/cont, chest (C8911) range across 2 matching MRF lines |
$1,770.66–$2,018.52 | $4,918.50–$5,607 | varies |
| Mra w/o fol w/cont, lwr ext (C8914) range across 4 matching MRF lines |
$1,190.97–$1,824.75 | $3,308.25–$5,068.75 | varies |
| Mra w/o fol w/cont, pelvis (C8920) range across 2 matching MRF lines |
$1,308.24–$1,754.19 | $3,634–$4,872.75 | varies |
| Mra, w/dye, upper extremity (C8934) range across 3 matching MRF lines |
$888.75–$991.71 | $2,468.75–$2,754.75 | varies |
| Mra, w/o dye, upper extr (C8935) | $1,039.32 | $2,887 | 4.3× |
| Mra, w/o&w/dye, upper extr (C8936) range across 3 matching MRF lines |
$991.71–$1,005.57 | $2,754.75–$2,793.25 | varies |
| Mri w/cont, breast, bi (C8906) | $1,225.98 | $3,405.50 | 3.5× |
| Mri w/cont, breast, uni (C8903) | $1,225.98 | $3,405.50 | 7.0× |
| Mri w/o fol w/cont, brst, un (C8905) range across 3 matching MRF lines |
$786.51–$1,225.98 | $2,184.75–$3,405.50 | varies |
| Oth resp proc, group (G0239) range across 2 matching MRF lines |
$49.05–$57.78 | $136.25–$160.50 | varies |
| Oth resp proc, indiv (G0238) range across 2 matching MRF lines |
$48.60–$207.18 | $135–$575.50 | varies |
| Pathogen test for platelets (P9100) | $42.48 | $118 | 0.7× |
| Pne flu hepb cov home admin (M0201) | $39.51 | $109.75 | 1.1× |
| Prostate biopsy, any mthd (G0416) | $2,518.29 | $6,995.25 | 7.0× |
| Quan MRI alys brain w/o diagnostic MRI same sess (0865T) | $284.49 | $790.25 | 1.2× |
| Quan MRI alys brain with diagnostic MRI (0866T) | $284.49 | $790.25 | 1.2× |
| Therapeutic procd strg endur (G0237) range across 3 matching MRF lines |
$39.15–$202.68 | $108.75–$563 | varies |
| Tomosynthesis, mammo (G0279) | $49.95 | $138.75 | 3.9× |
| Trauma respons w/hosp criti (G0390) range across 3 matching MRF lines |
$2,835.72–$4,523.04 | $7,877–$12,564 | varies |
| Tte w or w/o fol w/con,stres (C8928) | $937.80 | $2,605 | 1.2× |
| Tte w or wo fol wcon,doppler (C8929) | $1,413.27 | $3,925.75 | 1.8× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.