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 |
|---|---|---|---|---|
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | not published | not published | $843.00 – $7,386.34 | 28 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | not published | not published | $585.00 – $4,989.00 | 2 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | not published | not published | $217.00 – $4,989.00 | 2 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $58.48 – $4,989.00 | 28 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $99.86 – $4,989.00 | 28 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $99.86 – $4,989.00 | 28 |
| Appl body cast sho to hips CPT 29035 | not published | not published | $99.86 – $4,989.00 | 28 |
| Appl cast figure-of-eight CPT 29049 | not published | not published | $50.66 – $4,989.00 | 28 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | $56.75 – $4,989.00 | 28 |
| Appl cast shoulder spica CPT 29055 | not published | not published | $99.86 – $4,989.00 | 28 |
| Appl halo cranial 6+pins CPT 20664 | not published | not published | $1,350.51 – $4,989.00 | 3 |
| Appl halo type body cast CPT 29000 | not published | not published | $99.86 – $4,989.00 | 28 |
| Appl hip spica cast1&1/2 CPT 29325 | not published | not published | $99.86 – $4,989.00 | 28 |
| Appl hip spica cast 1 leg CPT 29305 | not published | not published | $99.86 – $4,989.00 | 28 |
| Application clubfoot cast CPT 29450 | not published | not published | $53.98 – $4,989.00 | 28 |
| Application halo femoral CPT 20663 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Application halo pelvic CPT 20662 | not published | not published | $593.04 – $4,989.00 | 28 |
| Application multi layer compression below knee (both sides) CPT 29581 | not published | not published | $56.48 – $4,989.00 | 28 |
| Application of body cast CPT 29010 | not published | not published | $99.86 – $4,989.00 | 28 |
| Application of body cast CPT 29015 | not published | not published | $99.86 – $4,989.00 | 28 |
| Application of cylinder cast 29365 CPT 29365 | not published | not published | $60.35 – $4,989.00 | 28 |
| Application of long leg cast CPT 29355 | not published | not published | $64.78 – $4,989.00 | 28 |
| Application of long leg cast 29345 CPT 29345 | not published | not published | $63.67 – $4,989.00 | 28 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | not published | not published | $585.00 – $4,989.00 | 28 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | not published | not published | $585.00 – $4,989.00 | 28 |
| Appl long leg cast brace CPT 29358 | not published | not published | $81.94 – $4,989.00 | 28 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $2,336.00 – $25,960.00 | 28 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | not published | not published | $31.80 – $245.00 | 5 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | not published | not published | $57.20 – $245.00 | 5 |
| Appl modality 1+lllt po pain CPT 97037 | not published | not published | $39.60 – $245.00 | 27 |
| Appl multlay comprs arm/hand CPT 29584 | not published | not published | $47.29 – $4,989.00 | 28 |
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | $52.88 – $4,989.00 | 28 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $2,040.00 – $14,413.14 | 28 |
| Apply finger cast 29086 CPT 29086 | not published | not published | $42.36 – $4,989.00 | 28 |
| Apply halo w/removal cranial CPT 20661 | not published | not published | $775.00 – $4,989.00 | 3 |
| Apply interstit radiat compl CPT 77778 | not published | not published | $349.96 – $1,482.65 | 26 |
| Apply intrcav radiat compl CPT 77763 | not published | not published | $349.96 – $1,399.82 | 26 |
| Apply intrcav radiat interm CPT 77762 | not published | not published | $291.78 – $1,167.12 | 26 |
| Apply intrcav radiat simple CPT 77761 | not published | not published | $291.78 – $1,167.12 | 26 |
| Apply rem fixation device CPT 20660 | not published | not published | $1,614.49 – $4,989.00 | 26 |
| Apply rigid leg cast 29445 CPT 29445 | not published | not published | $49.56 – $4,989.00 | 28 |
| Apply r&l pulm art bands CPT 33620 | not published | not published | $2,544.76 – $4,989.00 | 3 |
| Apply short leg castambul type 29425 CPT 29425 | not published | not published | $35.99 – $4,989.00 | 28 |
| Apply srs headframe add-on CPT 61800 | not published | not published | $241.09 – $4,989.00 | 3 |
| Apply surf ldr radionuclide CPT 77789 | not published | not published | $55.23 – $239.92 | 26 |
| App mdlty 1+hubbrd tnk ea 15 CPT 97036 | not published | not published | $74.00 – $245.00 | 5 |
| App mltpln uni xtrnl fix 1st CPT 20696 | not published | not published | $4,555.00 – $37,103.62 | 28 |
| App mltpln uni xtrnl fix xch CPT 20697 | not published | not published | $593.04 – $4,989.00 | 28 |
| App skn cll ssp f/n/g/hf 1st CPT 15017 | not published | not published | $1,845.32 – $4,989.00 | 26 |
| App skn cl ssp agrft t/a/l 1 CPT 15015 | not published | not published | $1,845.32 – $4,989.00 | 26 |
| App topical fluoride varnish CPT 99188 | not published | not published | $46.08 – $46.08 | 1 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | not published | not published | $1.71 – $11.91 | 25 |
| Aprotonin, 10,000 kiu HCPCS J0365 | not published | not published | $2.59 – $6.10 | 2 |
| #aptt mix-1:1 incubated CPT 87532 | not published | not published | $18.79 – $189.49 | 29 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | not published | not published | $20.21 – $80.82 | 27 |
| Aqmbf pet rest & rx stress CPT 78434 | not published | not published | $139.84 – $3,654.00 | 4 |
| Aquaporin-4 antibody cba each CPT 86052 | not published | not published | $6.46 – $65.07 | 27 |
| Aquaporin-4 antibody elisa CPT 86051 | not published | not published | $6.18 – $62.26 | 27 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | not published | not published | $74.00 – $245.00 | 5 |
| Aquatic exercise - group charge CPT 97150 | not published | not published | $74.00 – $245.00 | 5 |
| Aqueous shunt eye w/graft CPT 66180 | not published | not published | $2,064.63 – $10,410.20 | 28 |
| Aqueous shunt eye without graft CPT 66179 | not published | not published | $1,991.76 – $10,410.20 | 28 |
| Architect ecm px fx 1 sq cm HCPCS Q4147 | not published | not published | $1,576.28 – $1,576.28 | 1 |
| Arformoterol non-comp unit HCPCS J7605 | not published | not published | $0.69 – $75.68 | 4 |
| Argatroban dialysis (accord) HCPCS J0892 | not published | not published | $2.78 – $4.75 | 2 |
| Argatroban dialysis, auromed HCPCS J0899 | not published | not published | $1.34 – $10.72 | 2 |
| Argatroban esrd dialysis 1mg HCPCS J0884 | not published | not published | $0.95 – $12.58 | 4 |
| Argatroban nonesrd (accord) HCPCS J0891 | not published | not published | $1.82 – $3.68 | 25 |
| Argatroban nonesrd (auromed) HCPCS J0898 | not published | not published | $1.34 – $10.72 | 25 |
| Argatroban nonesrd use 1mg HCPCS J0883 | not published | not published | $0.81 – $6.09 | 25 |
| Ar gene charac alleles CPT 81204 | not published | not published | $73.37 – $739.80 | 26 |
| Ar gene full gene sequence CPT 81173 | not published | not published | $161.38 – $1,627.29 | 26 |
| Ar gene known famil variant CPT 81174 | not published | not published | $99.18 – $1,000.08 | 26 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | not published | not published | $3.26 – $12.79 | 25 |
| Aripiprazole injection HCPCS J0400 | not published | not published | $0.32 – $3.13 | 3 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | not published | not published | $4.72 – $181.07 | 25 |
| Artacent ac 1 sq cm HCPCS Q4190 | not published | not published | $177.49 – $249.80 | 2 |
| Artacent wound, per sq cm HCPCS Q4169 | not published | not published | $3,434.86 – $3,434.86 | 1 |
| Art byp aor celiac msn and renal 35631 CPT 35631 | not published | not published | $2,865.31 – $4,989.00 | 3 |
| Art byp aortofemoral 35647 CPT 35647 | not published | not published | $2,401.80 – $4,989.00 | 3 |
| Art byp aortoiliac 35637 CPT 35637 | not published | not published | $2,547.42 – $4,989.00 | 3 |
| Art bypass aorsubcl/carot/innom 35626 CPT 35626 | not published | not published | $2,454.08 – $4,989.00 | 3 |
| Art bypass aortobifemoral 35646 CPT 35646 | not published | not published | $2,653.02 – $4,989.00 | 3 |
| Art bypass aortobi-iliac 35638 CPT 35638 | not published | not published | $2,715.96 – $4,989.00 | 3 |
| Art bypass axillary-femoral 35621 CPT 35621 | not published | not published | $1,693.48 – $4,989.00 | 3 |
| Art bypass axill-fem-femoral 35654 CPT 35654 | not published | not published | $2,115.91 – $4,989.00 | 3 |
| Art bypass carotid-subclavian 35606 CPT 35606 | not published | not published | $1,814.02 – $4,989.00 | 3 |
| Art bypass common ipsi carotid 35601 CPT 35601 | not published | not published | $2,159.11 – $4,989.00 | 3 |
| Art bypass fem-ant-post tib/prl 35666 CPT 35666 | not published | not published | $1,954.30 – $4,989.00 | 3 |
| Art bypass femoral-femoral 35661 CPT 35661 | not published | not published | $1,676.41 – $4,989.00 | 3 |
| Art bypass femoral-popliteal 35656 CPT 35656 | not published | not published | $1,671.62 – $4,989.00 | 3 |
| Art bypass iliofemoral 35665 CPT 35665 | not published | not published | $1,813.49 – $4,989.00 | 3 |
| Art bypass subclav-subclavian 35612 CPT 35612 | not published | not published | $1,597.47 – $4,989.00 | 3 |
| Art byp axillary-axillary 35650 CPT 35650 | not published | not published | $1,673.75 – $4,989.00 | 3 |
| Art byp grft aor/carot/innom CPT 35526 | not published | not published | $2,693.56 – $4,989.00 | 3 |
| Art byp grft aorcel/aormesen CPT 35531 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Art byp grft aortbifemoral 35540 CPT 35540 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Art byp grft aortobi-iliac 35538 CPT 35538 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Art byp grft aortofemoral CPT 35539 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Art byp grft aortoiliac CPT 35537 | not published | not published | $2,885.00 – $4,989.00 | 3 |
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.