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 |
|---|---|---|---|---|
| Perc d-e cor revasc t cabg b HCPCS C9605 | not published | not published | $13,065.00 – $13,065.00 | 1 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | not published | not published | $13,065.00 – $13,065.00 | 1 |
| Perc d-e cor stent ather br HCPCS C9603 | not published | not published | $13,065.00 – $13,065.00 | 1 |
| Perc d-e cor stent ather s HCPCS C9602 | not published | not published | $13,065.00 – $13,065.00 | 1 |
| Perc drug-el cor stent bran HCPCS C9601 | not published | not published | $13,065.00 – $13,065.00 | 1 |
| Perc drug-el cor stent sing HCPCS C9600 | not published | not published | $13,065.00 – $13,065.00 | 1 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $1,888.85 – $6,187.15 | 6 |
| Percut ablate liver rf CPT 47382 | not published | not published | $1,888.85 – $6,187.15 | 6 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $497.28 – $497.28 | 1 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | not published | not published | $41.88 – $163.03 | 2 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $303.08 – $303.08 | 1 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $3,301.53 – $3,301.53 | 1 |
| Pericardiocentesis wwo imaging CPT 33016 | not published | not published | $446.27 – $2,087.85 | 6 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $1,170.78 – $1,170.78 | 1 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $963.66 – $3,877.82 | 6 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $1,063.52 – $3,197.57 | 6 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $57.66 – $595.00 | 2 |
| Peri-proc device eval icd CPT 93287 | not published | not published | $64.58 – $64.58 | 1 |
| Peri-proc device eval pm CPT 93286 | not published | not published | $64.58 – $64.58 | 1 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $1,939.15 – $5,883.12 | 6 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $633.94 – $1,358.04 | 7 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $397.00 – $1,059.47 | 7 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $0.48 – $0.65 | 2 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $1,122.34 – $1,122.34 | 1 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $1,061.45 – $1,061.45 | 1 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $780.81 – $780.81 | 1 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $780.81 – $780.81 | 1 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $3,322.27 – $10,326.95 | 6 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $3,322.27 – $10,326.95 | 6 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $5,338.09 – $13,587.60 | 6 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $5,338.09 – $21,987.33 | 6 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $5,338.09 – $13,587.60 | 6 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $5,338.09 – $13,587.60 | 6 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $2,858.51 – $6,187.15 | 6 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $2,559.08 – $6,187.15 | 6 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $2,787.88 – $6,187.15 | 6 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $110.15 – $300.67 | 6 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Perq transcath closure each CPT 93592 | not published | not published | $13,065.00 – $13,065.00 | 1 |
| Perq transcath closure pda CPT 93582 | not published | not published | $13,065.00 – $13,065.00 | 1 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $661.87 – $13,065.00 | 6 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $801.09 – $13,065.00 | 6 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $13,065.00 – $13,065.00 | 1 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $778.21 – $778.21 | 1 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Perq tx malar fracture CPT 21355 | not published | not published | $886.62 – $3,352.69 | 6 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $2,573.06 – $6,208.68 | 6 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $886.62 – $3,352.69 | 6 |
| Pertussis ag if CPT 87265 | not published | not published | $7.19 – $36.90 | 7 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $16.23 – $21.00 | 2 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $62.99 – $124.33 | 2 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $1,876.58 – $4,484.49 | 7 |
| Pet CT whole body initial CPT 78816 | not published | not published | $1,876.58 – $4,484.49 | 7 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $1,876.58 – $4,484.49 | 7 |
| Pet image full body CPT 78813 | not published | not published | $1,876.58 – $4,484.49 | 7 |
| Pet image ltd area CPT 78811 | not published | not published | $1,672.36 – $4,007.49 | 7 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,876.58 – $4,484.49 | 7 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $1,876.58 – $4,484.49 | 7 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $2,910.00 – $2,910.00 | 1 |
| Pet scan brain perf study CPT 78609 | not published | not published | $249.06 – $2,910.00 | 2 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $83.04 – $324.00 | 2 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $124.54 – $324.00 | 2 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $41.50 – $324.00 | 2 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | not published | not published | $29.44 – $47.76 | 2 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $98.07 – $198.79 | 2 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.52 – $0.56 | 2 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $176.03 – $176.03 | 1 |
| Photochemotherapy puva CPT 96912 | not published | not published | $176.03 – $176.03 | 1 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $450.91 – $450.91 | 1 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $95.71 – $95.71 | 1 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $170.69 – $170.69 | 1 |
| Photo patch test CPT 95052 | not published | not published | $79.00 – $106.98 | 2 |
| Photopheresis CPT 36522 | not published | not published | $1,674.15 – $4,887.50 | 6 |
| Photosensitivity tests CPT 95056 | not published | not published | $79.00 – $348.90 | 2 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $30.98 – $152.37 | 3 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $97.64 – $441.98 | 3 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $17.02 – $99.55 | 3 |
| Physician standby services CPT 99360 | not published | not published | $199.52 – $199.52 | 1 |
| Phys review of motion tests CPT 96004 | not published | not published | $377.12 – $1,320.00 | 2 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | not published | not published | $2.45 – $5.39 | 2 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $51.66 – $51.66 | 1 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | not published | not published | $332.44 – $870.49 | 2 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $164.90 – $846.48 | 3 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $7,656.90 – $7,656.90 | 1 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $216.80 – $636.19 | 6 |
| Pin finger dislocation CPT 26776 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Pin finger fracture each CPT 26756 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Pin hand dislocation CPT 26676 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Pin service 60m per month HCPCS G0023 | not published | not published | $271.78 – $271.78 | 1 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $2.56 – $13.15 | 3 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $347.69 – $1,784.80 | 7 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $1,845.21 – $6,703.73 | 6 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $429.26 – $1,285.40 | 6 |
| Place device/marker, non pro HCPCS C9728 | not published | not published | $375.00 – $1,594.04 | 2 |
| Place duod/jej tube perc CPT 49441 | not published | not published | $564.97 – $1,993.47 | 6 |
| Place endorectal app HCPCS C9725 | not published | not published | $375.00 – $977.77 | 2 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $1,387.60 – $1,387.60 | 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.