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 |
|---|---|---|---|---|
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $68.07 – $125.26 | 2 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $1.30 – $1.30 | 1 |
| Mitochondrial gene CPT 81440 | not published | not published | $1,994.40 – $10,237.92 | 3 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $25.60 – $145.25 | 2 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $313.00 – $537.15 | 2 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $27.69 – $63.97 | 2 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $3,739.30 – $3,739.30 | 1 |
| Mlh1 gene CPT 81288 | not published | not published | $115.39 – $592.35 | 7 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $121.44 – $623.39 | 7 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $405.24 – $2,080.23 | 7 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $198.60 – $1,019.48 | 7 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $73.82 – $73.82 | 1 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $20.77 – $20.77 | 1 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $4,811.02 – $15,232.91 | 6 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $593.04 – $1,734.90 | 6 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $593.04 – $1,734.90 | 6 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $204.04 – $329.37 | 6 |
| Mnt subs tx for change dx HCPCS G0270 | not published | not published | $94.56 – $324.00 | 2 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $161.92 – $161.92 | 1 |
| Modification of contact lens CPT 92325 | not published | not published | $348.90 – $348.90 | 1 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $1,805.53 – $1,805.53 | 1 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $775.45 – $775.45 | 1 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $14.94 – $39.62 | 7 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $1.96 – $57.72 | 3 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.35 – $19.51 | 2 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $663.64 – $1,365.52 | 2 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $412.38 – $412.38 | 1 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $38.38 – $197.00 | 7 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $90.20 – $463.02 | 7 |
| Mopath procedure level 5 CPT 81404 | not published | not published | $164.90 – $846.48 | 7 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $180.81 – $928.16 | 7 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $169.73 – $871.27 | 7 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $507.76 – $2,606.51 | 7 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $1,200.00 – $6,160.00 | 7 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $5.85 – $5.85 | 1 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $7.97 – $9.82 | 2 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $97.64 – $576.61 | 3 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $156.94 – $872.90 | 3 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $640.96 – $1,011.77 | 2 |
| Motion analysis video/3d CPT 96000 | not published | not published | $139.00 – $313.70 | 2 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $139.00 – $420.93 | 2 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $139.00 – $348.90 | 2 |
| Mouth piece HCPCS A4617 | not published | not published | $3.10 – $3.10 | 1 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $886.62 – $3,352.69 | 6 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $25.54 – $147.62 | 3 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $56.58 – $244.21 | 3 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $97.64 – $441.98 | 3 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $90.20 – $463.02 | 3 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $12.03 – $61.75 | 7 |
| M.pneumon dna quant CPT 87582 | not published | not published | $181.57 – $932.07 | 7 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $826.00 – $1,100.00 | 3 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $826.00 – $1,100.00 | 3 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $540.65 – $1,100.00 | 3 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $826.00 – $1,100.00 | 3 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $826.00 – $1,100.00 | 3 |
| MRA pelvis CPT 72198 | not published | not published | $826.00 – $1,100.00 | 3 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $826.00 – $1,100.00 | 3 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $540.65 – $1,100.00 | 3 |
| MRA spinal canal CPT 72159 | not published | not published | $826.00 – $1,100.00 | 3 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $826.00 – $1,100.00 | 3 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $826.00 – $1,100.00 | 3 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $826.00 – $1,100.00 | 3 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $826.00 – $1,100.00 | 3 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $826.00 – $1,100.00 | 3 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $540.65 – $1,100.00 | 3 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $540.65 – $1,100.00 | 3 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $540.65 – $1,100.00 | 3 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $540.65 – $1,100.00 | 3 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $826.00 – $1,100.00 | 3 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $826.00 – $1,100.00 | 3 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $826.00 – $1,100.00 | 3 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $826.00 – $1,100.00 | 3 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $826.00 – $1,100.00 | 3 |
| Mr elastography CPT 76391 | not published | not published | $294.24 – $1,100.00 | 7 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $15,962.00 – $15,962.00 | 1 |
| MRI brain w/dye CPT 70558 | not published | not published | $468.22 – $1,100.00 | 3 |
| MRI brain without dye CPT 70557 | not published | not published | $826.00 – $1,153.83 | 3 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $468.22 – $1,100.00 | 3 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $759.71 – $1,100.00 | 3 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $826.00 – $1,100.00 | 3 |
| MRI breast without cont bi CPT 77047 | not published | not published | $759.71 – $1,100.00 | 3 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $826.00 – $1,100.00 | 3 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $294.24 – $1,100.00 | 7 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $464.22 – $1,100.00 | 7 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $826.00 – $1,579.50 | 7 |
| MRI chest w IV cont CPT 71551 | not published | not published | $826.00 – $2,219.47 | 7 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $224.48 – $1,100.00 | 7 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $294.24 – $1,100.00 | 7 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $826.00 – $1,100.00 | 3 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $514.20 – $1,100.00 | 3 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $826.00 – $2,138.36 | 3 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $826.00 – $1,100.00 | 3 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $422.75 – $1,100.00 | 3 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $826.00 – $1,100.00 | 3 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $826.00 – $1,100.00 | 3 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $204.28 – $204.28 | 1 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $212.95 – $212.95 | 1 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | not published | not published | $125.00 – $125.00 | 1 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $137.81 – $137.81 | 1 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $56.82 – $56.82 | 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.