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 |
|---|---|---|---|---|
| Extensive prostate surgery CPT 55842 | not published | not published | $1,810.29 – $4,989.00 | 3 |
| Extensive prostate surgery CPT 55845 | not published | not published | $2,105.77 – $4,989.00 | 3 |
| Extensive prostate surgery CPT 55862 | not published | not published | $1,692.94 – $4,989.00 | 3 |
| Extensive prostate surgery CPT 55865 | not published | not published | $2,047.11 – $4,989.00 | 3 |
| Extensive removal of liver CPT 47122 | not published | not published | $2,885.00 – $5,316.19 | 3 |
| Extensive sternum surgery CPT 21632 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Extensive surgery of throat CPT 42842 | not published | not published | $4,989.00 – $11,935.40 | 26 |
| Extensive surgery of throat CPT 42844 | not published | not published | $4,989.00 – $11,935.40 | 26 |
| Extensive surgery of throat CPT 42845 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Extensive testis surgery CPT 54535 | not published | not published | $3,479.31 – $6,958.62 | 26 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $2,567.68 – $4,989.00 | 3 |
| Extensive vulva surgery CPT 56632 | not published | not published | $2,169.78 – $4,989.00 | 3 |
| External cannula declotting CPT 36860 | not published | not published | $446.27 – $4,989.00 | 28 |
| External ocular photography CPT 92285 | not published | not published | $39.60 – $242.59 | 25 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | not published | not published | $12.36 – $124.15 | 26 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $2,073.99 – $20,914.20 | 29 |
| External recharg sys extern HCPCS L8695 | not published | not published | $11.86 – $12.81 | 6 |
| External recharg sys intern HCPCS L8689 | not published | not published | $1,498.34 – $1,618.21 | 6 |
| Extnd color vision xm CPT 92283 | not published | not published | $59.92 – $242.59 | 25 |
| Extraction erupted tooth/exr HCPCS D7140 | not published | not published | $1,677.26 – $3,354.52 | 24 |
| Extraction of lens CPT 66930 | not published | not published | $1,533.49 – $8,116.50 | 28 |
| Extraction of lens CPT 66940 | not published | not published | $849.94 – $4,989.00 | 28 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $849.94 – $4,989.00 | 28 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $130.03 – $480.82 | 25 |
| Eye allergy tests CPT 95060 | not published | not published | $76.59 – $480.82 | 25 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $173.00 – $4,989.00 | 2 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Eye suture during surgery CPT 67335 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $93.93 – $947.16 | 28 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $151.48 – $1,527.55 | 26 |
| F-18 fdg pet diag HCPCS A9552 | not published | not published | $417.59 – $859.95 | 3 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | not published | not published | $2,194.62 – $12,550.73 | 25 |
| F-18 fluciclovine per mci HCPCS A9588 | not published | not published | $268.42 – $1,759.15 | 25 |
| F-18 sodium fluoride HCPCS A9580 | not published | not published | $262.01 – $262.01 | 1 |
| F9 full gene sequence CPT 81238 | not published | not published | $321.30 – $3,240.00 | 28 |
| Fabrication & fitting HCPCS V2628 | not published | not published | $828.64 – $828.64 | 1 |
| Face bone graft CPT 21210 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Facial nerve function test CPT 92516 | not published | not published | $103.33 – $628.28 | 25 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $2,885.00 – $7,595.92 | 25 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.55 – $10.72 | 25 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.66 – $4.15 | 25 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $5.18 – $19.18 | 25 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.35 – $3.66 | 25 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.32 – $18.17 | 25 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.63 – $4.94 | 4 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.85 – $5.69 | 25 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $2.39 – $11.42 | 3 |
| Factor viii HCPCS J7190 | not published | not published | $1.12 – $3.13 | 25 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.32 – $7.45 | 25 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.19 – $5.38 | 25 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.10 – $6.66 | 25 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $1.55 – $4.10 | 25 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.40 – $5.38 | 25 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.23 – $13.01 | 25 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $10.48 – $40.57 | 25 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $17.32 – $68.00 | 25 |
| Fallopian tube recnl CPT 58345 | not published | not published | $1,828.26 – $6,415.00 | 26 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $30.05 – $120.48 | 25 |
| Family therapy without pt 50min 90846 CPT 90846 | not published | not published | $162.08 – $324.16 | 24 |
| Family therapy with patient 50 min 90847 CPT 90847 | not published | not published | $162.08 – $324.16 | 24 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $4.70 | $14.24 | not published | 0 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $28.90 – $118.76 | 25 |
| Fancc gene CPT 81242 | not published | not published | $19.61 – $197.75 | 29 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $1,406.52 – $4,989.00 | 3 |
| Fat/lipids feces qualitative CPT 82705 | not published | not published | $2.73 – $27.54 | 29 |
| Fatty acids nonesterified CPT 82725 | not published | not published | $10.05 – $101.36 | 29 |
| Fda ide #g240020 carry bag HCPCS Q0499 | not published | not published | $371.20 – $371.20 | 1 |
| Fecal bilirubin test CPT 82252 | not published | not published | $2.44 – $24.62 | 29 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $63.93 – $263.54 | 25 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $919.73 – $1,839.46 | 25 |
| Feeding tube reposition CPT 74355 | not published | not published | $171.64 – $350.66 | 2 |
| Fees w/laryngeal sense i&r CPT 92617 | not published | not published | $95.38 – $187.56 | 2 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $451.36 – $2,885.00 | 2 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | not published | not published | $9.98 – $100.66 | 27 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $365.37 – $4,989.00 | 3 |
| Fem/popl revasc w/stent CPT 37226 | not published | not published | $4,989.00 – $22,880.66 | 28 |
| Fem urinary collect pouch HCPCS A4328 | not published | not published | $10.21 – $22.72 | 2 |
| Feno poc CPT 95012 | not published | not published | $39.60 – $147.43 | 25 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $17.83 | $54.04 | $0.84 – $1.72 | 4 |
| Fern test HCPCS Q0114 | not published | not published | $8.77 – $52.60 | 27 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | not published | not published | $1.12 – $6.13 | 25 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | not published | not published | $0.33 – $8.69 | 25 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.33 – $8.69 | 25 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $425.73 – $4,293.00 | 28 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $406.47 – $4,098.87 | 27 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | not published | not published | $406.47 – $4,098.87 | 29 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $27.13 – $4,989.00 | 28 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $306.87 – $4,989.00 | 26 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $116.74 – $4,989.00 | 28 |
| Fetal hemoglobin rosette CPT 85461 | not published | not published | $5.01 – $50.54 | 29 |
| Fetal lung maturity assess lam body dnst CPT 83664 | not published | not published | $10.35 – $104.33 | 29 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $64.54 – $4,989.00 | 3 |
| Fetal monitor w/report CPT 59050 | not published | not published | $77.88 – $4,989.00 | 3 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $306.87 – $4,989.00 | 26 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $306.87 – $4,989.00 | 26 |
| #_fet/norfentcnfrmur CPT 80354 | not published | not published | $13.83 – $52.92 | 7 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $6.67 – $35.32 | 25 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $5.21 – $52.49 | 29 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $5.45 – $54.97 | 29 |
| Fibrinogen test CPT 85370 | not published | not published | $6.66 – $67.12 | 29 |
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.