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 |
|---|---|---|---|---|
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,641.77 – $1,641.77 | 1 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $70.38 – $86.97 | 2 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $70.00 – $128.90 | 2 |
| Talymed HCPCS Q4127 | not published | not published | $68.49 – $68.49 | 1 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $0.94 – $0.94 | 1 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $57.57 – $60.45 | 5 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $47.45 – $49.82 | 5 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.39 – $0.39 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $455.72 – $2,339.35 | 7 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $1,751.76 – $8,992.37 | 7 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $358.75 – $1,841.56 | 3 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,570.77 – $2,585.52 | 2 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $119.87 – $176.00 | 6 |
| Tavr perq femoral CPT 33361 | not published | not published | $1,821.21 – $1,821.21 | 1 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.37 – $1.40 | 2 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $82.20 – $421.96 | 3 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $100.34 – $100.34 | 1 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $25.08 – $25.08 | 1 |
| Tbs techl calculation only CPT 77091 | not published | not published | $199.82 – $227.35 | 2 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $198.99 – $227.35 | 2 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $509.13 – $509.13 | 1 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $809.51 – $2,111.85 | 2 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $633.73 – $683.80 | 2 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $775.35 – $775.35 | 1 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $59.84 – $119.22 | 2 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $1,040.32 – $2,479.74 | 2 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $802.34 – $2,479.74 | 2 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $328.60 – $534.34 | 2 |
| Tc-99m labeled rbc HCPCS A9560 | not published | not published | $105.45 – $159.08 | 2 |
| Tc-99m maa HCPCS A9540 | not published | not published | $29.44 – $51.09 | 2 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $6.00 – $6.00 | 1 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $50.46 – $74.93 | 2 |
| Tc-99m pentetate dtpa HCPCS A9539 | not published | not published | $27.82 – $53.37 | 2 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | not published | not published | $20.38 – $20.38 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | not published | not published | $6.72 – $10.67 | 2 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | not published | not published | $40.76 – $85.16 | 2 |
| Tc-99m sestamibi p study dose HCPCS A9500 | not published | not published | $232.78 – $450.58 | 2 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $665.69 – $1,020.90 | 2 |
| Tc-99m tilmanocept diag HCPCS A9520 | not published | not published | $800.14 – $800.14 | 1 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $321.46 – $321.46 | 1 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $134.67 – $358.66 | 6 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $134.67 – $358.66 | 6 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $294.24 – $308.95 | 5 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $496.69 – $496.69 | 1 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $80.74 – $80.74 | 1 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $588.16 – $588.16 | 1 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $623.22 – $623.22 | 1 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $1,378.37 – $1,378.37 | 1 |
| Team conf without pat by phys CPT 99367 | not published | not published | $185.66 – $185.66 | 1 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $137.25 – $137.25 | 1 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $214.76 – $319.51 | 2 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $416.00 – $2,178.62 | 2 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $416.00 – $2,178.62 | 2 |
| Telavancin injection HCPCS J3095 | not published | not published | $7.09 – $9.82 | 2 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $375.00 – $951.77 | 3 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $375.00 – $951.77 | 3 |
| Temozolomide HCPCS J8700 | not published | not published | $0.38 – $7.03 | 2 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.41 – $17.66 | 2 |
| Temperature gradient studies CPT 93740 | not published | not published | $442.72 – $595.00 | 2 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $30.32 – $75.29 | 2 |
| Tendon lengthening CPT 26476 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Tendon shortening CPT 26477 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Tendon transfer with graft CPT 26492 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $2,950.09 – $2,995.14 | 2 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $2,398.52 – $7,656.90 | 6 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Tenolysis triceps CPT 24332 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $2,398.52 – $7,656.90 | 6 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $593.04 – $1,734.90 | 6 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $959.50 – $959.50 | 1 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $203.76 – $335.83 | 6 |
| Tens suppl 2 lead per month HCPCS A4595 | not published | not published | $19.18 – $19.18 | 1 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | not published | not published | $1.41 – $4.72 | 2 |
| Teriparatide injection HCPCS J3110 | not published | not published | $74.29 – $97.66 | 2 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $111.12 – $570.42 | 3 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $3.61 – $18.51 | 7 |
| Test for porphobilinogen CPT 84106 | not published | not published | $3.49 – $17.93 | 7 |
| Test for urine cystines CPT 82615 | not published | not published | $5.73 – $29.41 | 7 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $397.00 – $1,059.47 | 7 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $179.05 – $179.05 | 1 |
| Testosterone response panel CPT 80414 | not published | not published | $30.98 – $159.05 | 7 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $2.02 – $2.79 | 2 |
| Test pathogen(s) for platelets reference HCPCS P9100 | not published | not published | $34.97 – $113.57 | 3 |
| Test urine for lactose CPT 83633 | not published | not published | $6.75 – $34.65 | 7 |
| Test urine for porphyrins CPT 84119 | not published | not published | $8.02 – $41.15 | 7 |
| Test urine urobilinogen CPT 84578 | not published | not published | $2.68 – $13.77 | 7 |
| Tetanus ig im CPT 90389 | not published | not published | $779.00 – $906.13 | 2 |
| Tetanus immune globulin inj HCPCS J1670 | not published | not published | $575.76 – $906.13 | 2 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $17.77 – $29.46 | 2 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $82.20 – $421.96 | 3 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $455.72 – $2,339.35 | 6 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $1,751.76 – $8,992.37 | 6 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $358.75 – $1,841.56 | 6 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $97.64 – $441.98 | 3 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $97.64 – $441.98 | 3 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $97.64 – $441.98 | 3 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $30.98 – $152.37 | 3 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $496.69 – $496.69 | 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.