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 |
|---|---|---|---|---|
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | not published | not published | $454.46 – $1,984.50 | 25 |
| Ghs IV infusion sotrovimab HCPCS M0247 | not published | not published | $454.46 – $1,984.50 | 25 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $216.80 – $4,989.00 | 28 |
| Ghs low level laser therapy CPT 97039 | not published | not published | $49.26 – $245.00 | 5 |
| Ghs musc test done w/n test comp CPT 95886 | not published | not published | $202.49 – $844.00 | 3 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | not published | not published | $129.15 – $844.00 | 3 |
| Ghs musc tst done w/n tst non ext CPT 95887 | not published | not published | $178.60 – $844.00 | 3 |
| Ghs myocardial strain img spckl track CPT 93356 | not published | not published | $54.02 – $195.00 | 2 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | not published | not published | $340.77 – $4,989.00 | 28 |
| Ghs nerve blk intercostal, single level CPT 64420 | not published | not published | $262.86 – $4,989.00 | 28 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $340.77 – $4,989.00 | 28 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $340.77 – $4,989.00 | 28 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $340.77 – $4,989.00 | 28 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $340.77 – $4,989.00 | 28 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $63.73 – $4,989.00 | 28 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $38.76 – $4,989.00 | 28 |
| Ghs o2 saturation CPT 82810 | not published | not published | $5.23 – $52.76 | 29 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $74.00 – $610.12 | 25 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $59.92 – $147.43 | 25 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $46.55 – $168.07 | 25 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $223.75 – $4,989.00 | 28 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $446.27 – $4,989.00 | 28 |
| Ghs optokenetic CPT 92544 | not published | not published | $12.70 – $315.68 | 25 |
| Ghs oscillating trac CPT 92545 | not published | not published | $12.70 – $628.28 | 25 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | not published | not published | $25.52 – $108.13 | 25 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $25.52 – $108.13 | 25 |
| Ghs ot dds rom CPT 95851 | not published | not published | $34.97 – $178.00 | 3 |
| Ghs ot prosthetic training/15 min CPT 97761 | not published | not published | $74.00 – $245.00 | 5 |
| Ghs ot sensory integrative tech/15min CPT 97533 | not published | not published | $74.00 – $245.00 | 5 |
| Ghs ot work hardening-additional hours CPT 97546 | not published | not published | $74.00 – $245.00 | 5 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | not published | not published | $458.00 – $4,989.00 | 2 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | not published | not published | $458.00 – $4,989.00 | 2 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $21.22 – $175.18 | 4 |
| Ghs phenylketonurid CPT 84030 | not published | not published | $2.95 – $29.70 | 29 |
| Ghs picc line insert < 5 CPT 36568 | not published | not published | $446.27 – $4,989.00 | 28 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $2.31 – $23.27 | 29 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $1,026.34 – $3,507.63 | 25 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $63.09 – $480.82 | 25 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | not published | not published | $5.18 – $52.16 | 29 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $3.01 – $30.29 | 29 |
| Ghs pr without cont pulse ox CPT 94625 | not published | not published | $59.92 – $119.84 | 25 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $6.56 – $66.15 | 29 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | not published | not published | $74.00 – $413.22 | 5 |
| Ghs quinidine CPT 80194 | not published | not published | $7.82 – $78.84 | 29 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $196.01 – $669.22 | 25 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $173.00 – $4,989.00 | 26 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $593.04 – $4,989.00 | 28 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $8.51 – $85.81 | 29 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $6.59 – $66.47 | 27 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $5.27 – $53.14 | 27 |
| Ghs sensitivity (per antimicro) CPT 87184 | not published | not published | $4.01 – $40.39 | 29 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $157.84 – $570.57 | 25 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $178.00 – $628.28 | 25 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $178.00 – $1,346.15 | 25 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $118.84 – $233.64 | 2 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $42.69 – $4,989.00 | 28 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $55.82 – $480.82 | 25 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $247.55 – $489.51 | 2 |
| Ghs st - re-eval for alt comm CPT 92597 | not published | not published | $74.00 – $327.40 | 3 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $33.93 – $93.10 | 25 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $212.54 – $745.38 | 25 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $143.08 – $4,989.00 | 28 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $420.64 – $4,989.00 | 28 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $3.91 – $39.42 | 29 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $13.02 – $131.22 | 29 |
| Ghs urine, porphyrins quant CPT 84120 | not published | not published | $7.88 – $79.43 | 29 |
| Ghs windowing of cast CPT 29730 | not published | not published | $27.69 – $4,989.00 | 28 |
| Giardia ag if CPT 87269 | not published | not published | $7.29 – $73.49 | 29 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $7.89 – $79.49 | 29 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $103.04 – $1,027.71 | 29 |
| Gi inhouse confirmation CPT 87045 | not published | not published | $5.06 – $50.98 | 29 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $289.86 – $6,543.20 | 28 |
| Gi protein loss CPT 78282 | not published | not published | $43.14 – $1,559.11 | 28 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $761.55 – $3,358.26 | 27 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $919.73 – $3,722.22 | 28 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $761.55 – $3,358.26 | 27 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $761.55 – $5,198.68 | 27 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $54.15 – $546.05 | 29 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $32.95 – $332.21 | 29 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $18.75 – $212.97 | 29 |
| Glassia injection HCPCS J0257 | not published | not published | $5.45 – $22.18 | 25 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $24.71 – $251.11 | 25 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $39.60 – $187.56 | 25 |
| Glaucoma surgery CPT 66150 | not published | not published | $1,533.49 – $8,116.50 | 28 |
| Glaucoma surgery CPT 66155 | not published | not published | $2,206.78 – $8,116.50 | 28 |
| Glaucoma surgery CPT 66160 | not published | not published | $849.94 – $4,989.00 | 28 |
| Glaucoma surgery CPT 66170 | not published | not published | $849.94 – $4,989.00 | 28 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $1,231.88 | $3,732.96 | $185.80 – $371.60 | 25 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $112.89 – $795.34 | 25 |
| Glucagon plasma - sendout CPT 82943 | not published | not published | $7.65 – $77.17 | 29 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $24.67 – $248.78 | 29 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $27.05 – $272.70 | 29 |
| Glucagon tolerance test CPT 82946 | not published | not published | $9.52 – $95.96 | 29 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $3.24 – $32.67 | 29 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $59.92 – $247.93 | 25 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $0.51 – $3.00 | 25 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $13.26 – $69.35 | 3 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $24,627.60 | $74,629.09 | $10.63 – $155.89 | 25 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $79.48 – $801.41 | 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.