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 |
|---|---|---|---|---|
| Immune complex assay CPT 86332 | not published | not published | $13.05 – $131.60 | 29 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | not published | not published | $45.13 – $205.42 | 25 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $78.84 – $164.30 | 25 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $48.06 – $288.19 | 25 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $59.74 – $262.26 | 3 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $13.70 – $138.08 | 29 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | not published | not published | $6.42 – $64.69 | 29 |
| Immunodiffusion nes CPT 86329 | not published | not published | $7.53 – $75.87 | 29 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $27.14 – $105.78 | 9 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | not published | not published | $76.03 – $262.71 | 4 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | not published | not published | $86.44 – $1,530.41 | 26 |
| Immunoglobulin assay CPT 86023 | not published | not published | $6.67 – $67.28 | 29 |
| Immunology procedure CPT 86849 | not published | not published | $42.37 – $42.37 | 1 |
| Immunotherapy 2/> injections CPT 95125 | not published | not published | $28.06 – $118.00 | 2 |
| Impact tooth remov part bony HCPCS D7230 | not published | not published | $1,677.26 – $3,354.52 | 24 |
| Impedence cardiogram CPT 93701 | not published | not published | $52.81 – $480.82 | 25 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $18,551.81 – $37,103.62 | 25 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $610.19 – $4,989.00 | 3 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | not published | not published | $1,899.64 – $1,899.64 | 1 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $2,885.00 – $33,121.68 | 26 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $2,467.94 – $4,989.00 | 3 |
| Implant brain electrodes CPT 61531 | not published | not published | $1,881.23 – $4,989.00 | 3 |
| Implant brain electrodes CPT 61533 | not published | not published | $2,371.40 – $4,989.00 | 3 |
| Implant brain electrodes CPT 61760 | not published | not published | $2,456.21 – $4,989.00 | 3 |
| Implant cochlear device CPT 69930 | not published | not published | $4,555.00 – $64,175.22 | 28 |
| Implant cochlear osia osi300 HCPCS L8690 | not published | not published | $4,338.80 – $4,685.90 | 6 |
| Implant eye drug system CPT 67027 | not published | not published | $1,954.58 – $30,999.96 | 28 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $173.00 – $4,989.00 | 26 |
| Implant nerve end CPT 64787 | not published | not published | $2,040.00 – $4,989.00 | 2 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $445.91 – $4,989.00 | 3 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $785.67 – $4,989.00 | 3 |
| Implant neuroelectrode CPT 61863 | not published | not published | $2,345.80 – $4,989.00 | 3 |
| Implant neuroelectrode CPT 61867 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $4,989.00 – $43,266.04 | 28 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $1,526.00 – $25,160.00 | 28 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $3,908.38 – $13,241.26 | 28 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $2,336.00 – $13,241.26 | 28 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $1,503.06 – $4,989.00 | 3 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $2,441.81 – $4,989.00 | 3 |
| Implant neurostim arrays CPT 61886 | not published | not published | $2,336.00 – $61,483.30 | 28 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $751.53 – $4,989.00 | 3 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $2,024.17 – $4,989.00 | 3 |
| Implant spinal canal cath CPT 62351 | not published | not published | $4,989.00 – $14,413.14 | 26 |
| Implant spine infusion pump CPT 62361 | not published | not published | $2,040.00 – $35,659.18 | 28 |
| Implant spine infusion pump CPT 62362 | not published | not published | $2,040.00 – $35,659.18 | 28 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $2,118.58 – $4,989.00 | 3 |
| Implant ureter in bowel CPT 50800 | not published | not published | $1,432.65 – $4,989.00 | 3 |
| Impl ear abutment ba300 9mm HCPCS L8693 | not published | not published | $1,414.77 – $1,527.95 | 6 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $2,040.00 – $13,241.26 | 28 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $2,040.00 – $12,920.80 | 28 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $4,989.00 – $25,960.00 | 28 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $4,989.00 – $25,960.00 | 28 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $4,989.00 – $25,960.00 | 28 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $2,578.89 – $4,989.00 | 3 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $138.14 – $4,989.00 | 3 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $1,533.49 – $8,116.50 | 28 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Implt neurostim elctr each HCPCS L8680 | not published | not published | $287.97 – $311.01 | 6 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $528.86 – $1,476.86 | 25 |
| Impreg gauze no h20/sal/yard HCPCS A6266 | not published | not published | $2.21 – $4.92 | 2 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $529.34 – $6,543.20 | 28 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $606.58 – $6,543.20 | 28 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $1,561.49 – $6,543.20 | 26 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $504.98 – $6,543.20 | 28 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $560.90 – $11,935.40 | 28 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $529.34 – $11,935.40 | 28 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $87.58 – $4,989.00 | 28 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $1,466.18 – $11,935.40 | 26 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $519.92 – $6,543.20 | 28 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $1,042.08 – $6,543.20 | 26 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $1,168.67 – $6,543.20 | 26 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $294.29 – $4,989.00 | 28 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $43.14 – $176.62 | 25 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $4,645.93 – $15,708.20 | 3 |
| In-111 autol wbc diag per dose HCPCS A9570 | not published | not published | $1,031.39 – $15,708.20 | 25 |
| In-111 capromab pendet HCPCS A9507 | not published | not published | $1,313.59 – $19,308.83 | 3 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $798.02 – $15,373.26 | 25 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | not published | not published | $772.64 – $7,854.08 | 25 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | not published | not published | $715.29 – $1,814.89 | 25 |
| In-111 pentetreotide HCPCS A9572 | not published | not published | $1,914.61 – $24,931.05 | 25 |
| In-111 satumomab pend HCPCS A4642 | not published | not published | $1,623.47 – $1,623.47 | 1 |
| Inactivated je vacc im CPT 90738 | not published | not published | $305.71 – $1,096.11 | 3 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $679.53 – $4,989.00 | 3 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $2,040.00 – $14,413.14 | 28 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $2,776.78 – $4,989.00 | 3 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $2,314.87 – $4,989.00 | 3 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $2,305.26 – $4,989.00 | 3 |
| Incis addl spine segment CPT 22216 | not published | not published | $565.91 – $4,989.00 | 3 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $1,958.04 – $4,989.00 | 3 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $659.94 – $4,989.00 | 28 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $53.63 – $4,989.00 | 28 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $593.04 – $4,989.00 | 28 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $659.94 – $4,989.00 | 28 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $1,969.95 – $4,989.00 | 26 |
| Incise inner ear CPT 69801 | not published | not published | $124.30 – $4,989.00 | 28 |
| Incise inner ear nerve CPT 69915 | not published | not published | $886.62 – $6,543.20 | 28 |
| Incise inner ear nerve CPT 69950 | not published | not published | $2,699.43 – $4,989.00 | 3 |
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.