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 |
|---|---|---|---|---|
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $564.97 – $3,827.36 | 28 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $564.97 – $3,827.36 | 28 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $564.97 – $3,827.36 | 28 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $111.85 – $3,215.00 | 28 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $564.97 – $3,827.36 | 28 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $1,463.66 – $7,676.00 | 28 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $564.97 – $3,827.36 | 28 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $564.97 – $3,827.36 | 28 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $1,119.26 – $7,676.00 | 28 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $564.97 – $3,827.36 | 28 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $564.97 – $3,827.36 | 28 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $564.97 – $3,827.36 | 28 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $1,119.26 – $4,438.64 | 28 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $564.97 – $3,827.36 | 28 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $564.97 – $3,827.36 | 28 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $564.97 – $3,827.36 | 28 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $2,009.23 – $4,989.00 | 3 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $564.97 – $3,827.36 | 28 |
| Esophagus motility study CPT 91010 | not published | not published | $387.73 – $1,070.54 | 25 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $535.27 – $1,923.07 | 25 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $564.97 – $3,827.36 | 28 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $1,267.31 – $4,989.00 | 3 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $1,738.81 – $4,989.00 | 3 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $51.57 – $73.12 | 2 |
| Esoph imped function test CPT 91037 | not published | not published | $314.14 – $628.28 | 25 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $535.27 – $1,737.14 | 25 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $564.97 – $3,827.36 | 28 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $564.97 – $3,827.36 | 28 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $564.97 – $3,827.36 | 28 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $5,554.60 – $9,614.00 | 3 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $5,784.49 – $9,614.00 | 3 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $4,853.22 – $9,614.00 | 3 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $2,885.00 – $5,421.79 | 3 |
| Essure 58565 CPT 58565 | not published | not published | $1,987.94 – $9,959.74 | 28 |
| Establish access to aorta CPT 36160 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Establish access to artery CPT 36100 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $1,619.34 – $4,989.00 | 3 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $2,510.61 – $4,989.00 | 3 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $1,447.06 – $4,989.00 | 3 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $1,524.93 – $4,989.00 | 3 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $2,148.99 – $4,989.00 | 3 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $1,561.73 – $4,989.00 | 3 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $173.00 – $4,989.00 | 2 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $7.30 – $30.38 | 4 |
| Estrogens total-sendout CPT 82672 | not published | not published | $11.62 – $117.18 | 29 |
| Etanercept injection HCPCS J1438 | not published | not published | $790.78 – $2,401.51 | 25 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $495.97 – $1,885.32 | 25 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $186.95 – $617.18 | 2 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $886.62 – $6,543.20 | 28 |
| Etonogestrel implant system HCPCS J7307 | not published | not published | $1,457.56 – $4,122.56 | 3 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | not published | not published | $1.07 – $2.87 | 4 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $76.46 – $255.12 | 4 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $121.74 – $754.51 | 25 |
| Euglobulin lysis CPT 85360 | not published | not published | $4.51 – $45.41 | 29 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $1,063.52 – $6,415.00 | 28 |
| Eval aud funcj ea addl 15 CPT 92627 | not published | not published | $50.14 – $81.06 | 2 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $157.84 – $610.12 | 25 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $286.88 – $586.44 | 2 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $5.56 – $56.05 | 27 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | not published | not published | $52.54 – $529.79 | 29 |
| Evaluation heart device CPT 93640 | not published | not published | $1,135.56 – $1,135.56 | 1 |
| Evaluation of speech fluency 92521 CPT 92521 | not published | not published | $74.00 – $510.19 | 3 |
| Evaluation psychiatric diagnostic CPT 90791 | not published | not published | $162.08 – $324.16 | 24 |
| Evasc prlng admn rx agnt 1st CPT 61650 | not published | not published | $858.74 – $4,989.00 | 3 |
| Evasc prlng admn rx agnt add CPT 61651 | not published | not published | $373.89 – $4,989.00 | 3 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $1,924.43 – $4,989.00 | 3 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $1,912.16 – $4,989.00 | 3 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $2,855.70 – $4,989.00 | 3 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $690.20 – $4,989.00 | 3 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | not published | $2,152.72 – $4,989.00 | 3 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | not published | not published | $1,783.62 – $4,989.00 | 3 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $2,863.18 – $4,989.00 | 3 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $1,519.06 – $4,989.00 | 3 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $1,208.64 – $4,989.00 | 3 |
| Event monitor CPT 93270 | not published | not published | $19.85 – $159.86 | 25 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $20.68 – $628.28 | 25 |
| Evoked oa emissions ltd CPT 92587 | not published | not published | $15.88 – $628.28 | 25 |
| Evoked potentials auditory screening automated analysis CPT 92650 | not published | not published | $74.00 – $165.40 | 2 |
| Evoked potentials upper limbs CPT 95925 | not published | not published | $178.00 – $628.28 | 25 |
| Evoked potential visual not glaucoma CPT 95930 | not published | not published | $178.00 – $628.28 | 25 |
| Evok oa screening qual CPT 92558 | not published | not published | $21.37 – $74.00 | 2 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $57.86 – $4,989.00 | 28 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $1,063.52 – $6,415.00 | 28 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $815.20 – $5,774.46 | 28 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $815.20 – $5,774.46 | 28 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $1,096.62 – $4,989.00 | 3 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $815.20 – $5,774.46 | 28 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $815.20 – $5,774.46 | 28 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $815.20 – $5,774.46 | 28 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $815.20 – $5,774.46 | 28 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $486.45 – $4,989.00 | 28 |
| Exc aurl glomus tum extended CPT 69554 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $486.45 – $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.