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. jivi 1 iu HCPCS J7208 | not published | not published | $2.45 – $9.66 | 25 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.49 – $4.98 | 25 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | not published | not published | $1.38 – $6.09 | 3 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $84.80 – $326.03 | 2 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $25.42 – $298.91 | 25 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.33 – $5.78 | 25 |
| Inj lefamulin 1 mg HCPCS J0691 | not published | not published | $0.82 – $3.53 | 2 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $22.03 – $92.39 | 25 |
| Inj levocarnitine per 1 gm HCPCS J1955 | not published | not published | $24.38 – $146.06 | 4 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | not published | not published | $0.02 – $1.22 | 4 |
| Inj, levothyroxine, freskabi HCPCS J0651 | not published | not published | $3.85 – $39.43 | 25 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $5.14 – $33.30 | 25 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $70.99 | $215.13 | $0.04 – $0.04 | 2 |
| Inj, linezolid (hospira) HCPCS J2021 | not published | not published | $6.34 – $80.66 | 3 |
| Inj, lovotibeglogene autotem HCPCS J3394 | not published | not published | $3,221,086.65 – $6,442,173.30 | 24 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $318.85 – $1,278.19 | 25 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $23.39 – $94.64 | 25 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $3,146.26 – $9,896.04 | 25 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Inj. meloxicam 1 mg HCPCS J1738 | not published | not published | $3.76 – $13.76 | 2 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | not published | $134.87 – $6,089.06 | 25 |
| Inj, melphalan (apotex) 1 mg HCPCS J9249 | not published | not published | $73.26 – $82.91 | 2 |
| Inj, melphalan flufenami 1mg HCPCS J9247 | not published | not published | $2,453.94 – $2,453.94 | 1 |
| Inj melphalan (hepzato) 1 mg HCPCS J9248 | not published | not published | $773.80 – $3,245.05 | 25 |
| Inj menotropins 75 iu HCPCS S0122 | not published | not published | $120.38 – $871.64 | 2 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | not published | not published | $3.63 – $6.35 | 4 |
| Inj, meropenem (b. braun) HCPCS J2184 | not published | not published | $2.09 – $10.45 | 3 |
| Inj., meropenem, vaborbactam HCPCS J2186 | not published | not published | $2.11 – $7.28 | 25 |
| Inj meropenem (wg crit care) HCPCS J2183 | $131.99 | $399.96 | $1.60 – $7.85 | 25 |
| Inj metaraminol bitartrate HCPCS J0380 | not published | not published | $0.97 – $3.29 | 2 |
| Inj, micafungin (par pharm) HCPCS J2247 | not published | not published | $0.31 – $1.19 | 3 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | not published | not published | $45.79 – $170.58 | 25 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | not published | not published | $243.63 – $860.79 | 25 |
| Inj, motixafortide, 0.25 mg HCPCS J2277 | not published | not published | $25.22 – $105.75 | 25 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | not published | not published | $8.57 – $48.60 | 4 |
| Inj moxifloxacin (fres kabi) HCPCS J2281 | not published | not published | $7.10 – $47.76 | 3 |
| Inj multihance HCPCS A9577 | $521.72 | $1,580.96 | $1.82 – $9.53 | 3 |
| Inj multihance multipack HCPCS A9578 | not published | not published | $1.81 – $9.53 | 3 |
| Inj. mycophenolate mofetil HCPCS J7519 | not published | not published | $0.31 – $6.35 | 3 |
| Inj naloxone hydrochloride HCPCS J2310 | not published | not published | $15.57 – $72.77 | 3 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | not published | not published | $641.83 – $2,236.58 | 25 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | not published | not published | $673.34 – $4,989.00 | 26 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | not published | not published | $2.17 – $8.47 | 25 |
| Inj, nogapendekin pmln, 1mcg HCPCS J9028 | not published | not published | $94.58 – $465.74 | 25 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $709.01 – $4,989.00 | 28 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $709.01 – $4,989.00 | 28 |
| Inj, ocriplasmin, 0.125 mg HCPCS J7316 | not published | not published | $2,407.53 – $4,355.62 | 2 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | not published | not published | $41.88 – $206.39 | 4 |
| Inj ogivri 10 mg HCPCS Q5114 | not published | not published | $46.82 – $399.85 | 25 |
| Inj, olaratumab, 10 mg HCPCS J9285 | not published | not published | $58.94 – $218.34 | 2 |
| Inj, oliceridine 0.1 mg HCPCS C9101 | not published | not published | $1.30 – $2.66 | 25 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | not published | not published | $381.24 – $1,858.29 | 25 |
| Inj, omacetaxine mep, 0.01mg HCPCS J9262 | not published | not published | $3.98 – $13.76 | 25 |
| Inj., omadacycline, 1 mg HCPCS J0121 | not published | not published | $3.87 – $15.21 | 25 |
| Inj onase abepar-xioi treat HCPCS J3399 | not published | not published | $2,423,131.23 – $4,849,200.68 | 24 |
| Inj ontruzant 10 mg HCPCS Q5112 | not published | not published | $26.60 – $454.41 | 25 |
| Inj, pafolacianine, 0.1 mg HCPCS A9603 | not published | not published | $583.40 – $583.40 | 1 |
| Inj, palonosetron (posfrea) HCPCS J2468 | not published | not published | $4.81 – $120.54 | 25 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | not published | not published | $7.80 – $28.89 | 2 |
| Inj, panzyga, 500 mg HCPCS J1576 | not published | not published | $69.71 – $322.72 | 25 |
| Inj, pasireotide long acting HCPCS J2502 | not published | not published | $526.94 – $1,076.38 | 25 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | not published | not published | $99.04 – $418.95 | 25 |
| Inj, pedmark, 100 mg HCPCS J0208 | not published | not published | $95.40 – $401.18 | 25 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | not published | not published | $143.99 – $753.67 | 25 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | not published | not published | $24.71 – $1,557.61 | 25 |
| Inj, pegulicianine, 1 mg HCPCS A9615 | not published | not published | $37.51 – $157.30 | 25 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | not published | not published | $46.35 – $310.82 | 25 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | not published | not published | $9.74 – $47.76 | 25 |
| Inj, pemetrexed (avyxa) 10mg HCPCS J9292 | not published | not published | $81.37 – $351.17 | 2 |
| Inj pemetrexed (bluepoint) HCPCS J9322 | not published | not published | $42.20 – $42.20 | 1 |
| Inj pemetrexed ditromethamin HCPCS J9323 | not published | not published | $10.34 – $48.33 | 25 |
| Inj pemetrexed, hospira 10mg HCPCS J9294 | not published | not published | $2.59 – $51.38 | 25 |
| Inj pemetrexed (sandoz) 10mg HCPCS J9297 | not published | not published | $1.74 – $44.98 | 3 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | not published | not published | $7.20 – $87.05 | 25 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | not published | not published | $6,583.50 – $29,033.24 | 2 |
| Inj, pemrydi rtu, 10 mg HCPCS J9324 | not published | not published | $51.82 – $165.72 | 25 |
| Inj perflexane lip micros,ml HCPCS Q9955 | not published | not published | $30.48 – $30.48 | 1 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Inj., perseris, 0.5 mg HCPCS J2798 | not published | not published | $12.15 – $42.25 | 25 |
| Inj plasminogen tvmh 1mg HCPCS J2998 | not published | not published | $32.38 – $131.77 | 25 |
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $3.57 – $13.89 | 25 |
| Inj pozelimab-bbfg, 1 mg HCPCS J9376 | not published | not published | $103.85 – $384.68 | 2 |
| Inj proc for lymphang CPT 38790 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Inj proc lumbr disk ea lvl CPT 62290 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Inj proc sialogram CPT 42550 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Inj progesterone per 50 mg HCPCS J2675 | not published | not published | $0.66 – $10.36 | 4 |
| Inj prohance multipack HCPCS A9576 | not published | not published | $1.43 – $6.97 | 3 |
| Inj protirelin per 250 mcg HCPCS J2725 | not published | not published | $59.80 – $59.80 | 1 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $2.14 – $9.79 | 25 |
| Inj, releuko 1 mcg HCPCS Q5125 | not published | not published | $0.43 – $3.35 | 25 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | not published | not published | $0.71 – $4.72 | 25 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | not published | not published | $13.00 – $51.24 | 25 |
| Inj roctavian ml 2x10^13vc g HCPCS J1412 | not published | not published | $11,770.61 – $49,757.19 | 25 |
| Inj., rolapitant, 0.5 mg HCPCS J2797 | not published | not published | $3.92 – $3.92 | 1 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | not published | not published | $28.52 – $140.50 | 25 |
| Inj, rykindo, 0.5 mg HCPCS J2801 | not published | not published | $13.03 – $54.64 | 25 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | $87.08 – $4,989.00 | 28 |
| Inj scleros sol sgl vein CPT 36470 | not published | not published | $70.60 – $4,989.00 | 28 |
| Inj, sculptra, 0.5mg HCPCS Q2028 | not published | not published | $1.00 – $2.87 | 25 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | not published | not published | $538.70 – $2,242.31 | 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.