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 |
|---|---|---|---|---|
| Gonioscopy CPT 92020 | not published | not published | $60.35 – $480.82 | 25 |
| Goniotomy CPT 65820 | not published | not published | $1,526.00 – $8,116.50 | 28 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $705.14 – $2,577.07 | 25 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | not published | $30.36 – $150.73 | 3 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $10.13 – $1,055.97 | 2 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | not published | $63.62 – $63.62 | 1 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $2,336.00 – $6,546.30 | 26 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $72.91 – $155.63 | 2 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $941.85 – $4,514.30 | 3 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $65.41 – $233.91 | 3 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | not published | $105.46 – $133.06 | 2 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,685.48 – $4,989.00 | 3 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $136.37 – $319.42 | 2 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $51.79 – $201.58 | 3 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | not published | not published | $2,885.00 – $2,885.00 | 1 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | not published | not published | $10.13 – $10.13 | 1 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $37.50 – $319.56 | 2 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $8.07 – $51.60 | 3 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.26 – $2.34 | 4 |
| Granulocyte pheresis ea unit HCPCS P9050 | not published | not published | $529.00 – $3,492.50 | 7 |
| Great toe-hand transfer CPT 26551 | not published | not published | $2,885.00 – $5,047.36 | 3 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $709.01 – $4,989.00 | 28 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $1,457.62 – $7,386.34 | 28 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $1,457.62 – $7,386.34 | 28 |
| Ground mileage HCPCS A0425 | not published | not published | $16.77 – $16.77 | 1 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $28.87 – $60.10 | 24 |
| Group health education CPT 99078 | not published | not published | $214.00 – $214.00 | 1 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $35.88 – $214.00 | 3 |
| Group train without patient HCPCS G0543 | not published | not published | $47.80 – $47.80 | 1 |
| Growth hormone antibody CPT 86277 | not published | not published | $8.43 – $85.00 | 29 |
| Growth hormone panel CPT 80428 | not published | not published | $35.72 – $378.07 | 29 |
| Growth hormone panel CPT 80430 | not published | not published | $69.26 – $698.38 | 29 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $40.49 – $408.24 | 29 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $30.05 – $120.48 | 25 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $30.05 – $120.48 | 25 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $1,952.16 – $4,989.00 | 3 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $2,507.42 – $4,989.00 | 3 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $2,778.91 – $4,989.00 | 3 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,844.95 – $4,989.00 | 3 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,913.68 – $4,989.00 | 26 |
| G-tube reposition CPT 43761 | not published | not published | $110.15 – $4,989.00 | 28 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $87.54 – $7,812.54 | 28 |
| Guided cath fluid drainage 10030 CPT 10030 | not published | not published | $257.60 – $4,989.00 | 28 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $133.64 – $440.76 | 4 |
| Gum graft CPT 41870 | not published | not published | $420.64 – $4,989.00 | 28 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $963.66 – $7,725.92 | 28 |
| Hair analysis HCPCS P2031 | not published | not published | $4.46 – $26.73 | 26 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $173.00 – $4,989.00 | 26 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $403.04 – $4,989.00 | 26 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $403.04 – $4,989.00 | 26 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | not published | $4.61 – $53.10 | 4 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $27.66 | $83.82 | $0.78 – $17.51 | 4 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $27.35 – $60.88 | 2 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $4.72 – $66.15 | 3 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $126.94 – $4,989.00 | 3 |
| Harvest auto stem cells CPT 38206 | not published | not published | $564.62 – $4,989.00 | 28 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $417.00 – $4,989.00 | 28 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $2,040.00 – $4,989.00 | 26 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $441.03 – $4,989.00 | 26 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $74.00 – $480.82 | 25 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $74.00 – $480.82 | 25 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $321.30 – $3,240.00 | 28 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $108.39 – $1,092.96 | 28 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $200.95 – $2,026.35 | 28 |
| Hbb full gene sequence CPT 81364 | not published | not published | $173.82 – $1,752.73 | 28 |
| Hbb gene com variants CPT 81361 | not published | not published | $93.61 – $943.97 | 28 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $108.39 – $1,092.96 | 28 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $200.95 – $2,026.35 | 28 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $5.20 – $52.43 | 29 |
| Hbot, full body chamber, 30m HCPCS G0277 | not published | not published | $139.11 – $962.00 | 26 |
| Hc ea ha check monaural CPT 92594 | not published | not published | $45.40 – $76.29 | 3 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $89.80 – $1,317.72 | 28 |
| Hcg free betachain test CPT 84704 | not published | not published | $8.19 – $82.57 | 29 |
| Hc hearing aid chck binaurl CPT 92593 | not published | not published | $74.00 – $111.26 | 3 |
| Hc hearing aid chck monarl CPT 92592 | not published | not published | $47.59 – $76.29 | 3 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $74.00 – $309.93 | 3 |
| Hc hearing aid exam one ear CPT 92590 | not published | not published | $74.00 – $206.61 | 3 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | not published | not published | $94.45 – $206.34 | 3 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $593.04 – $4,989.00 | 28 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $216.80 – $4,989.00 | 28 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $662.00 – $4,989.00 | 2 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $216.80 – $4,989.00 | 28 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $173.00 – $4,989.00 | 2 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $662.00 – $4,989.00 | 2 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $169.08 – $1,086.00 | 28 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $100.77 – $1,623.45 | 28 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $202.68 – $885.26 | 28 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $271.50 – $1,086.00 | 26 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $658.48 – $5,421.17 | 26 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | not published | not published | $2,885.00 – $9,091.00 | 2 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $344.00 – $1,399.82 | 26 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $344.00 – $1,536.58 | 26 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $344.00 – $2,404.60 | 26 |
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.