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 |
|---|---|---|---|---|
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $3,215.00 – $7,676.00 | 26 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $2,814.82 – $12,010.34 | 28 |
| Egfr gene com variants CPT 81235 | not published | not published | $173.82 – $1,752.73 | 29 |
| Ehrlicha chaffeensis amp prb CPT 87484 | not published | not published | $18.79 – $189.49 | 27 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | not published | not published | $17.61 – $105.68 | 27 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $37.61 – $93.42 | 3 |
| EKG for initial prevent exam g0403 HCPCS G0403 | not published | not published | $37.61 – $93.42 | 3 |
| EKG interpret & report preve g0405 HCPCS G0405 | not published | not published | $19.30 – $78.00 | 3 |
| EKG tracing for initial prev HCPCS G0404 | not published | not published | $18.31 – $49.42 | 25 |
| Elbow arthroscopy CPT 29830 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | not published | not published | $173.00 – $4,989.00 | 26 |
| Elec stim unattend for press HCPCS G0281 | not published | not published | $63.59 – $245.00 | 5 |
| Elect analysis of infusion pump 62367 CPT 62367 | not published | not published | $140.13 – $4,989.00 | 26 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | not published | not published | $105.23 – $4,989.00 | 26 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $77.88 – $4,989.00 | 3 |
| Electrical stimulation/unattended 97014 CPT 97014 | not published | not published | $66.77 – $245.00 | 5 |
| Electric stim/w chemodenervation 95873 CPT 95873 | not published | not published | $160.79 – $844.00 | 3 |
| Electroacous eval hear aid/biaural 92595 CPT 92595 | not published | not published | $74.00 – $111.26 | 3 |
| Electrocochleography CPT 92584 | not published | not published | $74.00 – $332.16 | 25 |
| Electroconvulsive therapy 90870 CPT 90870 | not published | not published | $395.55 – $1,070.54 | 25 |
| Electrocorticography durng sx CPT 95829 | not published | not published | $595.00 – $6,988.26 | 3 |
| Electrodes, pair HCPCS A4556 | not published | not published | $13.97 – $31.10 | 2 |
| Electrode stimulation brain CPT 95961 | not published | not published | $178.00 – $2,052.68 | 25 |
| Electroejaculation CPT 55870 | not published | not published | $114.83 – $4,989.00 | 26 |
| Electrogastrography CPT 91132 | not published | not published | $314.14 – $958.38 | 25 |
| Electrogastrography w/test CPT 91133 | not published | not published | $130.03 – $480.82 | 25 |
| Electromagntic tx for ulcers HCPCS G0329 | not published | not published | $49.26 – $245.00 | 5 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | not published | not published | $178.00 – $200.26 | 2 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | not published | not published | $92.60 – $228.88 | 25 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $130.03 – $480.82 | 25 |
| Electrophysiologic study CPT 93624 | not published | not published | $758.40 – $15,309.70 | 24 |
| Electrophysiology evaluation CPT 93619 | not published | not published | $1,677.57 – $15,309.70 | 24 |
| Electrophysiology evaluation CPT 93620 | not published | not published | $2,592.56 – $15,309.70 | 24 |
| Electrophysiology evaluation CPT 93621 | not published | not published | $357.12 – $357.12 | 1 |
| Electrophysiology evaluation CPT 93622 | not published | not published | $523.39 – $523.39 | 1 |
| Electrophysiology evaluation CPT 93641 | not published | not published | $1,442.45 – $1,442.45 | 1 |
| Electrophysiology evaluation CPT 93642 | not published | not published | $768.36 – $2,449.34 | 24 |
| Electrophysiology evaluation CPT 93644 | not published | not published | $490.52 – $490.52 | 1 |
| Electrophys map 3d add-on CPT 93613 | not published | not published | $913.01 – $913.01 | 1 |
| Elisa hiv-1/hiv-2 screen HCPCS G0433 | not published | not published | $16.46 – $98.77 | 29 |
| Elliotts b solution per ml HCPCS J9175 | not published | not published | $11.54 – $39.65 | 3 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $293.94 – $1,002.35 | 25 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | not published | not published | $7.73 – $27.92 | 25 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | not published | not published | $179.21 – $891.88 | 25 |
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $564.97 – $4,989.00 | 28 |
| Emboli detcj wo IV mbubb njx CPT 93897 | not published | not published | $509.00 – $509.00 | 1 |
| Embolization s&i CPT 75894 | not published | not published | $327.40 – $373.82 | 2 |
| Embo or occlude vascular arterial s&i CPT 37242 | not published | not published | $4,989.00 – $36,229.34 | 28 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | not published | not published | $4,989.00 – $22,880.66 | 26 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | not published | not published | $3,491.58 – $22,880.66 | 28 |
| Embo or occlude vascular venous s&i CPT 37241 | not published | not published | $4,545.56 – $22,880.66 | 28 |
| Embryo hatching CPT 89253 | not published | not published | $86.44 – $774.90 | 26 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $878.40 – $4,989.00 | 26 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | not published | not published | $4,989.00 – $10,906.50 | 26 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | not published | not published | $4,989.00 – $10,906.50 | 26 |
| Emb w/colposcopy 58110 CPT 58110 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Emb without cervical dilation 58100 CPT 58100 | not published | not published | $45.96 – $4,989.00 | 28 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | not published | not published | $130.03 – $480.82 | 25 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | not published | not published | $157.84 – $524.48 | 25 |
| Emg cranial nerve bilateral CPT 95868 | not published | not published | $298.29 – $628.28 | 25 |
| Emg needle test 1-extremity CPT 95860 | not published | not published | $130.03 – $480.82 | 25 |
| Emg needle test 4-extremities CPT 95864 | not published | not published | $157.84 – $638.92 | 25 |
| Emg thor paraspinal without t1/t2 CPT 95869 | not published | not published | $200.49 – $628.28 | 25 |
| Emr hd pmp elec/combo, rep HCPCS Q0494 | not published | not published | $477.16 – $477.16 | 1 |
| Emr pwr cbl combo vad, rep HCPCS Q0493 | not published | not published | $563.87 – $563.87 | 1 |
| Emr pwr cbl elec vad, rep HCPCS Q0492 | not published | not published | $198.12 – $198.12 | 1 |
| Emr pwr source combo vad rep HCPCS Q0491 | not published | not published | $2,458.40 – $2,458.40 | 1 |
| Emr pwr source elec vad, rep HCPCS Q0490 | not published | not published | $1,563.82 – $1,563.82 | 1 |
| Encephalitis, california igg/igm CPT 86651 | not published | not published | $7.07 – $71.23 | 29 |
| Encephalitis, st louis igg/igm CPT 86653 | not published | not published | $7.07 – $71.23 | 29 |
| Encephalitis, western equine igg/igm CPT 86654 | not published | not published | $7.07 – $71.23 | 29 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | not published | not published | $1,118.22 – $6,350.38 | 28 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | not published | not published | $1,118.22 – $6,350.38 | 28 |
| Endo assay seven anal CPT 81506 | not published | not published | $36.91 – $147.62 | 25 |
| Endo cath bile duct s&i CPT 74328 | not published | not published | $160.52 – $398.13 | 2 |
| Endo cath panc duct s&i CPT 74329 | not published | not published | $160.52 – $225.95 | 2 |
| Endocerv curettage w/scope 57456 CPT 57456 | not published | not published | $66.44 – $4,989.00 | 28 |
| Endocervical curettage 57505 CPT 57505 | not published | not published | $91.91 – $4,989.00 | 28 |
| Endo cholangiopancreatograph CPT 43261 | not published | not published | $1,119.26 – $7,676.00 | 28 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $1,119.26 – $7,676.00 | 28 |
| Endo defect closure gi tract HCPCS C9901 | not published | not published | $3,215.00 – $21,005.60 | 26 |
| Endoluminal bx biliary tree CPT 47543 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Endoluminal bx urtr rnl plvs CPT 50606 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Endoluminl ivus oct c 1st CPT 92978 | not published | not published | $443.43 – $11,875.00 | 3 |
| Endoluminl ivus oct c ea CPT 92979 | not published | not published | $352.84 – $11,875.00 | 3 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $1,526.99 – $9,959.74 | 28 |
| Endometrial cryoablation w/us 58356 CPT 58356 | not published | not published | $1,237.79 – $9,959.74 | 28 |
| Endo outlet restrict w/tube HCPCS C9785 | not published | not published | $3,215.00 – $21,005.60 | 26 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $1,561.68 – $6,958.62 | 28 |
| Endoscopic pancreatoscopy CPT 43273 | not published | not published | $3,654.00 – $4,989.00 | 2 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | $564.97 – $3,827.36 | 28 |
| Endoscopic vein harvest 33508 CPT 33508 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $328.50 – $3,215.00 | 28 |
| Endoscopy ligate perf veins 37500 CPT 37500 | not published | not published | $1,939.15 – $10,906.50 | 28 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $1,630.12 – $13,966.72 | 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.