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 |
|---|---|---|---|---|
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | not published | not published | $276.77 – $276.77 | 1 |
| X-ray assay calculus CPT 82370 | not published | not published | $7.51 – $38.56 | 7 |
| X-ray bone survey infant CPT 77076 | not published | not published | $134.67 – $306.01 | 7 |
| X-ray consultation CPT 76140 | not published | not published | $38.47 – $38.47 | 1 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $306.00 – $821.05 | 2 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $306.00 – $704.84 | 2 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $294.24 – $646.72 | 7 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $134.67 – $306.01 | 7 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $633.94 – $1,358.04 | 7 |
| X-ray exam of penis CPT 74445 | not published | not published | $134.67 – $306.01 | 7 |
| X-ray exam of perineum CPT 74775 | not published | not published | $294.24 – $646.72 | 7 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $109.47 – $227.35 | 7 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $294.24 – $646.72 | 7 |
| X-ray exam of teeth CPT 70300 | not published | not published | $109.47 – $227.35 | 7 |
| X-ray exam of teeth CPT 70310 | not published | not published | $294.24 – $646.72 | 7 |
| X-ray fallopian tube CPT 74742 | not published | not published | $73.57 – $73.57 | 1 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $109.47 – $227.35 | 7 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $134.67 – $306.01 | 7 |
| X-ray male genital tract CPT 74440 | not published | not published | $294.24 – $646.72 | 7 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $105.00 – $540.65 | 7 |
| X-ray optic foramina CPT 70190 | not published | not published | $109.47 – $227.35 | 7 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $306.00 – $408.02 | 2 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $306.00 – $468.22 | 2 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | not published | not published | $107.86 – $1,035.00 | 7 |
| X-ray sella turcica CPT 70240 | not published | not published | $109.47 – $227.35 | 7 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $134.67 – $306.01 | 7 |
| X-ray surgical specimen CPT 76098 | not published | not published | $633.94 – $1,358.04 | 7 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $227.23 – $502.04 | 7 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $331.00 – $332.82 | 2 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $289.47 – $438.00 | 2 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $6.16 – $2,929.02 | 2 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $7.75 – $39.76 | 7 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.49 – $1.73 | 2 |
| Yersinia antibody CPT 86793 | not published | not published | $7.91 – $40.63 | 7 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $56,824.55 – $93,255.38 | 2 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $6.16 – $71.50 | 2 |
| Ziconotide injection HCPCS J2278 | not published | not published | $9.54 – $9.70 | 2 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.51 – $2.43 | 2 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $0.50 – $0.50 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $30.79 – $158.03 | 7 |
| Zika virus igm antibody CPT 86794 | not published | not published | $10.11 – $51.90 | 7 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $1.26 – $1.26 | 1 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | not published | not published | $5.18 – $42.48 | 2 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $8.30 – $27.17 | 2 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $115.95 – $2,339.35 | 3 |
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.