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 |
|---|---|---|---|---|
| Excision addl breast lesion 19126 CPT 19126 | not published | not published | $2,336.00 – $4,989.00 | 2 |
| Excision aural polyp CPT 69540 | not published | not published | $129.48 – $4,989.00 | 28 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | not published | not published | $486.45 – $4,989.00 | 28 |
| Excision breast lesion CPT 19125 | not published | not published | $963.66 – $7,725.92 | 28 |
| Excision coa w/graft CPT 33845 | not published | not published | $2,022.04 – $4,989.00 | 3 |
| Excision floor mouth lesion 41116 CPT 41116 | not published | not published | $886.62 – $6,543.20 | 28 |
| Excision graft abdomen CPT 35907 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Excision graft extremity CPT 35903 | not published | not published | $3,175.19 – $6,350.38 | 26 |
| Excision graft neck CPT 35901 | not published | not published | $722.73 – $4,989.00 | 3 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $2,575.69 – $4,989.00 | 3 |
| Excision gum each quadrant CPT 41820 | not published | not published | $886.62 – $6,543.20 | 28 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Excision lesion mouth roof CPT 42106 | not published | not published | $147.84 – $6,543.20 | 28 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | not published | not published | $132.36 – $4,989.00 | 28 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | $939.93 – $5,533.02 | 28 |
| Excision of bile duct cyst CPT 47715 | not published | not published | $2,051.37 – $4,989.00 | 3 |
| Excision of bile duct tumor CPT 47711 | not published | not published | $2,407.13 – $4,989.00 | 3 |
| Excision of bile duct tumor CPT 47712 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Excision of bowel lesion(s) CPT 44111 | not published | not published | $1,520.66 – $4,989.00 | 3 |
| Excision of brain tumor CPT 61545 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Excision of esophagus lesion CPT 43100 | not published | not published | $958.48 – $4,989.00 | 3 |
| Excision of esophagus lesion CPT 43101 | not published | not published | $1,549.47 – $4,989.00 | 3 |
| Excision of gum flap CPT 41821 | not published | not published | $1,382.00 – $4,989.00 | 26 |
| Excision of gum lesion CPT 41822 | not published | not published | $376.02 – $4,989.00 | 26 |
| Excision of gum lesion CPT 41823 | not published | not published | $541.07 – $11,935.40 | 26 |
| Excision of gum lesion CPT 41826 | not published | not published | $179.40 – $6,543.20 | 28 |
| Excision of gum lesion CPT 41827 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Excision of gum lesion CPT 41828 | not published | not published | $151.97 – $4,989.00 | 28 |
| Excision of gum lesion 41825 CPT 41825 | not published | not published | $130.06 – $6,543.20 | 28 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | $1,294.51 – $4,989.00 | 3 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $1,185.70 – $4,989.00 | 3 |
| Excision of mouth lesion complex 40816 CPT 40816 | not published | not published | $886.62 – $6,543.20 | 28 |
| Excision of neck cyst CPT 42815 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Excision of neck cyst confined 42810 CPT 42810 | not published | not published | $886.62 – $6,543.20 | 28 |
| Excision of penis lesion(s) 54060 CPT 54060 | not published | not published | $709.01 – $4,989.00 | 28 |
| Excision of rectal lesion CPT 45160 | not published | not published | $939.93 – $5,533.02 | 28 |
| Excision of rectal prolapse CPT 45135 | not published | not published | $2,010.30 – $4,989.00 | 3 |
| Excision of rectal stricture CPT 45150 | not published | not published | $429.26 – $4,989.00 | 28 |
| Excision of salivary cyst CPT 42408 | not published | not published | $886.62 – $6,543.20 | 28 |
| Excision of skull/sutures CPT 61558 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Excision of skull/sutures CPT 61559 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Excision of skull tumor CPT 61563 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Excision of skull tumor CPT 61564 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Excision of stomach lesion CPT 43610 | not published | not published | $1,520.66 – $4,989.00 | 3 |
| Excision of stomach lesion CPT 43611 | not published | not published | $1,897.23 – $4,989.00 | 3 |
| Excision of tongue lesion CPT 41114 | not published | not published | $886.62 – $6,543.20 | 28 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | not published | not published | $886.62 – $6,543.20 | 28 |
| Excision of tonsil tags CPT 42860 | not published | not published | $886.62 – $6,543.20 | 28 |
| Excision of umbilicus 49250 CPT 49250 | not published | not published | $1,151.54 – $7,120.20 | 28 |
| Excision of uvula CPT 42140 | not published | not published | $886.62 – $6,543.20 | 28 |
| Excision of vaginal septum 57130 CPT 57130 | not published | not published | $1,063.52 – $6,415.00 | 28 |
| Excision olecranon bursa CPT 24105 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Excision perinephric cyst CPT 50290 | not published | not published | $1,386.26 – $4,989.00 | 3 |
| Excision radial head CPT 24130 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Excision tongue lesion without closure 41110 CPT 41110 | not published | not published | $142.30 – $6,543.20 | 28 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | not published | not published | $486.45 – $4,989.00 | 28 |
| Excis partial tal calc CPT 28120 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Excis uppr jaw cyst w/repair CPT 21049 | not published | not published | $4,989.00 – $11,935.40 | 26 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | not published | not published | $815.20 – $5,774.46 | 28 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | not published | not published | $815.20 – $5,774.46 | 28 |
| Exc les conjunctiva <1 cm CPT 68110 | not published | not published | $140.09 – $4,989.00 | 28 |
| Exc les conjunctiva >1 cm CPT 68115 | not published | not published | $698.30 – $4,989.00 | 28 |
| Exc les conjunctiva adj scl CPT 68130 | not published | not published | $698.30 – $4,989.00 | 28 |
| Excl laa open any method 33267 CPT 33267 | not published | not published | $1,641.20 – $4,989.00 | 3 |
| Excl laa opn oth px any meth 33268 CPT 33268 | not published | not published | $204.82 – $4,989.00 | 3 |
| Excl laa thrscp any method CPT 33269 | not published | not published | $1,298.24 – $4,989.00 | 3 |
| Exc malig feenl >4cm 11646 CPT 11646 | not published | not published | $815.20 – $5,774.46 | 28 |
| Exc mandible 21025 CPT 21025 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Exc neck tum deep < 5 cm CPT 21556 | not published | not published | $815.20 – $5,774.46 | 28 |
| Exc neck tum deep 5 cm/> CPT 21554 | not published | not published | $815.20 – $5,774.46 | 28 |
| Exc of facial bones/osteomy/abcess 21026 CPT 21026 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Exc of rectal prlpse 45130 CPT 45130 | not published | not published | $1,678.01 – $4,989.00 | 3 |
| Exc of residual cervix 57540 CPT 57540 | not published | not published | $1,172.37 – $4,989.00 | 3 |
| Exc of residual cervix via aginal approach 57550 CPT 57550 | not published | not published | $1,526.99 – $9,959.74 | 28 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | not published | not published | $815.20 – $5,774.46 | 28 |
| Exc rect tum transanal full CPT 45172 | not published | not published | $939.93 – $5,533.02 | 28 |
| Exc rect tum transanal part CPT 45171 | not published | not published | $939.93 – $5,533.02 | 28 |
| Exc sac pr ulc prim str ostc CPT 15933 | not published | not published | $815.20 – $5,774.46 | 28 |
| Exc sac pr ulc skn flp ostc CPT 15935 | not published | not published | $1,457.62 – $7,386.34 | 28 |
| Exc sacral pr ulc prim sutr CPT 15931 | not published | not published | $815.20 – $5,774.46 | 28 |
| Exc sacral pr ulc skn flap CPT 15934 | not published | not published | $1,457.62 – $7,386.34 | 28 |
| Exc shoulder tum deep < 5 cm CPT 23076 | not published | not published | $815.20 – $5,774.46 | 28 |
| Exc skn hdrdnt ax complex CPT 11451 | not published | not published | $815.20 – $5,774.46 | 28 |
| Exc skn hdrdnt ax smpl/ntrm CPT 11450 | not published | not published | $815.20 – $5,774.46 | 28 |
| Exc skn hdrdnt ing complex CPT 11463 | not published | not published | $815.20 – $5,774.46 | 28 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | not published | not published | $815.20 – $5,774.46 | 28 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | not published | not published | $486.45 – $4,989.00 | 28 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | not published | not published | $815.20 – $5,774.46 | 28 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | not published | not published | $486.45 – $4,989.00 | 28 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | not published | not published | $815.20 – $5,774.46 | 28 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | not published | not published | $486.45 – $4,989.00 | 28 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | not published | not published | $815.20 – $5,774.46 | 28 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | not published | not published | $486.45 – $4,989.00 | 28 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | not published | not published | $815.20 – $5,774.46 | 28 |
| Exc sq tum/vasc malform/hand/fngr 26111 CPT 26111 | not published | not published | $486.45 – $4,989.00 | 28 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | not published | not published | $815.20 – $5,774.46 | 28 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | not published | not published | $486.45 – $4,989.00 | 28 |
| Exc thigh/knee tum deep <5cm CPT 27328 | not published | not published | $815.20 – $5,774.46 | 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.