Visits & medical services prices at Ascension Seton Edgar B Davis

Luling, TX · every code in this section with a posted price and a Medicare benchmark.

166 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $35.91 $99.75 0.2×
Application of heat wave therapy (97024) $30.60 $85 4.2×
Assessment of aphasia (96105) $74.79 $207.75 0.8×
Behavioral and qualitative analysis of voice and resonance (92524) $270.18 $750.50 2.5×
Bfb training 1st 15 min (90912) $92.48 $256.88 1.1×
Bfb training ea addl 15 min (90913) $38.12 $105.88 1.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $233.55 $648.75 0.6×
Canalith Repositioning (95992) $76.14 $211.50 1.9×
Cardiac Stress Tst,Tracing Only (93017) $461.61 $1,282.25 2.1×
Cardiopulmonary resuscitation (92950) $350.68 $974.12 1.6×
Cardioversion (92960) $878.58 $2,440.50 1.3×
Cardioversion internal (92961) $413.64 $1,149 0.6×
Cbt 1st hour (94644) $52.92 $147 0.4×
Chemo Admin Peritoneal Cavity (96446) $432.81 $1,202.25 1.3×
Chemo Hormon Antineopl Sq/Im (96402) $241.92 $672 3.3×
Chemo inj subarach/intravent (96542) $241.92 $672 0.7×
Chemo IV push addl drug (96411) $198 $550 2.7×
Chemo Iv Push Sngl Drug (96409) $252 $700 0.8×
Chemo prolong 8+ hrs infuse w/pump (96416) $392.76 $1,091 1.2×
Chemother, IV infusion, 1 hr (96413) $288 $800 0.9×
Chemother, IV infusion, ea add hr (96415) $162 $450 2.2×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $241.92 $672 3.3×
Chemotx Admn Cns Req Spinal Puncture (96450) $330.21 $917.25 1.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $230.13 $639.25 3.2×
Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) $508.05 $1,411.25 1.5×
Color/duplex Doppler, complete (93975) $610.74 $1,696.50 2.5×
Color/duplex Doppler, limited (93976) $268.02 $744.50 2.6×
Cpap initiation and management (94660) $137.61 $382.25 0.6×
Cpt initial (94667) $52.65 $146.25 0.4×
Critical care (99291) $1,682.01 $4,672.25 2.0×
Debridement Open Wound 20 Sq Cm< (97597) $176.13 $489.25 0.9×
Demo &/or eval,pt use,aerosol device (94664) $152.82 $424.50 0.7×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $716.76 $1,991 3.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $269.46 $748.50 2.6×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $335.34 $931.50 1.4×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $561.06 $1,558.50 5.3×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $792 $2,200 3.3×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $395.73 $1,099.25 3.8×
Dup-scan xtr veins unilateral/limited study (93971) $502.74 $1,396.50 4.8×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $387.72 $1,077 1.6×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $183.78 $510.50 1.7×
Duplex scan extracranial art compl bi study (93880) $488.97 $1,358.25 2.0×
Echo Heart Xthoracic,Limited (93308) $716.44 $1,990.12 3.0×
Echo transesophageal (93312) $708.39 $1,967.75 1.3×
EKG (93005) $230.54 $640.38 3.9×
EKG rhythm strip (93041) $73.98 $205.50 1.2×
Er level 1 (99281) $164.70 $457.50 1.9×
Er level ii (99282) $307.44 $854 2.0×
Er level iii (99283) $500.49 $1,390.25 1.8×
Er level IV (99284) $1,120.23 $3,111.75 2.7×
Er level v (99285) $1,379.88 $3,833 2.3×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $193.95 $538.75 2.7×
Evaluation of speech fluency (92521) $154.35 $428.75 1.2×
Evaluation of speech sound production (92522) $249.93 $694.25 2.2×
Evaluation of swallowing function (92610) $127.44 $354 1.5×
Evaluation with prescription of speech-generating alternative (92607) $196.47 $545.75 1.6×
Evoked auditory test,limited (92587) $73.17 $203.25 0.3×
Exercise tst brncspsm (94617) $141.66 $393.50 1.1×
External ECG rec>48hr<7d scanning alys w/report (93243) $165.60 $460 1.2×
External ECG rec>7d<15d scanning alys w/report (93247) $165.60 $460 1.2×
External Ecg Scanning Analysis Report (93226) $407.70 $1,132.50 6.9×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $50.44 $140.12 0.3×
Group Therapeutic Procedures (97150) $46.44 $129 2.6×
Holter Monitor Recording (93225) $187.83 $521.75 1.4×
Immunization Admin (90471) $56.16 $156 0.8×
Injection intra arterial (96373) $350.37 $973.25 1.6×
Intralesional Chemo Admin,8+ Lesn (96406) $179.64 $499 0.8×
Intralesional Chemo Admin,<8 Lesn (96405) $179.64 $499 2.5×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $88.83 $246.75 1.5×
IV infusion hydration each additional hour (96361) $63 $175 1.3×
IV infusion hydration initial 31 min-1 hour (96360) $108 $300 0.5×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $160.20 $445 2.2×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $180 $500 0.8×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $142.20 $395 3.0×
IV push initial (96374) $135 $375 0.6×
Liver elastography w/o imag w/i&r (91200) $248.31 $689.75 1.9×
Low frequency non-thermal us (97610) $139.14 $386.50 0.7×
Manual therapy 15 min (97140) $62.55 $173.75 2.3×
Massage 15 min (97124) $54.27 $150.75 1.8×
Maximum voluntary ventilation (94200) $85.82 $238.38 1.4×
Mechanical chest wall oscillation (94669) $125.46 $348.50 0.6×
Mechanical traction (97012) $48.15 $133.75 3.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $28.98 $80.50 0.8×
Mnt Group Ea 30 Min (97804) $29.34 $81.50 1.7×
Motility study esophagus (91010) $1,053.90 $2,927.50 2.8×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $195.39 $542.75 2.1×
Nasopharyngoscopy (92511) $323.46 $898.50 1.6×
Neg press wnd tx </=50 sq cm (97607) $229.23 $636.75 0.6×
Neg press wound tx >50 cm (97608) $229.23 $636.75 0.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $152.64 $424 0.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $167.31 $464.75 0.4×
Newborn resuscitation (99465) $620.91 $1,724.75 0.9×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $167.44 $465.12 1.3×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $471.42 $1,309.50 2.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $230.58 $640.50 1.8×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $86 $238.88 1.9×
Osteopathic manipulative tx 1-2 body regions (98925) $31.23 $86.75 1.4×
Osteopathic manipulative tx 3-4 body regions (98926) $60.03 $166.75 2.8×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $32.67 $90.75 1.0×
Ot Contrast Bath Ea 15 Min (97034) $26.91 $74.75 1.9×
Ot eval high complex 60 min (97167) $151.65 $421.25 1.5×
Ot eval low complex 30 min (97165) $117.45 $326.25 1.2×
Ot eval mod complex 45 min (97166) $132.57 $368.25 1.3×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $90.36 $251 1.8×
Ot Prosthetic Training, Each 15 Min (97761) $54.81 $152.25 1.4×
Ot Range Motion Measure,Each Extrem (95851) $42.52 $118.12 1.6×
Ot re-eval est plan care (97168) $66.42 $184.50 1.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $268.02 $744.50 2.1×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $112.14 $311.50 0.9×
Paraffin bath (97018) $38.38 $106.62 6.4×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $77.40 $215 0.4×
Peripheral arterial disease rehab per session (93668) $78.93 $219.25 1.3×
Phy/qhp op pulm rhb w/mntr (94626) $85.64 $237.88 1.4×
Phy/qhp op pulm rhb w/o mntr (94625) $85.64 $237.88 1.4×
Pm device eval in person (93288) $70.20 $195 1.9×
Psych diag eval w/med srvcs (90792) $197.73 $549.25 1.1×
Psychiatric diagnostic evaluation (90791) $159.93 $444.25 0.9×
Pt Aquatic Therapy/Exercises (97113) $49.68 $138 1.3×
Pt Electric Current Therapy (97033) $51.52 $143.12 2.7×
Pt Electrical Stimulation (97032) $28.89 $80.25 2.0×
Pt eval high complex 45 min (97163) $178.20 $495 1.8×
Pt eval low complex 20 min (97161) $143.01 $397.25 1.5×
Pt Gait Training Therapy (97116) $64.53 $179.25 2.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $63.27 $175.75 1.9×
Pt Physical Performance Test (97750) $47.70 $132.50 1.4×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $155.88 $433 1.6×
Pt re-evaluation (97164) $83.34 $231.50 1.2×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $70.20 $195 2.2×
Pt Ultrasound Therapy (97035) $50.49 $140.25 3.5×
Pt Whirlpool Therapy (97022) $57.24 $159 3.6×
Pulm function test by gas (94727) $184.23 $511.75 0.8×
Pulmonary stress testing (94618) $141.66 $393.50 1.1×
Refill/Maint Pump/Resvr Syst (96522) $288.09 $800.25 1.3×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $165.60 $460 4.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $108.45 $301.25 0.5×
Rom meas&reprt hand w/wo comparison normal sid (95852) $28.62 $79.50 1.3×
Rt Chest Wall Manipulation,Subsequent (94668) $36.22 $100.62 0.3×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $109.26 $303.50 2.3×
Sensory Integration Ea 15 Min (97533) $64.71 $179.75 1.1×
Smoking cessation > 10 min (99407) $31.50 $87.50 0.8×
Speech sound lang comprehen (92523) $281.97 $783.25 1.2×
Spirometry (94010) $138.82 $385.62 0.6×
Standardized Cognitive Performance Testing (96125) $299.79 $832.75 2.9×
Stress echo (93350) $937.80 $2,605 1.7×
Temp transcutaneous pacing (92953) $468.54 $1,301.50 0.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $50.26 $139.62 2.2×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $48.33 $134.25 2.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $103.59 $287.75 1.0×
Ther/Proph/Diag Inj Sc/Im (96372) $169.92 $472 2.3×
Therapeutic Activities (97530) $64.53 $179.25 1.8×
Therapeutic phlebotomy (99195) $45.63 $126.75 0.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $29.07 $80.75 0.8×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,413.27 $3,925.75 2.6×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $855.32 $2,375.88 3.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $154.26 $428.50 2.0×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $88.92 $247 1.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $108 $300 2.3×
Tympanometry (92567) $22.23 $61.75 0.6×
Vasc Duplex Extrem Venous,Bilat (93970) $610.74 $1,696.50 2.5×
Vasc Duplex Scan Extracranial,Limited (93882) $247.95 $688.75 2.4×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $585.27 $1,625.75 2.7×
Vasopneumatic device (97016) $39.78 $110.50 3.3×
Ventilation assist & mgmt inpatient 1st day (94002) $202.95 $563.75 0.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $43.02 $119.50 0.1×
Vital capacity total (94150) $58.86 $163.50 0.5×
Wheelchair Mgmt Ea 15 Min (97542) $53.46 $148.50 1.7×