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 |
|---|---|---|---|---|
| Angioscopy CPT 35400 | not published | not published | $230.42 – $4,989.00 | 3 |
| Angiotensin ii CPT 82163 | not published | not published | $10.99 – $110.81 | 29 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $81.70 | $247.57 | not published | 0 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | not published | not published | $4,750.92 – $22,880.66 | 28 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Angio trnslmnl balloon same artery ini CPT 37246 | not published | not published | $2,300.22 – $11,503.34 | 28 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Angio trnslmnl balloon same vein ini CPT 37248 | not published | not published | $1,764.89 – $11,503.34 | 28 |
| Anidulafungin injection HCPCS J0348 | not published | not published | $0.47 – $7.94 | 4 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $3,204.52 – $14,413.14 | 28 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | not published | not published | $98.27 – $4,989.00 | 26 |
| Annual alcohol screen 15 min HCPCS G0442 | not published | not published | $30.05 – $60.10 | 24 |
| Anodyne therapy charges pt CPT 97026 | not published | not published | $28.62 – $245.00 | 5 |
| Anogenital exam child w imag CPT 99170 | not published | not published | $202.94 – $405.88 | 25 |
| Anorectal myomectomy CPT 45108 | not published | not published | $939.93 – $5,533.02 | 28 |
| Anoscopy CPT 46611 | not published | not published | $328.50 – $4,989.00 | 28 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $939.93 – $5,533.02 | 28 |
| Anoscopy and biopsy CPT 46606 | not published | not published | $145.34 – $4,989.00 | 28 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $429.26 – $4,989.00 | 28 |
| Anoscopy control bleeding 46614 CPT 46614 | not published | not published | $72.10 – $4,989.00 | 28 |
| Anoscopy remove fb 46608 CPT 46608 | not published | not published | $328.50 – $4,989.00 | 28 |
| Anoscopy remove lesion 46610 CPT 46610 | not published | not published | $939.93 – $5,533.02 | 28 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $939.93 – $5,533.02 | 28 |
| Ans parasymp & symp w/tilt CPT 95924 | not published | not published | $178.00 – $628.28 | 25 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $1,526.99 – $9,959.74 | 28 |
| Anthrax vaccine sc or im CPT 90581 | not published | not published | $116.06 – $498.99 | 3 |
| Antibody CPT 86744 | not published | not published | $8.57 – $86.35 | 29 |
| Antibody bacterium, not elsewhere specified CPT 86609 | not published | not published | $6.90 – $69.55 | 29 |
| Antibody elution rbc reference CPT 86860 | not published | not published | $66.72 – $774.90 | 26 |
| Antibody htlv/hiv confirm test CPT 86689 | not published | not published | $10.36 – $104.49 | 29 |
| Antibody htlv-i CPT 86687 | not published | not published | $4.87 – $49.09 | 29 |
| Antibody htlv-ii CPT 86688 | not published | not published | $7.50 – $75.60 | 29 |
| Antibody influenza virus CPT 86710 | not published | not published | $7.26 – $73.17 | 29 |
| Antibody lymphocytic choriomeningitis CPT 86727 | not published | not published | $6.89 – $69.50 | 29 |
| Antibody tetanus CPT 86774 | not published | not published | $7.93 – $79.92 | 29 |
| Anticoag mgmt pt warfarin CPT 93793 | not published | not published | $54.02 – $75.90 | 2 |
| Antidepressant not specified CPT 80338 | not published | not published | $11.57 – $13.39 | 6 |
| Antidepressants class 3-5 CPT 80333 | not published | not published | $13.52 – $15.65 | 6 |
| Antidepressants class 6/more CPT 80334 | not published | not published | $8.65 – $10.02 | 6 |
| Antidepressant tricyclic 3-5 CPT 80336 | not published | not published | $18.41 – $21.32 | 6 |
| Antiepileptics nos 4-6 CPT 80340 | not published | not published | $6.94 – $8.04 | 6 |
| Antiepileptics nos 7/more CPT 80341 | not published | not published | $6.00 – $6.95 | 6 |
| Antigen therapy services CPT 95145 | not published | not published | $46.55 – $168.07 | 25 |
| Antigen therapy services CPT 95146 | not published | not published | $46.55 – $168.07 | 25 |
| Antigen therapy services CPT 95147 | not published | not published | $71.80 – $266.67 | 25 |
| Antigen therapy services CPT 95148 | not published | not published | $71.80 – $266.67 | 25 |
| Antigen therapy services CPT 95149 | not published | not published | $71.80 – $266.67 | 25 |
| Antigen therapy services CPT 95165 | not published | not published | $28.64 – $168.07 | 25 |
| Antigen therapy services CPT 95170 | not published | not published | $20.95 – $168.07 | 25 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | not published | not published | $1.45 – $4.23 | 25 |
| Antihemophilic viii/vwf comp HCPCS J7186 | not published | not published | $1.20 – $3.53 | 25 |
| Anti-inhibitor HCPCS J7198 | not published | not published | $2.38 – $7.76 | 25 |
| Anti mog serum - sendout CPT 86362 | not published | not published | $6.46 – $65.07 | 27 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | not published | not published | $6.46 – $65.07 | 27 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | not published | not published | $1,181.44 – $4,989.00 | 3 |
| Antipsychotics nos 1-3 CPT 80342 | not published | not published | $12.70 – $52.92 | 7 |
| Antipsychotics nos 4-6 CPT 80343 | not published | not published | $29.33 – $33.95 | 6 |
| Antipsychotics nos 7/more CPT 80344 | not published | not published | $7.48 – $8.66 | 6 |
| Antistreptolysin o screen CPT 86063 | not published | not published | $3.09 – $31.16 | 29 |
| Antithrombin iii injection HCPCS J7197 | not published | not published | $3.94 – $16.23 | 25 |
| Antithrombin recombinant HCPCS J7196 | not published | not published | $282.76 – $619.61 | 2 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | not published | not published | $4,179.19 – $8,792.79 | 25 |
| Antithymocyte globuln rabbit HCPCS J7511 | not published | not published | $939.35 – $3,644.29 | 25 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $1,526.99 – $9,959.74 | 28 |
| Ant sgm img ir flrscn angrph CPT 92287 | not published | not published | $130.03 – $480.82 | 25 |
| Ant sgm img i&r speclr mic CPT 92286 | not published | not published | $85.72 – $480.82 | 25 |
| Ant thrc vrt body tethrg <7 CPT 22836 | not published | not published | $2,575.87 – $4,989.00 | 3 |
| Ant thrc vrt body tethrg 8+ CPT 22837 | not published | not published | $2,837.16 – $4,989.00 | 3 |
| Aoi transducer/actuator repl HCPCS L8694 | not published | not published | $923.29 – $997.15 | 6 |
| Aortic circulation assist 33971 CPT 33971 | not published | not published | $1,093.96 – $4,989.00 | 3 |
| Aortic dysfunction/dilation CPT 81410 | not published | not published | $269.89 – $2,721.60 | 28 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $723.03 – $7,291.03 | 28 |
| Aortic hemiarch graft 33866 CPT 33866 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Aortic suspension CPT 33800 | not published | not published | $1,510.53 – $4,989.00 | 3 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $107.10 – $1,080.00 | 29 |
| Apc gene full sequence CPT 81201 | not published | not published | $417.69 – $4,212.00 | 29 |
| Apc gene known fam variants CPT 81202 | not published | not published | $149.94 – $1,512.00 | 29 |
| Aphakia prosth service temp CPT 92358 | not published | not published | $24.45 – $242.59 | 25 |
| Apheresis immunoads slctv CPT 36516 | not published | not published | $1,462.04 – $9,452.76 | 28 |
| Apheresis plasma CPT 36514 | not published | not published | $564.62 – $4,989.00 | 28 |
| Apheresis platelets CPT 36513 | not published | not published | $164.30 – $4,989.00 | 28 |
| Apheresis rbc CPT 36512 | not published | not published | $564.62 – $4,989.00 | 28 |
| Apheresis wbc CPT 36511 | not published | not published | $564.62 – $4,989.00 | 28 |
| Apl(pml-rara) quant - sendout CPT 81315 | not published | not published | $111.02 – $1,119.47 | 29 |
| Apomorphine hydrochloride HCPCS J0364 | not published | not published | $53.03 – $161.71 | 3 |
| Appendectomy CPT 44950 | not published | not published | $4,601.82 – $12,589.28 | 26 |
| Appendectomy add-on 44955 CPT 44955 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | not published | $1,355.31 – $4,989.00 | 3 |
| Appendico-vesicostomy CPT 50845 | not published | not published | $1,928.69 – $4,989.00 | 3 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $5,885.68 – $11,771.36 | 26 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | not published | not published | $709.01 – $4,989.00 | 28 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | not published | not published | $585.00 – $4,989.00 | 2 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | not published | not published | $217.00 – $4,989.00 | 2 |
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.