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 |
|---|---|---|---|---|
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $68.66 – $4,989.00 | 28 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $429.26 – $4,989.00 | 28 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $64.78 – $4,989.00 | 28 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $100.06 – $4,989.00 | 28 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $57.86 – $4,989.00 | 28 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $50.66 – $4,989.00 | 28 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $59.25 – $4,989.00 | 28 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $57.30 – $4,989.00 | 28 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $55.94 – $4,989.00 | 28 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $68.66 – $4,989.00 | 28 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $75.30 – $4,989.00 | 28 |
| Chemo extend IV infus w/pump HCPCS G0498 | not published | not published | $334.61 – $1,365.34 | 25 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $46.55 – $356.02 | 25 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $334.61 – $770.82 | 25 |
| Chemo ia push tecnique CPT 96420 | not published | not published | $230.35 – $669.22 | 25 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $208.20 – $425.08 | 25 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $71.80 – $266.67 | 25 |
| Chemotaxis assay CPT 86155 | not published | not published | $8.57 – $86.35 | 29 |
| Chemotherapy injection 96542 CPT 96542 | not published | not published | $189.14 – $669.22 | 25 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $125.55 – $669.22 | 25 |
| Chg pr pul rehab for copd patients CPT 94626 | not published | not published | $59.92 – $125.55 | 25 |
| Chg radiologic exam esophagus double contrast CPT 74221 | not published | not published | $89.80 – $803.59 | 27 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $111.10 – $1,120.28 | 29 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $139.66 – $1,408.27 | 29 |
| Chiropractic manj 5 regions CPT 98942 | not published | not published | $25.52 – $108.13 | 25 |
| Chiropract manj 1-2 regions CPT 98940 | not published | not published | $25.52 – $108.13 | 25 |
| Chiropract manj 3-4 regions CPT 98941 | not published | not published | $25.52 – $108.13 | 25 |
| Chiropract manj xtrspinl 1/> CPT 98943 | not published | not published | $61.46 – $106.50 | 2 |
| Chlamydia culture CPT 87110 | not published | not published | $10.50 – $105.84 | 29 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $6.42 – $64.69 | 29 |
| Chlamydia type CPT 87140 | not published | not published | $2.99 – $30.08 | 29 |
| Chlmyd pneum dna dir probe CPT 87485 | not published | not published | $10.74 – $108.27 | 29 |
| Chlmyd pneum dna quant CPT 87487 | not published | not published | $22.94 – $231.34 | 29 |
| Chloramphenicol sodium injec HCPCS J0720 | not published | not published | $58.38 – $118.63 | 3 |
| Chlordiazepoxide injection HCPCS J1990 | not published | not published | $20.05 – $48.42 | 2 |
| Chloroprocaine (clorotekal) HCPCS J2402 | not published | not published | $0.37 – $1.32 | 2 |
| Chloroprocaine hcl injection HCPCS J2401 | not published | not published | $0.04 – $0.18 | 3 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.60 – $99.58 | 25 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | not published | not published | $32.48 – $633.76 | 4 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | not published | not published | $29.04 – $91.82 | 4 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | not published | not published | $0.44 – $6.28 | 2 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $334.61 – $669.22 | 25 |
| Cholangiogram percutaneous compl CPT 47532 | not published | not published | $2,885.00 – $7,120.20 | 26 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $1,956.43 – $4,989.00 | 3 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $1,738.81 – $4,989.00 | 3 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $1,783.09 – $4,989.00 | 3 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | not published | not published | $3,560.10 – $7,120.20 | 26 |
| Cholera vaccine live oral CPT 90625 | not published | not published | $621.00 – $992.25 | 2 |
| Choline c-11 HCPCS A9515 | not published | not published | $2,062.94 – $21,961.80 | 25 |
| Cholinesterase challenge CPT 95857 | not published | not published | $120.04 – $628.28 | 25 |
| Chorion biopsy CPT 59015 | not published | not published | $49.59 – $4,989.00 | 28 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $18.25 – $95.17 | 4 |
| Chrnc care mgmt phys 1st 30 CPT 99491 | not published | not published | $370.31 – $370.31 | 1 |
| Chrom analysis CPT 88273 | not published | not published | $18.64 – $187.97 | 29 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $20.89 – $210.60 | 29 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $6.37 – $64.21 | 29 |
| Chromo high res and frag x - sendout CPT 81243 | not published | not published | $30.55 – $308.02 | 29 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $93.00 – $937.76 | 29 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $92.74 – $935.12 | 29 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $92.74 – $935.12 | 29 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $80.48 – $811.57 | 29 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $141.56 – $1,427.44 | 29 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $92.74 – $935.12 | 29 |
| Chromosome analys placenta CPT 88267 | not published | not published | $100.98 – $1,018.28 | 29 |
| Chromosome banding study CPT 88283 | not published | not published | $36.74 – $370.44 | 29 |
| Chromosome count additional CPT 88285 | not published | not published | $14.41 – $145.31 | 29 |
| Chromosome karyotype study CPT 88280 | not published | not published | $17.93 – $180.74 | 29 |
| Chromosome study additional CPT 88289 | not published | not published | $18.44 – $185.92 | 29 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $6.67 – $67.28 | 29 |
| Chylomicron screen, bf - sendout CPT 82664 | not published | not published | $32.94 – $332.10 | 29 |
| Cidofovir injection HCPCS J0740 | not published | not published | $303.75 – $2,255.67 | 25 |
| Cilastatin sodium injection HCPCS J0743 | not published | not published | $7.34 – $15.21 | 4 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $698.30 – $4,989.00 | 28 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $553,169.30 – $2,042,447.40 | 25 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $0.99 – $2.60 | 2 |
| Cine/video x-rays CPT 76120 | not published | not published | $53.64 – $494.27 | 28 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $63.59 – $111.73 | 2 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $48.39 | $146.65 | $1.49 – $6.92 | 4 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $33.98 – $124.89 | 3 |
| Circum 28 days or older CPT 54161 | not published | not published | $652.80 – $4,989.00 | 28 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $238.15 – $4,989.00 | 28 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | not published | not published | $2.86 – $10.80 | 4 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $176.46 – $1,779.35 | 29 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $10.20 – $106.68 | 25 |
| C-laminoplasty w/graft/plate CPT 63051 | not published | not published | $2,651.42 – $9,614.00 | 3 |
| Clamp neck artery CPT 61703 | not published | not published | $2,081.25 – $4,989.00 | 3 |
| Claviculectomy partial CPT 23120 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Claviculectomy total CPT 23125 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $133.99 – $4,989.00 | 28 |
| Clearance of airways CPT 31725 | not published | not published | $122.14 – $4,989.00 | 3 |
| Clearance of tear duct CPT 68530 | not published | not published | $108.29 – $4,989.00 | 28 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $130.03 – $480.82 | 25 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $130.03 – $480.82 | 25 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $130.03 – $260.06 | 25 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $39.60 – $147.43 | 25 |
| C-lens fitg tech ou CPT 92314 | not published | not published | $158.94 – $176.18 | 2 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $66.36 | $201.10 | $1.61 – $7.89 | 3 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $1,063.52 – $6,415.00 | 28 |
| Cl mult vsd w/rem pul band CPT 33677 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $8.53 – $353.86 | 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.