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 |
|---|---|---|---|---|
| Excise intraspinl lesion crv CPT 63265 | not published | not published | $7,656.90 – $7,656.90 | 1 |
| Excise intrspinl lesion crvl CPT 63270 | not published | not published | $2,787.64 – $2,787.64 | 1 |
| Excise intrspinl lesion lmbr CPT 63267 | not published | not published | $7,656.90 – $7,656.90 | 1 |
| Excise intrspinl lesion lmbr CPT 63272 | not published | not published | $2,545.46 – $2,545.46 | 1 |
| Excise intrspinl lesion scrl CPT 63268 | not published | not published | $7,656.90 – $7,656.90 | 1 |
| Excise intrspinl lesion scrl CPT 63273 | not published | not published | $2,512.70 – $2,512.70 | 1 |
| Excise intrspinl lesion thrc CPT 63271 | not published | not published | $2,787.64 – $2,787.64 | 1 |
| Excise lesion testis CPT 54512 | not published | not published | $1,142.90 – $3,863.73 | 6 |
| Excise lip or cheek fold CPT 40819 | not published | not published | $420.64 – $1,727.16 | 6 |
| Excise lwr jaw cyst w/repair CPT 21047 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Excise mandible lesion CPT 21040 | not published | not published | $886.62 – $3,352.69 | 6 |
| Excise max/zygoma b9 tumor CPT 21030 | not published | not published | $231.72 – $401.89 | 6 |
| Excise max/zygoma mal tumor CPT 21034 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Excise oral mucosa for graft 40818 CPT 40818 | not published | not published | $187.22 – $565.40 | 6 |
| Excise parotid gland/lesion CPT 42410 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Excise parotid gland/lesion CPT 42415 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Excise parotid gland/lesion CPT 42420 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Excise parotid gland/lesion CPT 42425 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Excise parotid gland/lesion CPT 42426 | not published | not published | $1,790.31 – $1,790.31 | 1 |
| Excise pharynx lesion CPT 42808 | not published | not published | $886.62 – $3,352.69 | 6 |
| Excise/repair mouth lesion CPT 40812 | not published | not published | $164.45 – $256.84 | 6 |
| Excise sacral spine tumor CPT 49215 | not published | not published | $2,965.24 – $2,965.24 | 1 |
| Excise sublingual gland CPT 42450 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Excise submaxillary gland CPT 42440 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | not published | not published | $486.45 – $1,756.93 | 6 |
| Excise tendon forearm/wrist CPT 25109 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Excise wrist tendon sheath CPT 25118 | not published | not published | $593.04 – $1,734.90 | 6 |
| Excision aural polyp CPT 69540 | not published | not published | $136.76 – $203.25 | 6 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | not published | not published | $486.45 – $1,756.93 | 6 |
| Excision breast lesion CPT 19125 | not published | not published | $963.66 – $3,877.82 | 6 |
| Excision coa w/graft CPT 33845 | not published | not published | $1,748.79 – $1,748.79 | 1 |
| Excision floor mouth lesion 41116 CPT 41116 | not published | not published | $886.62 – $3,352.69 | 6 |
| Excision graft abdomen CPT 35907 | not published | not published | $2,548.68 – $2,548.68 | 1 |
| Excision graft extremity CPT 35903 | not published | not published | $3,547.24 – $3,547.24 | 1 |
| Excision graft neck CPT 35901 | not published | not published | $625.06 – $625.06 | 1 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $2,227.62 – $2,227.62 | 1 |
| Excision gum each quadrant CPT 41820 | not published | not published | $886.62 – $1,350.48 | 6 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Excision lesion mouth roof CPT 42106 | not published | not published | $147.84 – $242.06 | 6 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | not published | not published | $154.21 – $226.36 | 6 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | $939.93 – $3,000.55 | 6 |
| Excision of bile duct cyst CPT 47715 | not published | not published | $1,774.16 – $1,774.16 | 1 |
| Excision of bile duct tumor CPT 47711 | not published | not published | $2,081.84 – $2,081.84 | 1 |
| Excision of bile duct tumor CPT 47712 | not published | not published | $2,670.00 – $2,670.00 | 1 |
| Excision of bowel lesion(s) CPT 44111 | not published | not published | $1,315.16 – $1,315.16 | 1 |
| Excision of brain tumor CPT 61545 | not published | not published | $4,291.02 – $4,291.02 | 1 |
| Excision of esophagus lesion CPT 43100 | not published | not published | $828.95 – $828.95 | 1 |
| Excision of esophagus lesion CPT 43101 | not published | not published | $1,340.08 – $1,340.08 | 1 |
| Excision of gum flap CPT 41821 | not published | not published | $1,727.16 – $1,727.16 | 1 |
| Excision of gum lesion CPT 41822 | not published | not published | $325.21 – $325.21 | 1 |
| Excision of gum lesion CPT 41823 | not published | not published | $467.96 – $467.96 | 1 |
| Excision of gum lesion CPT 41826 | not published | not published | $179.40 – $291.02 | 6 |
| Excision of gum lesion CPT 41827 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Excision of gum lesion CPT 41828 | not published | not published | $188.81 – $289.64 | 6 |
| Excision of gum lesion 41825 CPT 41825 | not published | not published | $139.54 – $214.81 | 6 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | $1,119.58 – $1,119.58 | 1 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $1,025.47 – $1,025.47 | 1 |
| Excision of mouth lesion complex 40816 CPT 40816 | not published | not published | $886.62 – $3,352.69 | 6 |
| Excision of neck cyst CPT 42815 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Excision of neck cyst confined 42810 CPT 42810 | not published | not published | $886.62 – $3,352.69 | 6 |
| Excision of penis lesion(s) 54060 CPT 54060 | not published | not published | $709.01 – $2,077.11 | 6 |
| Excision of rectal lesion CPT 45160 | not published | not published | $939.93 – $3,000.55 | 6 |
| Excision of rectal prolapse CPT 45135 | not published | not published | $1,738.64 – $1,738.64 | 1 |
| Excision of rectal stricture CPT 45150 | not published | not published | $429.26 – $1,285.40 | 6 |
| Excision of salivary cyst CPT 42408 | not published | not published | $886.62 – $3,352.69 | 6 |
| Excision of skull/sutures CPT 61558 | not published | not published | $2,550.07 – $2,550.07 | 1 |
| Excision of skull/sutures CPT 61559 | not published | not published | $3,068.57 – $3,068.57 | 1 |
| Excision of skull tumor CPT 61563 | not published | not published | $2,653.86 – $2,653.86 | 1 |
| Excision of skull tumor CPT 61564 | not published | not published | $3,272.92 – $3,272.92 | 1 |
| Excision of stomach lesion CPT 43610 | not published | not published | $1,315.16 – $1,315.16 | 1 |
| Excision of stomach lesion CPT 43611 | not published | not published | $1,640.84 – $1,640.84 | 1 |
| Excision of tongue lesion CPT 41112 | not published | not published | $886.62 – $3,352.69 | 6 |
| Excision of tongue lesion CPT 41114 | not published | not published | $886.62 – $3,352.69 | 6 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | not published | not published | $886.62 – $3,352.69 | 6 |
| Excision of tonsil tags CPT 42860 | not published | not published | $886.62 – $3,352.69 | 6 |
| Excision of umbilicus 49250 CPT 49250 | not published | not published | $1,151.54 – $3,979.96 | 6 |
| Excision of uvula CPT 42140 | not published | not published | $886.62 – $3,352.69 | 6 |
| Excision of vaginal septum 57130 CPT 57130 | not published | not published | $1,063.52 – $3,197.57 | 6 |
| Excision olecranon bursa CPT 24105 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Excision perinephric cyst CPT 50290 | not published | not published | $1,198.92 – $1,198.92 | 1 |
| Excision radial head CPT 24130 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Excision tongue lesion without closure 41110 CPT 41110 | not published | not published | $142.30 – $208.79 | 6 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | not published | not published | $486.45 – $1,756.93 | 6 |
| Excis partial tal calc CPT 28120 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Excis uppr jaw cyst w/repair CPT 21049 | not published | not published | $6,208.68 – $6,208.68 | 1 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | not published | not published | $815.20 – $2,968.18 | 6 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | not published | not published | $815.20 – $2,968.18 | 6 |
| Exc les conjunctiva <1 cm CPT 68110 | not published | not published | $140.09 – $216.19 | 6 |
| Exc les conjunctiva >1 cm CPT 68115 | not published | not published | $698.30 – $2,477.06 | 6 |
| Exc les conjunctiva adj scl CPT 68130 | not published | not published | $698.30 – $2,477.06 | 6 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | not published | not published | $137.59 – $207.41 | 6 |
| Excl laa open any method 33267 CPT 33267 | not published | not published | $1,419.42 – $1,419.42 | 1 |
| Excl laa opn oth px any meth 33268 CPT 33268 | not published | not published | $177.14 – $177.14 | 1 |
| Excl laa thrscp any method CPT 33269 | not published | not published | $1,122.80 – $1,122.80 | 1 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | not published | not published | $116.00 – $179.70 | 6 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | not published | not published | $486.45 – $1,756.93 | 6 |
| Exc malig feenl >4cm 11646 CPT 11646 | not published | not published | $815.20 – $2,968.18 | 6 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | not published | not published | $112.95 – $174.62 | 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.