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 |
|---|---|---|---|---|
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $105.71 – $1,550.47 | 2 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $1,943.00 – $1,943.00 | 1 |
| Liver imaging CPT 78201 | not published | not published | $397.00 – $1,375.37 | 7 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $397.00 – $1,375.37 | 7 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $242.46 – $1,059.47 | 7 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $2,477.06 – $2,477.06 | 1 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $0.93 – $1.15 | 2 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $147.95 – $147.95 | 1 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $212.00 – $355.65 | 2 |
| Loudness balance test CPT 92562 | not published | not published | $365.00 – $442.72 | 2 |
| Low back disk surgery CPT 63030 | not published | not published | $2,398.52 – $7,656.90 | 6 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $636.19 – $636.19 | 1 |
| Lower jaw bone graft CPT 21215 | not published | not published | $2,788.09 – $6,208.68 | 6 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $155.00 – $559.14 | 3 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $18.00 – $25.65 | 2 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $1,888.85 – $6,187.15 | 6 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $10,768.78 – $10,768.78 | 1 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $3,110.01 – $10,768.78 | 6 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $10,768.78 – $10,768.78 | 1 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $13.19 – $67.73 | 7 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $1.60 – $1.60 | 1 |
| Lumizyme injection HCPCS J0221 | not published | not published | $201.57 – $270.92 | 2 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $176.03 – $365.00 | 2 |
| Lung transplant double CPT 32853 | not published | not published | $6,159.28 – $6,159.28 | 1 |
| Lung transplant single CPT 32851 | not published | not published | $4,398.50 – $4,398.50 | 1 |
| Lung transplant with bypass CPT 32852 | not published | not published | $4,781.84 – $4,781.84 | 1 |
| Lung transplant with bypass CPT 32854 | not published | not published | $6,537.09 – $6,537.09 | 1 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,960.06 – $1,960.06 | 1 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $205.04 – $292.07 | 2 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $41.24 – $58.60 | 2 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $296.25 – $418.10 | 2 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $240.20 – $361.92 | 2 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $29.43 – $29.43 | 1 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $12.03 – $61.75 | 7 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $945.20 – $945.20 | 1 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $21.94 – $112.60 | 7 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $29.42 – $151.01 | 7 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $113.71 – $583.69 | 7 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $28.55 – $146.58 | 7 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $728.91 – $1,519.19 | 7 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $1,874.69 – $3,952.28 | 7 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $2,537.59 – $8,045.76 | 7 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $3,753.50 – $8,045.76 | 7 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $187.22 – $565.40 | 6 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $1,063.52 – $3,197.57 | 6 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $652.80 – $2,267.58 | 6 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $15.33 – $29.94 | 2 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $4.32 – $21.10 | 3 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $2.56 – $13.15 | 7 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $2.59 – $13.27 | 7 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $294.24 – $1,100.00 | 7 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $13.82 – $13.82 | 1 |
| Malaria antibody CPT 86750 | not published | not published | $7.91 – $40.63 | 7 |
| Male sling procedure CPT 53440 | not published | not published | $7,582.22 – $10,326.95 | 6 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $4,059.44 – $4,059.44 | 1 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $593.04 – $1,734.90 | 6 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $593.04 – $1,734.90 | 6 |
| Manipulation of hip joint CPT 27275 | not published | not published | $593.04 – $1,734.90 | 6 |
| Manipulation of spine CPT 22505 | not published | not published | $593.04 – $1,734.90 | 6 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $66.72 – $91.47 | 6 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $2.26 – $5.25 | 2 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $1.18 – $11.25 | 2 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $3.04 – $15.62 | 7 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $139.00 – $289.47 | 2 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $48.53 – $70.76 | 2 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $0.62 – $1,137.96 | 2 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $1,513.06 – $1,513.06 | 1 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $123.53 – $123.53 | 1 |
| Mastectomy partial CPT 19301 | not published | not published | $963.66 – $3,877.82 | 6 |
| Mast mod rad CPT 19307 | not published | not published | $6,703.73 – $6,703.73 | 1 |
| Mastoidectomy CPT 69501 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Mastoid surgery revision CPT 69603 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Mastopexy CPT 19316 | not published | not published | $1,845.21 – $6,703.73 | 6 |
| Mast radical CPT 19305 | not published | not published | $1,509.84 – $1,509.84 | 1 |
| Mast rad urban type CPT 19306 | not published | not published | $1,599.80 – $1,599.80 | 1 |
| Mast simple complete CPT 19303 | not published | not published | $1,845.21 – $6,703.73 | 6 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $6.16 – $86.35 | 2 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $2,566.67 – $2,566.67 | 1 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $21.50 – $21.50 | 1 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $21.05 – $108.08 | 7 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $16.37 – $84.05 | 7 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $25.70 – $131.95 | 7 |
| Maxillofacial fixation CPT 21100 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $23.14 – $118.80 | 7 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $13.47 – $14.14 | 5 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | not published | not published | $72.98 – $374.62 | 7 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $82.20 – $421.96 | 7 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | not published | not published | $696.00 – $3,572.80 | 7 |
| Mayo avwpr vw factor activity CPT 85397 | not published | not published | $18.52 – $95.05 | 7 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $21.05 – $108.08 | 6 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $128.77 – $661.03 | 7 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $10.50 – $11.03 | 5 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | not published | not published | $16.07 – $82.48 | 7 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $73.33 – $376.44 | 7 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | not published | not published | $69.89 – $358.79 | 7 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | not published | not published | $15.93 – $16.73 | 5 |
| Mayo cyanide CPT 82600 | not published | not published | $11.64 – $59.75 | 7 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $97.64 – $1,143.53 | 3 |
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.