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 |
|---|---|---|---|---|
| Dilate urethra stricture CPT 53601 | not published | not published | $39.07 – $4,989.00 | 28 |
| Dilate urethra stricture CPT 53605 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Dilate urethra stricture CPT 53621 | not published | not published | $94.13 – $4,989.00 | 28 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $39.59 – $4,989.00 | 28 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $429.26 – $4,989.00 | 28 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $39.86 – $6,415.00 | 28 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $429.26 – $4,989.00 | 28 |
| Dilation of salivary duct CPT 42660 | not published | not published | $57.03 – $4,989.00 | 28 |
| Dilation of urethra CPT 53661 | not published | not published | $29.60 – $4,989.00 | 28 |
| Dilation of urethra CPT 53665 | not published | not published | $652.80 – $4,989.00 | 28 |
| Dilation of vagina CPT 57400 | not published | not published | $1,063.52 – $6,415.00 | 28 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $37.38 – $4,989.00 | 28 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $114.57 | $347.19 | not published | 0 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $121.19 – $248.81 | 2 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $8.35 – $44.23 | 4 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $714.72 – $2,727.98 | 25 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.09 – $1.30 | 3 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $6.09 | $18.46 | $0.66 – $3.04 | 4 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $16.82 – $165.64 | 3 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $1.84 – $12.08 | 4 |
| Direct advanced life support CPT 99288 | not published | not published | $691.36 – $691.36 | 1 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $39.60 – $147.43 | 25 |
| Disability dlco CPT 94727 | not published | not published | $74.00 – $610.12 | 25 |
| Disaccharidases CPT 82657 | not published | not published | $11.87 – $119.72 | 29 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $709.01 – $4,989.00 | 28 |
| Disarticulation shoulder CPT 23920 | not published | not published | $1,731.88 – $4,989.00 | 3 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $2,359.67 – $4,989.00 | 3 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $323.23 – $4,989.00 | 3 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $105.93 – $7,582.33 | 28 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $68.14 – $4,989.00 | 28 |
| Dissect brain w/scope CPT 62161 | not published | not published | $2,354.34 – $4,989.00 | 3 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | not published | not published | $99.39 – $99.39 | 1 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $585.65 – $15,931.00 | 4 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $4,989.00 – $10,906.50 | 26 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $1,781.49 – $4,989.00 | 3 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $498.72 – $4,989.00 | 3 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $10.70 – $52.92 | 7 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $461.91 – $4,989.00 | 3 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $149.41 – $1,506.60 | 29 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $147.17 – $1,484.08 | 26 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $73.37 – $739.80 | 26 |
| Dna gardnerella CPT 87510 | not published | not published | $10.74 – $108.27 | 29 |
| Dna probe chlamydia CPT 87490 | not published | not published | $12.19 – $122.85 | 29 |
| Dna probe gc CPT 87590 | not published | not published | $14.40 – $145.15 | 29 |
| Dna trichomonas CPT 87660 | not published | not published | $10.74 – $108.27 | 29 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | not published | not published | $8.15 – $13.23 | 4 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $0.61 – $10.67 | 4 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $4.90 – $105.34 | 25 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $3.56 – $25.75 | 3 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $143.77 – $421.20 | 3 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | not published | not published | $0.58 – $1.47 | 9 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | not published | not published | $11,875.00 – $15,931.00 | 2 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $0.65 – $3.18 | 3 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $53.59 – $182.44 | 4 |
| Dornhoffer fixed part w/window HCPCS L8614 | not published | not published | $19,316.01 – $25,250.40 | 6 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $240.14 – $1,056.06 | 25 |
| Double transfer toe-hand CPT 26554 | not published | not published | $2,885.00 – $5,852.23 | 3 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $3.15 – $15.39 | 4 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $137.25 – $1,476.86 | 25 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $67.75 | $205.31 | not published | 0 |
| Dpyd gene common variants CPT 81232 | not published | not published | $93.61 – $943.97 | 26 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $19.75 – $43.98 | 2 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $815.20 – $5,774.46 | 28 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $815.20 – $5,774.46 | 28 |
| Drainage of abdomen CPT 48000 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $815.20 – $5,774.46 | 28 |
| Drainage of bone lesion CPT 26992 | not published | not published | $1,488.13 – $4,989.00 | 3 |
| Drainage of bone lesion CPT 27303 | not published | not published | $983.02 – $4,989.00 | 3 |
| Drainage of eye CPT 65800 | not published | not published | $849.94 – $4,989.00 | 28 |
| Drainage of eye CPT 65810 | not published | not published | $849.94 – $4,989.00 | 28 |
| Drainage of eye CPT 65815 | not published | not published | $849.94 – $4,989.00 | 28 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $593.04 – $4,989.00 | 28 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $87.58 – $4,989.00 | 28 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $420.64 – $4,989.00 | 28 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $420.64 – $4,989.00 | 28 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $886.62 – $6,543.20 | 28 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $187.22 – $4,989.00 | 28 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $187.22 – $4,989.00 | 28 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $1,526.00 – $11,935.40 | 28 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $886.62 – $6,543.20 | 28 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $420.64 – $4,989.00 | 28 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $140.72 – $4,989.00 | 28 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $593.04 – $4,989.00 | 28 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $429.26 – $4,989.00 | 28 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $939.93 – $5,533.02 | 28 |
| Drainage of salivary gland CPT 42305 | not published | not published | $886.62 – $6,543.20 | 28 |
| Drainage of salivary gland CPT 42320 | not published | not published | $187.22 – $4,989.00 | 28 |
| Drainage of spinal cyst CPT 63172 | not published | not published | $2,158.05 – $4,989.00 | 3 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $2,672.76 – $4,989.00 | 3 |
| Drainage of throat abscess CPT 42725 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $121.24 – $4,989.00 | 26 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $238.15 – $4,989.00 | 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.