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 |
|---|---|---|---|---|
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $2,307.89 – $2,307.89 | 1 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $2,398.52 – $7,656.90 | 6 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $1,459.10 – $1,459.10 | 1 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $3,448.35 – $7,656.90 | 6 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $2.37 – $2.37 | 1 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $48.83 – $48.83 | 1 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $2.73 – $2.73 | 1 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $3.58 – $3.58 | 1 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $4.76 – $4.76 | 1 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $1.73 – $1.73 | 1 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $9.03 – $9.03 | 1 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $8.51 – $8.51 | 1 |
| Ot evaluation high complexity patient/family CPT 97167 | not published | not published | $155.00 – $297.54 | 3 |
| Ot evaluation low complexity patient/family CPT 97165 | not published | not published | $155.00 – $297.54 | 3 |
| Ot evaluation moderate complexity patient/family CPT 97166 | not published | not published | $155.00 – $297.54 | 3 |
| Other bone graft microvasc CPT 20962 | not published | not published | $3,553.86 – $3,553.86 | 1 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $13.88 – $71.24 | 7 |
| Oth resp proc, group HCPCS G0239 | not published | not published | $40.35 – $348.00 | 3 |
| Oth resp proc, indiv HCPCS G0238 | not published | not published | $32.29 – $348.00 | 3 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | not published | not published | $155.00 – $185.00 | 3 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | not published | not published | $155.00 – $185.00 | 3 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | not published | not published | $91.10 – $185.00 | 3 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $31.14 – $31.14 | 1 |
| Otoplasty 69300 CPT 69300 | not published | not published | $886.62 – $3,352.69 | 6 |
| Ot re-evaluation patient/family CPT 97168 | not published | not published | $155.00 – $204.13 | 3 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | not published | not published | $130.30 – $185.00 | 3 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | not published | not published | $74.98 – $185.00 | 3 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | not published | not published | $77.28 – $185.00 | 3 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | not published | not published | $100.32 – $185.00 | 3 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | not published | not published | $114.18 – $185.00 | 3 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | not published | not published | $111.87 – $185.00 | 3 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $2,092.45 – $2,092.45 | 1 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $5,467.57 – $5,467.57 | 1 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $106.42 – $106.42 | 1 |
| Ovulation tests CPT 84830 | not published | not published | $7.62 – $39.12 | 3 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $0.64 – $3.40 | 2 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | not published | not published | $0.05 – $0.50 | 2 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $2.26 – $5.32 | 2 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | not published | not published | $0.92 – $2.01 | 2 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $151.38 – $494.70 | 2 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $179.12 – $519.26 | 2 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $82.20 – $421.96 | 3 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | not published | not published | $237.64 – $237.64 | 1 |
| Packing strips, non-impreg HCPCS A6407 | not published | not published | $1.87 – $1.87 | 1 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | not published | not published | $0.13 – $0.31 | 2 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | not published | not published | $13.06 – $23.32 | 2 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $405.90 – $1,351.55 | 3 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $180.81 – $928.16 | 3 |
| Palifermin injection HCPCS J2425 | not published | not published | $33.99 – $36.06 | 2 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $360.51 – $360.51 | 1 |
| Palingen or promatrx HCPCS Q4174 | not published | not published | $1,359.45 – $1,441.50 | 2 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | not published | not published | $14.74 – $18.90 | 2 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $719.87 – $2,322.21 | 2 |
| Palonosetron hcl HCPCS J2469 | not published | not published | $0.50 – $11.82 | 2 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | not published | not published | $13.88 – $14.12 | 2 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $1,383.73 – $1,383.73 | 1 |
| Pancreatectomy CPT 48146 | not published | not published | $2,514.55 – $2,514.55 | 1 |
| Pancreatectomy CPT 48152 | not published | not published | $3,869.39 – $3,869.39 | 1 |
| Pancreatectomy CPT 48154 | not published | not published | $3,892.92 – $3,892.92 | 1 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $4,160.01 – $4,160.01 | 1 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $2,096.61 – $2,096.61 | 1 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $1,794.92 – $1,794.92 | 1 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | not published | not published | $211.44 – $260.74 | 2 |
| Papaverin hcl injection HCPCS J2440 | not published | not published | $42.29 – $45.94 | 2 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $1,852.58 – $1,852.58 | 1 |
| Parathyrd planar w/spect&ct CPT 78072 | not published | not published | $397.00 – $1,375.37 | 3 |
| Parathyroid planar img w/tomo spect CPT 78071 | not published | not published | $397.00 – $1,059.47 | 7 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $5,467.57 – $5,467.57 | 1 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $1,845.21 – $6,703.73 | 6 |
| Paricalcitol HCPCS J2501 | not published | not published | $0.81 – $2.48 | 2 |
| Parotid duct diversion CPT 42507 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Parotid duct diversion CPT 42509 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Parotid duct diversion CPT 42510 | not published | not published | $886.62 – $3,352.69 | 6 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $7,656.90 – $7,656.90 | 1 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $1,063.52 – $3,197.57 | 6 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $1,692.51 – $1,692.51 | 1 |
| Partial exc bone humerus CPT 24140 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Partial excision of lip CPT 40500 | not published | not published | $886.62 – $3,352.69 | 6 |
| Partial hip replacement CPT 27125 | not published | not published | $14,838.95 – $14,838.95 | 1 |
| Partial hysterectomy CPT 58180 | not published | not published | $1,263.50 – $1,263.50 | 1 |
| Partial proctectomy CPT 45113 | not published | not published | $2,522.85 – $2,522.85 | 1 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $1,498.76 – $1,498.76 | 1 |
| Partial removal donor liver CPT 47140 | not published | not published | $4,781.84 – $4,781.84 | 1 |
| Partial removal donor liver CPT 47141 | not published | not published | $5,724.28 – $5,724.28 | 1 |
| Partial removal donor liver CPT 47142 | not published | not published | $6,298.60 – $6,298.60 | 1 |
| Partial removal finger bone CPT 26235 | not published | not published | $593.04 – $1,734.90 | 6 |
| Partial removal finger bone CPT 26236 | not published | not published | $593.04 – $1,734.90 | 6 |
| Partial removal foot fascia CPT 28060 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Partial removal of bladder CPT 51550 | not published | not published | $1,287.03 – $1,287.03 | 1 |
| Partial removal of esophagus CPT 43116 | not published | not published | $6,717.91 – $6,717.91 | 1 |
| Partial removal of esophagus CPT 43118 | not published | not published | $4,875.94 – $4,875.94 | 1 |
| Partial removal of esophagus CPT 43121 | not published | not published | $3,796.51 – $3,796.51 | 1 |
| Partial removal of esophagus CPT 43123 | not published | not published | $5,997.36 – $5,997.36 | 1 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $4,354.21 – $4,354.21 | 1 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $3,418.70 – $3,418.70 | 1 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $849.94 – $2,587.98 | 6 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $849.94 – $2,587.98 | 6 |
| Partial removal of fibula CPT 27641 | not published | not published | $1,088.27 – $3,503.94 | 6 |
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.