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 |
|---|---|---|---|---|
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $1,062.24 – $3,759.24 | 6 |
| Laser surgery eye strands CPT 67031 | not published | not published | $208.33 – $648.87 | 6 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $1,063.52 – $3,197.57 | 6 |
| Laser surgery of prostate CPT 52647 | not published | not published | $1,689.43 – $5,416.47 | 6 |
| Laser surgery of prostate CPT 52648 | not published | not published | $1,689.43 – $5,416.47 | 6 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $709.01 – $2,077.11 | 6 |
| Laser treatment of retina CPT 67039 | not published | not published | $1,533.49 – $4,887.46 | 6 |
| Laser treatment of retina CPT 67040 | not published | not published | $1,533.49 – $4,887.46 | 6 |
| Lateral canthopexy CPT 21282 | not published | not published | $886.62 – $3,352.69 | 6 |
| Lat retinacular release open CPT 27425 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $87.58 – $131.70 | 6 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $3,110.01 – $10,768.78 | 6 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $2,968.18 – $2,968.18 | 1 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $1,820.29 – $1,820.29 | 1 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $1,871.04 – $1,871.04 | 1 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $2,345.25 – $2,345.25 | 1 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $1,952.22 – $1,952.22 | 1 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $6,208.68 – $6,208.68 | 1 |
| Left compres band >=3" <5"/yd HCPCS A6449 | not published | not published | $1.75 – $1.75 | 1 |
| Left compres band <3"/yd HCPCS A6448 | not published | not published | $1.15 – $1.15 | 1 |
| Left compres band >=5"/yd HCPCS A6450 | not published | not published | $1.75 – $1.75 | 1 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $12.03 – $61.75 | 7 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $25.06 – $128.62 | 7 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $3,547.24 – $3,547.24 | 1 |
| Leishmania antibody CPT 86717 | not published | not published | $7.35 – $37.73 | 7 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Lengthening of palate CPT 42227 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $1,570.27 – $1,570.27 | 1 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $2,398.52 – $7,656.90 | 6 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $2,398.52 – $7,656.90 | 6 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $1,424.50 – $1,424.50 | 1 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $3,122.54 – $7,656.90 | 6 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $6,863.41 – $15,232.91 | 6 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $3,155.47 – $7,656.90 | 6 |
| Lepirudin HCPCS J1945 | not published | not published | $145.24 – $916.71 | 2 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | not published | not published | $3.51 – $4.39 | 2 |
| Leukacyte transfusion CPT 86950 | not published | not published | $97.64 – $441.98 | 3 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $6.23 – $32.00 | 7 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | not published | not published | $172.29 – $750.69 | 2 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | not published | not published | $1,299.79 – $1,670.30 | 2 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $62.65 – $151.50 | 2 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $220.74 – $769.29 | 2 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $52.38 – $86.29 | 2 |
| Lev 1 hosp type b ed visit HCPCS G0380 | not published | not published | $199.52 – $199.52 | 1 |
| Lev 2 hosp type b ed visit HCPCS G0381 | not published | not published | $321.76 – $321.76 | 1 |
| Lev 3 hosp type b ed visit HCPCS G0382 | not published | not published | $531.65 – $531.65 | 1 |
| Lev 4 hosp type b ed visit HCPCS G0383 | not published | not published | $804.96 – $804.96 | 1 |
| Lev 5 hosp type b ed visit HCPCS G0384 | not published | not published | $1,191.30 – $1,191.30 | 1 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $1.94 – $1.94 | 1 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.28 – $2.63 | 2 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.09 – $1.98 | 2 |
| Levonorgestrel implant sys HCPCS J7306 | not published | not published | $375.87 – $375.87 | 1 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | not published | not published | $7.26 – $18.19 | 2 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | not published | not published | $0.01 – $0.02 | 2 |
| Ligate esophagus veins CPT 43400 | not published | not published | $2,040.79 – $2,040.79 | 1 |
| Ligate leg veins open CPT 37761 | not published | not published | $742.28 – $1,174.13 | 6 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $1,118.22 – $3,547.24 | 6 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $100.10 – $100.10 | 1 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $1,937.00 – $1,937.00 | 1 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $1,118.22 – $3,547.24 | 6 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $1,118.22 – $3,547.24 | 6 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $1,063.52 – $3,197.57 | 6 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $486.45 – $1,756.93 | 6 |
| Ligation common iliac vein CPT 37660 | not published | not published | $1,756.17 – $1,756.17 | 1 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $1,118.22 – $3,547.24 | 6 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $3,547.24 – $3,547.24 | 1 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $3,547.24 – $3,547.24 | 1 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $2,087.85 – $2,087.85 | 1 |
| Ligation major artery chest CPT 37616 | not published | not published | $1,478.46 – $1,478.46 | 1 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $512.50 – $512.50 | 1 |
| Ligation major artery neck CPT 37615 | not published | not published | $2,087.85 – $2,087.85 | 1 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $1,118.22 – $3,547.24 | 6 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $1,791.69 – $1,791.69 | 1 |
| Ligation of femoral vein CPT 37650 | not published | not published | $1,118.22 – $3,547.24 | 6 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $5,883.12 – $5,883.12 | 1 |
| Ligation of neck artery CPT 37606 | not published | not published | $3,547.24 – $3,547.24 | 1 |
| Ligation of salivary duct CPT 42665 | not published | not published | $886.62 – $3,352.69 | 6 |
| Ligation of shunt CPT 49428 | not published | not published | $577.09 – $577.09 | 1 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $1,118.22 – $3,547.24 | 6 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $1,118.22 – $3,547.24 | 6 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $1,118.22 – $3,547.24 | 6 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $1,118.22 – $3,547.24 | 6 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $1,118.08 – $1,281.47 | 2 |
| Limb exercise test CPT 95875 | not published | not published | $237.57 – $1,320.00 | 2 |
| Limited autopsy CPT 88036 | not published | not published | $62.28 – $1,431.89 | 3 |
| Limited autopsy CPT 88037 | not published | not published | $55.40 – $1,163.29 | 3 |
| Limited visual field xm CPT 92081 | not published | not published | $176.03 – $176.03 | 1 |
| Lincomycin injection HCPCS J2010 | not published | not published | $6.24 – $13.05 | 2 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $886.62 – $3,352.69 | 6 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $20.32 – $104.29 | 7 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $20.51 – $105.31 | 7 |
| Lip surgery procedure CPT 40799 | not published | not published | $260.66 – $260.66 | 1 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $516,442.29 – $698,806.55 | 2 |
| Listeria monocytogenes CPT 86723 | not published | not published | $7.91 – $40.63 | 7 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | not published | not published | $13,065.00 – $13,065.00 | 1 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $1,232.59 – $1,232.59 | 1 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $1,468.31 – $1,468.31 | 1 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $1,622.40 – $1,622.40 | 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.