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 |
|---|---|---|---|---|
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $7.67 – $77.33 | 29 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | not published | not published | $0.67 – $15.21 | 4 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.80 – $4.53 | 25 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $1.14 – $21.39 | 4 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $71.40 – $127.73 | 4 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | not published | not published | $0.74 – $3.48 | 4 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $2.02 – $13.98 | 4 |
| Cygnus matrix, per sq cm HCPCS Q4199 | not published | not published | $10.13 – $332.42 | 2 |
| Cygnus, per sq cm HCPCS Q4170 | not published | not published | $444.74 – $964.51 | 2 |
| Cymetra injectable HCPCS Q4112 | not published | not published | $467.68 – $998.25 | 3 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $156.03 – $1,573.34 | 29 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $93.61 – $943.97 | 29 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $241.46 – $2,434.91 | 29 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $93.61 – $943.97 | 26 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $93.61 – $943.97 | 26 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $267.22 – $2,694.60 | 29 |
| Cystine urine quantitative CPT 82131 | not published | not published | $12.31 – $124.09 | 29 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $5,756.02 – $18,656.98 | 27 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $2,885.00 – $18,656.98 | 26 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $2,885.00 – $18,656.98 | 25 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $165.52 – $4,989.00 | 28 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $1,384.11 – $4,989.00 | 3 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $4,989.00 – $18,656.98 | 26 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $2,885.00 – $10,256.68 | 26 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $1,689.43 – $10,256.68 | 28 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $652.80 – $4,133.06 | 28 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $223.14 – $4,133.06 | 28 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $652.80 – $4,133.06 | 28 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $652.80 – $4,133.06 | 28 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $238.15 – $3,215.00 | 28 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $652.80 – $4,133.06 | 28 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $1,689.43 – $10,256.68 | 28 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $652.80 – $4,133.06 | 28 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $652.80 – $4,133.06 | 28 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $238.15 – $3,215.00 | 28 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Cystoscopy inject material CPT 52327 | not published | not published | $2,040.00 – $10,256.68 | 28 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $2,780.78 – $10,256.68 | 27 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $652.80 – $4,133.06 | 28 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $652.80 – $4,133.06 | 28 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $1,689.43 – $10,256.68 | 28 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $652.80 – $4,133.06 | 28 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $652.80 – $4,989.00 | 28 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $3,479.31 – $6,958.62 | 26 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $1,689.43 – $10,256.68 | 28 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $1,689.43 – $10,256.68 | 28 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $1,689.43 – $10,256.68 | 28 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $1,689.43 – $10,256.68 | 28 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $1,689.43 – $10,256.68 | 28 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $2,336.00 – $6,958.62 | 26 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $652.80 – $4,133.06 | 28 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $93.34 – $4,989.00 | 3 |
| Cystourethro w/implant CPT 52441 | not published | not published | $349.37 – $4,989.00 | 3 |
| Cysto with bx(s) with blue light HCPCS C7550 | not published | not published | $1,599.94 – $5,865.00 | 2 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | not published | not published | $0.81 – $2.91 | 4 |
| Cytarabine liposome inj HCPCS J9098 | not published | not published | $408.86 – $2,603.80 | 3 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $641.50 – $2,565.98 | 27 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $22.70 – $228.85 | 29 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $21.80 – $219.78 | 29 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $621.18 – $6,264.00 | 26 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $481.95 – $4,860.00 | 27 |
| Cytog genom-wid alys hem mal CPT 81195 | not published | not published | $676.62 – $2,706.48 | 24 |
| Cytomegalovirus ag ia CPT 87332 | not published | not published | $6.42 – $64.69 | 29 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $7.19 – $72.47 | 29 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,812.01 – $5,100.17 | 25 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $16.08 – $162.16 | 29 |
| Cyto/molecular report CPT 88291 | not published | not published | $29.47 – $182.95 | 4 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $13.59 – $137.00 | 29 |
| Cytopath c/v automated CPT 88147 | not published | not published | $27.08 – $273.02 | 29 |
| Cytopath c/v auto redo CPT 88152 | not published | not published | $14.80 – $149.26 | 29 |
| Cytopath c/v auto rescreen CPT 88148 | not published | not published | $9.74 – $86.40 | 29 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $7.85 – $79.11 | 29 |
| Cytopath c/v manual CPT 88150 | not published | not published | $9.74 – $81.65 | 29 |
| Cytopath c/v redo CPT 88153 | not published | not published | $12.87 – $129.76 | 29 |
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $12.34 – $124.42 | 29 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $14.25 – $143.69 | 29 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | not published | not published | $7.37 – $68.31 | 4 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | not published | not published | $68.01 – $774.90 | 26 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | not published | not published | $26.95 – $275.81 | 26 |
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.