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 |
|---|---|---|---|---|
| Mayo deoxyribonuclease antibody titer CPT 86215 | not published | not published | $7.95 – $40.81 | 7 |
| Mayo dihydrotestosterone CPT 82642 | not published | not published | $17.57 – $90.18 | 7 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $5.78 – $29.69 | 7 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $48.28 – $247.82 | 7 |
| Mayo ffspg allergen clam igg CPT 86001 | not published | not published | $4.69 – $24.09 | 7 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $8.68 – $44.54 | 7 |
| Mayo gamma-globin full gene sequencing CPT 81479 | not published | not published | $79.00 – $335.73 | 2 |
| Mayo hemosiderin qualitative urine CPT 83070 | not published | not published | $2.85 – $14.63 | 7 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | not published | not published | $21.05 – $108.08 | 7 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | not published | not published | $8.99 – $46.17 | 7 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $21.05 – $108.08 | 2 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | not published | not published | $21.05 – $108.08 | 7 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | not published | not published | $21.05 – $108.08 | 2 |
| Mayo infliximab therapeutic drug level CPT 80230 | not published | not published | $23.14 – $118.80 | 7 |
| Mayo itraconazole therapeutic drug level CPT 80189 | not published | not published | $16.27 – $83.50 | 7 |
| Mayo lipoprotein electrophoresis CPT 83700 | not published | not published | $6.76 – $34.68 | 7 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | not published | not published | $82.20 – $421.96 | 7 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $111.12 – $570.42 | 3 |
| Mayo nickel CPT 83885 | not published | not published | $14.71 – $75.49 | 7 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | not published | not published | $13.80 – $14.49 | 5 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $9.30 – $47.74 | 3 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | not published | not published | $46.17 – $46.17 | 1 |
| Mayo tau phosphorylated 217 each CPT 84393 | not published | not published | $53.19 – $53.19 | 1 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $125.35 – $643.47 | 7 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $13.30 – $68.28 | 6 |
| Mayo ticks babesia microti antibody igg CPT 86753 | not published | not published | $7.43 – $38.16 | 7 |
| Mayo vitamin b3 (niacin) CPT 84591 | not published | not published | $10.24 – $52.54 | 7 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $1,126.03 – $1,126.03 | 1 |
| Mcoln1 gene CPT 81290 | not published | not published | $23.59 – $121.07 | 7 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $593.04 – $1,734.90 | 6 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $68.03 – $68.03 | 1 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $1,457.62 – $3,810.93 | 6 |
| Md inr test revie inter mgmt HCPCS G0250 | not published | not published | $28.86 – $28.86 | 1 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $63.42 – $365.00 | 2 |
| Measure kidney pressure CPT 50396 | not published | not published | $238.15 – $712.36 | 6 |
| Measure ureter pressure CPT 50686 | not published | not published | $57.79 – $89.48 | 6 |
| Mecasermin injection HCPCS J2170 | not published | not published | $190.84 – $441.15 | 2 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $126.80 – $545.49 | 2 |
| #mec-opiates CPT 80356 | not published | not published | $15.90 – $16.70 | 5 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $90.00 – $462.00 | 7 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $316.72 – $1,625.84 | 7 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $72.00 – $369.60 | 7 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | not published | not published | $168.10 – $168.10 | 1 |
| Medial canthopexy CPT 21280 | not published | not published | $886.62 – $3,352.69 | 6 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $6,187.15 – $6,187.15 | 1 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $6,187.15 – $6,187.15 | 1 |
| Medical testimony CPT 99075 | not published | not published | $438.24 – $438.24 | 1 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $306.00 – $2,080.23 | 3 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | not published | not published | $0.36 – $0.54 | 2 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $0.15 – $0.15 | 1 |
| Meg evoked each addl CPT 95967 | not published | not published | $615.84 – $764.70 | 6 |
| Meg evoked single CPT 95966 | not published | not published | $704.64 – $1,236.19 | 6 |
| Meg spontaneous CPT 95965 | not published | not published | $1,078.00 – $1,391.97 | 6 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $12.02 – $12.90 | 2 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | not published | not published | $262.93 – $262.93 | 1 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $136.48 – $136.48 | 1 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | not published | $26.31 – $26.31 | 1 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $182.18 – $182.18 | 1 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $65,286.09 – $78,986.40 | 2 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $168.92 – $168.92 | 1 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $71.82 – $79.53 | 2 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $63.30 – $63.30 | 1 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $276.00 – $391.73 | 2 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $7,656.90 – $7,656.90 | 1 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | not published | not published | $3.11 – $10.14 | 2 |
| Meperidine/promethazine inj HCPCS J2180 | not published | not published | $7.44 – $7.44 | 1 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $30.54 – $48.51 | 2 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $4.04 – $4.04 | 1 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | not published | not published | $1.36 – $12.11 | 2 |
| Metatarsal joint implant HCPCS L8641 | not published | not published | $236.57 – $248.40 | 5 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $1.28 – $1.63 | 2 |
| Methadone injection HCPCS J1230 | not published | not published | $20.69 – $20.91 | 2 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.03 – $0.03 | 1 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | not published | not published | $2.03 – $2.58 | 2 |
| Methotrexate therapeutic drug level CPT 80204 | not published | not published | $23.14 – $118.80 | 7 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $134.46 – $134.46 | 1 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $50.00 – $68.40 | 2 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | not published | not published | $1.98 – $7.58 | 2 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | not published | not published | $21.29 – $23.36 | 2 |
| Methylphenidate CPT 80360 | not published | not published | $10.84 – $11.38 | 5 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | not published | not published | $0.24 – $0.63 | 2 |
| Metyrapone panel CPT 80436 | not published | not published | $54.70 – $280.77 | 7 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $74.78 – $383.89 | 6 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | not published | not published | $0.28 – $3.20 | 2 |
| Microalbumin urine screen CPT 82044 | not published | not published | $3.74 – $19.19 | 7 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $24.10 – $123.72 | 7 |
| Microdissection laser CPT 88380 | not published | not published | $43.42 – $243.10 | 3 |
| Microdissection manual CPT 88381 | not published | not published | $105.31 – $400.71 | 3 |
| Microfluid analy tears CPT 83861 | not published | not published | $13.49 – $69.24 | 7 |
| Microsatellite instability CPT 81301 | not published | not published | $209.14 – $1,073.56 | 7 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $331.00 – $366.72 | 2 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $10,560.64 – $10,560.64 | 1 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $134.67 – $306.01 | 7 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $113.54 – $113.54 | 1 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | not published | not published | $1.57 – $3.01 | 2 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $2.59 – $2.77 | 2 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $0.63 – $0.63 | 1 |
| Miroderm HCPCS Q4175 | not published | not published | $68.56 – $68.56 | 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.