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 |
|---|---|---|---|---|
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $232.96 – $232.96 | 1 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $4,314.91 – $25,918.08 | 2 |
| Small animal inoculation CPT 87003 | not published | not published | $10.10 – $51.87 | 7 |
| Small bowel endoscopy CPT 44360 | not published | not published | $564.97 – $1,993.47 | 6 |
| Small bowel endoscopy CPT 44364 | not published | not published | $564.97 – $1,993.47 | 6 |
| Small bowel endoscopy CPT 44366 | not published | not published | $564.97 – $1,993.47 | 6 |
| Small bowel endoscopy CPT 44369 | not published | not published | $564.97 – $1,993.47 | 6 |
| Small bowel endoscopy CPT 44376 | not published | not published | $564.97 – $1,993.47 | 6 |
| Small bowel endoscopy CPT 44378 | not published | not published | $564.97 – $1,993.47 | 6 |
| Small bowel endoscopy CPT 44382 | not published | not published | $334.95 – $1,005.98 | 6 |
| Small bowel endoscopy CPT 44384 | not published | not published | $3,838.82 – $3,838.82 | 1 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $564.97 – $1,993.47 | 6 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $564.97 – $1,993.47 | 6 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $564.97 – $1,993.47 | 6 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $564.97 – $1,993.47 | 6 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $564.97 – $1,993.47 | 6 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $2,916.94 – $6,119.46 | 6 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $0.01 | 1 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $180.81 – $928.16 | 7 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $111.12 – $570.42 | 7 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $28.20 – $144.76 | 7 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $30.64 – $157.30 | 7 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | not published | not published | $1.94 – $2.74 | 2 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $73.96 – $144.73 | 2 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $0.93 – $1.33 | 2 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $597.91 – $1,841.56 | 6 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $597.91 – $1,841.56 | 6 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $597.91 – $1,841.56 | 6 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $597.91 – $1,841.56 | 6 |
| Solid skin barrier HCPCS A4362 | not published | not published | $3.20 – $3.20 | 1 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $7.13 – $7.13 | 1 |
| Somatosensory testing CPT 95927 | not published | not published | $139.00 – $341.38 | 2 |
| Somatropin injection HCPCS J2941 | not published | not published | $48.92 – $93.40 | 2 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $597.91 – $1,841.56 | 6 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $538.12 – $1,841.56 | 6 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $17.08 – $22.78 | 2 |
| Special physics consult CPT 77370 | not published | not published | $356.63 – $674.90 | 2 |
| Special pump services CPT 99190 | not published | not published | $595.00 – $1,150.94 | 2 |
| Special pump services CPT 99191 | not published | not published | $595.00 – $855.71 | 2 |
| Special pump services CPT 99192 | not published | not published | $569.70 – $595.00 | 2 |
| Special radiation dosimetry CPT 77331 | not published | not published | $103.53 – $356.63 | 2 |
| Special radiation treatment CPT 77470 | not published | not published | $138.05 – $1,524.94 | 2 |
| Special teletx port plan CPT 77321 | not published | not published | $237.75 – $951.77 | 3 |
| Specific gravity body fluid CPT 84315 | not published | not published | $1.97 – $10.10 | 7 |
| Specimen fat stain CPT 89125 | not published | not published | $3.53 – $18.11 | 7 |
| Speech audiometry complete CPT 92556 | not published | not published | $106.98 – $365.00 | 2 |
| Speech evaluation complex CPT 70371 | not published | not published | $294.24 – $646.72 | 7 |
| Speech recep thresh CPT 92555 | not published | not published | $106.98 – $365.00 | 2 |
| Sperm antibody test CPT 89325 | not published | not published | $6.40 – $32.86 | 3 |
| Sperm evaluation test CPT 89329 | not published | not published | $11.75 – $60.34 | 3 |
| Sperm identification CPT 89257 | not published | not published | $30.98 – $152.37 | 3 |
| Sperm isolation complex CPT 89261 | not published | not published | $30.98 – $152.37 | 3 |
| Sperm isolation simple CPT 89260 | not published | not published | $30.98 – $152.37 | 3 |
| Sperm washing 58323 CPT 58323 | not published | not published | $7.86 – $7.86 | 1 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $1,954.22 – $6,208.68 | 6 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $939.93 – $3,000.55 | 6 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $15,232.91 – $15,232.91 | 1 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $365.00 – $809.92 | 2 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $365.00 – $442.72 | 2 |
| Spleen imaging CPT 78185 | not published | not published | $367.05 – $1,059.47 | 7 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $1,543.05 – $1,543.05 | 1 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $3,109.17 – $3,109.17 | 1 |
| Splicing of ureters CPT 50770 | not published | not published | $1,538.43 – $1,538.43 | 1 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $1.88 – $1.88 | 1 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $1,457.62 – $3,810.93 | 6 |
| Split blood or products CPT 86985 | not published | not published | $51.85 – $441.98 | 3 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $34.59 – $34.59 | 1 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $80.90 – $80.90 | 1 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $3,286.94 – $4,146.34 | 2 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $1,871.04 – $1,871.04 | 1 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $1,371.90 – $1,371.90 | 1 |
| Srs cran les complex addl CPT 61799 | not published | not published | $414.25 – $414.25 | 1 |
| Srs cran les simple addl CPT 61797 | not published | not published | $298.92 – $298.92 | 1 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $105.24 – $2,339.35 | 3 |
| Srs linear based CPT 77372 | not published | not published | $5,797.84 – $21,858.92 | 2 |
| Srs multisource CPT 77371 | not published | not published | $5,797.84 – $21,858.92 | 2 |
| Srs spinal lesion CPT 63620 | not published | not published | $1,517.22 – $1,517.22 | 1 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $345.05 – $345.05 | 1 |
| Staggered spondaic word test CPT 92572 | not published | not published | $365.00 – $442.72 | 2 |
| St analysis behavior qualitative voice/resonance CPT 92524 | not published | not published | $155.00 – $289.47 | 3 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $56.05 – $56.05 | 1 |
| Stationary o2 contents, liq HCPCS E0442 | not published | not published | $56.05 – $56.05 | 1 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | not published | not published | $139.00 – $359.81 | 2 |
| Stem cells total count CPT 86367 | not published | not published | $46.67 – $239.56 | 7 |
| Stenger test pure tone CPT 92565 | not published | not published | $106.98 – $365.00 | 2 |
| Stenger test speech CPT 92577 | not published | not published | $365.00 – $1,553.95 | 2 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $9,226.90 – $20,403.16 | 6 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $5,097.38 – $12,682.85 | 6 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $1,448.03 – $1,448.03 | 1 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $8,497.34 – $20,403.16 | 6 |
| Stereoscopic x-ray guidance HCPCS G6002 | not published | not published | $160.10 – $375.00 | 3 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,910.71 – $1,910.71 | 1 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $2,310.32 – $2,310.32 | 1 |
| Sterile gauze <= 16 sq in HCPCS A6402 | not published | not published | $0.11 – $0.11 | 1 |
| Sterile water/saline, 10 ml HCPCS A4216 | not published | not published | $0.38 – $0.38 | 1 |
| Sterile water/saline, 500 ml HCPCS A4217 | not published | not published | $3.13 – $3.13 | 1 |
| Sternal debridement CPT 21627 | not published | not published | $714.56 – $714.56 | 1 |
| St evaluate speech sound production CPT 92522 | not published | not published | $155.00 – $299.84 | 3 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | not published | not published | $155.00 – $638.91 | 3 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | not published | not published | $294.08 – $294.08 | 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.