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 |
|---|---|---|---|---|
| Interdental fixation CPT 21110 | not published | not published | $420.64 – $4,989.00 | 28 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $420.64 – $4,989.00 | 28 |
| Interdiscal perq aspir dx CPT 62267 | not published | not published | $257.60 – $4,989.00 | 28 |
| Interferon alfa-2a inj HCPCS J9213 | not published | not published | $33.96 – $93.22 | 2 |
| Interferon alfa-2b inj HCPCS J9214 | not published | not published | $12.62 – $102.89 | 3 |
| Interferon alfacon-1 inj HCPCS J9212 | not published | not published | $6.15 – $42.42 | 3 |
| Interferon alfa-n3 inj HCPCS J9215 | not published | not published | $36.14 – $129.52 | 3 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | not published | not published | $54.67 – $253.49 | 25 |
| Interferon beta-1a inj HCPCS J1826 | not published | not published | $2,203.14 – $7,635.65 | 25 |
| Interferon beta-1b / .25 mg HCPCS J1830 | not published | not published | $492.58 – $1,958.88 | 3 |
| Interferon gamma 1-b inj HCPCS J9216 | not published | not published | $10,151.58 – $29,707.66 | 3 |
| Interfyl, 1 mg HCPCS Q4171 | not published | not published | $12.13 – $12.13 | 1 |
| Intermediate visual field xm CPT 92082 | not published | not published | $59.92 – $242.59 | 25 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $1,526.00 – $4,989.00 | 2 |
| Interphalangeal joint spacer HCPCS L8658 | not published | not published | $206.26 – $216.57 | 5 |
| Interrogate subq defib CPT 93261 | not published | not published | $37.62 – $159.86 | 25 |
| Interrogation vad in person CPT 93750 | not published | not published | $92.60 – $209.78 | 25 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $37.62 – $159.86 | 25 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $24.71 – $101.39 | 25 |
| Interrog device eval heart CPT 93289 | not published | not published | $37.62 – $159.86 | 25 |
| Interrog evl pm/ldls pm ip CPT 93288 | not published | not published | $37.62 – $159.86 | 25 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $92.60 – $185.20 | 24 |
| Interrog&prgrmg ipnss polysm CPT 93152 | not published | not published | $302.55 – $605.10 | 24 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $92.60 – $185.20 | 24 |
| Interstitial brachy inter CPT 77799 | not published | not published | $55.23 – $458.94 | 26 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $2,131.91 – $4,989.00 | 3 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $1,660.94 – $4,989.00 | 3 |
| Intestine transplnt cadaver CPT 44135 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $690.00 – $5,533.02 | 28 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $939.93 – $5,533.02 | 28 |
| Intra-atrial pacing CPT 93610 | not published | not published | $515.91 – $15,309.70 | 24 |
| Intra-atrial recording CPT 93602 | not published | not published | $378.99 – $15,309.70 | 24 |
| Intracard echo interv w/s&i CPT 93662 | not published | not published | $258.00 – $432.65 | 2 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $2,272.73 – $4,989.00 | 3 |
| Intracranial angioplasty CPT 61630 | not published | not published | $2,167.65 – $4,989.00 | 3 |
| Intracranial complete study CPT 93886 | not published | not published | $230.56 – $1,006.05 | 28 |
| Intracranial limited study CPT 93888 | not published | not published | $107.28 – $495.86 | 28 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $2,885.00 – $6,587.23 | 3 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $2,885.00 – $7,276.88 | 3 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $2,885.00 – $5,803.69 | 3 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $83.92 – $4,989.00 | 28 |
| Intranasal reconstruction CPT 30620 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $1,205.78 – $1,205.78 | 1 |
| Intraop hipec px 1st 60 min CPT 96547 | not published | not published | $3,894.00 – $3,894.00 | 1 |
| Intraoral periapical first HCPCS D0220 | not published | not published | $22.59 – $177.64 | 24 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $74.00 – $811.26 | 25 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $441.03 – $4,989.00 | 26 |
| Intraventricular pacing CPT 93612 | not published | not published | $538.57 – $15,309.70 | 24 |
| Intrinsic factor antibody CPT 86340 | not published | not published | $8.08 – $81.43 | 29 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $130.00 – $511.25 | 25 |
| Intro cath dialysis circuit CPT 36901 | not published | not published | $296.79 – $4,989.00 | 28 |
| Intro cath dialysis circuit w/pta CPT 36902 | not published | not published | $1,764.89 – $11,503.34 | 28 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $4,989.00 – $22,880.66 | 28 |
| Intro catheter aorta CPT 36200 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Intro cath svc/ivc CPT 36010 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $525.71 – $4,989.00 | 28 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Io anal gast n-stim init CPT 95980 | not published | not published | $104.24 – $178.00 | 2 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $59.92 – $161.36 | 25 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | not published | $168.53 – $7,943.60 | 3 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $46.94 – $420.82 | 24 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $1,326.48 – $1,326.48 | 1 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $37.62 – $75.24 | 25 |
| Ionm in operatng room 15 min CPT 95940 | not published | not published | $74.34 – $178.00 | 3 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | not published | $178.00 – $816.91 | 2 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $142.16 | $430.80 | $0.41 – $1.23 | 3 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $223.64 | $677.71 | $0.14 – $1.41 | 3 |
| Io radiation tx management CPT 77469 | not published | not published | $344.00 – $1,213.07 | 3 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $344.00 – $24,508.65 | 26 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $344.00 – $24,508.65 | 26 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $0.67 – $1.41 | 2 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $180.22 – $645.89 | 25 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | not published | not published | $260.48 – $516.54 | 2 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | not published | not published | $378.58 – $750.14 | 2 |
| Ip/obs consltj new/est hi 80 CPT 99255 | not published | not published | $456.62 – $902.73 | 2 |
| Ip/obs consltj new/est sf 35 CPT 99252 | not published | not published | $169.69 – $335.34 | 2 |
| Ipratropium bromide comp HCPCS J7645 | not published | not published | $2.30 – $2.30 | 1 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.36 – $2.25 | 4 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $1.64 – $12.61 | 4 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $64.78 – $188.17 | 25 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $17.23 – $59.98 | 25 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $3.69 – $37.15 | 29 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $439.96 | $1,333.20 | $0.24 – $1.54 | 4 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $19.80 – $180.52 | 26 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $592.78 – $4,989.00 | 28 |
| Irrigation syringe HCPCS A4322 | not published | not published | $3.24 – $7.22 | 2 |
| Irrigation tray HCPCS A4320 | not published | not published | $5.23 – $11.62 | 2 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $59.92 – $4,989.00 | 26 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $78.86 – $327.31 | 25 |
| Island pedicle flap graft CPT 15740 | not published | not published | $709.01 – $4,989.00 | 28 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $656.22 – $2,868.71 | 25 |
| Ivc venogram s&i CPT 75825 | not published | not published | $127.30 – $12,221.34 | 28 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $364.57 – $364.57 | 1 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $98.92 – $1,623.45 | 26 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $173.00 – $4,989.00 | 26 |
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.