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 |
|---|---|---|---|---|
| Hydroxyurea 500 mg HCPCS S0176 | $10.07 | $30.53 | $2.30 – $3.26 | 2 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | not published | not published | $3.00 – $22.03 | 4 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $0.18 – $1.94 | 3 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | not published | not published | $9.59 – $96.66 | 29 |
| Hymenotomy CPT 56442 | not published | not published | $1,063.52 – $6,415.00 | 28 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $17.50 – $63.24 | 25 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $1,382.00 – $11,935.40 | 28 |
| Hyoscyamine sulfate inj HCPCS J1980 | not published | not published | $9.06 – $131.46 | 3 |
| Hyperbaric oxygen therapy CPT 99183 | not published | not published | $768.00 – $1,137.00 | 3 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $5.45 – $54.97 | 29 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $344.00 – $2,578.47 | 26 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $132.65 – $1,447.60 | 26 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $291.78 – $1,645.75 | 26 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $291.78 – $2,725.25 | 26 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $291.78 – $3,687.75 | 26 |
| Hypnotherapy CPT 90880 | not published | not published | $93.31 – $186.62 | 24 |
| Hypothermia ill neonate CPT 99184 | not published | not published | $485.97 – $1,006.05 | 2 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $17.57 – $54.82 | 25 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $1,575.06 – $4,989.00 | 3 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $1,489.19 – $4,989.00 | 3 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $1,585.73 – $4,989.00 | 3 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $1,371.32 – $4,989.00 | 3 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $430.98 – $4,989.00 | 3 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $1,526.99 – $9,959.74 | 28 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $1,063.52 – $6,415.00 | 28 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $1,063.52 – $6,415.00 | 28 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $1,526.99 – $9,959.74 | 28 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $1,063.52 – $6,415.00 | 28 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $1,526.99 – $9,959.74 | 28 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $1,526.99 – $9,959.74 | 28 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $2,688.21 – $9,959.74 | 26 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $75.90 – $744.01 | 2 |
| I-123 iobenguane diag HCPCS A9582 | not published | not published | $2,074.81 – $25,933.27 | 25 |
| I-123 ioflupane diag HCPCS A9584 | not published | not published | $1,388.02 – $10,840.35 | 25 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | not published | not published | $111.60 – $794.37 | 3 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $38.82 – $153.73 | 3 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $205.08 – $1,243.62 | 3 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $926.42 – $3,246.55 | 3 |
| I131 iodide cap, rx HCPCS A9517 | not published | not published | $23.13 – $91.24 | 25 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $20.88 – $42.60 | 25 |
| I131 max 100uci HCPCS A9531 | not published | not published | $4.21 – $42.29 | 3 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $218.50 – $360.34 | 3 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | not published | not published | $250.70 – $480.69 | 2 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $7.19 – $72.47 | 29 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $18.79 – $189.49 | 29 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $9.69 – $97.69 | 29 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | not published | $22.22 – $190.60 | 4 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $1,311.21 – $13,222.22 | 25 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $2.98 – $8.86 | 4 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | not published | not published | $186.77 – $1,894.36 | 25 |
| Icatibant injection HCPCS J1744 | not published | not published | $125.32 – $807.03 | 25 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $314.14 – $712.04 | 25 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $29.05 – $147.43 | 25 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $16.84 – $242.59 | 25 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $9.94 – $101.39 | 25 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $1,461.46 – $4,989.00 | 3 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $886.62 – $6,543.20 | 28 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $43.51 – $175.03 | 4 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $82.50 – $4,989.00 | 28 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $527,622.46 – $1,842,595.02 | 25 |
| Identify sperm tissue CPT 89264 | not published | not published | $26.95 – $348.73 | 26 |
| Idet 1 or more levels CPT 22527 | not published | not published | $245.89 – $4,989.00 | 3 |
| Idet single level CPT 22526 | not published | not published | $520.58 – $4,989.00 | 3 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Idh1 common variants CPT 81120 | not published | not published | $103.49 – $1,043.55 | 28 |
| Idh2 common variants CPT 81121 | not published | not published | $158.40 – $1,597.27 | 28 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $939.93 – $5,533.02 | 28 |
| I&d lacrimal gland CPT 68400 | not published | not published | $343.45 – $4,989.00 | 26 |
| I&d lacrimal sac CPT 68420 | not published | not published | $187.74 – $4,989.00 | 28 |
| Iduc valve sply repl HCPCS A4342 | not published | not published | $811.17 – $811.17 | 1 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $815.20 – $5,774.46 | 28 |
| Idursulfase injection HCPCS J1743 | not published | not published | $542.57 – $2,281.78 | 25 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $815.20 – $5,774.46 | 28 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $815.20 – $5,774.46 | 28 |
| Ifnl3 gene CPT 81283 | not published | not published | $39.29 – $396.20 | 26 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | not published | not published | $24.62 – $109.28 | 4 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $111.02 – $1,119.47 | 27 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $36.71 – $370.17 | 29 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $106.03 – $1,069.15 | 29 |
| Igh@ var region somatic mutation analy CPT 81263 | not published | not published | $157.72 – $1,590.41 | 29 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $92.50 – $932.74 | 29 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | not published | not published | $181.44 – $1,530.41 | 26 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $12.88 – $69.94 | 3 |
| Ikbkap gene CPT 81260 | not published | not published | $21.05 – $212.27 | 29 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $1,612.93 – $4,989.00 | 3 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Iliac/fem angio cath insert HCPCS G0278 | not published | not published | $2,885.00 – $15,931.00 | 2 |
| Iliac revasc add-on 37222 CPT 37222 | not published | not published | $4,989.00 – $5,865.00 | 2 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $148.76 – $594.03 | 3 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $57.86 – $57.86 | 1 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $1,371.32 – $4,989.00 | 3 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $55.51 – $233.73 | 25 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $31.35 – $147.43 | 25 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $39.60 – $147.43 | 25 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $59.92 – $245.46 | 25 |
| Immntx 1 sting insect CPT 95130 | not published | not published | $39.86 – $118.00 | 2 |
| Immntx 4 sting insects CPT 95133 | not published | not published | $74.22 – $118.00 | 2 |
| Immntx 5 sting insects CPT 95134 | not published | not published | $88.27 – $118.00 | 2 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | not published | not published | $93.05 – $186.10 | 24 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $1,845.21 – $13,157.64 | 28 |
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.