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 |
|---|---|---|---|---|
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $143.08 – $408.97 | 6 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $709.01 – $2,077.11 | 6 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $143.08 – $408.97 | 6 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $5.16 – $26.49 | 7 |
| Ghs low level laser therapy CPT 97039 | not published | not published | $35.74 – $185.00 | 3 |
| Ghs musc test done w/n test comp CPT 95886 | not published | not published | $156.83 – $1,320.00 | 2 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | not published | not published | $137.25 – $1,320.00 | 2 |
| Ghs musc tst done w/n tst non ext CPT 95887 | not published | not published | $144.16 – $1,320.00 | 2 |
| Ghs myocardial strain img spckl track CPT 93356 | not published | not published | $28.42 – $416.00 | 2 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $340.77 – $1,039.42 | 6 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $73.64 – $114.56 | 6 |
| Ghs o2 saturation CPT 82810 | not published | not published | $5.86 – $30.09 | 7 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $365.00 – $442.72 | 2 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $106.98 – $365.00 | 2 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $121.95 – $141.00 | 2 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $223.75 – $807.05 | 6 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $446.27 – $2,087.85 | 6 |
| Ghs optokenetic CPT 92544 | not published | not published | $9.22 – $9.22 | 1 |
| Ghs oscillating trac CPT 92545 | not published | not published | $9.22 – $9.22 | 1 |
| Ghs ot dds rom CPT 95851 | not published | not published | $25.38 – $139.00 | 2 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $72.64 – $72.64 | 1 |
| Ghs ot prosthetic training/15 min CPT 97761 | not published | not published | $133.79 – $185.00 | 3 |
| Ghs ot sensory integrative tech/15min CPT 97533 | not published | not published | $139.55 – $185.00 | 3 |
| Ghs ot work hardening-additional hours CPT 97546 | not published | not published | $151.07 – $185.00 | 3 |
| Ghs picc line insert < 5 CPT 36568 | not published | not published | $446.27 – $807.05 | 6 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $2.59 – $13.27 | 7 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $2,545.22 – $2,545.22 | 1 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $348.90 – $348.90 | 1 |
| Ghs pr without cont pulse ox CPT 94625 | not published | not published | $63.42 – $63.42 | 1 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $7.35 – $37.73 | 7 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | not published | not published | $155.00 – $299.84 | 3 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $302.14 – $302.14 | 1 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $593.04 – $1,734.90 | 6 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $9.53 – $48.94 | 7 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $2.59 – $13.27 | 7 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $5.90 – $30.31 | 3 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $143.08 – $408.97 | 6 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $143.08 – $408.97 | 6 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $74.34 – $223.65 | 6 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $414.02 – $745.00 | 2 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $139.00 – $326.37 | 2 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $139.00 – $976.80 | 2 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $169.54 – $169.54 | 1 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $348.90 – $348.90 | 1 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $355.20 – $355.20 | 1 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $139.56 – $139.56 | 1 |
| Ghs st - re-eval for alt comm CPT 92597 | not published | not published | $237.57 – $365.00 | 2 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $50.75 – $141.00 | 2 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $141.00 – $540.86 | 2 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $143.08 – $408.97 | 6 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $420.64 – $1,727.16 | 6 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $4.38 – $22.48 | 7 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $85.32 – $276.02 | 6 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $14.58 – $74.84 | 7 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $3,197.57 – $3,197.57 | 1 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $1,256.00 – $1,553.95 | 2 |
| Ghs windowing of cast CPT 29730 | not published | not published | $27.69 – $41.57 | 6 |
| Giardia ag if CPT 87269 | not published | not published | $8.17 – $41.92 | 7 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $8.83 – $45.34 | 7 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $232.00 – $646.72 | 7 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $289.86 – $428.68 | 6 |
| Gi protein loss CPT 78282 | not published | not published | $397.00 – $1,059.47 | 7 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $1,047.11 – $1,958.17 | 6 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $1,040.14 – $2,436.83 | 6 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $1,040.14 – $3,772.29 | 6 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $60.67 – $311.45 | 7 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $36.91 – $189.48 | 7 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $21.00 – $107.80 | 7 |
| Glassia injection HCPCS J0257 | not published | not published | $5.45 – $8.60 | 2 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $182.21 – $182.21 | 1 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $136.10 – $136.10 | 1 |
| Glaucoma surgery CPT 66150 | not published | not published | $1,533.49 – $4,887.46 | 6 |
| Glaucoma surgery CPT 66155 | not published | not published | $2,206.78 – $4,887.46 | 6 |
| Glaucoma surgery CPT 66160 | not published | not published | $849.94 – $2,587.98 | 6 |
| Glaucoma surgery CPT 66170 | not published | not published | $849.94 – $2,587.98 | 6 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $141.31 – $190.76 | 2 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $27.64 – $141.90 | 7 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $30.30 – $155.54 | 7 |
| Glucagon tolerance test CPT 82946 | not published | not published | $10.66 – $54.73 | 7 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $3.63 – $18.63 | 7 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $13.26 – $24.85 | 2 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $41.32 – $60.45 | 2 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $89.05 – $457.10 | 7 |
| Gonioscopy CPT 92020 | not published | not published | $348.90 – $348.90 | 1 |
| Goniotomy CPT 65820 | not published | not published | $1,533.49 – $4,887.46 | 6 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $705.14 – $999.27 | 2 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | not published | $30.36 – $58.45 | 2 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $8.80 – $1,055.97 | 2 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | not published | $63.62 – $63.62 | 1 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $3,503.94 – $3,503.94 | 1 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $60.35 – $60.35 | 1 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $1,750.44 – $1,997.50 | 2 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $65.41 – $90.70 | 2 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | not published | $105.46 – $115.58 | 2 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,457.72 – $1,457.72 | 1 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $136.37 – $136.37 | 1 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $51.79 – $78.16 | 2 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | not published | not published | $8.80 – $8.80 | 1 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $37.50 – $37.50 | 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.