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 |
|---|---|---|---|---|
| Urethrlys transvag with scope CPT 53500 | not published | not published | $3,863.73 – $3,863.73 | 1 |
| Urinalysis glass test CPT 81020 | not published | not published | $2.82 – $14.48 | 7 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $166.39 – $397.00 | 3 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $3.17 – $3.17 | 1 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $6.00 – $6.00 | 1 |
| Urinary reflex study CPT 51792 | not published | not published | $70.41 – $70.41 | 1 |
| Urinary suspensory HCPCS A5105 | not published | not published | $40.74 – $40.74 | 1 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $139.56 – $139.56 | 1 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $6.51 – $6.51 | 1 |
| Urine screen for bacteria CPT 81007 | not published | not published | $17.99 – $92.34 | 7 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,631.62 – $1,631.62 | 1 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $5.30 – $5.99 | 2 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $59.19 – $214.01 | 2 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $227.23 – $502.04 | 7 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $735.45 – $735.45 | 1 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $14.71 – $14.71 | 1 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $12.81 – $20.45 | 2 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $152.39 – $405.97 | 2 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $15,232.91 – $15,232.91 | 1 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $161.65 – $249.52 | 2 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $147.06 – $249.52 | 2 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $155.90 – $224.18 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $87.78 – $150.10 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $65.55 – $111.77 | 2 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $374.19 – $374.19 | 1 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $177.56 – $195.86 | 2 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $75.55 – $83.49 | 2 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $26.97 – $26.97 | 1 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $28.76 – $28.76 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $14.21 – $14.21 | 1 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $30.39 – $39.24 | 2 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $78.23 – $78.23 | 1 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $248.63 – $279.14 | 2 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $261.15 – $423.87 | 2 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $368.16 – $371.91 | 2 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $846.45 – $1,334.72 | 2 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $667.36 – $846.45 | 2 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $352.80 – $371.91 | 2 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $117.52 – $206.82 | 2 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $112.30 – $118.15 | 2 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $176.58 – $192.43 | 2 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.01 | 1 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $5,467.57 – $5,467.57 | 1 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $5,467.57 – $5,467.57 | 1 |
| Vag hyst including t/o CPT 58262 | not published | not published | $1,526.99 – $5,467.57 | 6 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $8,580.61 – $8,580.61 | 1 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $5,467.57 – $5,467.57 | 1 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $5,467.57 – $5,467.57 | 1 |
| Vaginal bx CPT 58999 | not published | not published | $212.54 – $212.54 | 1 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $3,197.57 – $3,197.57 | 1 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $2,787.64 – $2,787.64 | 1 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $1,526.99 – $5,467.57 | 6 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $3,197.57 – $3,197.57 | 1 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $60.71 – $60.71 | 1 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $2,351.71 – $2,351.71 | 1 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $1,171.24 – $1,171.24 | 1 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $150.39 – $150.39 | 1 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $1,597.94 – $1,597.94 | 1 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $1,577.19 – $1,577.19 | 1 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,444.55 – $1,661.81 | 2 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $13,065.00 – $13,065.00 | 1 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $2,577.74 – $2,577.74 | 1 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $3,050.59 – $3,050.59 | 1 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $13,065.00 – $13,065.00 | 1 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $13,065.00 – $13,065.00 | 1 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $4,129.10 – $4,129.10 | 1 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $3,261.85 – $3,261.85 | 1 |
| Vancomycin hcl injection HCPCS J3370 | not published | not published | $2.43 – $2.43 | 1 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $21.05 – $108.08 | 7 |
| Vantas implant HCPCS J9225 | not published | not published | $4,560.86 – $7,664.49 | 2 |
| Variable concentration mask HCPCS A4620 | not published | not published | $0.60 – $0.60 | 1 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $2,254.25 – $2,807.17 | 2 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $1,088.27 – $3,503.94 | 6 |
| Vasectomy CPT 55250 | not published | not published | $652.80 – $2,267.58 | 6 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $2,925.11 – $2,925.11 | 1 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $1,506.61 – $1,506.61 | 1 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | not published | not published | $21.16 – $36.51 | 2 |
| Veeg cont 2-12 hrs CPT 95713 | not published | not published | $1,256.00 – $1,553.95 | 2 |
| Veeg ea 12-26hr cont mntr CPT 95716 | not published | not published | $1,256.00 – $2,908.64 | 2 |
| Veeg intrmnt 2-12 hrs CPT 95712 | not published | not published | $809.92 – $1,256.00 | 2 |
| Veeg unmon 12-26 hrs CPT 95714 | not published | not published | $1,256.00 – $1,553.95 | 2 |
| Veeg unmon 2-12 hrs CPT 95711 | not published | not published | $809.92 – $1,256.00 | 2 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $1,930.09 – $1,930.09 | 1 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $2,235.93 – $2,235.93 | 1 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $1,822.59 – $1,822.59 | 1 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $2,230.85 – $2,230.85 | 1 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $3,753.50 – $8,045.76 | 7 |
| Vein x-ray adrenal glands CPT 75842 | not published | not published | $6,476.10 – $13,402.83 | 7 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $728.91 – $1,519.19 | 7 |
| Vein x-ray liver w/hemodynam CPT 75885 | not published | not published | $3,753.50 – $8,045.76 | 7 |
| Vein x-ray liver without hemodyn CPT 75887 | not published | not published | $198.99 – $8,045.76 | 7 |
| Vein x-ray skull epidural CPT 75872 | not published | not published | $728.91 – $1,519.19 | 7 |
| Vein x-ray spleen/liver CPT 75810 | not published | not published | $2,537.59 – $8,045.76 | 7 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $374.36 – $580.66 | 2 |
| Vemp test i&r cervical CPT 92517 | not published | not published | $138.75 – $138.75 | 1 |
| Vemp test i&r ocular CPT 92518 | not published | not published | $138.75 – $138.75 | 1 |
| Vemp tst i&r cervical&ocular CPT 92519 | not published | not published | $207.56 – $207.56 | 1 |
| Ven-artl shunt det mbubb njx CPT 93898 | not published | not published | $624.61 – $1,037.00 | 2 |
| Ven blood coll snf/hha HCPCS G0471 | not published | not published | $9.99 – $15.40 | 2 |
| Vendaje, per square centimet HCPCS Q4252 | not published | not published | $6.16 – $99.11 | 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.