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 |
|---|---|---|---|---|
| Incision of windpipe CPT 31610 | not published | not published | $4,989.00 – $11,935.40 | 26 |
| Incision of wrist capsule CPT 25085 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Incision secondary cataract CPT 66820 | not published | not published | $849.94 – $4,989.00 | 28 |
| Incision tendon sheath CPT 26055 | not published | not published | $593.04 – $4,989.00 | 28 |
| Incisn of toe tndn CPT 28010 | not published | not published | $100.50 – $4,989.00 | 28 |
| Incisn windpipe CPT 31600 | not published | not published | $3,271.60 – $6,543.20 | 26 |
| Incis spine 3 column adl seg CPT 22208 | not published | not published | $921.68 – $4,989.00 | 3 |
| Incis spine 3 column lumbar CPT 22207 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Incis spine 3 column thorac CPT 22206 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Incobotulinumtoxin a HCPCS J0588 | not published | not published | $5.33 – $21.26 | 25 |
| Inc&subq plmt crnl bone grf CPT 61316 | not published | not published | $138.68 – $4,989.00 | 3 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $752.06 – $4,989.00 | 3 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $803.27 – $4,989.00 | 3 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $640.06 – $4,989.00 | 3 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $585.65 – $4,989.00 | 3 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $801.67 – $4,989.00 | 3 |
| Induced abortion d&c CPT 59840 | not published | not published | $1,063.52 – $6,415.00 | 28 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $1,063.52 – $6,415.00 | 28 |
| Induction of vomiting CPT 99175 | not published | not published | $34.41 – $116.03 | 2 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $37.59 – $150.36 | 24 |
| Infect ag drug suscept pheno predict CPT 87900 | not published | not published | $69.80 – $703.89 | 29 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $8.04 – $81.00 | 29 |
| Infect ag eia influenza a or b ea CPT 87400 | not published | not published | $7.57 – $76.30 | 29 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $137.87 – $1,390.23 | 29 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $137.87 – $1,390.23 | 29 |
| Infect ag genotype na hiv-1 other region CPT 87906 | not published | not published | $68.94 – $695.14 | 29 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | not published | not published | $137.87 – $1,390.23 | 29 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $17.55 – $176.96 | 29 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $18.90 – $190.57 | 29 |
| Infect ag ia optc obs influenza CPT 87804 | not published | not published | $8.87 – $89.37 | 29 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $6.42 – $64.69 | 29 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $9.83 – $99.14 | 29 |
| Infect ag if influenza a CPT 87276 | not published | not published | $8.61 – $86.78 | 29 |
| Infect ag if influenza b CPT 87275 | not published | not published | $6.56 – $66.15 | 29 |
| Infect ag if legionella pneumophila CPT 87278 | not published | not published | $8.36 – $84.24 | 29 |
| Infect ag if nos ea CPT 87299 | not published | not published | $8.62 – $86.94 | 29 |
| Infect ag if pneumocystis carinii CPT 87281 | not published | not published | $6.42 – $64.69 | 29 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $7.19 – $72.47 | 29 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $28.64 – $288.74 | 29 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $18.79 – $189.49 | 29 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $22.94 – $231.34 | 29 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $27.48 – $277.07 | 29 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | not published | not published | $27.48 – $189.49 | 25 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | not published | not published | $261.68 – $2,638.76 | 29 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | not published | not published | $13.96 – $140.78 | 29 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $22.16 – $223.45 | 27 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | not published | not published | $6.42 – $64.69 | 29 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $7.19 – $72.47 | 29 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | not published | not published | $5.53 – $55.78 | 29 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | not published | not published | $6.42 – $64.69 | 29 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | not published | not published | $6.42 – $64.69 | 29 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | not published | not published | $18.79 – $189.49 | 29 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | not published | not published | $22.32 – $225.07 | 29 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | not published | not published | $76.38 – $770.20 | 27 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $41.11 – $164.44 | 24 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $68.70 – $692.77 | 29 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $140.83 – $1,420.15 | 29 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | not published | not published | $76.38 – $770.20 | 29 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | not published | not published | $30.80 – $478.97 | 25 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $19.75 – $219.62 | 25 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | not published | not published | $11.65 – $395.27 | 25 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $15.65 – $157.79 | 29 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $83.49 – $157.66 | 3 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $28.87 – $53.96 | 2 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Infuse radioactive materials CPT 77750 | not published | not published | $132.65 – $530.58 | 26 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $118.00 – $313.11 | 3 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $118.00 – $1,070.54 | 25 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | not published | not published | $205.18 – $811.26 | 26 |
| Initial care training 30 m HCPCS G0539 | not published | not published | $206.21 – $206.21 | 1 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $130.00 – $511.25 | 25 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $803.51 – $1,565.51 | 2 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $294.49 – $294.49 | 1 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $377.22 – $377.22 | 1 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $206.36 – $206.36 | 1 |
| Init nb em per day non-fac CPT 99461 | not published | not published | $208.27 – $282.90 | 2 |
| Init/sub psych care m 1st 30 HCPCS G2214 | not published | not published | $93.31 – $186.62 | 25 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $5.87 – $28.89 | 25 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $7.03 – $24.83 | 25 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.22 – $1.06 | 2 |
| Inj, acetaminophen (b braun) HCPCS J0136 | not published | not published | $0.05 – $0.26 | 3 |
| Inj acetaminophen -fresenius HCPCS J0134 | not published | not published | $0.05 – $0.66 | 3 |
| Inj, acetaminophen (hikma) HCPCS J0137 | not published | not published | $0.03 – $0.35 | 3 |
| Inj. acthar gel to 40 units HCPCS J0801 | not published | not published | $3,893.43 – $20,079.22 | 3 |
| Inj, adalimumab, 1 mg HCPCS J0139 | not published | not published | $91.73 – $11,070.25 | 25 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $10.51 – $57.68 | 25 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $63,235.61 – $705,600.00 | 25 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $5.98 – $58.30 | 25 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $34.52 – $170.27 | 25 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $321.18 – $1,677.71 | 25 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.51 – $7.28 | 25 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | not published | not published | $12.61 – $12.61 | 1 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $4.44 – $28.53 | 25 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $138.11 – $721.09 | 25 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $46.05 – $315.62 | 25 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $9.11 – $39.51 | 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.