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 |
|---|---|---|---|---|
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $71.80 – $199.60 | 25 |
| Injection of sinus tract CPT 20500 | not published | not published | $44.12 – $4,989.00 | 28 |
| Injection,onabotulinumtoxina HCPCS J0585 | not published | not published | $6.48 – $25.75 | 25 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $117.32 – $458.51 | 2 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.68 – $6.97 | 25 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $3.06 – $7.63 | 2 |
| Injection px peyronie ds CPT 54200 | not published | not published | $52.77 – $4,989.00 | 28 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | not published | not published | $405.36 – $4,989.00 | 26 |
| Injection, renflexis HCPCS Q5104 | not published | not published | $26.49 – $314.70 | 25 |
| Injection, ruconest HCPCS J0596 | not published | not published | $34.75 – $126.26 | 25 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $698.61 – $1,397.22 | 25 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | not published | not published | $340.77 – $4,989.00 | 28 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | not published | not published | $458.00 – $4,989.00 | 2 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $340.77 – $4,989.00 | 28 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | not published | not published | $458.00 – $4,989.00 | 2 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $340.77 – $4,989.00 | 28 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | not published | not published | $220.03 – $4,989.00 | 28 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | not published | not published | $220.03 – $4,989.00 | 28 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $157.34 – $472.53 | 25 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $24.54 – $58.56 | 2 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $5.75 – $9.08 | 2 |
| Injection treatment of eye CPT 66020 | not published | not published | $849.94 – $4,989.00 | 28 |
| Injection treatment of eye CPT 66030 | not published | not published | $849.94 – $4,989.00 | 28 |
| Injection treatment of nerve CPT 64605 | not published | not published | $659.94 – $4,989.00 | 28 |
| Injection treatment of nerve CPT 64610 | not published | not published | $659.94 – $4,989.00 | 28 |
| Injection treatment of nerve CPT 64681 | not published | not published | $340.77 – $4,989.00 | 28 |
| Injection treatment of nose CPT 30200 | not published | not published | $66.32 – $4,989.00 | 28 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $126.94 – $4,989.00 | 3 |
| Inject/treat eye socket CPT 67500 | not published | not published | $26.30 – $4,989.00 | 28 |
| Inject/treat eye socket CPT 67505 | not published | not published | $33.17 – $4,989.00 | 28 |
| Inject/treat eye socket CPT 67515 | not published | not published | $19.38 – $4,989.00 | 28 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $33.37 – $137.46 | 25 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $22.33 – $149.76 | 25 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $379.88 – $2,127.52 | 25 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $51.98 – $196.20 | 25 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $220.03 – $4,989.00 | 28 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $220.03 – $4,989.00 | 28 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $0.93 – $4.26 | 2 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.21 – $4.32 | 3 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $4.95 – $14.42 | 2 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $192.00 – $705.60 | 2 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $186.31 – $686.33 | 25 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $18.16 – $175.69 | 25 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $2,332,000.00 – $4,705,026.04 | 24 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.53 – $39.47 | 25 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $34.72 – $186.85 | 25 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | not published | not published | $142.72 – $142.72 | 1 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $6.13 – $41.90 | 25 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $134.26 – $627.15 | 25 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.07 – $0.13 | 2 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.10 – $4.85 | 25 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $7.15 – $37.04 | 25 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $3.02 – $6.84 | 25 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $137.26 – $806.59 | 2 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $130.36 – $833.49 | 2 |
| Inj for ext venography CPT 36005 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $0.44 – $8.82 | 25 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $632.88 – $2,469.60 | 25 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | not published | not published | $4.05 – $11.33 | 2 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $3.32 – $38.50 | 25 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $21.39 – $75.81 | 25 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | $491.14 | $1,488.30 | $3.47 – $48.51 | 2 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $60.00 – $219.62 | 2 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $180.96 – $584.33 | 2 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | not published | not published | $8.65 – $18.87 | 3 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $116.47 – $526.16 | 25 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,772.80 – $13,293.90 | 25 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $1.66 – $11.29 | 25 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | not published | not published | $1.96 – $7.10 | 2 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $192.00 – $702.78 | 2 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $5.29 – $27.25 | 25 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $70.43 – $478.88 | 25 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $14.45 – $40.88 | 2 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $3,685,266.67 – $7,485,268.70 | 24 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $1.46 – $6.30 | 3 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $62.92 – $353.81 | 25 |
| Inj, hercessi, 10 mg HCPCS Q5146 | not published | not published | $105.85 – $392.09 | 2 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $72.61 – $454.41 | 25 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | not published | not published | $9,091.00 – $11,875.00 | 2 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | not published | not published | $9,091.00 – $11,875.00 | 2 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | not published | $9,091.00 – $11,875.00 | 2 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | not published | not published | $9,091.00 – $11,875.00 | 2 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | not published | not published | $9,091.00 – $11,875.00 | 2 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $1.48 – $5.03 | 25 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | not published | not published | $5.18 – $21.52 | 25 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | not published | not published | $34.13 – $34.13 | 1 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $76.95 – $246.25 | 25 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $9.67 – $99.89 | 25 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $2.50 – $9.39 | 25 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $77.30 – $186.50 | 4 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.14 – $1.06 | 25 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $484.40 – $1,983.49 | 25 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $340.77 – $4,989.00 | 28 |
| Inj. infugem, 100 mg HCPCS J9198 | not published | not published | $166.92 – $166.92 | 1 |
| Inj. insulin (fiasp) HCPCS J1812 | not published | not published | $1.92 – $6.35 | 2 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $173.00 – $4,989.00 | 26 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $173.00 – $4,989.00 | 26 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $12.67 – $59.45 | 25 |
| Inj ivig privigen 500 mg HCPCS J1459 | not published | not published | $49.18 – $210.40 | 25 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.92 – $8.60 | 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.