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 |
|---|---|---|---|---|
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $284.71 – $1,079.24 | 25 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $1,031.00 – $2,949.14 | 25 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $871.26 – $3,513.89 | 25 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $1.29 – $8.78 | 3 |
| Galsulfase injection HCPCS J1458 | not published | not published | $484.88 – $1,641.75 | 4 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $488.85 – $1,311.23 | 25 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $48.89 – $131.11 | 25 |
| Gammagraft HCPCS Q4111 | not published | not published | $7.60 – $34.18 | 3 |
| Gammaplex injection HCPCS J1557 | not published | not published | $57.27 – $281.18 | 25 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $48.35 – $199.99 | 25 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $32.09 – $182.88 | 4 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $4,104.77 – $70,277.76 | 3 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $18.79 – $189.49 | 29 |
| Gardner vag dna quant CPT 87512 | not published | not published | $22.37 – $225.50 | 29 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $3.60 – $36.23 | 29 |
| Gastric emptying imag study CPT 78265 | not published | not published | $202.68 – $1,559.11 | 28 |
| Gastric emptying imag study CPT 78266 | not published | not published | $271.50 – $1,918.31 | 28 |
| Gastric motility studies CPT 91020 | not published | not published | $512.23 – $1,070.54 | 25 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $194.80 – $810.72 | 28 |
| Gastrin test CPT 82938 | not published | not published | $9.48 – $95.53 | 29 |
| Gastroduodenostomy CPT 43810 | not published | not published | $1,568.67 – $4,989.00 | 3 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $202.68 – $955.16 | 28 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $412.09 – $1,070.54 | 25 |
| Gastrointestinal repair CPT 43360 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Gastrointestinal repair CPT 43361 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $2,078.57 – $4,989.00 | 3 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $2,020.44 – $4,989.00 | 3 |
| Gastro/jejuno tube, std HCPCS B4087 | not published | not published | $60.88 – $60.88 | 1 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $945.81 – $4,989.00 | 26 |
| Gated heart multiple CPT 78473 | not published | not published | $202.68 – $1,001.29 | 28 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | not published | not published | $2.79 – $6.21 | 2 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $2.98 – $6.62 | 2 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | not published | not published | $2.46 – $5.45 | 2 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $1.10 – $2.46 | 2 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $4.15 – $9.25 | 2 |
| Gba gene CPT 81251 | not published | not published | $25.30 – $255.15 | 29 |
| Gefitinib oral HCPCS J8565 | not published | not published | $291.00 – $1,179.32 | 3 |
| Gel-one HCPCS J7326 | not published | not published | $531.01 – $2,328.48 | 25 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.59 – $5.66 | 4 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $2.98 – $22.49 | 4 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $233.12 – $851.70 | 25 |
| Genetic counseling 30 min CPT 96040 | not published | not published | $101.68 – $101.68 | 1 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $1,311.21 – $13,222.22 | 26 |
| Genioplasty augmentation CPT 21120 | not published | not published | $4,555.00 – $11,935.40 | 26 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $886.62 – $6,543.20 | 28 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $886.62 – $6,543.20 | 28 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | not published | not published | $6,125.26 – $6,125.26 | 1 |
| Genome re-evaluation CPT 81427 | not published | not published | $1,251.81 – $12,623.31 | 26 |
| Genome sequence analysis CPT 81425 | not published | not published | $2,694.21 – $27,168.48 | 26 |
| Genome sequence analysis CPT 81426 | not published | not published | $1,451.18 – $14,633.73 | 26 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | not published | not published | $2.47 – $7.28 | 4 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $6.22 – $33.78 | 25 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $535.27 – $1,795.93 | 25 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Ghs abscess postoperative iandd complex CPT 10180 | not published | not published | $815.20 – $5,774.46 | 28 |
| Ghs acetylcholinesterase, rbc CPT 82482 | not published | not published | $5.26 – $52.97 | 29 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | not published | not published | $9.16 – $92.39 | 29 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | not published | not published | $54.76 – $552.20 | 29 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $130.03 – $480.82 | 25 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $36.54 – $4,989.00 | 28 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $2.58 – $26.03 | 29 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | not published | not published | $52.49 – $4,989.00 | 28 |
| Ghs central line insert < age 5, failed CPT 36555 | not published | not published | $1,118.22 – $6,350.38 | 28 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $334.61 – $816.91 | 25 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $709.01 – $4,989.00 | 28 |
| Ghs community re-entry 15 minutes CPT 97537 | not published | not published | $74.00 – $245.00 | 5 |
| Ghs cricothyroidotomy CPT 31605 | not published | not published | $87.58 – $4,989.00 | 28 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $173.00 – $4,989.00 | 26 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $81.41 – $4,989.00 | 26 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $8.15 – $82.13 | 29 |
| Ghs ed rmvl or bivalving cast CPT 29700 | not published | not published | $31.56 – $4,989.00 | 28 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $41.32 – $315.68 | 25 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $157.84 – $400.52 | 25 |
| Ghs elect vertical elct CPT 92547 | not published | not published | $13.04 – $33.38 | 2 |
| Ghs eye exam CPT 92002 | not published | not published | $130.00 – $511.25 | 25 |
| Ghs fat & muscle CPT 89160 | not published | not published | $2.60 – $26.19 | 29 |
| Ghs fb removal foot - deep - left CPT 28192 | not published | not published | $486.45 – $4,989.00 | 28 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $815.20 – $5,774.46 | 28 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $3.74 – $37.69 | 29 |
| Ghs fish cytogen CPT 88271 | not published | not published | $11.47 – $115.67 | 29 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | not published | not published | $27.41 – $276.43 | 29 |
| Ghs hcv amplificaiton CPT 87521 | not published | not published | $18.79 – $189.49 | 29 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $12.30 – $124.04 | 29 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $8.30 – $83.65 | 29 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $5.07 – $51.14 | 29 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $56.84 – $573.16 | 29 |
| Ghs i and d pilonidal cyst complex CPT 10081 | not published | not published | $209.30 – $4,989.00 | 28 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $16.02 – $161.57 | 29 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $68.14 – $4,989.00 | 28 |
| Ghs inf midline insertion CPT 36140 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Ghs inhibitor screen CPT 85335 | not published | not published | $6.89 – $69.50 | 29 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $340.77 – $4,989.00 | 28 |
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $145.34 – $4,989.00 | 28 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | not published | not published | $1,526.00 – $4,989.00 | 2 |
| Ghs inj transforaminal cerv single bil CPT 64479 | not published | not published | $340.77 – $4,989.00 | 28 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | not published | not published | $46.55 – $168.07 | 25 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | not published | not published | $454.46 – $1,984.50 | 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.