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 |
|---|---|---|---|---|
| Acup 1/> without estim ea add 15 CPT 97811 | not published | not published | $61.69 – $114.44 | 2 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $24.71 – $138.25 | 25 |
| Acute venous thrombus image CPT 78456 | not published | not published | $298.38 – $2,633.92 | 28 |
| Acyclovir 400 mg tablet HCPCS J8499 | $5.28 | $16.00 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | not published | not published | $0.04 – $0.53 | 4 |
| #acylcarnitineprfl CPT 82017 | not published | not published | $9.04 – $91.10 | 29 |
| Adalimumab injection HCPCS J0135 | not published | not published | $2,091.21 – $2,091.21 | 1 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $120.48 – $324.16 | 25 |
| Adapter b 8 channel 10cm HCPCS C1883 | not published | not published | $733.90 – $792.61 | 6 |
| Adaptive behavior tx by tech CPT 97153 | not published | not published | $93.31 – $186.62 | 25 |
| Adding walker to prev cast CPT 29440 | not published | not published | $17.17 – $4,989.00 | 28 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | not published | not published | $0.39 – $5.56 | 4 |
| Adenovirus ag ia CPT 87301 | not published | not published | $6.42 – $64.69 | 29 |
| Adenovirus antibody,serum - quest CPT 86603 | not published | not published | $6.89 – $69.50 | 29 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $11.66 – $117.50 | 29 |
| Adenovirus vaccine type 4 CPT 90476 | not published | not published | $138.58 – $138.58 | 1 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $1,362.25 – $4,989.00 | 3 |
| Adhesive, liquid or equal HCPCS A4364 | not published | not published | $3.11 – $6.92 | 2 |
| Adh-sendout CPT 84588 | not published | not published | $18.18 – $183.28 | 29 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $945.81 – $4,989.00 | 26 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $709.01 – $4,989.00 | 28 |
| Adjustment gastric band HCPCS S2083 | not published | not published | $1,599.94 – $2,885.00 | 2 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $153.98 | $466.62 | $0.56 – $1.96 | 3 |
| Admin ecg contrast agent CPT 93352 | not published | not published | $74.52 – $195.00 | 3 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $22.00 – $22.00 | 1 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $22.00 – $22.00 | 1 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $41.11 – $134.11 | 25 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $434.04 – $2,633.92 | 28 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,885.49 – $4,989.00 | 3 |
| Adrenalin epinephrine inject HCPCS J0171 | not published | not published | $0.40 – $1.86 | 3 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $162.31 – $333.75 | 2 |
| Adv prim care mgmt lvl 1 HCPCS G0556 | not published | not published | $30.05 – $131.37 | 25 |
| Adv prim care mgmt lvl 2 HCPCS G0557 | not published | not published | $30.05 – $131.37 | 25 |
| Adv prim care mgmt lvl 3 HCPCS G0558 | not published | not published | $93.31 – $407.93 | 25 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $74.00 – $628.28 | 25 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $74.00 – $628.28 | 25 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $74.00 – $679.21 | 25 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $2,873.33 – $14,195.35 | 25 |
| _afb id by dna probe rflx ast CPT 87149 | not published | not published | $10.74 – $108.27 | 29 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $3.92 – $39.47 | 29 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | not published | not published | $61.78 – $622.94 | 29 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $73.37 – $739.80 | 26 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $147.17 – $1,484.08 | 26 |
| Aflibercept injection HCPCS J0178 | not published | not published | $795.86 – $4,079.25 | 25 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $24.78 – $68.97 | 3 |
| After cataract laser surgery CPT 66821 | not published | not published | $208.33 – $4,989.00 | 28 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $222.84 – $734.09 | 25 |
| Air conduction bilat CPT 92552 | not published | not published | $68.15 – $480.82 | 25 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $74.00 – $1,116.17 | 25 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $1,583.84 | $4,799.52 | $53.08 – $274.35 | 9 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $21.23 – $109.72 | 27 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | not published | not published | $53.08 – $274.35 | 27 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $10.62 – $54.86 | 9 |
| Albumin ischemia modified CPT 82045 | not published | not published | $18.18 – $183.28 | 29 |
| Albuterol comp con HCPCS J7610 | not published | not published | $2.23 – $2.23 | 1 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $0.44 – $0.69 | 2 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | not published | $0.19 – $1.06 | 4 |
| Albuterol non-comp con HCPCS J7611 | $3.30 | $10.00 | $0.18 – $0.44 | 4 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.08 – $0.35 | 4 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $10.35 – $11.97 | 6 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $24.71 – $74.71 | 25 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | not published | not published | $30.05 – $149.41 | 25 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $159.44 – $324.16 | 25 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $5,301.26 – $20,510.07 | 25 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $67.21 – $677.70 | 29 |
| Alefacept HCPCS J0215 | not published | not published | $25.23 – $172.56 | 3 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,434.59 – $8,605.72 | 25 |
| Alginate dressing <=16 sq in HCPCS A6196 | not published | not published | $8.46 – $18.84 | 2 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | not published | not published | $18.91 – $42.09 | 2 |
| Alginate drsg wound filler HCPCS A6199 | not published | not published | $6.08 – $13.55 | 2 |
| Alglucerase injection HCPCS J0205 | not published | not published | $30.08 – $174.15 | 3 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $325.50 – $475.41 | 2 |
| Allergy Skin Testing CPT 95004 | not published | not published | $14.54 – $4,008.47 | 25 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $12.17 – $4,008.47 | 25 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $5,987.00 – $25,960.00 | 26 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $82.76 – $82.76 | 1 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $102.18 – $102.18 | 1 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | not published | not published | $2,885.00 – $2,885.00 | 1 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $24.47 – $2,885.00 | 2 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | not published | not published | $158.33 – $216.60 | 2 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | not published | not published | $136.47 – $454.54 | 3 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $128.43 – $128.43 | 1 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $216.60 – $247.02 | 2 |
| Alloskin HCPCS Q4115 | not published | not published | $12.38 – $66.28 | 3 |
| Alloskin ac, 1 cm HCPCS Q4141 | not published | not published | $37.87 – $37.87 | 1 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $39.60 – $147.43 | 25 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $17.18 – $101.39 | 25 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $5.13 – $20.51 | 25 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $9.11 – $91.80 | 29 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $0.47 – $14.79 | 3 |
| Alprostadil urethral suppos HCPCS J0275 | not published | not published | $156.08 – $273.51 | 2 |
| Als 1 HCPCS A0426 | not published | not published | $594.69 – $594.69 | 1 |
| Als1-emergency HCPCS A0427 | not published | not published | $941.60 – $941.60 | 1 |
| Als 2 HCPCS A0433 | not published | not published | $1,362.82 – $1,362.82 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | not published | not published | $91.46 – $184.56 | 25 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.60 – $23.24 | 25 |
| Aluminum - quest CPT 82108 | not published | not published | $13.65 – $137.59 | 29 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $222.86 – $6,543.20 | 28 |
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.