CHRISTUS Trinity Mother Frances Hospital - Jacksonville
2026 S Jackson St, Jacksonville, TX · Christushealth · · NPI 1952306672
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 |
|---|---|---|---|---|
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $3,738.84 – $3,738.84 | 1 |
| Close chest after drainage CPT 32810 | not published | not published | $1,195.23 – $1,195.23 | 1 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $989.03 – $989.03 | 1 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $85.32 – $276.02 | 6 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $85.32 – $139.47 | 6 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $420.64 – $1,727.16 | 6 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $187.22 – $565.40 | 6 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $548.63 – $1,727.16 | 6 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $593.04 – $1,734.90 | 6 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $886.62 – $3,352.69 | 6 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $96.09 – $96.09 | 1 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $85.32 – $139.47 | 6 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Close kidney-skin fistula CPT 50520 | not published | not published | $1,549.96 – $1,549.96 | 1 |
| Close mastoid fistula CPT 69700 | not published | not published | $420.64 – $1,727.16 | 6 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $909.22 – $909.22 | 1 |
| Close mult vsd CPT 33675 | not published | not published | $2,598.96 – $2,598.96 | 1 |
| Close mult vsd w/resection CPT 33676 | not published | not published | $2,714.29 – $2,714.29 | 1 |
| Close nephrovisceral fistula CPT 50525 | not published | not published | $1,966.99 – $1,966.99 | 1 |
| Close nephrovisceral fistula CPT 50526 | not published | not published | $2,108.61 – $2,108.61 | 1 |
| Close tear duct opening CPT 68760 | not published | not published | $108.29 – $174.95 | 6 |
| Close tear duct opening CPT 68761 | not published | not published | $78.62 – $124.72 | 6 |
| Close tear system fistula CPT 68770 | not published | not published | $698.30 – $2,477.06 | 6 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $9.60 – $49.28 | 7 |
| Clos txnose fx without stablz 21315 CPT 21315 | not published | not published | $420.64 – $1,727.16 | 6 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $1,159.71 – $1,159.71 | 1 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $2,141.82 – $2,141.82 | 1 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $1,357.61 – $1,357.61 | 1 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $1,875.19 – $1,875.19 | 1 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $335.22 – $1,032.92 | 6 |
| Closure of salivary fistula CPT 42600 | not published | not published | $886.62 – $3,352.69 | 6 |
| Closure of valve CPT 33600 | not published | not published | $2,275.60 – $2,275.60 | 1 |
| Closure of valve CPT 33602 | not published | not published | $2,207.78 – $2,207.78 | 1 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $886.62 – $3,352.69 | 6 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $807.05 – $807.05 | 1 |
| Closure ureter/bowel fistula CPT 50930 | not published | not published | $1,471.09 – $1,471.09 | 1 |
| Closure ureter/skin fistula CPT 50920 | not published | not published | $1,170.78 – $1,170.78 | 1 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $11.36 – $58.30 | 7 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $12.25 – $62.89 | 7 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $11.36 – $58.30 | 7 |
| Clot factor xiii fibrin scrn CPT 85291 | not published | not published | $5.47 – $28.06 | 7 |
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $9.80 – $50.33 | 7 |
| Clotting assay whole blood CPT 85396 | not published | not published | $11.20 – $64.37 | 3 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $0.80 – $0.80 | 1 |
| Clsd ostomy pouch w/flange HCPCS A5054 | not published | not published | $1.80 – $1.80 | 1 |
| Clsd ostomy pouch without barr HCPCS A5052 | not published | not published | $1.49 – $1.49 | 1 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | not published | not published | $85.32 – $276.02 | 6 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $593.04 – $1,734.90 | 6 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $85.32 – $276.02 | 6 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | not published | not published | $593.04 – $1,734.90 | 6 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | not published | not published | $85.32 – $276.02 | 6 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $85.32 – $139.47 | 6 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | not published | not published | $85.32 – $139.47 | 6 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | not published | not published | $85.32 – $276.02 | 6 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $593.04 – $1,734.90 | 6 |
| Clsd tx fracture of radius 25500 CPT 25500 | not published | not published | $85.32 – $139.47 | 6 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | not published | not published | $79.18 – $126.58 | 6 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | not published | not published | $85.32 – $139.47 | 6 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | not published | not published | $85.32 – $139.47 | 6 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | not published | not published | $85.32 – $276.02 | 6 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | not published | not published | $85.32 – $276.02 | 6 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $250.84 – $565.40 | 6 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | not published | not published | $85.32 – $139.47 | 6 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | not published | not published | $85.32 – $139.47 | 6 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | not published | not published | $886.62 – $3,352.69 | 6 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | not published | not published | $593.04 – $1,734.90 | 6 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | not published | not published | $85.32 – $276.02 | 6 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $85.32 – $276.02 | 6 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $85.32 – $276.02 | 6 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | not published | not published | $593.04 – $1,734.90 | 6 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | not published | not published | $85.32 – $276.02 | 6 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | not published | not published | $593.04 – $1,734.90 | 6 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | not published | not published | $593.04 – $1,734.90 | 6 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | not published | not published | $85.32 – $139.47 | 6 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $85.32 – $276.02 | 6 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $85.32 – $139.47 | 6 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | not published | not published | $85.32 – $139.47 | 6 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | not published | not published | $85.32 – $139.47 | 6 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | not published | not published | $85.32 – $276.02 | 6 |
| Clsr 1 vsd w/wo patch w/vlvt CPT 33684 | not published | not published | $2,532.08 – $2,532.08 | 1 |
| Clsr 1vsd w/wo ptch rmvl bnd CPT 33688 | not published | not published | $2,527.92 – $2,527.92 | 1 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | $85.32 – $276.02 | 6 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $593.04 – $1,734.90 | 6 |
| Cltx craniofacial separation CPT 21431 | not published | not published | $950.28 – $950.28 | 1 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $593.04 – $1,734.90 | 6 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $85.32 – $276.02 | 6 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | not published | not published | $593.04 – $1,734.90 | 6 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $85.32 – $276.02 | 6 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $420.64 – $1,727.16 | 6 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | $468.98 – $653.20 | 6 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $886.62 – $3,352.69 | 6 |
| Cltx post ankle fx CPT 27767 | not published | not published | $85.32 – $139.47 | 6 |
| Cltx post ankle fx w/mnpj CPT 27768 | not published | not published | $850.02 – $1,734.90 | 6 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $593.04 – $1,734.90 | 6 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $85.32 – $276.02 | 6 |
| Cltx thigh fx CPT 27267 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Cltx thigh fx w/mnpj CPT 27268 | not published | not published | $714.10 – $714.10 | 1 |
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.