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 |
|---|---|---|---|---|
| Hla class i semiquant panel CPT 86834 | not published | not published | $191.48 – $1,930.82 | 29 |
| Hla i & ii type verify lr CPT 81371 | not published | not published | $216.62 – $2,184.41 | 29 |
| Hla i & ii typing hr CPT 81378 | not published | not published | $185.06 – $1,866.08 | 29 |
| Hla i & ii typing lr CPT 81370 | not published | not published | $215.34 – $2,171.45 | 29 |
| Hla ii typing 1 loc hr CPT 81382 | not published | not published | $66.23 – $667.87 | 29 |
| Hla ii typing ag equiv lr CPT 81375 | not published | not published | $118.21 – $1,192.00 | 29 |
| Hla i low res one antigen equiv ea CPT 81374 | not published | not published | $39.81 – $401.38 | 29 |
| Hla i typing 1 locus hr CPT 81380 | not published | not published | $94.92 – $957.15 | 29 |
| Hla i typing complete hr CPT 81379 | not published | not published | $179.60 – $1,811.05 | 29 |
| Hla i typing complete lr CPT 81372 | not published | not published | $216.12 – $2,179.39 | 29 |
| Hla i typing high res 1 allele grp ea CPT 81381 | not published | not published | $90.98 – $917.46 | 29 |
| Hla i typing low res one locus ea CPT 81373 | not published | not published | $68.24 – $688.12 | 29 |
| Hla typing a b or c CPT 86813 | not published | not published | $31.06 – $313.20 | 29 |
| Hla typing dr/dq CPT 86816 | not published | not published | $16.16 – $162.92 | 29 |
| Hla x-match noncytotoxc addl CPT 86826 | not published | not published | $19.56 – $197.26 | 29 |
| Hla x-math non-cytotoxic CPT 86825 | not published | not published | $58.63 – $591.25 | 29 |
| Hldr trach tb tie ad HCPCS A7526 | not published | not published | $3.90 – $8.67 | 2 |
| Hlth bhv assmt/reassessment CPT 96156 | not published | not published | $93.31 – $346.36 | 25 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | not published | not published | $30.05 – $120.48 | 25 |
| Hlth bhv ivntj fam without pt ea CPT 96171 | not published | not published | $127.14 – $127.14 | 1 |
| Hlth bhv ivntj fam wo pt 1st CPT 96170 | not published | not published | $348.08 – $348.08 | 1 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | not published | not published | $30.05 – $120.48 | 25 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | not published | not published | $162.08 – $346.36 | 25 |
| Hmes or trach valve housing HCPCS A7505 | not published | not published | $5.40 – $12.01 | 2 |
| Hocm 200-249mg/ml iodine,1ml HCPCS Q9960 | not published | not published | $0.39 – $0.53 | 2 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | not published | not published | $0.29 – $1.15 | 3 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $159.49 | $483.29 | $0.22 – $0.84 | 3 |
| Holder tube cath-secure nonstrl lf disp HCPCS A4333 | not published | not published | $2.54 – $5.66 | 2 |
| Home health care supervision CPT 99374 | not published | not published | $157.60 – $254.28 | 2 |
| Home health care supervision CPT 99375 | not published | not published | $235.36 – $397.34 | 2 |
| Home health care supervision HCPCS G0181 | not published | not published | $242.83 – $483.16 | 2 |
| Home health re-certification physician g0179 HCPCS G0179 | not published | not published | $92.07 – $184.38 | 2 |
| Home/res vst est high mdm 60 CPT 99350 | not published | not published | $402.66 – $402.66 | 1 |
| Home/res vst est mod mdm 40 CPT 99349 | not published | not published | $290.42 – $290.42 | 1 |
| Home/res vst est sf mdm 20 CPT 99347 | not published | not published | $124.80 – $124.80 | 1 |
| Home/res vst new high mdm 75 CPT 99345 | not published | not published | $500.37 – $500.37 | 1 |
| Home/res vst new low mdm 30 CPT 99342 | not published | not published | $179.70 – $179.70 | 1 |
| Home/res vst new mod mdm 60 CPT 99344 | not published | not published | $413.22 – $413.22 | 1 |
| Home/res vst new sf mdm 15 CPT 99341 | not published | not published | $124.09 – $124.09 | 1 |
| Home sleep test/type 2 porta HCPCS G0398 | not published | not published | $157.84 – $747.09 | 25 |
| Home sleep test/type 3 porta HCPCS G0399 | not published | not published | $157.84 – $747.09 | 25 |
| Home sleep test/type 4 porta HCPCS G0400 | not published | not published | $239.22 – $747.09 | 25 |
| Home vent mgmt supervision CPT 94005 | not published | not published | $74.00 – $414.80 | 3 |
| Home visit est patient 99348 CPT 99348 | not published | not published | $190.56 – $190.56 | 1 |
| Homogenization tissue CPT 87176 | not published | not published | $3.15 – $31.75 | 29 |
| Homovanillic acid (hva) CPT 83150 | not published | not published | $12.00 – $121.01 | 29 |
| Hopd mntl hlt, 15-29 min HCPCS C7900 | not published | not published | $30.05 – $60.10 | 24 |
| Hopd mntl hlt, 30-60 min HCPCS C7901 | not published | not published | $93.31 – $186.62 | 24 |
| Hopd mntl hlt, grp HCPCS C7903 | not published | not published | $30.05 – $120.57 | 25 |
| Hospice care supervision CPT 99377 | not published | not published | $157.60 – $254.28 | 2 |
| Hospice care supervision CPT 99378 | not published | not published | $235.36 – $397.34 | 2 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $65.45 – $659.99 | 28 |
| Hpa-1 genotyping CPT 81105 | not published | not published | $65.45 – $659.99 | 28 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $65.45 – $659.99 | 28 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $65.45 – $659.99 | 28 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $65.45 – $659.99 | 28 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $65.45 – $659.99 | 28 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $65.45 – $659.99 | 28 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $65.45 – $659.99 | 28 |
| Hpv combo assay ca screen HCPCS G0476 | not published | not published | $31.58 – $189.49 | 27 |
| Hpv low-risk types CPT 87623 | not published | not published | $18.79 – $189.49 | 29 |
| Hpv types 16 & 18 only CPT 87625 | not published | not published | $21.72 – $218.97 | 29 |
| H pylori ag ia CPT 87339 | not published | not published | $8.57 – $86.40 | 27 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $36.07 – $363.74 | 29 |
| H pylori (c-13) breath CPT 83013 | not published | not published | $36.07 – $363.74 | 29 |
| H pylori drug admin CPT 83014 | not published | not published | $4.21 – $42.44 | 29 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $611.15 – $3,666.87 | 27 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | not published | not published | $790.07 – $2,039.88 | 3 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $313.22 – $3,158.46 | 27 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $313.22 – $3,158.46 | 26 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $1,845.32 – $4,989.00 | 26 |
| Hsv dna dir probe CPT 87528 | not published | not published | $10.74 – $108.27 | 29 |
| Htt gene charac alleles CPT 81274 | not published | not published | $147.17 – $1,484.08 | 26 |
| Htt gene detc abnor alleles CPT 81271 | not published | not published | $73.37 – $739.80 | 26 |
| Human epididymis protein 4 (he4) CPT 86305 | not published | not published | $11.15 – $112.37 | 29 |
| Human ig IV CPT 90283 | not published | not published | $59.93 – $92.70 | 3 |
| Human ig sc CPT 90284 | not published | not published | $21.23 – $40.00 | 3 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | not published | not published | $1.55 – $14.02 | 25 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | not published | not published | $32.17 – $246.08 | 4 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | not published | not published | $0.50 – $1.81 | 3 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | not published | not published | $0.36 – $1.63 | 4 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $74.98 | $227.20 | $4.40 – $28.58 | 4 |
| Hydrocolld drg >16<=48 w/bdr HCPCS A6238 | not published | not published | $26.23 – $58.37 | 2 |
| Hydrocolld drg >16<=48 without b HCPCS A6235 | not published | not published | $19.34 – $43.06 | 2 |
| Hydrocolld drg <=16 in w/bdr HCPCS A6237 | not published | not published | $9.10 – $20.26 | 2 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | not published | not published | $7.52 – $16.74 | 2 |
| Hydrocolld drg filler paste HCPCS A6240 | not published | not published | $14.09 – $31.35 | 2 |
| Hydrocortisone acetate inj HCPCS J1700 | not published | not published | $8.28 – $8.28 | 1 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | not published | not published | $20.58 – $43.84 | 4 |
| Hydrocortisone sodium ph inj HCPCS J1710 | not published | not published | $13.48 – $13.48 | 1 |
| Hydrogel drg <= 16 in w/bdr HCPCS A6245 | not published | not published | $8.37 – $18.61 | 2 |
| Hydrogel drg >48 in without bdr HCPCS A6244 | not published | not published | $45.18 – $100.58 | 2 |
| Hydrogel drg > 48 sq in w/b HCPCS A6247 | not published | not published | $27.35 – $60.88 | 2 |
| Hydrogel drsg gel filler HCPCS A6248 | not published | not published | $18.69 – $41.61 | 2 |
| Hydrogel dsg>16<=48 sq in HCPCS A6232 | not published | not published | $7.89 – $17.57 | 2 |
| Hydrogel dsg<=16 sq in HCPCS A6231 | not published | not published | $5.38 – $11.96 | 2 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $43.32 | $131.28 | $0.09 – $0.40 | 25 |
| Hydromorphone 250 mg HCPCS S0092 | not published | not published | $110.16 – $177.15 | 2 |
| Hydromorphone injection HCPCS J1170 | not published | not published | $4.72 – $4.72 | 1 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.01 – $0.04 | 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.