CHRISTUS Southeast Texas Jasper Memorial
1275 Marvin Hancock Dr, Jasper, TX · Christushealth · · NPI 1598749707
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | not published | not published | $15.68 – $158.11 | 29 |
| 17-hydroxypregnenolone CPT 84143 | not published | not published | $12.22 – $123.17 | 29 |
| 17-ketosteroids CPT 83586 | not published | not published | $6.86 – $69.12 | 29 |
| 1pc ost pch drain hgh output HCPCS A4435 | not published | not published | $6.63 – $14.77 | 2 |
| 1 pc ost pouch w filter HCPCS A5056 | not published | not published | $5.38 – $11.96 | 2 |
| 1 pc ost pou w built-in conv HCPCS A5057 | not published | not published | $11.05 – $24.59 | 2 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $130.00 – $511.25 | 25 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | not published | not published | $2,244.75 – $4,132.26 | 2 |
| 1st psyc collab care mgmt CPT 99492 | not published | not published | $93.31 – $186.62 | 24 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $32.33 – $193.97 | 27 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $64.31 – $480.82 | 25 |
| 2d tee w or without fol w/con,in HCPCS C8925 | not published | not published | $195.00 – $3,002.42 | 25 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $195.00 – $3,002.42 | 25 |
| 2nd order venous cath CPT 36012 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| 2vhpv vaccine 3 dose im CPT 90650 | not published | not published | $347.32 – $561.04 | 2 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $88.82 – $388.30 | 25 |
| 3d ech img cgen car anomal CPT 93319 | not published | not published | $55.91 – $195.00 | 7 |
| 3-d radiotherapy plan CPT 77295 | not published | not published | $690.15 – $2,760.60 | 26 |
| 5% dextrose and 0.45% saline HCPCS S5010 | $48.39 | $146.65 | $23.06 – $23.06 | 1 |
| 5% dextrose with potassium HCPCS S5012 | not published | not published | $11.33 – $11.33 | 1 |
| 5' nucleotidase - sendout CPT 83915 | not published | not published | $5.97 – $60.21 | 29 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | not published | not published | $17.09 – $132.80 | 4 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $43.38 – $190.16 | 25 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | not published | not published | $6.43 – $64.85 | 29 |
| Abciximab injection HCPCS J0130 | not published | not published | $558.62 – $5,945.47 | 3 |
| Abd aorta w/runoff s&i CPT 75630 | not published | not published | $161.05 – $12,221.34 | 28 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $1,847.62 – $4,989.00 | 3 |
| Abd/low ext cath 1st CPT 36245 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Abd/low ext cath 2nd CPT 36246 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Abd/low ext cath 3rd CPT 36247 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Abd/low ext cath addl CPT 36248 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $1,845.21 – $13,157.64 | 28 |
| Abl1 gene CPT 81170 | not published | not published | $160.65 – $1,620.00 | 29 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Ablate arrhythmia add on CPT 93655 | not published | not published | $978.35 – $978.35 | 1 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $2,096.18 – $4,989.00 | 3 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Ablate atria without bypass ext CPT 33255 | not published | not published | $2,523.95 – $4,989.00 | 3 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $1,005.96 – $4,989.00 | 3 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $2,851.97 – $4,989.00 | 3 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $4,989.00 – $14,413.14 | 26 |
| Ablate bone tumor(s) perq CPT 20982 | not published | not published | $2,398.52 – $25,960.00 | 28 |
| Ablate heart dysrhythm focus CPT 93650 | not published | not published | $1,356.36 – $15,309.70 | 24 |
| Ablate heart dysrhythm focus CPT 33250 | not published | not published | $2,228.98 – $4,989.00 | 3 |
| Ablate heart dysrhythm focus CPT 33251 | not published | not published | $2,503.14 – $4,989.00 | 3 |
| Ablate heart dysrhythm focus CPT 33261 | not published | not published | $2,494.08 – $4,989.00 | 3 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $420.64 – $4,989.00 | 28 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $420.64 – $4,989.00 | 28 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $4,989.00 – $21,005.60 | 26 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $4,989.00 – $11,771.36 | 26 |
| Ablation cardiac vagal inputs atrium CPT 93799 | not published | not published | $157.84 – $610.12 | 25 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $945.81 – $4,989.00 | 26 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $2,885.00 – $11,771.36 | 26 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $241.99 – $4,989.00 | 26 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $2,813.82 – $21,005.60 | 28 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $441.03 – $4,989.00 | 26 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $241.99 – $4,989.00 | 26 |
| Ablation of upper extremity nerves rf CPT 64999 | not published | not published | $297.79 – $4,989.00 | 26 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,634.49 – $4,989.00 | 26 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $4,989.00 – $18,656.98 | 26 |
| Ablt trurl prst8 tis thrm Ultrasound CPT 55881 | not published | not published | $730.23 – $4,989.00 | 3 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $2,885.00 – $26,213.42 | 26 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $8.61 – $37.31 | 25 |
| Abortion CPT 59850 | not published | not published | $543.52 – $4,989.00 | 3 |
| Abortion (mpr) CPT 59866 | not published | not published | $306.87 – $4,989.00 | 26 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $173.00 – $4,989.00 | 2 |
| Abrasion lesion single CPT 15786 | not published | not published | $173.00 – $4,989.00 | 26 |
| Abscess drain retroperitoneal surg code CPT 49406 | not published | not published | $486.45 – $4,989.00 | 28 |
| Absorpt drg >16<=48 in w/bdr HCPCS A6255 | not published | not published | $3.49 – $7.77 | 2 |
| Absorpt drg >16 <=48 without bdr HCPCS A6252 | not published | not published | $3.74 – $8.35 | 2 |
| Absorpt drg <=16 sq in w/bdr HCPCS A6254 | not published | not published | $1.38 – $3.08 | 2 |
| Absorpt drg <=16 sq in without b HCPCS A6251 | not published | not published | $2.29 – $5.11 | 2 |
| Absorpt drg > 48 sq in without b HCPCS A6253 | not published | not published | $7.29 – $16.22 | 2 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $162.79 | $493.29 | $0.05 – $1.32 | 4 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | not published | not published | $19.06 – $111.00 | 4 |
| Acetylcholine receptor modulating antibody CPT 86043 | not published | not published | $6.46 – $25.82 | 26 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $6.58 – $66.37 | 29 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $245.80 | $744.86 | $0.45 – $9.57 | 4 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $6.75 – $14.59 | 4 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $295.46 – $1,070.54 | 25 |
| Acne surgery 10040 CPT 10040 | not published | not published | $173.00 – $4,989.00 | 26 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | not published | not published | $93.31 – $186.62 | 25 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | not published | not published | $128.73 – $128.73 | 1 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | not published | not published | $103.09 – $117.61 | 2 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $162.08 – $324.16 | 25 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $130.00 – $511.25 | 25 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | not published | not published | $30.05 – $60.10 | 24 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | not published | not published | $35.88 – $214.00 | 3 |
| Acoustic immitance testing CPT 92570 | not published | not published | $72.70 – $610.12 | 25 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $36.02 – $147.43 | 25 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Acth stimulation panel CPT 80402 | not published | not published | $46.57 – $469.58 | 29 |
| Acth stimulation panel CPT 80406 | not published | not published | $41.91 – $468.03 | 29 |
| Actigraphy testing CPT 95803 | not published | not published | $59.92 – $242.59 | 25 |
| Actinotherapy uv light CPT 96900 | not published | not published | $39.60 – $147.43 | 25 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $24.71 – $149.41 | 25 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | not published | not published | $69.64 – $125.55 | 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.