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 |
|---|---|---|---|---|
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | not published | not published | $1,925.23 – $6,967.80 | 25 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | not published | not published | $1,925.23 – $6,967.80 | 25 |
| Bupropion hcl sr 60 tablets HCPCS S0106 | not published | not published | $73.65 – $187.11 | 2 |
| Bur hol/trph drg brn abs/cst CPT 61150 | not published | not published | $2,122.85 – $4,989.00 | 3 |
| Burr hol aspir hmtm/cst icer CPT 61156 | not published | not published | $1,947.90 – $4,989.00 | 3 |
| Burr hole for vent puncture 61120 CPT 61120 | not published | not published | $1,160.63 – $4,989.00 | 3 |
| Burr hole implant ventricular cath/other device CPT 61210 | not published | not published | $579.24 – $4,989.00 | 3 |
| Burr hole skull for biopsy 61140 CPT 61140 | not published | not published | $1,970.29 – $4,989.00 | 3 |
| Burr hole skull & remove clot 61154 CPT 61154 | not published | not published | $1,980.97 – $4,989.00 | 3 |
| Burr hole treph ittl uni/bi CPT 61253 | not published | not published | $1,540.40 – $4,989.00 | 3 |
| Burr hole/treph sbsq tapping CPT 61151 | not published | not published | $1,556.40 – $4,989.00 | 3 |
| Burr hole/treph sttl expl CPT 61250 | not published | not published | $1,347.32 – $4,989.00 | 3 |
| Busulfan injection HCPCS J0594 | not published | not published | $1.43 – $37.09 | 25 |
| Butorphanol tartrate 1 mg HCPCS J0595 | not published | not published | $4.01 – $10.17 | 4 |
| Butorphanol tartrate, nasal HCPCS S0012 | not published | not published | $131.12 – $183.50 | 2 |
| Buttock fasciotomy CPT 27027 | not published | not published | $4,989.00 – $14,413.14 | 26 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | not published | not published | $1,614.49 – $4,989.00 | 26 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | not published | not published | $149.50 – $4,989.00 | 28 |
| Bx bone trocar/ndl deep CPT 20225 | not published | not published | $486.45 – $4,989.00 | 28 |
| Bx breast 1st lesion mr imag CPT 19085 | not published | not published | $486.45 – $4,989.00 | 28 |
| Bx breast 1st lesion strtctc CPT 19081 | not published | not published | $486.45 – $4,989.00 | 28 |
| Bx breast add lesion mr imag CPT 19086 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Bx breast add lesion strtctc CPT 19082 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Bx breast add lesion Ultrasound imag CPT 19084 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Bx breast perq without image 19100 CPT 19100 | not published | not published | $486.45 – $4,989.00 | 28 |
| Bx breast pq tomo guide CPT 19499 | not published | not published | $2,885.00 – $7,725.92 | 26 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | not published | not published | $65.06 – $4,989.00 | 28 |
| Bx/exc idrl imed lesn cervl CPT 63285 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Bx/exc idrl imed lesn thrc CPT 63286 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Bx/exc idrl imed lesn thrlmb CPT 63287 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Bx/exc idrl spine lesn crvl CPT 63280 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Bx/exc idrl spine lesn scrl CPT 63283 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | $963.66 – $7,725.92 | 28 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $963.66 – $7,725.92 | 28 |
| Bx/exc xdrl/idrl lsn any lvl CPT 63290 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Bx/exc xdrl spine lesn crvl CPT 63275 | not published | not published | $2,806.11 – $4,989.00 | 3 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | not published | not published | $2,419.40 – $4,989.00 | 3 |
| Bx/exc xdrl spine lesn scrl CPT 63278 | not published | not published | $2,469.01 – $4,989.00 | 3 |
| Bx/exc xdrl spine lesn thrc CPT 63276 | not published | not published | $2,787.96 – $4,989.00 | 3 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | not published | not published | $815.20 – $5,774.46 | 28 |
| Bx liver with other CPT 47001 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Bx muscle CPT 20200 | not published | not published | $486.45 – $4,989.00 | 28 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | not published | not published | $886.62 – $6,543.20 | 28 |
| Bx of breast open 19101 CPT 19101 | not published | not published | $963.66 – $7,725.92 | 28 |
| Bx of cervix w/scope leep 57460 CPT 57460 | not published | not published | $174.42 – $6,415.00 | 28 |
| Bx pancreas pq ndl CPT 48102 | not published | not published | $486.45 – $4,989.00 | 28 |
| Bx perianal mass CPT 46999 | not published | not published | $919.73 – $4,989.00 | 26 |
| Bx pleura pq ndl CPT 32400 | not published | not published | $486.45 – $4,989.00 | 28 |
| Bx prst8 ndl sat sampling CPT 55706 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Bx shoulder tissues deep 23066 CPT 23066 | not published | not published | $815.20 – $5,774.46 | 28 |
| Bx shoulder tissues supf 23065 CPT 23065 | not published | not published | $114.62 – $4,989.00 | 28 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | not published | not published | $149.50 – $4,989.00 | 28 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | not published | not published | $486.45 – $4,989.00 | 28 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | not published | not published | $486.45 – $4,989.00 | 28 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | not published | not published | $486.45 – $4,989.00 | 28 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | not published | not published | $148.39 – $4,989.00 | 28 |
| Bx spinal cord pq ndl CPT 62269 | not published | not published | $486.45 – $4,989.00 | 28 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | not published | not published | $486.45 – $4,989.00 | 28 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | not published | not published | $173.00 – $4,989.00 | 2 |
| Bypass graft/av fist patency CPT 35686 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Bypass graft patency/patch CPT 35685 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Bypass temp external fem-fem CPT 37799 | not published | not published | $623.70 – $4,989.00 | 26 |
| C-1 esterase, berinert HCPCS J0597 | not published | not published | $72.27 – $260.63 | 25 |
| C-1 esterase, cinryze HCPCS J0598 | not published | not published | $63.88 – $242.37 | 25 |
| C1 esterase inhibitor func - sendout CPT 86161 | not published | not published | $6.43 – $64.80 | 29 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | not published | not published | $221.71 – $801.03 | 25 |
| Cabergoline, oral 0.25mg HCPCS J8515 | not published | not published | $16.35 – $34.93 | 3 |
| Cabg 2 arterial grafts 33534 CPT 33534 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Cabg 3 arterial grafts 33535 CPT 33535 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Cabg arterial four or more 33536 CPT 33536 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Cabgsingle artery graft 33533 CPT 33533 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Cabgsingle coronary venous graft 33510 CPT 33510 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | not published | not published | $813.41 – $4,989.00 | 3 |
| Cabg vein five CPT 33514 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Cabg vein six or more CPT 33516 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | not published | not published | $288.56 – $4,989.00 | 3 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | not published | not published | $636.33 – $4,989.00 | 3 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | not published | not published | $841.68 – $4,989.00 | 3 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | not published | not published | $1,009.69 – $4,989.00 | 3 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | not published | not published | $1,133.96 – $4,989.00 | 3 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | not published | not published | $1,280.11 – $4,989.00 | 3 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | not published | not published | $23.13 – $100.90 | 25 |
| Cacna1a gen detc abnor allel CPT 81184 | not published | not published | $73.37 – $739.80 | 28 |
| Cacna1a gene full gene seq CPT 81185 | not published | not published | $453.18 – $4,569.86 | 28 |
| Cacna1a gen known famil vrnt CPT 81186 | not published | not published | $99.18 – $1,000.08 | 28 |
| Cad breast MRI w/r&i HCPCS C8937 | not published | not published | $82.64 – $82.64 | 1 |
| Cadd pump refill CPT 96521 | not published | not published | $212.54 – $656.38 | 25 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | not published | not published | $2.03 – $6.09 | 3 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | not published | not published | $76.53 – $290.00 | 3 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | not published | not published | $899.21 – $11,920.54 | 25 |
| Calcitonin stimul panel CPT 80410 | not published | not published | $43.04 – $434.00 | 29 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | not published | not published | $0.03 – $0.09 | 2 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $34.63 | $104.94 | not published | 0 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $86.89 | $263.31 | $0.05 – $0.22 | 3 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | not published | not published | $0.08 – $0.40 | 3 |
| Calcium glycer & lact/10 ml HCPCS J0620 | not published | not published | $11.00 – $56.36 | 3 |
| Calcium infusion test CPT 82331 | not published | not published | $7.15 – $72.04 | 29 |
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.