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 |
|---|---|---|---|---|
| Cytopath smear other source CPT 88160 | not published | not published | $12.36 – $156.74 | 26 |
| Cytopath smear other source CPT 88162 | not published | not published | $26.95 – $267.14 | 26 |
| Cytopath smear oth prep screen & interp CPT 88161 | not published | not published | $12.36 – $136.09 | 26 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $9.74 – $81.65 | 29 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $9.74 – $81.65 | 29 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $9.74 – $81.65 | 29 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $42.12 – $424.71 | 29 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $15.90 – $160.27 | 29 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $86.44 – $1,699.45 | 26 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $4.50 – $25.00 | 4 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $288.80 – $4,629.66 | 25 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $15.57 – $67.69 | 25 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $16.04 – $81.89 | 4 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | not published | not published | $0.03 – $2.47 | 4 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.04 – $1.63 | 25 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $51.84 – $215.30 | 25 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $10,215.78 | $30,956.91 | $2.92 – $8.20 | 25 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $2.92 – $8.20 | 25 |
| Dark field exam spec collj CPT 87164 | not published | not published | $5.75 – $58.00 | 29 |
| Dark field exam without collj CPT 87166 | not published | not published | $6.05 – $61.02 | 29 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $249.02 – $847.78 | 25 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $23.73 – $204.45 | 25 |
| Daunorubicin citrate inj HCPCS J9151 | not published | not published | $51.75 – $1,044.73 | 3 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $200.45 – $770.56 | 25 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $1,063.52 – $6,415.00 | 28 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $1,063.52 – $6,415.00 | 28 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $659.94 – $4,989.00 | 28 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $3,271.60 – $6,543.20 | 26 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $659.94 – $4,989.00 | 28 |
| D&c of cervical stump CPT 57558 | not published | not published | $1,063.52 – $6,415.00 | 28 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $1,090.23 – $4,989.00 | 3 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $25.66 – $4,989.00 | 28 |
| Debridement bone <= 20 sq cm CPT 11044 | not published | not published | $486.45 – $4,989.00 | 28 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | not published | not published | $475.00 – $4,989.00 | 2 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | not published | not published | $1,479.00 – $4,989.00 | 2 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $257.60 – $4,989.00 | 28 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $815.20 – $5,774.46 | 28 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $890.21 – $4,989.00 | 3 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $1,207.58 – $4,989.00 | 3 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | not published | not published | $475.00 – $4,989.00 | 2 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $173.00 – $4,989.00 | 26 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $173.00 – $4,989.00 | 2 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $1.77 – $40.71 | 4 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | not published | not published | $25.09 – $4,989.00 | 28 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $593.04 – $4,989.00 | 28 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $593.04 – $4,989.00 | 28 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Decompress fingers/hand CPT 26035 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Decompression fasct forearm CPT 24495 | not published | not published | $2,040.00 – $14,413.14 | 28 |
| Decompression of leg CPT 27892 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Decompression of leg CPT 27893 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Decompression of leg CPT 27894 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Decompression of lower leg CPT 27600 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Decompression of lower leg CPT 27601 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $593.04 – $4,989.00 | 28 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $659.94 – $4,989.00 | 28 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $659.94 – $4,989.00 | 28 |
| Decompressive craniotomy CPT 61322 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Decompress optic nerve CPT 67570 | not published | not published | $1,103.42 – $7,608.34 | 28 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Decompress small bowel CPT 44021 | not published | not published | $1,509.47 – $4,989.00 | 3 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $4,989.00 – $14,413.14 | 26 |
| Decompress spine cord add-on CPT 63066 | not published | not published | $4,989.00 – $9,614.00 | 2 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $4,989.00 – $9,614.00 | 2 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $815.20 – $5,774.46 | 28 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | not published | not published | $8.21 – $31.40 | 4 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $4.32 – $26.15 | 25 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $2,281.73 – $19,306.44 | 28 |
| Delay flap arms/legs CPT 15610 | not published | not published | $709.01 – $4,989.00 | 28 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $709.01 – $4,989.00 | 28 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $709.01 – $4,989.00 | 28 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $1,457.62 – $7,386.34 | 28 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $1,443.33 – $4,989.00 | 3 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $1,999.64 – $4,989.00 | 3 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $1,058.76 – $4,989.00 | 3 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $130.00 – $511.25 | 25 |
| Denervation of hip joint CPT 27035 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $79.20 – $79.20 | 1 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $8,251.08 | $25,003.28 | $27.81 – $81.76 | 25 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | not published | not published | $2.98 – $6.62 | 2 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $42.32 – $69.18 | 4 |
| Dermabrasion other than face CPT 15782 | not published | not published | $560.30 – $5,774.46 | 26 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $456.18 – $4,989.00 | 26 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $238.95 – $4,989.00 | 26 |
| Dermabrasion total face CPT 15780 | not published | not published | $837.50 – $5,774.46 | 26 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $1,457.62 – $7,386.34 | 28 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $7.09 – $300.18 | 2 |
| Dermagraft HCPCS Q4106 | not published | not published | $50.94 – $161.98 | 3 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $217.00 – $3,690.64 | 24 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $54.62 – $54.62 | 1 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $1,457.62 – $7,386.34 | 28 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $709.01 – $4,989.00 | 28 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $128.08 – $128.08 | 1 |
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.