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 |
|---|---|---|---|---|
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | not published | $373.20 – $373.20 | 1 |
| Prcrd drg 6+yr without anomly CPT 33017 | not published | not published | $327.53 – $327.53 | 1 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $1,142.90 – $3,863.73 | 6 |
| Pregabalin - sendout CPT 80366 | not published | not published | $8.25 – $8.66 | 5 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $470.53 – $470.53 | 1 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $829.88 – $829.88 | 1 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $365.00 – $442.72 | 2 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $365.00 – $1,553.95 | 2 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $365.00 – $1,553.95 | 2 |
| Preparation palate mold CPT 42280 | not published | not published | $155.21 – $155.21 | 1 |
| Prepare donor heart CPT 33944 | not published | not published | $2,432.90 – $2,432.90 | 1 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $3,514.19 – $3,514.19 | 1 |
| Prepare donor intestine CPT 44715 | not published | not published | $1,486.77 – $1,486.77 | 1 |
| Prepare donor lung double CPT 32856 | not published | not published | $3,108.70 – $3,108.70 | 1 |
| Prepare donor lung single CPT 32855 | not published | not published | $2,838.39 – $2,838.39 | 1 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $30.98 – $152.37 | 3 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $99.64 – $99.64 | 1 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $2,352.63 – $2,352.63 | 1 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $1,892.25 – $1,892.25 | 1 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $515.28 – $515.28 | 1 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $368.58 – $368.58 | 1 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $2,973.54 – $2,973.54 | 1 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $512.50 – $512.50 | 1 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $2,906.19 – $2,906.19 | 1 |
| Prep donor liver/venous CPT 47146 | not published | not published | $435.01 – $435.01 | 1 |
| Prep donor liver whole CPT 47143 | not published | not published | $3,108.70 – $3,108.70 | 1 |
| Prep donor pancreas CPT 48551 | not published | not published | $2,432.90 – $2,432.90 | 1 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $316.92 – $316.92 | 1 |
| Prep donor renal graft CPT 50325 | not published | not published | $2,027.42 – $2,027.42 | 1 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $4,294.98 – $4,294.98 | 1 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $306.00 – $2,311.14 | 2 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $254.18 – $254.18 | 1 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $241.72 – $241.72 | 1 |
| Prep renal graft/venous CPT 50327 | not published | not published | $290.16 – $290.16 | 1 |
| Prep skin cell susp, automtd HCPCS C8002 | not published | not published | $5,375.43 – $5,375.43 | 1 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $286.92 – $286.92 | 1 |
| Pressure velocity wire add ves CPT 93572 | not published | not published | $8,283.00 – $8,283.00 | 1 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $70.51 – $441.98 | 3 |
| Pretreat rbc density gradient separation reference CPT 86972 | not published | not published | $82.28 – $441.98 | 3 |
| Pretreat rbc w chem/drugs reference CPT 86970 | not published | not published | $34.97 – $102.96 | 3 |
| Preventive counseling group CPT 99411 | not published | not published | $25.38 – $25.38 | 1 |
| Preventive counseling group CPT 99412 | not published | not published | $41.50 – $41.50 | 1 |
| Prev med cnsl indiv apprx 45 CPT 99403 | not published | not published | $244.48 – $244.48 | 1 |
| Prev med cnsl indiv apprx 60 CPT 99404 | not published | not published | $324.06 – $324.06 | 1 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $486.45 – $1,756.93 | 6 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $1,819.37 – $1,819.37 | 1 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $116.00 – $116.00 | 1 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $116.00 – $595.00 | 2 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $116.00 – $595.00 | 2 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $116.00 – $595.00 | 2 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $116.00 – $595.00 | 2 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $116.00 – $595.00 | 2 |
| Prim art mech thrmbc non-intracranial CPT 37184 | not published | not published | $5,429.55 – $12,682.85 | 6 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $168.38 – $168.38 | 1 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $659.94 – $2,200.77 | 6 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $108.29 – $346.23 | 6 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $698.30 – $2,477.06 | 6 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $698.30 – $2,477.06 | 6 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $698.30 – $2,477.06 | 6 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | not published | not published | $165.92 – $284.34 | 2 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $172.47 – $172.47 | 1 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.24 – $0.79 | 2 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $2,491.94 – $2,491.94 | 1 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $2,460.12 – $2,460.12 | 1 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $939.93 – $3,000.55 | 6 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $429.26 – $1,285.40 | 6 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $429.26 – $649.50 | 6 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $82.50 – $120.56 | 6 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $939.93 – $3,000.55 | 6 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $429.26 – $1,285.40 | 6 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $429.26 – $1,285.40 | 6 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $939.93 – $3,000.55 | 6 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $429.26 – $1,285.40 | 6 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $939.93 – $3,000.55 | 6 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $2,179.56 – $6,119.46 | 6 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $8.80 – $135.93 | 2 |
| Prolng clin staff svc 1st hr CPT 99415 | not published | not published | $32.29 – $32.29 | 1 |
| Prolng clin staff svc ea add CPT 99416 | not published | not published | $13.82 – $13.82 | 1 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | not published | not published | $133.79 – $133.79 | 1 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $141.00 – $396.29 | 2 |
| Prolong home eval add 15m HCPCS G0318 | not published | not published | $101.47 – $101.47 | 1 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.10 – $0.28 | 2 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $108.29 – $346.23 | 6 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $119.87 – $327.86 | 6 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $6,453.50 – $15,232.91 | 6 |
| Prophylactic tx radius CPT 25490 | not published | not published | $2,398.52 – $7,656.90 | 6 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $6,263.30 – $15,232.91 | 6 |
| _propoxygc/msur CPT 80367 | not published | not published | $12.51 – $13.14 | 5 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | not published | not published | $10.10 – $11.90 | 2 |
| Prostate biopsy, any mthd HCPCS G0416 | not published | not published | $205.49 – $872.90 | 3 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $1,689.43 – $5,416.47 | 6 |
| Prostate laser enucleation CPT 52649 | not published | not published | $1,689.43 – $5,416.47 | 6 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $1,038.74 – $1,762.52 | 6 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $993.06 – $1,681.95 | 6 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | not published | not published | $1.40 – $2.05 | 2 |
| Protein analysis w/probe CPT 88372 | not published | not published | $15.73 – $80.76 | 7 |
| Protein c concentrate HCPCS J2724 | not published | not published | $15.02 – $25.65 | 2 |
| Protein western blot tissue CPT 88371 | not published | not published | $13.34 – $68.47 | 7 |
| Prothrombin complex kcentra HCPCS J7168 | not published | not published | $2.18 – $4.46 | 2 |
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.