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 |
|---|---|---|---|---|
| Idursulfase injection HCPCS J1743 | not published | not published | $542.57 – $884.77 | 2 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $815.20 – $2,968.18 | 6 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $815.20 – $1,272.76 | 6 |
| Ifnl3 gene CPT 81283 | not published | not published | $44.02 – $225.98 | 3 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | not published | not published | $24.62 – $42.37 | 2 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $124.39 – $638.51 | 7 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $41.13 – $211.13 | 7 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $118.79 – $609.81 | 7 |
| Igh@ var region somatic mutation analy CPT 81263 | not published | not published | $176.71 – $907.12 | 7 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $103.64 – $532.01 | 7 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | not published | not published | $205.49 – $872.90 | 3 |
| Ikbkap gene CPT 81260 | not published | not published | $23.59 – $121.07 | 7 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $1,394.97 – $1,394.97 | 1 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $3,511.42 – $3,511.42 | 1 |
| Iliac/fem angio cath insert HCPCS G0278 | not published | not published | $8,283.00 – $8,283.00 | 1 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $148.76 – $230.34 | 2 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $22.44 – $22.44 | 1 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $1,186.01 – $1,186.01 | 1 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $55.51 – $90.63 | 2 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $106.98 – $106.98 | 1 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $106.98 – $106.98 | 1 |
| Immntx 1 sting insect CPT 95130 | not published | not published | $79.00 – $79.00 | 1 |
| Immntx 4 sting insects CPT 95133 | not published | not published | $79.00 – $79.00 | 1 |
| Immntx 5 sting insects CPT 95134 | not published | not published | $79.00 – $79.00 | 1 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $1,845.21 – $6,703.73 | 6 |
| Immune complex assay CPT 86332 | not published | not published | $14.62 – $75.06 | 7 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | not published | not published | $45.13 – $79.65 | 2 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $50.21 – $81.01 | 2 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $48.06 – $111.75 | 2 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $59.74 – $101.69 | 2 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $15.34 – $78.76 | 7 |
| Immunodiffusion nes CPT 86329 | not published | not published | $8.43 – $43.27 | 7 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $29.92 – $59.78 | 6 |
| Immunology procedure CPT 86849 | not published | not published | $70.66 – $70.66 | 1 |
| Immunotherapy 2/> injections CPT 95125 | not published | not published | $79.00 – $79.00 | 1 |
| Impedence cardiogram CPT 93701 | not published | not published | $348.90 – $595.00 | 2 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $23,539.26 – $23,539.26 | 1 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $527.73 – $527.73 | 1 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $21,013.04 – $21,013.04 | 1 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $2,134.44 – $2,134.44 | 1 |
| Implant brain electrodes CPT 61531 | not published | not published | $1,627.01 – $1,627.01 | 1 |
| Implant brain electrodes CPT 61533 | not published | not published | $2,050.94 – $2,050.94 | 1 |
| Implant brain electrodes CPT 61760 | not published | not published | $2,124.29 – $2,124.29 | 1 |
| Implant cochlear device CPT 69930 | not published | not published | $25,960.08 – $42,378.65 | 6 |
| Implant cochlear osia osi300 HCPCS L8690 | not published | not published | $4,338.80 – $4,555.74 | 5 |
| Implant eye drug system CPT 67027 | not published | not published | $1,954.58 – $16,481.45 | 6 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $465.40 – $465.40 | 1 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $385.65 – $385.65 | 1 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $679.50 – $679.50 | 1 |
| Implant neuroelectrode CPT 61863 | not published | not published | $2,028.80 – $2,028.80 | 1 |
| Implant neuroelectrode CPT 61867 | not published | not published | $3,085.18 – $3,085.18 | 1 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $13,714.30 – $24,677.66 | 6 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $7,919.53 – $8,347.69 | 6 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $3,908.38 – $7,919.53 | 6 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $3,737.82 – $7,919.53 | 6 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $1,299.94 – $1,299.94 | 1 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $2,111.83 – $2,111.83 | 1 |
| Implant neurostim arrays CPT 61886 | not published | not published | $19,631.62 – $37,271.99 | 6 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $649.97 – $649.97 | 1 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $1,750.63 – $1,750.63 | 1 |
| Implant spinal canal cath CPT 62351 | not published | not published | $7,656.90 – $7,656.90 | 1 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $1,832.28 – $1,832.28 | 1 |
| Implant ureter in bowel CPT 50800 | not published | not published | $1,239.05 – $1,239.05 | 1 |
| Impl ear abutment ba300 9mm HCPCS L8693 | not published | not published | $1,414.77 – $1,485.51 | 5 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $6,263.30 – $16,119.41 | 6 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $6,263.30 – $16,701.54 | 6 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $7,885.62 – $15,232.91 | 6 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $2,230.39 – $2,230.39 | 1 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $119.48 – $119.48 | 1 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $1,533.49 – $2,349.88 | 6 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $3,426.07 – $3,426.07 | 1 |
| Implt neurostim elctr each HCPCS L8680 | not published | not published | $287.97 – $302.37 | 5 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $528.86 – $572.66 | 2 |
| Impreg gauze no h20/sal/yard HCPCS A6266 | not published | not published | $1.92 – $1.92 | 1 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $529.34 – $953.46 | 6 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $606.58 – $1,044.47 | 6 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $1,350.48 – $1,350.48 | 1 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $504.98 – $894.80 | 6 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $560.90 – $968.24 | 6 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $529.34 – $953.46 | 6 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $87.58 – $131.70 | 6 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $1,268.04 – $1,268.04 | 1 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $519.92 – $914.19 | 6 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $901.26 – $901.26 | 1 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $1,010.74 – $1,010.74 | 1 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $294.29 – $522.46 | 6 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $43.14 – $68.49 | 2 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $4,645.93 – $6,090.93 | 2 |
| In-111 autol wbc diag per dose HCPCS A9570 | not published | not published | $1,031.39 – $6,090.93 | 2 |
| In-111 capromab pendet HCPCS A9507 | not published | not published | $1,313.59 – $7,487.10 | 2 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $798.02 – $5,961.06 | 2 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | not published | not published | $772.64 – $3,045.46 | 2 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | not published | not published | $703.73 – $715.29 | 2 |
| In-111 pentetreotide HCPCS A9572 | not published | not published | $1,914.61 – $9,667.14 | 2 |
| In-111 satumomab pend HCPCS A4642 | not published | not published | $1,623.47 – $1,623.47 | 1 |
| Inactivated je vacc im CPT 90738 | not published | not published | $305.71 – $425.02 | 2 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $587.70 – $587.70 | 1 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $2,398.52 – $7,656.90 | 6 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $2,401.54 – $2,401.54 | 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.