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 |
|---|---|---|---|---|
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $1,063.52 – $6,415.00 | 28 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | $107.70 – $4,989.00 | 28 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $1,508.75 – $6,546.30 | 28 |
| Biospy of bladder CPT 53899 | not published | not published | $245.35 – $4,989.00 | 26 |
| Biotinidase - quest CPT 82261 | not published | not published | $9.04 – $91.10 | 29 |
| Biovance 1 square cm HCPCS Q4154 | not published | not published | $133.66 – $133.66 | 1 |
| Biovance tri or 3l, sq cm HCPCS Q4283 | not published | not published | $7.09 – $550.64 | 2 |
| Bis xtracell fluid analysis CPT 93702 | not published | not published | $157.84 – $567.39 | 25 |
| Bivalirudin HCPCS J0583 | not published | not published | $0.15 – $6.09 | 4 |
| Bladder calculi irrig sol HCPCS Q2004 | not published | not published | $13.91 – $374.85 | 3 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | not published | not published | $40.66 – $4,989.00 | 28 |
| Bladder irrigation tubing HCPCS A4355 | not published | not published | $10.26 – $22.84 | 2 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $153.81 – $4,989.00 | 28 |
| Bld prd mix CPT 86965 | not published | not published | $69.02 – $774.90 | 26 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $290.18 – $4,989.00 | 26 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | not published | not published | $21.56 – $140.59 | 4 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $709.01 – $4,989.00 | 28 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $709.01 – $4,989.00 | 28 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $709.01 – $4,989.00 | 28 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $709.01 – $4,989.00 | 28 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | not published | not published | $152.28 – $496.08 | 25 |
| Blind cor sinus reducer impl HCPCS C9783 | not published | not published | $2,885.00 – $22,880.66 | 26 |
| Blinded conv. tx mdd clin tr HCPCS G2000 | not published | not published | $535.27 – $2,141.54 | 25 |
| Blind interatrial shunt ide HCPCS C9758 | not published | not published | $5,865.00 – $35,308.88 | 26 |
| Blind myocar trpl bon marrow HCPCS C9782 | not published | not published | $2,885.00 – $35,308.88 | 26 |
| Blind/nonblind trans atrial HCPCS C9792 | not published | not published | $9,836.27 – $19,672.54 | 24 |
| Blink reflex test CPT 95933 | not published | not published | $59.92 – $242.59 | 25 |
| Blm gene CPT 81209 | not published | not published | $21.05 – $212.27 | 29 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | not published | not published | $14.11 – $31.40 | 2 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | not published | not published | $340.77 – $4,989.00 | 28 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | not published | not published | $443.63 – $4,989.00 | 28 |
| Block paracervical nrv CPT 64435 | not published | not published | $43.19 – $4,989.00 | 28 |
| Block tap inj(s) w/wo img bi CPT 64488 | not published | not published | $51.26 – $4,989.00 | 7 |
| Block tap inj(s) w/wo img uni CPT 64486 | not published | not published | $41.42 – $4,989.00 | 7 |
| Blood clot lysis time CPT 85175 | not published | not published | $10.91 – $110.00 | 29 |
| Blood clot retraction CPT 85170 | not published | not published | $8.73 – $88.02 | 29 |
| Blood component/product noc HCPCS P9099 | not published | not published | $49.36 – $98.72 | 24 |
| Blood Culture Test CPT 87040 | not published | not published | $5.53 – $55.73 | 29 |
| Blood gases ph venous CPT 82800 | not published | not published | $5.89 – $59.40 | 29 |
| Blood, l/r, irradiated HCPCS P9056 | not published | not published | $84.91 – $169.82 | 26 |
| Blood mucoprotein HCPCS P2038 | not published | not published | $4.46 – $26.73 | 27 |
| Blood smear interpretation CPT 85060 | not published | not published | $20.63 – $136.24 | 4 |
| Blood thymol turbidity HCPCS P2033 | not published | not published | $4.46 – $10.60 | 25 |
| Blood typing antigen system CPT 86911 | not published | not published | $18.86 – $74.16 | 4 |
| Blood typing paternity test CPT 86910 | not published | not published | $21.81 – $282.20 | 4 |
| Blood typing patient serum CPT 86904 | not published | not published | $14.71 – $180.52 | 29 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | not published | not published | $3.45 – $1,530.41 | 29 |
| Blood typing rh phenotype complete reference CPT 86906 | not published | not published | $6.98 – $180.52 | 29 |
| Blood volume CPT 78122 | not published | not published | $91.21 – $1,086.00 | 28 |
| Bls-emergency HCPCS A0429 | not published | not published | $792.93 – $792.93 | 1 |
| Blue light cysto imag agent HCPCS C9738 | not published | not published | $2,885.00 – $2,885.00 | 1 |
| Bone biopsy open superficial CPT 20240 | not published | not published | $815.20 – $5,774.46 | 28 |
| Bone imaging multiple areas CPT 78305 | not published | not published | $202.68 – $1,098.22 | 28 |
| Bone/joint imaging ltd area CPT 78300 | not published | not published | $177.09 – $913.84 | 28 |
| Bone marrow;aspiration only 38220 CPT 38220 | not published | not published | $92.74 – $4,989.00 | 28 |
| Bone marrow aspir bone grfg CPT 20939 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | not published | not published | $95.79 – $4,989.00 | 28 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $564.62 – $4,989.00 | 28 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $1,674.15 – $9,452.76 | 28 |
| Bone marrow imaging body CPT 78104 | not published | not published | $202.68 – $961.56 | 28 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $163.39 – $810.72 | 28 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $202.68 – $837.59 | 28 |
| Bone marrow interpretation CPT 85097 | not published | not published | $111.99 – $3,392.28 | 26 |
| Bone mineral dual photon CPT 78351 | not published | not published | $35.31 – $477.00 | 4 |
| Bone mineral single photon CPT 78350 | not published | not published | $72.40 – $477.00 | 4 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Bone/skin graft iliac crest CPT 20970 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Bone/skin graft microvasc CPT 20969 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Bone void filler nanoss 10cc HCPCS C9362 | not published | not published | $150.09 – $162.10 | 6 |
| Boot heel care softcare one sz HCPCS E0191 | not published | not published | $2.42 – $10.76 | 2 |
| Borrelia antibody CPT 86619 | not published | not published | $7.17 – $72.25 | 29 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $18.79 – $189.49 | 27 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | not published | not published | $2.50 – $198.80 | 4 |
| (both sides) donor search management CPT 38204 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $1.84 – $18.52 | 29 |
| Bowel imaging CPT 78290 | not published | not published | $202.68 – $1,363.66 | 28 |
| Bpg axillary-pop/-tibial CPT 35623 | not published | not published | $2,017.77 – $4,989.00 | 3 |
| Bpg carotid-vertebral CPT 35642 | not published | not published | $1,517.99 – $4,989.00 | 3 |
| Bpg ilio-celiac CPT 35632 | not published | not published | $2,758.63 – $4,989.00 | 3 |
| Bpg ilio-mesenteric CPT 35633 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Bpg iliorenal CPT 35634 | not published | not published | $2,712.77 – $4,989.00 | 3 |
| Bpg pop-tibl/-prnl artery CPT 35671 | not published | not published | $1,722.28 – $4,989.00 | 3 |
| Bpg splenorenal CPT 35636 | not published | not published | $2,456.21 – $4,989.00 | 3 |
| Bpg subclavian-axillary CPT 35616 | not published | not published | $1,688.15 – $4,989.00 | 3 |
| Bpg subclavian-vertebral CPT 35645 | not published | not published | $1,456.66 – $4,989.00 | 3 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $433.14 – $866.28 | 24 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $1,269.17 – $2,538.34 | 24 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $1,047.89 – $2,095.78 | 24 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $1,081.72 – $2,163.44 | 24 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | not published | not published | $930.32 – $1,860.64 | 24 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | not published | not published | $656.86 – $1,313.72 | 24 |
| Brace tlso flex cust HCPCS L0450 | not published | not published | $180.51 – $361.02 | 24 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $2,336.00 – $5,774.46 | 26 |
| Brach/thor cath 1st CPT 36215 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Brach/thor cath 2nd CPT 36216 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Brach/thor cath 3rd CPT 36217 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Brach/thor cath addl CPT 36218 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Brachy linear, non-str,p-103 HCPCS C2636 | not published | not published | $53.38 – $134.75 | 25 |
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.