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 |
|---|---|---|---|---|
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $1,888.85 – $6,671.55 | 6 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $1,888.85 – $4,533.67 | 6 |
| Rpr acq av fistula thrx&abd CPT 35189 | not published | not published | $1,993.74 – $1,993.74 | 1 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $5,883.12 – $5,883.12 | 1 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $5,883.12 – $5,883.12 | 1 |
| Rpr blvs gr ot/th vn ntrth w CPT 35271 | not published | not published | $1,846.12 – $1,846.12 | 1 |
| Rpr blvs gr ot/t vn ntrth wo CPT 35276 | not published | not published | $1,951.76 – $1,951.76 | 1 |
| Rpr blvsl gr ot/th vn ntr-ab CPT 35281 | not published | not published | $2,160.27 – $2,160.27 | 1 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | not published | not published | $2,324.95 – $2,324.95 | 1 |
| Rpr blvsl vn grf ntrthrc w/b CPT 35241 | not published | not published | $1,923.16 – $1,923.16 | 1 |
| Rpr cgen av fistula thrx&abd CPT 35182 | not published | not published | $2,394.61 – $2,394.61 | 1 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | not published | $1,478.46 – $1,478.46 | 1 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $1,257.05 – $1,257.05 | 1 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $1,137.10 – $1,137.10 | 1 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $1,151.54 – $3,979.96 | 6 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $6,187.15 – $6,187.15 | 1 |
| Rpr hypopl a-arch w/byp CPT 33853 | not published | not published | $2,392.31 – $2,392.31 | 1 |
| Rpr hypopl a-arch wo byp CPT 33852 | not published | not published | $1,779.70 – $1,779.70 | 1 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $1,689.43 – $5,416.47 | 6 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $1,142.90 – $3,863.73 | 6 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $1,151.54 – $3,979.96 | 6 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $1,151.54 – $3,979.96 | 6 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $1,151.54 – $3,979.96 | 6 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $1,151.54 – $3,979.96 | 6 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $3,979.96 – $3,979.96 | 1 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $3,424.31 – $3,424.31 | 1 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $2,843.09 – $6,510.14 | 6 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $2,843.09 – $6,834.78 | 6 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $1,019.93 – $1,019.93 | 1 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | not published | $1,258.43 – $1,258.43 | 1 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $2,302.35 – $2,302.35 | 1 |
| Rpr&refitg spect xcp aphakia CPT 92370 | not published | not published | $53.06 – $53.06 | 1 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $176.03 – $176.03 | 1 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $1,151.54 – $3,979.96 | 6 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $3,150.68 – $3,150.68 | 1 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $2,535.31 – $2,535.31 | 1 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $2,483.65 – $2,483.65 | 1 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $2,409.37 – $2,409.37 | 1 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $2,535.31 – $2,535.31 | 1 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $3,065.80 – $3,065.80 | 1 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $3,122.09 – $3,122.09 | 1 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $3,104.55 – $3,104.55 | 1 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $2,840.23 – $2,840.23 | 1 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $2,923.72 – $2,923.72 | 1 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $2,398.52 – $7,656.90 | 6 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $314.66 – $711.17 | 7 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $1,689.43 – $5,416.47 | 6 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $2,754.42 – $2,754.42 | 1 |
| Rsv assay w/optic CPT 87807 | not published | not published | $7.86 – $40.35 | 7 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $348.00 – $499.87 | 2 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $388.32 – $388.32 | 1 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $112.00 – $112.00 | 1 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $121.70 – $121.70 | 1 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $121.70 – $121.70 | 1 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $104.96 – $104.96 | 1 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $104.96 – $104.96 | 1 |
| Rubeola ag if CPT 87283 | not published | not published | $36.48 – $187.26 | 7 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $197.71 – $1,014.89 | 7 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $550.25 – $2,286.19 | 2 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $35.80 – $56.17 | 2 |
| Safety plan interven HCPCS G0560 | not published | not published | $137.73 – $137.73 | 1 |
| Salivary gland function exam CPT 78232 | not published | not published | $197.32 – $1,059.47 | 7 |
| Salivary gland imaging CPT 78230 | not published | not published | $366.21 – $1,059.47 | 7 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $197.32 – $1,059.47 | 7 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $3,197.57 – $3,197.57 | 1 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $370.98 – $370.98 | 1 |
| Sargramostim injection HCPCS J2820 | not published | not published | $59.88 – $86.41 | 2 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $30.86 – $129.76 | 6 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $161.54 – $161.54 | 1 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $1,686.17 – $6,119.46 | 6 |
| Sbrt management CPT 77435 | not published | not published | $3,483.70 – $3,483.70 | 1 |
| Sbrt w/positron emission del HCPCS G0563 | not published | not published | $19,952.66 – $19,952.66 | 1 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | not published | not published | $446.30 – $446.30 | 1 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | not published | not published | $780.81 – $780.81 | 1 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Scope uretscp lithovue dig disp HCPCS C1747 | not published | not published | $17.41 – $17.41 | 1 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $10.66 – $46.57 | 3 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $14.15 – $99.92 | 2 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $19.16 – $98.38 | 3 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $26.38 – $135.43 | 3 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $15.89 – $81.59 | 3 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $16.23 – $83.31 | 3 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $12.16 – $62.40 | 3 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $14.15 – $99.92 | 2 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $10.83 – $55.59 | 7 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $16.96 – $87.07 | 7 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $14.45 – $74.17 | 3 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $14.15 – $99.92 | 2 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $10.66 – $46.57 | 3 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $141.00 – $193.50 | 2 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $1,090.51 – $1,090.51 | 1 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | not published | not published | $18.46 – $18.46 | 1 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $2,904.66 – $3,559.60 | 2 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $1,907.48 – $1,907.48 | 1 |
| Select picture audiometry CPT 92583 | not published | not published | $106.98 – $365.00 | 2 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | not published | not published | $0.78 – $0.78 | 1 |
| Self-meas bp 2 readg bid 30d CPT 99474 | not published | not published | $28.83 – $28.83 | 1 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $73.57 – $73.57 | 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.