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 |
|---|---|---|---|---|
| Incision of thigh tendons CPT 27391 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Incision of thigh tendons CPT 27392 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Incision of tibia CPT 27705 | not published | not published | $3,116.01 – $7,656.90 | 6 |
| Incision of tibia & fibula CPT 27709 | not published | not published | $6,337.31 – $15,232.91 | 6 |
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $593.04 – $1,734.90 | 6 |
| Incision of tongue nerve CPT 64740 | not published | not published | $659.94 – $2,200.77 | 6 |
| Incision of urethra CPT 53000 | not published | not published | $652.80 – $2,267.58 | 6 |
| Incision of urethra CPT 53010 | not published | not published | $1,689.43 – $5,416.47 | 6 |
| Incision of urethra CPT 53020 | not published | not published | $652.80 – $2,267.58 | 6 |
| Incision of urethra CPT 53025 | not published | not published | $1,010.83 – $1,010.83 | 1 |
| Incision of vagus nerve CPT 64760 | not published | not published | $681.80 – $681.80 | 1 |
| Incision of windpipe CPT 31601 | not published | not published | $6,208.68 – $6,208.68 | 1 |
| Incision of windpipe CPT 31610 | not published | not published | $6,208.68 – $6,208.68 | 1 |
| Incision of wrist capsule CPT 25085 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Incision secondary cataract CPT 66820 | not published | not published | $849.94 – $2,587.98 | 6 |
| Incision tendon sheath CPT 26055 | not published | not published | $593.04 – $1,734.90 | 6 |
| Incisn of toe tndn CPT 28010 | not published | not published | $100.50 – $159.37 | 6 |
| Incisn windpipe CPT 31600 | not published | not published | $3,352.69 – $3,352.69 | 1 |
| Incis spine 3 column adl seg CPT 22208 | not published | not published | $797.13 – $797.13 | 1 |
| Incis spine 3 column lumbar CPT 22207 | not published | not published | $3,224.03 – $3,224.03 | 1 |
| Incis spine 3 column thorac CPT 22206 | not published | not published | $3,290.46 – $3,290.46 | 1 |
| Incobotulinumtoxin a HCPCS J0588 | not published | not published | $5.33 – $8.24 | 2 |
| Inc&subq plmt crnl bone grf CPT 61316 | not published | not published | $119.94 – $119.94 | 1 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $650.43 – $650.43 | 1 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $694.72 – $694.72 | 1 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $553.56 – $553.56 | 1 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $506.51 – $506.51 | 1 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $693.34 – $693.34 | 1 |
| Induced abortion d&c CPT 59840 | not published | not published | $1,063.52 – $3,197.57 | 6 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $1,063.52 – $3,197.57 | 6 |
| Induction of vomiting CPT 99175 | not published | not published | $84.19 – $84.19 | 1 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $42.12 – $216.22 | 2 |
| Infect ag drug suscept pheno predict CPT 87900 | not published | not published | $78.21 – $401.48 | 7 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $9.00 – $46.20 | 7 |
| Infect ag eia influenza a or b ea CPT 87400 | not published | not published | $8.48 – $43.52 | 7 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $154.47 – $792.95 | 7 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $154.47 – $792.95 | 7 |
| Infect ag genotype na hiv-1 other region CPT 87906 | not published | not published | $77.24 – $396.49 | 7 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | not published | not published | $154.47 – $792.95 | 7 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $19.66 – $100.93 | 7 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $21.17 – $108.69 | 7 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $11.02 – $56.55 | 7 |
| Infect ag if influenza a CPT 87276 | not published | not published | $9.64 – $49.50 | 7 |
| Infect ag if influenza b CPT 87275 | not published | not published | $7.35 – $37.73 | 7 |
| Infect ag if nos ea CPT 87299 | not published | not published | $9.66 – $49.59 | 7 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $8.05 – $41.33 | 7 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $32.08 – $164.69 | 7 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $21.05 – $108.08 | 7 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $25.70 – $131.95 | 7 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | not published | not published | $57.48 – $295.06 | 7 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $30.79 – $158.03 | 7 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | not published | not published | $30.79 – $108.08 | 2 |
| Infect ag na resp virus 12-25 targets CPT 87633 | not published | not published | $250.07 – $1,283.68 | 7 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | not published | not published | $293.20 – $1,505.07 | 7 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | not published | not published | $15.64 – $80.30 | 7 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $24.83 – $127.45 | 6 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $8.05 – $41.33 | 7 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | not published | not published | $250.07 – $1,283.68 | 3 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | not published | not published | $85.58 – $439.30 | 6 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | not published | not published | $21.05 – $108.08 | 7 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | not published | not published | $21.05 – $108.08 | 7 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $46.06 – $236.45 | 2 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | not published | not published | $250.07 – $1,283.68 | 7 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $76.97 – $395.13 | 7 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $157.79 – $810.01 | 7 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | not published | not published | $85.58 – $439.30 | 7 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $19.75 – $85.16 | 2 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | not published | not published | $15.91 – $153.27 | 2 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $17.53 – $90.00 | 7 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $61.13 – $83.49 | 2 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $28.87 – $28.87 | 1 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $4,112.50 – $4,112.50 | 1 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $4,067.75 – $4,067.75 | 1 |
| Infuse radioactive materials CPT 77750 | not published | not published | $640.37 – $679.39 | 2 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $79.00 – $227.20 | 2 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $79.00 – $247.94 | 2 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | not published | not published | $185.00 – $588.67 | 3 |
| Initial care training 30 m HCPCS G0539 | not published | not published | $149.63 – $149.63 | 1 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $370.98 – $370.98 | 1 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $1,135.97 – $1,135.97 | 1 |
| Init nb em per day non-fac CPT 99461 | not published | not published | $205.28 – $205.28 | 1 |
| Init/sub psych care m 1st 30 HCPCS G2214 | not published | not published | $129.15 – $129.15 | 1 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $5.87 – $11.20 | 2 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $7.03 – $9.63 | 2 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.22 – $0.41 | 2 |
| Inj, acetaminophen (b braun) HCPCS J0136 | not published | not published | $0.05 – $0.10 | 2 |
| Inj acetaminophen -fresenius HCPCS J0134 | not published | not published | $0.05 – $0.26 | 2 |
| Inj, acetaminophen (hikma) HCPCS J0137 | not published | not published | $0.03 – $0.14 | 2 |
| Inj. acthar gel to 40 units HCPCS J0801 | not published | not published | $3,893.43 – $7,785.82 | 2 |
| Inj, adalimumab, 1 mg HCPCS J0139 | not published | not published | $91.73 – $4,292.54 | 2 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $10.51 – $22.37 | 2 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $63,235.61 – $273,600.00 | 2 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $5.98 – $22.61 | 2 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $34.52 – $66.02 | 2 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $321.18 – $650.54 | 2 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.51 – $2.82 | 2 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | not published | not published | $4.89 – $4.89 | 1 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $4.45 – $11.06 | 2 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $138.11 – $279.61 | 2 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $46.05 – $122.38 | 2 |
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.