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 |
|---|---|---|---|---|
| Hpa-9 genotyping CPT 81111 | not published | not published | $73.33 – $376.44 | 7 |
| Hpv combo assay ca screen HCPCS G0476 | not published | not published | $21.05 – $108.08 | 3 |
| Hpv low-risk types CPT 87623 | not published | not published | $21.05 – $108.08 | 7 |
| H pylori ag ia CPT 87339 | not published | not published | $9.60 – $49.28 | 3 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $40.42 – $207.47 | 7 |
| H pylori drug admin CPT 83014 | not published | not published | $4.72 – $24.21 | 7 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $407.43 – $2,091.47 | 3 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | not published | not published | $876.90 – $876.90 | 1 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $350.94 – $1,801.49 | 3 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $350.94 – $1,801.49 | 3 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $2,341.41 – $2,341.41 | 1 |
| Hsv dna dir probe CPT 87528 | not published | not published | $12.03 – $61.75 | 7 |
| Htt gene charac alleles CPT 81274 | not published | not published | $164.90 – $846.48 | 3 |
| Htt gene detc abnor alleles CPT 81271 | not published | not published | $82.20 – $421.96 | 3 |
| Human epididymis protein 4 (he4) CPT 86305 | not published | not published | $12.49 – $64.09 | 7 |
| Human ig IV CPT 90283 | not published | not published | $23.24 – $92.70 | 2 |
| Human ig sc CPT 90284 | not published | not published | $15.51 – $23.15 | 2 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | not published | not published | $32.17 – $95.42 | 2 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | not published | not published | $0.50 – $0.70 | 2 |
| Hydrocolld drg >16<=48 w/bdr HCPCS A6238 | not published | not published | $22.78 – $22.78 | 1 |
| Hydrocolld drg >16<=48 without b HCPCS A6235 | not published | not published | $16.80 – $16.80 | 1 |
| Hydrocolld drg <=16 in w/bdr HCPCS A6237 | not published | not published | $7.90 – $7.90 | 1 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | not published | not published | $6.54 – $6.54 | 1 |
| Hydrocolld drg filler paste HCPCS A6240 | not published | not published | $12.24 – $12.24 | 1 |
| Hydrogel drg <= 16 in w/bdr HCPCS A6245 | not published | not published | $7.27 – $7.27 | 1 |
| Hydrogel drg >48 in without bdr HCPCS A6244 | not published | not published | $39.25 – $39.25 | 1 |
| Hydrogel drg > 48 sq in w/b HCPCS A6247 | not published | not published | $23.76 – $23.76 | 1 |
| Hydrogel drsg gel filler HCPCS A6248 | not published | not published | $16.24 – $16.24 | 1 |
| Hydrogel dsg>16<=48 sq in HCPCS A6232 | not published | not published | $6.85 – $6.85 | 1 |
| Hydrogel dsg<=16 sq in HCPCS A6231 | not published | not published | $4.67 – $4.67 | 1 |
| Hydromorphone 250 mg HCPCS S0092 | not published | not published | $42.72 – $42.72 | 1 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.01 – $0.02 | 2 |
| Hydroxyurea 500 mg HCPCS S0176 | not published | not published | $1.27 – $1.27 | 1 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | not published | not published | $1.16 – $17.76 | 2 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $0.07 – $1.94 | 2 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | not published | not published | $10.74 – $55.13 | 7 |
| Hymenotomy CPT 56442 | not published | not published | $1,063.52 – $3,197.57 | 6 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $17.50 – $24.52 | 2 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $2,539.76 – $6,208.68 | 6 |
| Hyoscyamine sulfate inj HCPCS J1980 | not published | not published | $9.06 – $50.98 | 2 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $6.11 – $31.35 | 7 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $375.00 – $3,667.77 | 3 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $375.00 – $2,059.16 | 3 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $375.00 – $2,341.01 | 3 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $375.00 – $3,385.91 | 3 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $375.00 – $5,245.68 | 3 |
| Hypothermia ill neonate CPT 99184 | not published | not published | $730.02 – $730.02 | 1 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $17.57 – $21.26 | 2 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $1,362.21 – $1,362.21 | 1 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $1,287.95 – $1,287.95 | 1 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $1,371.44 – $1,371.44 | 1 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $1,186.01 – $1,186.01 | 1 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $372.74 – $372.74 | 1 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $1,526.99 – $5,467.57 | 6 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $1,063.52 – $3,197.57 | 6 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $1,063.52 – $3,197.57 | 6 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $1,526.99 – $5,467.57 | 6 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $1,063.52 – $3,197.57 | 6 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $1,526.99 – $5,467.57 | 6 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $1,526.99 – $5,467.57 | 6 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $2,324.94 – $2,324.94 | 1 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $288.49 – $288.49 | 1 |
| I-123 iobenguane diag HCPCS A9582 | not published | not published | $2,074.81 – $10,055.76 | 2 |
| I-123 ioflupane diag HCPCS A9584 | not published | not published | $1,388.02 – $4,203.40 | 2 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $38.82 – $59.61 | 2 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $205.08 – $482.22 | 2 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $1,030.56 – $1,258.87 | 2 |
| I131 iodide cap, rx HCPCS A9517 | not published | not published | $23.13 – $35.38 | 2 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $16.52 – $20.88 | 2 |
| I131 max 100uci HCPCS A9531 | not published | not published | $4.21 – $16.40 | 2 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $134.83 – $360.34 | 2 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | not published | not published | $186.39 – $186.39 | 1 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $8.05 – $41.33 | 7 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $21.05 – $108.08 | 7 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $10.85 – $55.72 | 7 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | not published | $20.49 – $22.22 | 2 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $1,469.14 – $7,541.56 | 2 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $2.98 – $3.44 | 2 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | not published | not published | $186.77 – $734.55 | 2 |
| Icatibant injection HCPCS J1744 | not published | not published | $125.32 – $312.93 | 2 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $516.67 – $516.67 | 1 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $79.00 – $106.98 | 2 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $79.00 – $176.03 | 2 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $73.57 – $79.00 | 2 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $1,263.96 – $1,263.96 | 1 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $886.62 – $3,352.69 | 6 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $43.51 – $67.87 | 2 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $82.50 – $231.44 | 6 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $527,622.46 – $714,475.62 | 2 |
| Identify sperm tissue CPT 89264 | not published | not published | $30.98 – $152.37 | 3 |
| Idet 1 or more levels CPT 22527 | not published | not published | $212.66 – $212.66 | 1 |
| Idet single level CPT 22526 | not published | not published | $450.23 – $450.23 | 1 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Idh1 common variants CPT 81120 | not published | not published | $115.95 – $595.21 | 7 |
| Idh2 common variants CPT 81121 | not published | not published | $177.47 – $911.03 | 7 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $939.93 – $3,000.55 | 6 |
| I&d lacrimal gland CPT 68400 | not published | not published | $297.04 – $297.04 | 1 |
| I&d lacrimal sac CPT 68420 | not published | not published | $204.59 – $314.59 | 6 |
| Iduc valve sply repl HCPCS A4342 | not published | not published | $704.65 – $704.65 | 1 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $815.20 – $2,968.18 | 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.