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 |
|---|---|---|---|---|
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $328.50 – $3,215.00 | 28 |
| Endoscopy of ureter CPT 50951 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Endoscopy of ureter CPT 50953 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Endoscopy swallow (fees) i&r CPT 92613 | not published | not published | $87.15 – $170.05 | 2 |
| Endoscopy swallow (fees) vid CPT 92612 | not published | not published | $308.35 – $2,885.00 | 2 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | not published | not published | $525.71 – $4,989.00 | 28 |
| Endo, single, pulmonary HCPCS C1601 | not published | not published | $20.04 – $20.04 | 1 |
| Endo sleeve gastro w/tube HCPCS C9784 | not published | not published | $3,215.00 – $21,005.60 | 26 |
| Endovasc prosth delayed 33886 CPT 33886 | not published | not published | $1,477.45 – $4,989.00 | 3 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | not published | not published | $2,367.67 – $4,989.00 | 3 |
| Endovasc tempory vessel occl CPT 61623 | not published | not published | $4,989.00 – $22,880.66 | 26 |
| Endovasc visc aorta 1 graft CPT 34841 | not published | not published | $1,599.94 – $4,989.00 | 3 |
| Endovasc visc aorta 2 graft CPT 34842 | not published | not published | $1,599.94 – $4,989.00 | 3 |
| Endovasc visc aorta 3 graft CPT 34843 | not published | not published | $1,599.94 – $4,989.00 | 3 |
| Endovasc visc aorta 4 graft CPT 34844 | not published | not published | $1,599.94 – $4,989.00 | 3 |
| Endovas iliac a device addon CPT 34808 | not published | not published | $325.90 – $4,989.00 | 3 |
| Endovenous laser vein addon 36479 CPT 36479 | not published | not published | $4,989.00 – $5,865.00 | 2 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | $935.20 – $6,350.38 | 28 |
| Endovenous mchnchem add-on CPT 36474 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Endovenous rf abl vein addl CPT 36476 | not published | not published | $4,989.00 – $5,865.00 | 2 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | not published | not published | $2,663.16 – $10,906.50 | 26 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | not published | not published | $36.64 – $137.28 | 25 |
| Enfuvirtide injection HCPCS J1324 | not published | not published | $0.80 – $2.91 | 3 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $122.97 | $372.63 | $0.52 – $5.38 | 4 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | not published | not published | $6.42 – $64.69 | 29 |
| Entamoeb hist dispr ag ia CPT 87336 | not published | not published | $8.57 – $86.40 | 29 |
| Enterectomy cong add-on CPT 44128 | not published | not published | $378.70 – $4,989.00 | 3 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $375.51 – $4,989.00 | 3 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $1,892.43 – $4,989.00 | 3 |
| Enterectomy without taper cong CPT 44126 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Enterectomy w/taper cong CPT 44127 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $2,033.24 – $4,989.00 | 3 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $2,184.72 – $4,989.00 | 3 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $2,507.42 – $4,989.00 | 3 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $1,303.58 – $4,989.00 | 3 |
| Enterovirus antibody dfa CPT 87267 | not published | not published | $7.19 – $72.47 | 29 |
| Envrn ivntj med mgmt psyc pt CPT 90882 | not published | not published | $175.86 – $175.86 | 1 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $23.58 – $237.76 | 29 |
| Enzyme histochemistry CPT 88319 | not published | not published | $195.39 – $3,392.28 | 26 |
| Ep & ablate supravent arrhyt CPT 93653 | not published | not published | $1,920.02 – $49,496.18 | 24 |
| Ep & ablate ventric tachy CPT 93654 | not published | not published | $2,571.22 – $49,496.18 | 24 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $54.86 – $264.11 | 25 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $709.01 – $4,989.00 | 28 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $1,526.00 – $4,989.00 | 2 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $709.01 – $4,989.00 | 28 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $1,526.00 – $4,989.00 | 2 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | not published | not published | $1,526.00 – $4,989.00 | 2 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $340.77 – $4,989.00 | 28 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $340.77 – $4,989.00 | 28 |
| Epiglottidectomy CPT 31420 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Epikeratoplasty CPT 65767 | not published | not published | $1,971.37 – $4,989.00 | 3 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $138.51 – $5,244.82 | 25 |
| Ep induct arrhy by elect pacing CPT 93618 | not published | not published | $909.72 – $2,449.34 | 24 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $11.03 | $33.41 | not published | 0 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $63.45 | $192.28 | not published | 0 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $1.62 – $6.13 | 4 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | not published | not published | $165.58 – $6,415.00 | 26 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $0.71 – $7.06 | 4 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | not published | not published | $7.07 – $47.28 | 25 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | not published | not published | $6.52 – $70.38 | 25 |
| Epoetin beta esrd use HCPCS J0887 | not published | not published | $1.26 – $7.94 | 4 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $1.22 – $7.94 | 25 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | not published | not published | $16.08 – $39.73 | 4 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | not published | not published | $22.81 – $69.55 | 3 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $19.32 – $65.66 | 25 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $2,216.50 – $12,010.34 | 28 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $1,119.26 – $7,676.00 | 28 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $1,119.26 – $7,676.00 | 28 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $1,686.17 – $12,010.34 | 28 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $1,119.26 – $7,676.00 | 28 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $1,119.26 – $4,438.64 | 28 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $1,119.26 – $4,989.00 | 28 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $2,250.66 – $12,010.34 | 28 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $1,119.26 – $7,676.00 | 28 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $9.43 – $20.99 | 2 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | not published | not published | $118.75 – $511.47 | 25 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $610.66 | $1,850.49 | $9.18 – $148.71 | 4 |
| Erwinaze injection HCPCS J9019 | not published | not published | $483.70 – $1,777.58 | 3 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | not published | not published | $65.96 – $328.10 | 4 |
| Escharotomy ea addl incision CPT 16036 | not published | not published | $125.87 – $4,989.00 | 3 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $3,215.00 – $7,676.00 | 26 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $0.41 – $2.38 | 3 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | not published | not published | $0.28 – $1.23 | 3 |
| Esophageal dilat s&i CPT 74360 | not published | not published | $127.14 – $380.21 | 2 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $179.75 – $4,989.00 | 3 |
| Esophageal motility CPT 78258 | not published | not published | $202.68 – $840.77 | 28 |
| Esophageal recording CPT 93615 | not published | not published | $120.77 – $2,449.34 | 24 |
| Esophageal recording CPT 93616 | not published | not published | $162.04 – $2,449.34 | 24 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $510.19 – $7,676.00 | 25 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $2,064.17 – $4,989.00 | 3 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $2,065.77 – $4,989.00 | 3 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $564.97 – $3,827.36 | 28 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $119.87 – $3,215.00 | 28 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $564.97 – $3,827.36 | 28 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $2,667.54 – $12,010.34 | 28 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $564.97 – $3,827.36 | 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.