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 |
|---|---|---|---|---|
| Laryngoscopic sensory i&r CPT 92615 | not published | not published | $76.15 – $149.41 | 2 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $301.95 – $2,885.00 | 2 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $1,630.12 – $13,966.72 | 28 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $1,062.24 – $7,438.76 | 28 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $1,062.24 – $7,438.76 | 28 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $1,062.24 – $7,438.76 | 28 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $1,062.24 – $7,438.76 | 28 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $83.62 – $4,989.00 | 28 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $1,062.24 – $7,438.76 | 28 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $1,062.24 – $7,438.76 | 28 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $1,062.24 – $7,438.76 | 28 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $1,062.24 – $7,438.76 | 28 |
| Laryngoscopy with biopsy CPT 31576 | not published | not published | $525.71 – $4,989.00 | 28 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $1,062.24 – $7,438.76 | 28 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | not published | not published | $155.59 – $4,989.00 | 28 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $1,630.12 – $13,966.72 | 28 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $1,062.24 – $7,438.76 | 28 |
| Laser surgery eye strands CPT 67031 | not published | not published | $208.33 – $4,989.00 | 28 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $1,063.52 – $6,415.00 | 28 |
| Laser surgery of prostate CPT 52647 | not published | not published | $1,689.43 – $10,256.68 | 28 |
| Laser surgery of prostate CPT 52648 | not published | not published | $1,689.43 – $10,256.68 | 28 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $709.01 – $4,989.00 | 28 |
| Laser treatment of retina CPT 67039 | not published | not published | $1,533.49 – $8,116.50 | 28 |
| Laser treatment of retina CPT 67040 | not published | not published | $1,533.49 – $8,116.50 | 28 |
| Lateral canthopexy CPT 21282 | not published | not published | $886.62 – $6,543.20 | 28 |
| Lat retinacular release open CPT 27425 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $87.58 – $4,989.00 | 28 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $3,110.01 – $21,005.60 | 28 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $2,336.00 – $5,774.46 | 26 |
| Leads any type vad, rep only HCPCS Q0487 | not published | not published | $759.18 – $759.18 | 1 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $2,104.71 – $11,935.40 | 26 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $2,163.39 – $11,935.40 | 26 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $2,711.70 – $4,989.00 | 3 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $2,257.25 – $11,935.40 | 26 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $4,989.00 – $11,935.40 | 26 |
| Left compres band >=3" <5"/yd HCPCS A6449 | not published | not published | $2.02 – $4.49 | 2 |
| Left compres band <3"/yd HCPCS A6448 | not published | not published | $1.33 – $2.97 | 2 |
| Left compres band >=5"/yd HCPCS A6450 | not published | not published | $2.02 – $4.49 | 2 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $10.74 – $108.27 | 29 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $22.37 – $225.50 | 29 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $3,175.19 – $6,350.38 | 26 |
| Leishmania antibody CPT 86717 | not published | not published | $6.56 – $66.15 | 29 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Lengthening of palate CPT 42227 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $1,815.62 – $4,989.00 | 3 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $2,040.00 – $14,413.14 | 28 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $1,647.08 – $4,989.00 | 3 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $2,885.00 – $25,960.00 | 28 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $2,885.00 – $14,413.14 | 28 |
| Lepirudin HCPCS J1945 | not published | not published | $145.24 – $2,364.16 | 3 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | not published | not published | $3.51 – $11.33 | 4 |
| Leukacyte transfusion CPT 86950 | not published | not published | $86.44 – $774.90 | 26 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $5.57 – $56.11 | 29 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | not published | not published | $172.29 – $1,935.99 | 25 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | not published | not published | $1,670.30 – $3,362.88 | 25 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $11,085.59 – $11,085.59 | 1 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $15.95 – $161.58 | 4 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $220.74 – $1,983.97 | 25 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $52.38 – $222.53 | 25 |
| Lev 1 hosp type b ed visit HCPCS G0380 | not published | not published | $84.81 – $274.96 | 25 |
| Lev 2 hosp type b ed visit HCPCS G0381 | not published | not published | $111.63 – $443.43 | 25 |
| Lev 3 hosp type b ed visit HCPCS G0382 | not published | not published | $188.23 – $732.68 | 25 |
| Lev 4 hosp type b ed visit HCPCS G0383 | not published | not published | $288.06 – $1,109.34 | 25 |
| Lev 5 hosp type b ed visit HCPCS G0384 | not published | not published | $407.44 – $1,641.75 | 25 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $1.86 – $1.94 | 2 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.28 – $6.79 | 4 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.09 – $5.12 | 4 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $193.93 | $587.67 | $0.05 – $0.49 | 4 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $48.39 | $146.65 | $1.03 – $6.35 | 4 |
| Levonorgestrel implant sys HCPCS J7306 | not published | not published | $375.87 – $375.87 | 1 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | not published | not published | $7.26 – $46.92 | 3 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $3,244.70 – $15,931.00 | 26 |
| Lidocaine injection HCPCS J2001 | not published | not published | $0.05 – $0.05 | 1 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $66.89 | $202.71 | $0.04 – $0.06 | 2 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | not published | not published | $0.01 – $0.04 | 2 |
| Ligate esophagus veins CPT 43400 | not published | not published | $2,359.67 – $4,989.00 | 3 |
| Ligate leg veins open CPT 37761 | not published | not published | $858.27 – $6,350.38 | 28 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $1,118.22 – $6,350.38 | 28 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $115.74 – $4,989.00 | 3 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $2,239.65 – $4,989.00 | 3 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $1,118.22 – $6,350.38 | 28 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $1,118.22 – $6,350.38 | 28 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $1,063.52 – $6,415.00 | 28 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $486.45 – $4,989.00 | 28 |
| Ligation common iliac vein CPT 37660 | not published | not published | $2,030.57 – $4,989.00 | 3 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $1,118.22 – $6,350.38 | 28 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $3,175.19 – $6,350.38 | 26 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $3,175.19 – $6,350.38 | 26 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $2,414.07 – $6,350.38 | 26 |
| Ligation major artery chest CPT 37616 | not published | not published | $1,709.47 – $4,989.00 | 3 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $592.58 – $4,989.00 | 3 |
| Ligation major artery neck CPT 37615 | not published | not published | $2,414.07 – $6,350.38 | 26 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $1,118.22 – $6,350.38 | 28 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $2,071.64 – $4,989.00 | 3 |
| Ligation of femoral vein CPT 37650 | not published | not published | $1,118.22 – $6,350.38 | 28 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $4,989.00 – $10,906.50 | 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.