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 |
|---|---|---|---|---|
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $397.00 – $3,672.86 | 7 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,630.69 – $1,630.69 | 1 |
| Adrenalin epinephrine inject HCPCS J0171 | not published | not published | $0.15 – $0.15 | 1 |
| Adv prim care mgmt lvl 1 HCPCS G0556 | not published | not published | $95.33 – $95.33 | 1 |
| Adv prim care mgmt lvl 2 HCPCS G0557 | not published | not published | $95.33 – $95.33 | 1 |
| Adv prim care mgmt lvl 3 HCPCS G0558 | not published | not published | $296.00 – $296.00 | 1 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $293.03 – $365.00 | 2 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $285.27 – $365.00 | 2 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $365.00 – $387.40 | 2 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $2,873.33 – $5,504.32 | 2 |
| _afb id by dna probe rflx ast CPT 87149 | not published | not published | $12.03 – $61.75 | 7 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $4.39 – $22.51 | 7 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $82.20 – $421.96 | 3 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $164.90 – $846.48 | 3 |
| Aflibercept injection HCPCS J0178 | not published | not published | $795.86 – $1,581.75 | 2 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $24.78 – $26.74 | 2 |
| After cataract laser surgery CPT 66821 | not published | not published | $208.33 – $648.87 | 6 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $222.84 – $284.65 | 2 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $365.00 – $809.92 | 2 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $21.23 – $42.54 | 6 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $10.62 – $21.27 | 6 |
| Albumin ischemia modified CPT 82045 | not published | not published | $20.36 – $104.54 | 7 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $0.17 – $0.17 | 1 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | not published | $0.19 – $0.41 | 2 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.17 – $0.18 | 2 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $11.40 – $11.97 | 5 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $54.21 – $54.21 | 1 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $5,301.26 – $7,952.89 | 2 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $75.30 – $386.54 | 7 |
| Alefacept HCPCS J0215 | not published | not published | $25.23 – $66.91 | 2 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,441.49 – $3,336.91 | 2 |
| Alginate dressing <=16 sq in HCPCS A6196 | not published | not published | $7.35 – $7.35 | 1 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | not published | not published | $16.43 – $16.43 | 1 |
| Alginate drsg wound filler HCPCS A6199 | not published | not published | $5.28 – $5.28 | 1 |
| Alglucerase injection HCPCS J0205 | not published | not published | $30.08 – $67.53 | 2 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $126.22 – $126.22 | 1 |
| Allergen alpha lactalbumin ige CPT 86008 | not published | not published | $10.76 – $55.22 | 7 |
| Allergy Skin Testing CPT 95004 | not published | not published | $79.00 – $2,908.64 | 2 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $79.00 – $2,908.64 | 2 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $15,232.91 – $15,232.91 | 1 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $82.76 – $82.76 | 1 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $102.18 – $102.18 | 1 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $24.47 – $24.47 | 1 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | not published | not published | $158.33 – $188.16 | 2 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | not published | not published | $136.47 – $176.25 | 2 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | not published | not published | $517.77 – $543.66 | 5 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $128.43 – $128.43 | 1 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $188.16 – $247.02 | 2 |
| Alloskin HCPCS Q4115 | not published | not published | $12.38 – $25.70 | 2 |
| Alloskin ac, 1 cm HCPCS Q4141 | not published | not published | $37.87 – $37.87 | 1 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $79.00 – $106.98 | 2 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $73.57 – $79.00 | 2 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $5.16 – $7.95 | 2 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $38.65 – $198.38 | 7 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $10.20 – $52.36 | 7 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $0.32 – $0.47 | 2 |
| Alprostadil urethral suppos HCPCS J0275 | not published | not published | $106.05 – $106.05 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | not published | not published | $64.38 – $91.46 | 2 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.60 – $9.01 | 2 |
| Aluminum - quest CPT 82108 | not published | not published | $15.29 – $78.48 | 7 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $222.86 – $355.24 | 6 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | not published | not published | $137.25 – $139.00 | 2 |
| Ambl bp mntr w/software CPT 93784 | not published | not published | $174.14 – $595.00 | 2 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $348.90 – $595.00 | 2 |
| Ambl bp mntr w/sw i&r CPT 93790 | not published | not published | $61.12 – $595.00 | 2 |
| Amifostine HCPCS J0207 | not published | not published | $814.11 – $1,887.07 | 2 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | not published | not published | $0.60 – $1.86 | 2 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $3.59 – $18.45 | 7 |
| Amino acid single qual CPT 82127 | not published | not published | $8.51 – $43.67 | 7 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $11.77 – $60.40 | 7 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.78 – $2.45 | 2 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $394.41 – $659.22 | 2 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | not published | not published | $1.16 – $11.05 | 2 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | not published | not published | $21.51 – $34.08 | 2 |
| Amnioarmor 1 sq cm HCPCS Q4188 | not published | not published | $6.16 – $493.30 | 2 |
| Amniocentesisdiagnostic 59000 CPT 59000 | not published | not published | $49.56 – $84.07 | 6 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $116.74 – $175.09 | 6 |
| Amniocore per sq cm HCPCS Q4227 | not published | not published | $6.16 – $1,192.50 | 2 |
| Amnio-maxx or lite per sq cm HCPCS Q4239 | not published | not published | $6.16 – $2,349.92 | 2 |
| Amniotic fluid scan CPT 82143 | not published | not published | $5.61 – $28.80 | 7 |
| Amniowrap2 per sq cm HCPCS Q4221 | not published | not published | $8.80 – $2,014.00 | 2 |
| Amobarbital 125 mg inj HCPCS J0300 | not published | not published | $11.32 – $313.37 | 2 |
| Ampho b cholesteryl sulfate HCPCS J0288 | not published | not published | $22.71 – $70.84 | 2 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | not published | not published | $50.07 – $64.98 | 2 |
| Amphotericin b lipid complex HCPCS J0287 | not published | not published | $10.30 – $17.10 | 2 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | not published | not published | $23.31 – $84.53 | 2 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $157.79 – $810.01 | 2 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $956.28 – $956.28 | 1 |
| Amputate hand at wrist CPT 25922 | not published | not published | $593.04 – $1,734.90 | 6 |
| Amputate hand at wrist CPT 25920 | not published | not published | $931.83 – $931.83 | 1 |
| Amputate leg at thigh CPT 27591 | not published | not published | $1,282.88 – $1,282.88 | 1 |
| Amputate leg at thigh CPT 27592 | not published | not published | $906.46 – $906.46 | 1 |
| Amputate lower leg at knee CPT 27598 | not published | not published | $946.12 – $946.12 | 1 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $1,058.69 – $1,058.69 | 1 |
| Amputate upper arm & implant CPT 24931 | not published | not published | $1,242.74 – $1,242.74 | 1 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $7,656.90 – $7,656.90 | 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.