CHRISTUS Health - West Beaumont — price list

← Hospital overviewVerified from CHRISTUS Health - West Beaumont’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

96 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
""Y SET"" TUBING Outpatient	A4719 HCPCS	—	—	—	—
<50% TOTAL PT OUTPT RA ENCTS Outpatient	M1008 HCPCS	—	—	—	—
<6YR NEW ONSET HD ACHE Outpatient	G2193 HCPCS	—	—	—	—
>= 2 SAME HI-RSK MED NOT ORD Outpatient	G9368 HCPCS	—	—	—	—
>= 2 SAME HI-RSK MED ORD Outpatient	G9367 HCPCS	—	—	—	—
>=2 SAME HI-RSK MED W/O DIAG Outpatient	M1209 HCPCS	—	—	—	—
>=2 SAME MEDS TBL4 NOT ORD Outpatient	M1210 HCPCS	—	—	—	—
>=50% TOTAL PT OUTPT RA ENCT Outpatient	M1007 HCPCS	—	—	—	—
>=86Y NO HX COLO CA/RSN SCOP Outpatient	G9659 HCPCS	—	—	—	—
>55 YRS TEMP HD ACHE Outpatient	G2192 HCPCS	—	—	—	—
0.45% NaCl + KCl 20 mEq/L infusion Outpatient	J3480 HCPCS	$14.00	$4.62	$0.18 – $125	—
0.45% NaCl + KCl 20 mEq/L infusion Inpatient	J3480 HCPCS	$147	$48.39	—	—
0.9% NaCl + KCl 20 mEq/L infusion Outpatient	J3480 HCPCS	$12.25	$4.04	$0.18 – $125	—
0.9% NaCl + KCl 20 mEq/L infusion Inpatient	J3480 HCPCS	$147	$48.39	—	—
0.9% NaCl + KCl 40 mEq/L infusion Outpatient	J3480 HCPCS	$17.50	$5.78	$0.18 – $125	—
0.9% NaCl + KCl 40 mEq/L infusion Inpatient	J3480 HCPCS	$147	$48.39	—	—
1 BOD TEMP >=35.5 Outpatient	G9773 HCPCS	—	—	—	—
1 BODYTEMP >=35.5CW/IN 30MIN Outpatient	4559F CPT	—	—	—	—
1 CC STERILE SYRINGE&NEEDLE Outpatient	A4206 HCPCS	—	—	$0.76 – $0.76	—
1 EM CORE SESSION Outpatient	G9873 HCPCS	—	—	$214 – $306	—
1 MED VISIT IN 24MO Outpatient	G9247 HCPCS	—	—	—	—
1 OR NO CT SINUS W/IN 90D DX Outpatient	G9354 HCPCS	—	—	—	—
100 INSULIN SYRINGES Outpatient	S8490 HCPCS	—	—	—	—
12-LEAD ECG PERFORMED Outpatient	3120F CPT	—	—	—	—
1DOSE MENIG VAC BTWN 11 & 13 Outpatient	G9414 HCPCS	—	—	—	—
1ST HOSP IP/OBS HIGH 75 Outpatient	99223 CPT	—	—	$177 – $4,626	—
1ST HOSP IP/OBS MODERATE 55 Outpatient	99222 CPT	—	—	$177 – $4,626	—
1ST HOSP IP/OBS SF/LOW 40 Outpatient	99221 CPT	—	—	$177 – $4,626	—
1ST NF CARE HIGH MDM 50 Outpatient	99306 CPT	—	—	$377 – $377	—
1ST NF CARE MODERATE MDM 35 Outpatient	99305 CPT	—	—	$294 – $294	—