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 |
|---|---|---|---|---|
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | not published | not published | $92.60 – $189.14 | 25 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | not published | $19.54 – $52.92 | 7 |
| Ambl bp mntr w/software CPT 93784 | not published | not published | $118.50 – $1,542.00 | 3 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $11.41 – $480.82 | 25 |
| Ambl bp mntr w/sw i&r CPT 93790 | not published | not published | $42.78 – $1,542.00 | 3 |
| Amifostine HCPCS J0207 | not published | not published | $814.11 – $4,866.66 | 3 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | not published | not published | $0.60 – $4.81 | 4 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $3.21 – $32.35 | 29 |
| Amino acid single qual CPT 82127 | not published | not published | $7.60 – $76.57 | 29 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $10.50 – $105.89 | 29 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.74 – $6.31 | 25 |
| Aminolevulinic acid delta CPT 82135 | not published | not published | $8.81 – $88.83 | 29 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $394.41 – $1,700.10 | 25 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | not published | not published | $3.00 – $21.21 | 4 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | not published | not published | $2.59 – $16.89 | 3 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $20.32 | $61.57 | $0.33 – $0.88 | 4 |
| Amitriptyline (elavil) -sendout CPT 80335 | not published | not published | $4.54 – $52.92 | 7 |
| Amitriptyline injection HCPCS J1320 | not published | not published | $1.17 – $1.17 | 1 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | not published | not published | $21.51 – $87.89 | 25 |
| Amnioarmor 1 sq cm HCPCS Q4188 | not published | not published | $7.09 – $493.30 | 2 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $116.74 – $4,989.00 | 28 |
| Amniocore per sq cm HCPCS Q4227 | not published | not published | $7.09 – $1,192.50 | 2 |
| Amnio-maxx or lite per sq cm HCPCS Q4239 | not published | not published | $7.09 – $2,349.92 | 2 |
| Amniotic fluid scan CPT 82143 | not published | not published | $5.01 – $50.49 | 29 |
| Amniowrap2 per sq cm HCPCS Q4221 | not published | not published | $10.13 – $2,014.00 | 2 |
| Amobarbital 125 mg inj HCPCS J0300 | not published | not published | $11.32 – $808.18 | 3 |
| Amphetamine confirm urine -sendout CPT 80324 | not published | not published | $13.75 – $52.92 | 7 |
| Amphetamines 5 or more CPT 80326 | not published | not published | $8.37 – $9.69 | 6 |
| Ampho b cholesteryl sulfate HCPCS J0288 | not published | not published | $24.15 – $70.84 | 3 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | not published | not published | $50.07 – $167.58 | 4 |
| Amphotericin b lipid complex HCPCS J0287 | not published | not published | $10.30 – $44.10 | 25 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | not published | not published | $23.31 – $217.99 | 25 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | not published | not published | $0.60 – $10.58 | 4 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $67.22 | $203.71 | $1.57 – $13.85 | 4 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $1,105.69 – $4,989.00 | 3 |
| Amputate hand at wrist CPT 25922 | not published | not published | $593.04 – $4,989.00 | 28 |
| Amputate hand at wrist CPT 25920 | not published | not published | $1,077.43 – $4,989.00 | 3 |
| Amputate leg at thigh CPT 27591 | not published | not published | $1,483.33 – $4,989.00 | 3 |
| Amputate leg at thigh CPT 27592 | not published | not published | $1,048.09 – $4,989.00 | 3 |
| Amputate lower leg at knee CPT 27598 | not published | not published | $1,093.96 – $4,989.00 | 3 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $1,224.11 – $4,989.00 | 3 |
| Amputate upper arm & implant CPT 24931 | not published | not published | $1,436.92 – $4,989.00 | 3 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $4,989.00 – $14,413.14 | 26 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $709.01 – $4,989.00 | 28 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $3,096.00 – $6,546.30 | 26 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Amputation follow-up surgery CPT 24930 | not published | not published | $1,186.77 – $4,989.00 | 3 |
| Amputation follow-up surgery CPT 25924 | not published | not published | $1,036.89 – $4,989.00 | 3 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $1,402.79 – $4,989.00 | 3 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $1,007.55 – $4,989.00 | 3 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Amputation of foot at ankle CPT 27888 | not published | not published | $1,016.63 – $4,989.00 | 3 |
| Amputation of forearm CPT 25900 | not published | not published | $1,090.76 – $4,989.00 | 3 |
| Amputation of forearm CPT 25905 | not published | not published | $1,071.56 – $4,989.00 | 3 |
| Amputation of forearm CPT 25915 | not published | not published | $1,804.42 – $4,989.00 | 3 |
| Amputation of hand CPT 25927 | not published | not published | $1,235.31 – $4,989.00 | 3 |
| Amputation of leg at hip CPT 27290 | not published | not published | $2,502.07 – $4,989.00 | 3 |
| Amputation of leg at hip CPT 27295 | not published | not published | $1,939.36 – $4,989.00 | 3 |
| Amputation of lower leg CPT 27882 | not published | not published | $917.41 – $4,989.00 | 3 |
| Amputation of lower leg CPT 27881 | not published | not published | $1,328.11 – $4,989.00 | 3 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $820.87 – $4,989.00 | 3 |
| Amputation of upper arm CPT 24900 | not published | not published | $1,131.30 – $4,989.00 | 3 |
| Amputation of upper arm CPT 24920 | not published | not published | $1,128.63 – $4,989.00 | 3 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $3,273.15 – $6,546.30 | 26 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Anabolic steroid 1 or 2 CPT 80327 | not published | not published | $20.12 – $52.92 | 7 |
| Anabolic steroid 3 or more CPT 80328 | not published | not published | $22.56 – $26.11 | 6 |
| Anacaulase-bcdb 8.8% gel 1 g HCPCS J7353 | not published | not published | $57.49 – $251.59 | 25 |
| Ana ds-dna CPT 86226 | not published | not published | $6.49 – $65.39 | 29 |
| Analgesics non-opioid 3-5 CPT 80330 | not published | not published | $4.62 – $5.36 | 6 |
| Analgesics non-opioid 6/more CPT 80331 | not published | not published | $7.40 – $8.56 | 6 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | not published | not published | $10.40 – $52.92 | 7 |
| Anal pressure record CPT 91122 | not published | not published | $314.14 – $678.65 | 25 |
| Anal/urinary muscle study CPT 51784 | not published | not published | $22.14 – $4,989.00 | 28 |
| Anal/urinary muscle study CPT 51785 | not published | not published | $110.15 – $4,989.00 | 28 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | not published | not published | $92.60 – $241.58 | 25 |
| Analysis nerve CPT 88356 | not published | not published | $26.95 – $295.18 | 26 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | not published | not published | $37.62 – $181.16 | 25 |
| Analysis tumor CPT 88358 | not published | not published | $86.44 – $774.90 | 26 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | not published | not published | $92.60 – $185.97 | 25 |
| Anaplsma phgcytophlm amp prb CPT 87468 | not published | not published | $18.79 – $189.49 | 27 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Anast cavopulm sec sup v/c CPT 33768 | not published | not published | $645.38 – $4,989.00 | 3 |
| Anastomosis/artery-aorta CPT 33606 | not published | not published | $2,752.24 – $4,989.00 | 3 |
| Anastomosis of facial/other nerve 64868 CPT 64868 | not published | not published | $1,538.80 – $4,989.00 | 3 |
| Anastrozole 1 mg HCPCS S0170 | not published | not published | $8.47 – $13.80 | 2 |
| Anca screen with reflex to titer -quest CPT 86021 | not published | not published | $8.06 – $81.27 | 29 |
| An cholangiogram percutaneous compl CPT 47531 | not published | not published | $2,885.00 – $7,120.20 | 26 |
| Androstanediol CPT 82154 | not published | not published | $15.44 – $155.68 | 29 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | not published | not published | $2,512.98 – $11,503.34 | 28 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | not published | not published | $2,337.18 – $11,503.34 | 28 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | not published | not published | $4,989.00 – $5,865.00 | 2 |
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.