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 |
|---|---|---|---|---|
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | not published | not published | $16.20 – $59.76 | 4 |
| Close bladder-uterus fistula CPT 51920 | not published | not published | $1,177.70 – $4,989.00 | 3 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Close chest after drainage CPT 32810 | not published | not published | $1,381.98 – $4,989.00 | 3 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $1,143.57 – $4,989.00 | 3 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $85.32 – $4,989.00 | 28 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $420.64 – $4,989.00 | 28 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $187.22 – $4,989.00 | 28 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $548.63 – $4,989.00 | 28 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $886.62 – $6,543.20 | 28 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $111.10 – $4,989.00 | 26 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $475.00 – $6,546.30 | 28 |
| Close kidney-skin fistula CPT 50520 | not published | not published | $1,792.15 – $4,989.00 | 3 |
| Close mastoid fistula CPT 69700 | not published | not published | $420.64 – $4,989.00 | 28 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $1,051.29 – $4,989.00 | 3 |
| Close mult vsd CPT 33675 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Close mult vsd w/resection CPT 33676 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Close nephrovisceral fistula CPT 50525 | not published | not published | $2,274.33 – $4,989.00 | 3 |
| Close nephrovisceral fistula CPT 50526 | not published | not published | $2,438.08 – $4,989.00 | 3 |
| Close tear duct opening CPT 68760 | not published | not published | $108.29 – $4,989.00 | 28 |
| Close tear duct opening CPT 68761 | not published | not published | $78.62 – $4,989.00 | 28 |
| Close tear system fistula CPT 68770 | not published | not published | $698.30 – $4,989.00 | 28 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $8.57 – $86.40 | 29 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $1,340.91 – $4,989.00 | 3 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $2,476.48 – $4,989.00 | 3 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $1,569.73 – $4,989.00 | 3 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $2,168.19 – $4,989.00 | 3 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $335.22 – $4,989.00 | 28 |
| Closure of salivary fistula CPT 42600 | not published | not published | $886.62 – $6,543.20 | 28 |
| Closure of valve CPT 33600 | not published | not published | $2,631.16 – $4,989.00 | 3 |
| Closure of valve CPT 33602 | not published | not published | $2,552.75 – $4,989.00 | 3 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $886.62 – $6,543.20 | 28 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $623.70 – $4,989.00 | 26 |
| Closure ureter/bowel fistula CPT 50930 | not published | not published | $1,700.95 – $4,989.00 | 3 |
| Closure ureter/skin fistula CPT 50920 | not published | not published | $1,353.71 – $4,989.00 | 3 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $10.14 – $102.22 | 29 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $10.94 – $110.27 | 29 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $10.14 – $102.22 | 29 |
| Clot factor xiii fibrin scrn CPT 85291 | not published | not published | $4.88 – $49.19 | 29 |
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $8.75 – $88.24 | 29 |
| Clotting assay whole blood CPT 85396 | not published | not published | $16.79 – $112.86 | 4 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $2.07 – $2.30 | 2 |
| Clsd ostomy pouch w/flange HCPCS A5054 | not published | not published | $2.07 – $4.60 | 2 |
| Clsd ostomy pouch without barr HCPCS A5052 | not published | not published | $1.71 – $3.80 | 2 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | not published | not published | $85.32 – $4,989.00 | 28 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $475.00 – $4,989.00 | 28 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $593.04 – $4,989.00 | 28 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | not published | not published | $79.18 – $4,989.00 | 28 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | not published | not published | $85.32 – $4,989.00 | 28 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | not published | not published | $85.32 – $4,989.00 | 28 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $475.00 – $6,546.30 | 28 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | not published | not published | $85.32 – $4,989.00 | 28 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | not published | not published | $886.62 – $6,543.20 | 28 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $85.32 – $4,989.00 | 28 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $85.32 – $4,989.00 | 28 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | not published | not published | $475.00 – $4,989.00 | 28 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $475.00 – $6,546.30 | 28 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | not published | not published | $85.32 – $4,989.00 | 28 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $85.32 – $4,989.00 | 28 |
| Clsr 1 vsd w/wo patch w/vlvt CPT 33684 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Clsr 1vsd w/wo ptch rmvl bnd CPT 33688 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | $85.32 – $4,989.00 | 28 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $475.00 – $4,989.00 | 28 |
| Cltx craniofacial separation CPT 21431 | not published | not published | $1,098.77 – $4,989.00 | 3 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $475.00 – $4,989.00 | 28 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $85.32 – $4,989.00 | 28 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $85.32 – $4,989.00 | 28 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $420.64 – $4,989.00 | 28 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | $468.98 – $6,543.20 | 28 |
| Cltx post ankle fx CPT 27767 | not published | not published | $85.32 – $4,989.00 | 28 |
| Cltx post ankle fx w/mnpj CPT 27768 | not published | not published | $331.00 – $4,989.00 | 28 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $475.00 – $4,989.00 | 28 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $85.32 – $4,989.00 | 28 |
| Cltx thigh fx CPT 27267 | not published | not published | $331.00 – $6,546.30 | 28 |
| Cltx thigh fx w/mnpj CPT 27268 | not published | not published | $825.68 – $4,989.00 | 3 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $420.64 – $4,989.00 | 28 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $1,526.99 – $9,959.74 | 28 |
| C motor evoked lwr limbs CPT 95929 | not published | not published | $178.00 – $1,070.54 | 25 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $178.00 – $2,052.68 | 25 |
| C motor evoked upr&lwr limbs CPT 95939 | not published | not published | $178.00 – $2,052.68 | 25 |
| Cmp rpr tof wo plm atrs ptch CPT 33694 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $59.92 – $242.59 | 25 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $59.92 – $242.59 | 25 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $7.54 – $75.98 | 29 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $4.71 – $47.52 | 29 |
| #cmvcul-virus inoculation shell CPT 87254 | not published | not published | $10.48 – $105.62 | 29 |
| Cmv ig IV CPT 90291 | not published | not published | $2,108.22 – $5,100.17 | 3 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $73.37 – $739.80 | 26 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $2.53 – $7.19 | 25 |
| Coagulation time lee & white CPT 85345 | not published | not published | $2.51 – $25.33 | 29 |
| Coagulation time otr method CPT 85348 | not published | not published | $2.41 – $24.25 | 29 |
| Cocaine 4 % nasal solution HCPCS C9046 | not published | not published | $5.34 – $5.34 | 1 |
| Cocaine hcl nasal (numbrino) HCPCS C9143 | not published | not published | $5.34 – $5.34 | 1 |
| Coccidioidomycosis skin test CPT 86490 | not published | not published | $157.87 – $250.37 | 2 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $157.84 – $567.39 | 25 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $157.84 – $551.51 | 25 |
| Cocm by rhc/fqhc 60 min mo HCPCS G0512 | not published | not published | $273.38 – $273.38 | 1 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $0.97 – $5.56 | 3 |
| Cogenex amnio memb per sq cm HCPCS Q4229 | not published | not published | $7.09 – $501.55 | 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.