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 |
|---|---|---|---|---|
| Fibrinolytic antiplasmin CPT 85410 | not published | not published | $4.13 – $41.63 | 29 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $4.13 – $41.63 | 29 |
| Fibrinolytic plasminogen CPT 85415 | not published | not published | $9.21 – $92.83 | 29 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $5.45 – $54.97 | 29 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | not published | not published | $3.50 – $35.26 | 29 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | not published | not published | $0.29 – $3.18 | 25 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | not published | not published | $0.98 – $4.41 | 25 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | not published | not published | $0.33 – $3.97 | 25 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $709.01 – $4,989.00 | 28 |
| Filtered speech hearing test CPT 92571 | not published | not published | $39.60 – $147.43 | 25 |
| Filters elec/combo vad, rep HCPCS Q0500 | not published | not published | $67.94 – $67.94 | 1 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $1,223.58 – $4,989.00 | 3 |
| Finasteride, 5 mg HCPCS S0138 | not published | not published | $0.62 – $4.60 | 2 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | not published | not published | $176.34 – $4,989.00 | 28 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Fine needle asp without image guide 10021 CPT 10021 | not published | not published | $51.77 – $4,989.00 | 28 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | not published | not published | $227.68 – $239.06 | 5 |
| Finger tendon transfer CPT 26497 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Finger tendon transfer CPT 26498 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $1,588.93 – $4,989.00 | 3 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $1,012.35 – $4,989.00 | 3 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $59.92 – $242.59 | 25 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $59.92 – $242.59 | 25 |
| Fitg c-lens keratoconus 1st CPT 92072 | not published | not published | $301.48 – $451.36 | 2 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $29.05 – $147.43 | 25 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $39.60 – $147.43 | 25 |
| Fit spectacles bifocal CPT 92341 | not published | not published | $89.88 – $108.09 | 2 |
| Fit spectacles monofocal CPT 92340 | not published | not published | $78.66 – $84.23 | 2 |
| Fit spectacles multifocal CPT 92342 | not published | not published | $97.13 – $122.38 | 2 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $20.47 – $4,989.00 | 28 |
| Fixation of ankle joint CPT 27860 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Fixation of knee joint CPT 27570 | not published | not published | $593.04 – $4,989.00 | 28 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Fix g/colon tube w/device CPT 49460 | not published | not published | $334.95 – $4,989.00 | 28 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Flebogamma injection HCPCS J1572 | not published | not published | $44.93 – $186.98 | 25 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $86.80 – $4,989.00 | 28 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $1,273.76 – $12,348.00 | 25 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $2,805.64 – $7,485.26 | 25 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $651.67 – $2,621.70 | 25 |
| Flow cytometry interp 16 or more CPT 88189 | not published | not published | $72.20 – $476.82 | 4 |
| Floweramnioflo, 0.1 cc HCPCS Q4177 | not published | not published | $180.00 – $793.80 | 2 |
| Floweramniopatch, per sq cm HCPCS Q4178 | not published | not published | $92.03 – $92.03 | 1 |
| #flow interp 9 - 15 markers CPT 88188 | not published | not published | $53.34 – $356.13 | 4 |
| Floxuridine injection HCPCS J9200 | not published | not published | $167.14 – $8,049.46 | 25 |
| Flt3 gene CPT 81245 | not published | not published | $88.63 – $893.75 | 29 |
| Flt3 gene analysis CPT 81246 | not published | not published | $44.45 – $448.20 | 29 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $48.39 | $146.65 | $3.58 – $27.83 | 4 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | not published | $59.53 – $339.56 | 25 |
| Fluidotherapy charges pt CPT 97022 | not published | not published | $74.00 – $245.00 | 5 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $217.00 – $4,989.00 | 28 |
| Flulaval vacc, 3 yrs & >, im HCPCS Q2036 | not published | not published | $18.03 – $33.03 | 2 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $490.77 – $2,033.14 | 25 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $336.16 – $1,417.90 | 25 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $128.20 – $2,141.54 | 25 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $189.77 – $628.28 | 25 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $314.14 – $786.70 | 25 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $498.62 – $2,191.20 | 25 |
| Fluoroestradiol f 18 HCPCS A9591 | not published | not published | $3.31 – $1,006.12 | 25 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | not published | not published | $2.21 – $9.53 | 4 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | not published | not published | $8.83 – $86.79 | 4 |
| Flutamide 125 mg HCPCS S0175 | not published | not published | $3.84 – $5.34 | 2 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $882.09 – $11,630.76 | 25 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | not published | not published | $11.97 – $68.97 | 3 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | not published | not published | $27.69 – $49.62 | 3 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $121.93 – $2,251.00 | 29 |
| Fmri brain by tech CPT 70554 | not published | not published | $121.93 – $2,251.00 | 31 |
| Fna bx w/ct gdn 1st les CPT 10009 | not published | not published | $239.68 – $4,989.00 | 28 |
| Fna bx w/ct gdn ea addl CPT 10010 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $239.68 – $4,989.00 | 28 |
| Fna bx w/mr gdn ea addl CPT 10012 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | not published | not published | $32.98 – $32.98 | 1 |
| Foam drg >16<=48 sq in without b HCPCS A6210 | not published | not published | $22.92 – $51.01 | 2 |
| Foam drg <=16 sq in w/border HCPCS A6212 | not published | not published | $11.17 – $24.86 | 2 |
| Foam drg > 48 sq in w/border HCPCS A6214 | not published | not published | $11.84 – $26.34 | 2 |
| Foam drg > 48 sq in without brdr HCPCS A6211 | not published | not published | $33.78 – $75.21 | 2 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | not published | not published | $8.59 – $19.14 | 2 |
| Foam/fabric leg strap HCPCS A5114 | not published | not published | $10.30 – $22.93 | 2 |
| Foam stability fetal lung CPT 83662 | not published | not published | $10.13 – $102.11 | 29 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $28.12 | $85.22 | not published | 0 |
| Follow-up angiography CPT 75898 | not published | not published | $127.04 – $6,350.38 | 28 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $85.17 – $511.25 | 25 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $698.30 – $4,989.00 | 28 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | not published | not published | $6.16 – $45.73 | 25 |
| Fondaparinux sodium HCPCS J1652 | not published | not published | $0.86 – $10.28 | 4 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $1,457.62 – $7,386.34 | 28 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $518.67 – $7,583.98 | 4 |
| Forensic cytopathology CPT 88125 | not published | not published | $26.65 – $267.14 | 26 |
| Formoterol comp unit HCPCS J7640 | not published | not published | $5.06 – $5.06 | 1 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $1.70 – $75.01 | 4 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | not published | not published | $0.12 – $6.35 | 4 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $21.63 – $342.26 | 25 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | not published | not published | $3.08 – $14.46 | 3 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $15.26 – $153.90 | 29 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $34.41 – $351.96 | 28 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $24.04 – $242.41 | 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.