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 |
|---|---|---|---|---|
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | not published | not published | $1,713.33 – $1,713.33 | 1 |
| Opn ilac art expos cndt crtj CPT 34833 | not published | not published | $540.65 – $540.65 | 1 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $19,861.72 – $37,271.99 | 6 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $11,857.53 – $24,677.66 | 6 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $8,186.92 – $24,677.66 | 6 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $3,956.35 – $7,919.53 | 6 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $19,861.72 – $38,481.25 | 6 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $6,208.68 – $6,208.68 | 1 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $1,687.90 – $1,687.90 | 1 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $1,421.73 – $1,421.73 | 1 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $1,339.16 – $1,339.16 | 1 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $6,208.68 – $6,208.68 | 1 |
| Opn tx nasomax fx w/graft CPT 21348 | not published | not published | $1,432.33 – $1,432.33 | 1 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $6,208.68 – $6,208.68 | 1 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $6,208.68 – $6,208.68 | 1 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $6,208.68 – $6,208.68 | 1 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $6,208.68 – $6,208.68 | 1 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $6,208.68 – $6,208.68 | 1 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $1,125.73 – $1,125.73 | 1 |
| Oprelvekin injection HCPCS J2355 | not published | not published | $239.36 – $750.69 | 2 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $176.03 – $176.03 | 1 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $176.03 – $176.03 | 1 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $27.50 – $157.63 | 3 |
| Optokinetic nystagmus test CPT 92534 | not published | not published | $13.82 – $13.82 | 1 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $3,196.82 – $7,656.90 | 6 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $3,155.24 – $7,656.90 | 6 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $2,398.52 – $7,656.90 | 6 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $2,398.52 – $7,656.90 | 6 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $3,294.44 – $7,656.90 | 6 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $6,208.68 – $6,208.68 | 1 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $2,314.34 – $2,314.34 | 1 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $949.35 – $949.35 | 1 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $2,714.29 – $2,714.29 | 1 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $1,860.43 – $1,860.43 | 1 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $3,122.54 – $7,656.90 | 6 |
| Optx lunate dislocation CPT 25695 | not published | not published | $2,398.52 – $7,656.90 | 6 |
| Optx medial ankle fx CPT 27766 | not published | not published | $2,398.52 – $7,656.90 | 6 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $2,620.26 – $6,208.68 | 6 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $2,640.42 – $6,208.68 | 6 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $2,659.64 – $6,208.68 | 6 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $2,582.38 – $6,208.68 | 6 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $875.08 – $875.08 | 1 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $1,025.01 – $1,025.01 | 1 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $7,262.54 – $15,232.91 | 6 |
| Optx post ankle fx CPT 27769 | not published | not published | $3,122.54 – $7,656.90 | 6 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $6,910.72 – $15,232.91 | 6 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $9,515.63 – $20,410.98 | 6 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $3,226.48 – $7,656.90 | 6 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $2,398.52 – $7,656.90 | 6 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $3,741.70 – $7,656.90 | 6 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $3,161.54 – $7,656.90 | 6 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $3,122.54 – $7,656.90 | 6 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $3,340.45 – $7,656.90 | 6 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $3,423.83 – $7,656.90 | 6 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $3,276.69 – $7,656.90 | 6 |
| Optx sho dislc fx CPT 23670 | not published | not published | $2,398.52 – $7,656.90 | 6 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $7,534.73 – $15,232.91 | 6 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $3,318.26 – $7,656.90 | 6 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $2,398.52 – $7,656.90 | 6 |
| Optx thigh fx CPT 27269 | not published | not published | $1,653.30 – $1,653.30 | 1 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $886.62 – $3,352.69 | 6 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $2,398.52 – $7,656.90 | 6 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $3,160.14 – $7,656.90 | 6 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $3,121.14 – $7,656.90 | 6 |
| Oral aprepitant HCPCS J8501 | not published | not published | $3.04 – $12.45 | 2 |
| Oral busulfan HCPCS J8510 | not published | not published | $41.26 – $84.21 | 2 |
| Oral everolimus HCPCS J7527 | not published | not published | $2.02 – $15.03 | 2 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $7.19 – $36.90 | 3 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $18.97 – $31.46 | 2 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $20.71 – $32.95 | 2 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $409.01 – $1,025.71 | 2 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $3,862.00 – $3,862.00 | 1 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $4,391.58 – $4,391.58 | 1 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $4,269.80 – $4,269.80 | 1 |
| Orchiectomy partial CPT 54522 | not published | not published | $1,142.90 – $3,863.73 | 6 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $3,979.96 – $3,979.96 | 1 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $1,151.54 – $3,979.96 | 6 |
| Organic acids total quant ea spec CPT 83918 | not published | not published | $14.16 – $72.69 | 7 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $42.77 – $69.32 | 2 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $28.53 – $41.33 | 2 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $85.54 – $132.12 | 6 |
| Orthopantogram CPT 70355 | not published | not published | $109.47 – $227.35 | 7 |
| Orthop traing pfrmd phys/qhp CPT 92065 | not published | not published | $176.03 – $176.03 | 1 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $177.04 – $177.04 | 1 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $125.30 – $254.47 | 2 |
| Oscillation chest wall mechanical per session CPT 94669 | not published | not published | $185.00 – $588.67 | 3 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $8,311.46 – $15,232.91 | 6 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $2,398.52 – $7,656.90 | 6 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $3,122.54 – $7,656.90 | 6 |
| Osteoplasty humerus CPT 24420 | not published | not published | $3,122.54 – $7,656.90 | 6 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $2,169.96 – $2,169.96 | 1 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $488.05 – $488.05 | 1 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $2,117.36 – $2,117.36 | 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.