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 |
|---|---|---|---|---|
| Free fascial flap microvasc CPT 15758 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $1,694.01 – $4,989.00 | 3 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Free omental flap microvasc CPT 49906 | not published | not published | $2,500.47 – $4,989.00 | 3 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $2,460.47 – $4,989.00 | 3 |
| Free skin flap microvasc CPT 15757 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Frenectomy 41115 CPT 41115 | not published | not published | $162.23 – $4,989.00 | 28 |
| Frenotomy 40806 CPT 40806 | not published | not published | $72.81 – $4,989.00 | 28 |
| Frenulotomy of penis CPT 54164 | not published | not published | $652.80 – $4,989.00 | 28 |
| Fresh frozen plasma thawing ea un CPT 86927 | not published | not published | $42.18 – $345.74 | 26 |
| Fr frz plasma donor retested HCPCS P9060 | not published | not published | $49.36 – $98.72 | 26 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $19.80 – $331.87 | 26 |
| Frozen blood prep CPT 86930 | not published | not published | $86.44 – $1,530.41 | 26 |
| Frozen blood thaw CPT 86931 | not published | not published | $86.44 – $1,530.41 | 26 |
| Frozen cell preparation CPT 88241 | not published | not published | $6.48 – $65.29 | 29 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $62.86 – $432.76 | 25 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $1,479.00 – $4,989.00 | 2 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $1,479.00 – $4,989.00 | 2 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $144.49 – $3,185.94 | 26 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $37.23 – $240.06 | 26 |
| Ftl cgen abnor four anal CPT 81511 | not published | not published | $82.20 – $328.80 | 26 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $29.74 – $218.31 | 26 |
| Ftl cgen abnor two proteins CPT 81508 | not published | not published | $29.08 – $154.05 | 26 |
| Full field erg w/i&r CPT 92273 | not published | not published | $314.14 – $628.28 | 25 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $49.79 – $1,027.71 | 28 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $709.01 – $4,989.00 | 28 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $709.01 – $4,989.00 | 28 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $1,479.00 – $4,989.00 | 2 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $709.01 – $4,989.00 | 28 |
| Functional brain mapping CPT 96020 | not published | not published | $178.00 – $871.40 | 3 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $130.03 – $480.82 | 25 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $5.78 | $17.51 | not published | 0 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | not published | $2.42 – $6.39 | 2 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $2,885.00 – $5,037.22 | 3 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $2,126.58 – $4,989.00 | 3 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $2,165.52 – $4,989.00 | 3 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $2,158.05 – $4,989.00 | 3 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $2,014.04 – $4,989.00 | 3 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $2,281.26 – $4,989.00 | 3 |
| Fuse/graft added joint CPT 26863 | not published | not published | $2,336.00 – $4,989.00 | 2 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $2,571.96 – $4,989.00 | 3 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $2,019.37 – $4,989.00 | 3 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $1,684.40 – $4,989.00 | 3 |
| Fuse upper gi structures CPT 47721 | not published | not published | $2,098.85 – $4,989.00 | 3 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $2,885.00 – $25,960.00 | 28 |
| Fusion of big toe joint CPT 28750 | not published | not published | $2,885.00 – $14,413.14 | 28 |
| Fusion of big toe joint CPT 28755 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $1,962.30 – $4,989.00 | 3 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $2,040.00 – $4,989.00 | 2 |
| Fusion of finger joint CPT 26860 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Fusion of finger tendons CPT 26471 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Fusion of finger tendons CPT 26474 | not published | not published | $593.04 – $4,989.00 | 28 |
| Fusion of foot bones CPT 28730 | not published | not published | $2,885.00 – $25,960.00 | 28 |
| Fusion of foot bones CPT 28735 | not published | not published | $2,885.00 – $25,960.00 | 28 |
| Fusion of foot bones CPT 28740 | not published | not published | $2,885.00 – $14,413.14 | 28 |
| Fusion of hand joint CPT 26843 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Fusion of knee CPT 27580 | not published | not published | $2,217.79 – $4,989.00 | 3 |
| Fusion of knuckle CPT 26850 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $1,407.66 – $6,546.30 | 28 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Fusion of skull arteries CPT 61711 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $2,066.53 – $4,989.00 | 26 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $2,885.00 – $6,958.62 | 26 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Fusion of thumb CPT 26841 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $2,885.00 – $25,960.00 | 28 |
| Fusion of toes CPT 28280 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $2,163.92 – $4,989.00 | 3 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $1,892.43 – $4,989.00 | 3 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $1,780.96 – $4,989.00 | 3 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $147.17 – $1,484.08 | 26 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $73.37 – $739.80 | 26 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $147.17 – $1,484.08 | 26 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $99.18 – $1,000.08 | 26 |
| G0180 home health certification HCPCS G0180 | not published | not published | $119.99 – $238.40 | 2 |
| G6pc gene CPT 81250 | not published | not published | $31.32 – $315.85 | 29 |
| G6pd full gene sequence CPT 81249 | not published | not published | $321.30 – $3,240.00 | 28 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $93.61 – $943.97 | 28 |
| G6pd known familial variant CPT 81248 | not published | not published | $200.95 – $2,026.35 | 28 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | not published | not published | $22.00 – $527.83 | 3 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $51.09 – $284.71 | 25 |
| Gabapentin non-blood CPT 80355 | not published | not published | $8.33 – $52.92 | 7 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.26 – $1.72 | 3 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $130.43 | $395.24 | $1.49 – $7.81 | 3 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.12 – $0.88 | 3 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $14.71 – $72.54 | 3 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | not published | not published | $11.29 – $113.78 | 29 |
| Galactokinase - sendout CPT 82759 | not published | not published | $11.51 – $115.99 | 29 |
| Galactose transferase test CPT 82776 | not published | not published | $6.29 – $63.40 | 29 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $1,888.85 – $11,771.36 | 28 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $4.05 – $38.10 | 25 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $284.71 – $750.88 | 25 |
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.