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 |
|---|---|---|---|---|
| Assess care plan pt w/cog impair 99483 CPT 99483 | not published | not published | $587.01 – $587.01 | 1 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $442.72 – $442.72 | 1 |
| Assistive tech assessment, ot CPT 97755 | not published | not published | $124.54 – $185.00 | 3 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $491.57 – $1,934.86 | 3 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $97.64 – $441.98 | 3 |
| Asxl1 full gene sequence CPT 81175 | not published | not published | $405.90 – $2,083.62 | 3 |
| Asxl1 gene target seq alys CPT 81176 | not published | not published | $145.14 – $745.05 | 3 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | not published | not published | $89.39 – $129.12 | 2 |
| Athletic trn eval high cmplx CPT 97171 | not published | not published | $155.00 – $502.82 | 3 |
| Athletic trn eval low cmplx CPT 97169 | not published | not published | $155.00 – $185.00 | 3 |
| Athletic trn eval mod cmplx CPT 97170 | not published | not published | $155.00 – $257.18 | 3 |
| Athletic trn re-eval plan cr CPT 97172 | not published | not published | $155.00 – $185.00 | 3 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | not published | not published | $5,520.66 – $12,682.85 | 6 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | not published | not published | $8,618.37 – $20,403.16 | 6 |
| Atn1 gene detc abnor alleles CPT 81177 | not published | not published | $82.20 – $421.96 | 7 |
| Atomic absorption CPT 82190 | not published | not published | $9.54 – $48.97 | 7 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $1,036.54 – $1,036.54 | 1 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $890.30 – $890.30 | 1 |
| Attach ocular implant CPT 65140 | not published | not published | $1,103.42 – $4,002.64 | 6 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | not published | not published | $244.48 – $244.48 | 1 |
| Atxn10 gene detc abnor allel CPT 81183 | not published | not published | $82.20 – $421.96 | 3 |
| Atxn1 gene detc abnor allele CPT 81178 | not published | not published | $82.20 – $421.96 | 7 |
| Atxn2 gene detc abnor allele CPT 81179 | not published | not published | $82.20 – $421.96 | 7 |
| Atxn3 gene detc abnor allele CPT 81180 | not published | not published | $82.20 – $421.96 | 7 |
| Atxn7 gene detc abnor allele CPT 81181 | not published | not published | $82.20 – $421.96 | 7 |
| Atxn8os gen detc abnor allel CPT 81182 | not published | not published | $82.20 – $421.96 | 3 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $314.85 – $314.85 | 1 |
| Audiometry air + bone CPT 92553 | not published | not published | $365.00 – $442.72 | 2 |
| Audit/dast 15-30 min CPT 99408 | not published | not published | $108.42 – $108.42 | 1 |
| Audit/dast over 30 min CPT 99409 | not published | not published | $216.80 – $216.80 | 1 |
| Auditory function + 15 min CPT 92621 | not published | not published | $62.27 – $62.27 | 1 |
| Auditory function 60 min CPT 92620 | not published | not published | $442.72 – $442.72 | 1 |
| Augmentation cheek bone CPT 21270 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Augmentation of facial bones CPT 21208 | not published | not published | $2,706.07 – $6,208.68 | 6 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $2,398.52 – $7,656.90 | 6 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $7,656.90 – $7,656.90 | 1 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $504.39 – $2,589.20 | 3 |
| Autologous blood op salvage CPT 86891 | not published | not published | $282.77 – $1,934.86 | 3 |
| Autolog prp diab wound ulcer HCPCS G0465 | not published | not published | $2,239.05 – $2,239.05 | 1 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $2,077.11 – $2,077.11 | 1 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $139.00 – $348.90 | 2 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $123.39 – $139.00 | 2 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $139.00 – $348.90 | 2 |
| Autopsy (necropsy) complete CPT 88020 | not published | not published | $214.34 – $1,663.91 | 3 |
| Autopsy (necropsy) complete CPT 88025 | not published | not published | $207.47 – $1,829.27 | 3 |
| Autopsy (necropsy) complete CPT 88027 | not published | not published | $221.22 – $1,996.89 | 3 |
| Autopsy (necropsy) complete CPT 88028 | not published | not published | $124.56 – $1,729.39 | 3 |
| Autopsy (necropsy) complete CPT 88029 | not published | not published | $124.56 – $1,729.39 | 3 |
| Autopsy (necropsy) gross CPT 88000 | not published | not published | $124.56 – $1,330.90 | 3 |
| Autopsy (necropsy) gross CPT 88005 | not published | not published | $145.19 – $1,497.40 | 3 |
| Autopsy (necropsy) gross CPT 88007 | not published | not published | $152.06 – $1,663.91 | 3 |
| Autopsy (necropsy) gross CPT 88012 | not published | not published | $124.56 – $1,396.38 | 3 |
| Autopsy (necropsy) gross CPT 88014 | not published | not published | $114.14 – $1,396.38 | 3 |
| Autopsy (necropsy) gross CPT 88016 | not published | not published | $159.14 – $1,330.90 | 3 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $97.14 – $140.58 | 2 |
| Av fistula revision CPT 36833 | not published | not published | $1,939.15 – $5,883.12 | 6 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $1,939.15 – $5,883.12 | 6 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $1,939.15 – $5,883.12 | 6 |
| Av fusion direct any site CPT 36821 | not published | not published | $1,118.22 – $3,547.24 | 6 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $1,939.15 – $5,883.12 | 6 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $502,840.73 – $605,938.50 | 2 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $1,888.85 – $6,187.15 | 6 |
| Azacitidine injection HCPCS J9025 | not published | not published | $0.32 – $1.78 | 2 |
| Azathioprine 50 mg tablet HCPCS J7500 | not published | not published | $1.01 – $1.04 | 2 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $200.07 – $224.97 | 2 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | not published | not published | $2.48 – $4.94 | 2 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $174.80 – $228.46 | 2 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $53.82 – $56.38 | 2 |
| Baclofen eval charges CPT 97750 | not published | not published | $114.18 – $185.00 | 3 |
| Bactericidal level serum CPT 87197 | not published | not published | $9.01 – $46.26 | 7 |
| #bac vag cand-c. albicans naa CPT 87481 | not published | not published | $21.05 – $108.08 | 7 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | not published | not published | $5.63 – $5.63 | 1 |
| Banding pulmonary artery CPT 33690 | not published | not published | $1,604.40 – $1,604.40 | 1 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $0.24 – $0.24 | 1 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | not published | not published | $2.43 – $2.43 | 1 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $9.86 – $9.86 | 1 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | not published | not published | $6.21 – $6.21 | 1 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | not published | not published | $4.92 – $4.92 | 1 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | not published | not published | $8.75 – $8.75 | 1 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $21.05 – $108.08 | 7 |
| Bartonella dna quant CPT 87472 | not published | not published | $25.70 – $131.95 | 7 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $80.74 – $80.74 | 1 |
| Basiliximab HCPCS J0480 | not published | not published | $4,687.66 – $6,272.40 | 2 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | not published | not published | $3.14 – $5.20 | 2 |
| Bcg vaccine intravesical CPT 90586 | not published | not published | $156.96 – $260.09 | 2 |
| Bcg vaccine percut CPT 90585 | not published | not published | $185.64 – $203.86 | 2 |
| Bckdhb gene CPT 81205 | not published | not published | $56.99 – $292.57 | 7 |
| Bebtelovimab injection HCPCS M0222 | not published | not published | $141.00 – $1,121.60 | 2 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | not published | not published | $63.77 – $63.77 | 1 |
| Bedside drainage bag HCPCS A4357 | not published | not published | $8.25 – $8.25 | 1 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | not published | not published | $3.89 – $6.46 | 2 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $54.97 – $72.83 | 2 |
| Belt ostomy lg 34-65in HCPCS A4367 | not published | not published | $6.80 – $6.80 | 1 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | not published | not published | $1.24 – $52.34 | 2 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $14.20 – $30.69 | 2 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | not published | not published | $13.58 – $30.69 | 2 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $27.24 – $63.44 | 2 |
| Benign lesion paring 2-4 CPT 11056 | not published | not published | $223.65 – $223.65 | 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.