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 |
|---|---|---|---|---|
| Partial removal of foot bone CPT 28288 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Partial removal of hand bone CPT 26230 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $2,668.62 – $2,668.62 | 1 |
| Partial removal of larynx CPT 31367 | not published | not published | $2,916.80 – $2,916.80 | 1 |
| Partial removal of larynx CPT 31368 | not published | not published | $3,239.72 – $3,239.72 | 1 |
| Partial removal of larynx CPT 31370 | not published | not published | $2,742.89 – $2,742.89 | 1 |
| Partial removal of larynx CPT 31375 | not published | not published | $2,598.96 – $2,598.96 | 1 |
| Partial removal of larynx CPT 31380 | not published | not published | $2,565.75 – $2,565.75 | 1 |
| Partial removal of larynx CPT 31382 | not published | not published | $2,814.86 – $2,814.86 | 1 |
| Partial removal of lip CPT 40530 | not published | not published | $886.62 – $3,352.69 | 6 |
| Partial removal of liver CPT 47125 | not published | not published | $4,130.48 – $4,130.48 | 1 |
| Partial removal of liver CPT 47130 | not published | not published | $4,437.71 – $4,437.71 | 1 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $1,968.37 – $1,968.37 | 1 |
| Partial removal of nose CPT 30150 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Partial removal of pancreas CPT 48145 | not published | not published | $2,183.80 – $2,183.80 | 1 |
| Partial removal of pancreas CPT 48150 | not published | not published | $4,179.38 – $4,179.38 | 1 |
| Partial removal of penis CPT 54120 | not published | not published | $1,142.90 – $3,863.73 | 6 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Partial removal of radius CPT 25151 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Partial removal of radius CPT 25230 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Partial removal of rectum CPT 45111 | not published | not published | $1,452.17 – $1,452.17 | 1 |
| Partial removal of rectum CPT 45114 | not published | not published | $2,426.91 – $2,426.91 | 1 |
| Partial removal of rectum CPT 45116 | not published | not published | $2,081.38 – $2,081.38 | 1 |
| Partial removal of rib CPT 21600 | not published | not published | $2,398.52 – $7,656.90 | 6 |
| Partial removal of sternum CPT 21620 | not published | not published | $669.81 – $669.81 | 1 |
| Partial removal of thyroid CPT 60220 | not published | not published | $1,888.85 – $6,187.15 | 6 |
| Partial removal of thyroid CPT 60225 | not published | not published | $1,888.85 – $6,187.15 | 6 |
| Partial removal of tibia CPT 27640 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Partial removal of toe CPT 28160 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Partial removal of tongue CPT 41120 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Partial removal of tongue CPT 41130 | not published | not published | $1,757.09 – $1,757.09 | 1 |
| Partial removal of ulna CPT 25119 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Partial removal of ulna CPT 25150 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Partial removal of ulna CPT 25240 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $3,197.57 – $3,197.57 | 1 |
| Partial removal tear gland CPT 68505 | not published | not published | $1,103.42 – $4,002.64 | 6 |
| Partial thyroid excision CPT 60210 | not published | not published | $1,888.85 – $6,187.15 | 6 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $1,888.85 – $6,187.15 | 6 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | not published | not published | $2.55 – $5.45 | 2 |
| Part removal hip bone deep CPT 27071 | not published | not published | $1,230.28 – $1,230.28 | 1 |
| Part removal of metatarsal CPT 28110 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Part removal of metatarsal CPT 28113 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Part remove hip bone super CPT 27070 | not published | not published | $1,138.48 – $1,138.48 | 1 |
| Paste skin barrier .5oz adapt HCPCS A4406 | not published | not published | $5.72 – $5.72 | 1 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $97.64 – $469.15 | 3 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $96.11 – $469.15 | 3 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $24.76 – $138.75 | 3 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $30.98 – $156.31 | 3 |
| Pathogen reduced plasma pool HCPCS P9070 | not published | not published | $99.48 – $212.00 | 2 |
| Pathogen reduced plasma sing HCPCS P9071 | not published | not published | $212.00 – $246.74 | 2 |
| Patient recorded spirometry CPT 94014 | not published | not published | $365.00 – $1,163.49 | 2 |
| Patient recorded spirometry CPT 94015 | not published | not published | $365.00 – $809.92 | 2 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $153.03 – $785.55 | 7 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $327.89 – $495.78 | 2 |
| Pdgfra gene CPT 81314 | not published | not published | $197.71 – $1,014.89 | 7 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $559.14 – $559.14 | 1 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $709.01 – $2,077.11 | 6 |
| Ped crit care age 2-5 init CPT 99475 | not published | not published | $1,826.75 – $1,826.75 | 1 |
| Ped crit care age 2-5 subsq CPT 99476 | not published | not published | $1,137.12 – $1,137.12 | 1 |
| Ped critical care initial CPT 99471 | not published | not published | $2,595.97 – $2,595.97 | 1 |
| Ped critical care subsq CPT 99472 | not published | not published | $1,329.70 – $1,329.70 | 1 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $365.00 – $442.72 | 2 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $365.00 – $442.72 | 2 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $709.01 – $2,077.11 | 6 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $154.62 – $593.59 | 2 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $907.64 – $1,262.12 | 2 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $27,070.53 – $29,961.23 | 2 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $19.98 – $346.51 | 2 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $134.25 – $594.94 | 2 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $163.60 – $594.94 | 2 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $251.25 – $592.57 | 2 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $112.90 – $572.92 | 2 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $164.15 – $354.83 | 2 |
| Peginesatide injection HCPCS J0890 | not published | not published | $18.42 – $18.42 | 1 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $1,746.75 – $1,746.75 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,565.32 – $4,753.89 | 2 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $226.93 – $352.14 | 2 |
| Pelvic exenteration CPT 45126 | not published | not published | $3,716.24 – $3,716.24 | 1 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $7,656.90 – $7,656.90 | 1 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $1,333.62 – $1,333.62 | 1 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $59.35 – $82.08 | 2 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $3.77 – $120.52 | 2 |
| Pemivibart infusion HCPCS M0224 | not published | not published | $1,440.00 – $1,440.00 | 1 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $7.87 – $17.37 | 2 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | not published | not published | $21.55 – $26.98 | 2 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | not published | not published | $0.78 – $2.53 | 2 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $35.96 – $47.19 | 2 |
| Penile vascular study CPT 93980 | not published | not published | $134.67 – $306.01 | 7 |
| Penile vascular study CPT 93981 | not published | not published | $134.67 – $306.01 | 7 |
| Penile venous occlusion CPT 37790 | not published | not published | $3,863.73 – $3,863.73 | 1 |
| Penis plastic surgery CPT 54360 | not published | not published | $1,142.90 – $3,863.73 | 6 |
| Penis study CPT 54240 | not published | not published | $48.50 – $48.50 | 1 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $79.50 – $256.84 | 2 |
| Pentazocine injection HCPCS J3070 | not published | not published | $26.52 – $206.33 | 2 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $62.43 – $67.52 | 2 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,673.43 – $3,885.98 | 2 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $4,645.39 – $10,768.78 | 6 |
| Perc d-e cor revasc chro add HCPCS C9608 | not published | not published | $13,065.00 – $13,065.00 | 1 |
| Perc d-e cor revasc chro sin HCPCS C9607 | not published | not published | $13,065.00 – $13,065.00 | 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.