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 |
|---|---|---|---|---|
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $131.74 – $1,207.90 | 25 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $17.78 – $79.56 | 25 |
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $3,445.58 – $14,410.25 | 3 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $1.86 – $8.25 | 25 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $3.14 – $13.10 | 25 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $51.83 – $198.85 | 25 |
| Inj. asceniv HCPCS J1554 | not published | not published | $496.68 – $2,365.13 | 25 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $54.38 – $192.81 | 25 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $107.44 – $535.47 | 25 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $77.82 – $317.48 | 25 |
| Inj belantamab mafodot blmf HCPCS J9037 | not published | not published | $42.10 – $210.97 | 25 |
| Inj., benralizumab, 1 mg HCPCS J0517 | not published | not published | $163.30 – $711.77 | 25 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | not published | not published | $46.86 – $66.81 | 3 |
| Inj, betibeglogene autotemce HCPCS J3393 | not published | not published | $2,948,213.33 – $5,988,214.96 | 24 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | not published | not published | $39.87 – $167.58 | 25 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $209.91 – $856.51 | 25 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | not published | not published | $0.18 – $0.93 | 3 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $4.91 – $53.80 | 25 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $13.19 – $33.30 | 25 |
| Inj, bortezomib, hospira HCPCS J9049 | not published | not published | $1.43 – $35.02 | 3 |
| Inj., brexanolone, 1 mg HCPCS J1632 | not published | not published | $327.22 – $327.22 | 1 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $425.40 – $1,983.74 | 25 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $1,701.62 – $7,935.01 | 25 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $339.99 – $1,559.11 | 25 |
| Inj, bupivacaine liposome HCPCS J0666 | not published | not published | $1.42 – $7.08 | 25 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $0.50 – $4.32 | 25 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $85.57 – $341.38 | 25 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | not published | not published | $1.19 – $3.31 | 3 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $0.05 – $90.32 | 25 |
| Inj cefazolin sodium, baxter HCPCS J0689 | not published | not published | $1.25 – $5.73 | 3 |
| Inj cefazolin sodium, hikma HCPCS J0688 | not published | not published | $0.98 – $5.12 | 25 |
| Inj cefazolin (wg crit care) HCPCS J0687 | not published | not published | $0.97 – $5.29 | 25 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | not published | not published | $5.80 – $26.64 | 3 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | not published | not published | $5.04 – $24.87 | 3 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | not published | not published | $2.28 – $8.33 | 25 |
| Inj ceftolozane tazobactam HCPCS J0695 | not published | not published | $8.04 – $25.14 | 25 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $137.63 – $392.93 | 2 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $15.62 – $65.89 | 25 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $146.76 – $1,194.71 | 25 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $89.85 – $377.85 | 25 |
| Inj, clevidipine butyrate HCPCS C9248 | not published | not published | $2.75 – $5.64 | 24 |
| Inj, clindamycin (baxter) HCPCS J0737 | not published | not published | $2.53 – $19.10 | 3 |
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $89.16 – $353.90 | 25 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $1,036.21 – $5,380.20 | 25 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $540.61 – $2,312.82 | 25 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $14.34 – $59.05 | 3 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $16.68 – $67.03 | 25 |
| Inj, cyclophos (baxter) 5mg HCPCS J9076 | not published | not published | $5.81 – $21.52 | 2 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $9.05 – $16.05 | 2 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.71 – $16.10 | 25 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | not published | not published | $1.76 – $4.84 | 25 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $4.34 – $8.78 | 25 |
| Inj, daptomycin (baxter) HCPCS J0874 | not published | not published | $0.07 – $0.35 | 3 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.06 – $0.31 | 3 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.03 – $0.26 | 25 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $2.99 – $18.65 | 25 |
| Inj, decitabine (sun pharma) HCPCS J0893 | not published | not published | $0.78 – $7.76 | 2 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $3,322,473.30 – $6,702,001.92 | 24 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | not published | not published | $114.13 – $114.13 | 1 |
| Inj diclofenac sodium 0.5mg HCPCS J1130 | not published | not published | $0.58 – $0.93 | 2 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.13 – $17.68 | 25 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $35.18 – $4,989.00 | 28 |
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $6.76 – $34.40 | 25 |
| Inject for sacroiliac joint HCPCS G0259 | not published | not published | $2,885.00 – $2,885.00 | 1 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $139.81 – $4,989.00 | 28 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $50.72 – $179.09 | 25 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $469.74 – $1,497.90 | 25 |
| Injection, cangrelor HCPCS C9460 | not published | not published | $18.71 – $37.98 | 24 |
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $3,040.21 – $3,040.21 | 1 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $192.00 – $702.78 | 2 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $4.60 – $10.50 | 2 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $65.89 – $231.97 | 25 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $2.16 – $2.16 | 1 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $0.38 – $3.04 | 4 |
| Injection during cath supravalvular aortography CPT 93567 | not published | not published | $9,091.00 – $11,875.00 | 2 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $20.41 – $83.04 | 25 |
| Injection estrone per 1 mg HCPCS J1435 | not published | not published | $0.32 – $34.39 | 2 |
| Injection eye drug CPT 67028 | not published | not published | $48.45 – $4,989.00 | 28 |
| Injection, famotidine, 20 mg HCPCS S0028 | not published | not published | $2.56 – $3.84 | 2 |
| Injection for hip x-ray CPT 27095 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Injection for ureter x-ray CPT 50690 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $217.19 – $301.37 | 2 |
| Injection, fulvestrant HCPCS J9395 | not published | not published | $6.72 – $363.38 | 25 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $162.18 – $412.29 | 25 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $12.27 – $50.27 | 25 |
| Injection into brain canal CPT 61026 | not published | not published | $262.86 – $4,989.00 | 28 |
| Injection into brain canal CPT 61055 | not published | not published | $108.15 – $4,989.00 | 28 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $106.98 – $4,989.00 | 28 |
| Injection into spinal artery CPT 62294 | not published | not published | $843.00 – $4,989.00 | 26 |
| Injection into vocal cord CPT 31513 | not published | not published | $155.59 – $4,989.00 | 28 |
| Injection intraop add-on CPT 48400 | not published | not published | $163.75 – $4,989.00 | 3 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $0.99 – $3.75 | 25 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Injection jugular CPT 36299 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $1.18 – $10.01 | 3 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.73 – $24.56 | 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.