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 |
|---|---|---|---|---|
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $79.00 – $106.98 | 2 |
| Disability dlco CPT 94727 | not published | not published | $365.00 – $442.72 | 2 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $709.01 – $2,077.11 | 6 |
| Disarticulation shoulder CPT 23920 | not published | not published | $1,497.84 – $1,497.84 | 1 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $2,040.79 – $2,040.79 | 1 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $279.55 – $279.55 | 1 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $68.14 – $109.13 | 6 |
| Dissect brain w/scope CPT 62161 | not published | not published | $2,036.19 – $2,036.19 | 1 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $506.51 – $595.00 | 2 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $5,883.12 – $5,883.12 | 1 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $1,540.75 – $1,540.75 | 1 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $431.32 – $431.32 | 1 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $11.80 – $12.39 | 5 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $399.49 – $399.49 | 1 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $167.40 – $859.32 | 7 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $164.90 – $846.48 | 3 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $82.20 – $421.96 | 3 |
| Dna gardnerella CPT 87510 | not published | not published | $12.03 – $61.75 | 7 |
| Dna probe chlamydia CPT 87490 | not published | not published | $13.65 – $70.07 | 7 |
| Dna probe gc CPT 87590 | not published | not published | $16.13 – $82.79 | 7 |
| Dna trichomonas CPT 87660 | not published | not published | $12.03 – $61.75 | 7 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | not published | not published | $4.87 – $8.15 | 2 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $0.61 – $4.14 | 2 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $1.90 – $51.62 | 2 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $3.56 – $9.99 | 2 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $143.77 – $163.32 | 2 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | not published | not published | $0.43 – $0.74 | 6 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | not published | not published | $8,283.00 – $8,283.00 | 1 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $0.65 – $1.23 | 2 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $53.59 – $70.74 | 2 |
| Dornhoffer fixed part w/window HCPCS L8614 | not published | not published | $19,316.01 – $20,281.81 | 5 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $240.14 – $409.49 | 2 |
| Double transfer toe-hand CPT 26554 | not published | not published | $5,061.39 – $5,061.39 | 1 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $3.15 – $5.97 | 2 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $150.41 – $572.66 | 2 |
| Dpyd gene common variants CPT 81232 | not published | not published | $104.89 – $538.41 | 3 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $17.16 – $17.16 | 1 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $815.20 – $2,968.18 | 6 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $815.20 – $2,968.18 | 6 |
| Drainage of abdomen CPT 48000 | not published | not published | $2,522.85 – $2,522.85 | 1 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $815.20 – $2,968.18 | 6 |
| Drainage of bone lesion CPT 26992 | not published | not published | $1,287.03 – $1,287.03 | 1 |
| Drainage of bone lesion CPT 27303 | not published | not published | $850.18 – $850.18 | 1 |
| Drainage of eye CPT 65800 | not published | not published | $849.94 – $2,587.98 | 6 |
| Drainage of eye CPT 65810 | not published | not published | $849.94 – $2,587.98 | 6 |
| Drainage of eye CPT 65815 | not published | not published | $849.94 – $2,587.98 | 6 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $593.04 – $1,734.90 | 6 |
| Drainage of kidney lesion CPT 50390 | not published | not published | $257.60 – $780.81 | 6 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $87.58 – $260.66 | 6 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $420.64 – $1,727.16 | 6 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $420.64 – $1,727.16 | 6 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $886.62 – $3,352.69 | 6 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $187.22 – $565.40 | 6 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $187.22 – $565.40 | 6 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $886.62 – $3,352.69 | 6 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $420.64 – $1,727.16 | 6 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $87.58 – $131.70 | 6 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $593.04 – $1,734.90 | 6 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $1,142.90 – $3,863.73 | 6 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $1,142.90 – $2,267.58 | 6 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $1,142.90 – $3,863.73 | 6 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $429.26 – $1,285.40 | 6 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $939.93 – $3,000.55 | 6 |
| Drainage of salivary gland CPT 42305 | not published | not published | $886.62 – $3,352.69 | 6 |
| Drainage of salivary gland CPT 42320 | not published | not published | $187.22 – $565.40 | 6 |
| Drainage of spinal cyst CPT 63172 | not published | not published | $1,866.42 – $1,866.42 | 1 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $2,311.58 – $2,311.58 | 1 |
| Drainage of throat abscess CPT 42725 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $1,142.90 – $2,267.58 | 6 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $104.86 – $104.86 | 1 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $238.15 – $712.36 | 6 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $2,267.58 – $2,267.58 | 1 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $98.83 – $134.89 | 6 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | not published | not published | $486.45 – $1,756.93 | 6 |
| Drain cath image guided visceral pq CPT 49405 | not published | not published | $1,756.93 – $1,756.93 | 1 |
| Drain chest lesion CPT 21502 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Drain lower leg bursa CPT 27604 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $815.20 – $2,968.18 | 6 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $1,510.30 – $1,510.30 | 1 |
| Drain ostomy pouch w/flange HCPCS A5063 | not published | not published | $2.70 – $2.70 | 1 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $1,063.52 – $3,197.57 | 6 |
| Drain ovary abscess open CPT 58820 | not published | not published | $1,063.52 – $3,197.57 | 6 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $1,466.47 – $1,466.47 | 1 |
| Drain penis lesion CPT 54015 | not published | not published | $486.45 – $1,756.93 | 6 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $593.04 – $1,734.90 | 6 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $815.20 – $2,968.18 | 6 |
| Drain shoulder lesion CPT 23030 | not published | not published | $815.20 – $2,968.18 | 6 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $420.64 – $1,727.16 | 6 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $986.73 – $986.73 | 1 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $636.19 – $636.19 | 1 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $50.48 – $66.66 | 2 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $1,200.77 – $1,200.77 | 1 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $424.40 – $424.40 | 1 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $1,033.78 – $1,033.78 | 1 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $54.26 – $82.23 | 6 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $187.22 – $565.40 | 6 |
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.