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 |
|---|---|---|---|---|
| Ligation of neck artery CPT 37606 | not published | not published | $3,175.19 – $6,350.38 | 26 |
| Ligation of salivary duct CPT 42665 | not published | not published | $886.62 – $6,543.20 | 28 |
| Ligation of shunt CPT 49428 | not published | not published | $667.26 – $4,989.00 | 3 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $1,118.22 – $6,350.38 | 28 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $1,118.22 – $6,350.38 | 28 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $1,118.22 – $6,350.38 | 28 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $1,118.22 – $6,350.38 | 28 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $1,118.08 – $3,304.85 | 3 |
| Limb exercise test CPT 95875 | not published | not published | $157.84 – $327.40 | 25 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $2,040.00 – $4,989.00 | 2 |
| Limited autopsy CPT 88036 | not published | not published | $93.42 – $2,510.46 | 4 |
| Limited autopsy CPT 88037 | not published | not published | $83.11 – $2,039.53 | 4 |
| Limited visual field xm CPT 92081 | not published | not published | $59.92 – $242.59 | 25 |
| Lincomycin injection HCPCS J2010 | not published | not published | $6.24 – $33.65 | 4 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $145.19 | $439.96 | $3.47 – $63.50 | 4 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $886.62 – $6,543.20 | 28 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $18.13 – $182.84 | 29 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $18.31 – $184.63 | 28 |
| Lip surgery procedure CPT 40799 | not published | not published | $234.26 – $4,989.00 | 26 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $516,442.29 – $1,802,185.31 | 25 |
| Listeria monocytogenes CPT 86723 | not published | not published | $7.07 – $71.23 | 29 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $1,425.18 – $4,989.00 | 3 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $1,697.74 – $4,989.00 | 3 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $1,875.90 – $4,989.00 | 3 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $94.35 – $377.40 | 24 |
| Liver elastography 91200 CPT 91200 | not published | not published | $84.96 – $610.12 | 27 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $2,246.60 – $4,989.00 | 3 |
| Liver imaging CPT 78201 | not published | not published | $183.44 – $1,086.00 | 28 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $194.46 – $1,086.00 | 28 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $187.45 – $810.72 | 28 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $122.96 – $810.72 | 28 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $164.29 – $4,706.96 | 25 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $0.93 – $2.95 | 3 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $43.70 – $381.55 | 2 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $212.00 – $917.19 | 25 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $9.92 | $30.06 | $1.57 – $2.42 | 4 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $82.14 – $164.28 | 24 |
| Loudness balance test CPT 92562 | not published | not published | $74.00 – $628.28 | 25 |
| Low back disk surgery CPT 63030 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Low cost skin substitute app HCPCS C5271 | not published | not published | $617.51 – $1,235.02 | 25 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $1,845.32 – $3,690.64 | 25 |
| Low cost skin substitute app HCPCS C5275 | not published | not published | $617.51 – $1,235.02 | 25 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $617.51 – $1,235.02 | 25 |
| Low cost skin substitute app HCPCS C5272 | not published | not published | $2,885.00 – $2,885.00 | 1 |
| Low cost skin substitute app HCPCS C5274 | not published | not published | $2,885.00 – $2,885.00 | 1 |
| Low cost skin substitute app HCPCS C5276 | not published | not published | $2,885.00 – $2,885.00 | 1 |
| Low cost skin substitute app HCPCS C5278 | not published | not published | $2,885.00 – $2,885.00 | 1 |
| Lower jaw bone graft CPT 21215 | not published | not published | $2,788.09 – $11,935.40 | 28 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $74.00 – $770.56 | 28 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $18.00 – $66.15 | 2 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $1,888.85 – $21,005.60 | 28 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $6,320.00 – $21,005.60 | 26 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $3,110.01 – $21,005.60 | 28 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $6,320.00 – $21,005.60 | 26 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $88.38 – $176.76 | 24 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $1,269.17 – $2,538.34 | 24 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $170.63 – $341.26 | 24 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $302.16 – $604.32 | 24 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $11.78 – $118.75 | 29 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $1.84 – $4.09 | 2 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $91.89 – $7,582.33 | 28 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $4,989.00 – $37,103.62 | 28 |
| Lumizyme injection HCPCS J0221 | not published | not published | $201.57 – $698.68 | 25 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $56.42 – $242.59 | 25 |
| Lung perfusion imaging CPT 78580 | not published | not published | $202.68 – $926.59 | 28 |
| Lung transplant double CPT 32853 | not published | not published | $2,885.00 – $7,121.67 | 3 |
| Lung transplant single CPT 32851 | not published | not published | $2,885.00 – $5,085.77 | 3 |
| Lung transplant with bypass CPT 32852 | not published | not published | $2,885.00 – $5,529.00 | 3 |
| Lung transplant with bypass CPT 32854 | not published | not published | $2,885.00 – $7,558.51 | 3 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $2,266.32 – $4,989.00 | 3 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $205.04 – $753.23 | 25 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $41.24 – $151.13 | 25 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $296.25 – $1,078.25 | 25 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $240.20 – $933.38 | 25 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $1,135.86 – $1,135.86 | 1 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $24.71 – $4,989.00 | 26 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $10.74 – $108.27 | 29 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $1,092.89 – $4,989.00 | 3 |
| Lymphatics/lymph node imaging CPT 78195 | not published | not published | $271.50 – $1,366.84 | 28 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $19.58 – $262.58 | 29 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $26.26 – $264.76 | 29 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $101.49 – $1,023.35 | 29 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $25.49 – $256.99 | 29 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $262.09 – $2,780.55 | 28 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $277.30 – $4,823.61 | 28 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $285.91 – $6,350.38 | 28 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $138.46 – $12,221.34 | 28 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $187.22 – $4,989.00 | 28 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $1,063.52 – $6,415.00 | 28 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $652.80 – $4,989.00 | 28 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $15.33 – $77.22 | 3 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $6.48 – $86.16 | 4 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $2.29 – $23.06 | 29 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $2.31 – $23.27 | 29 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $48.39 | $146.65 | $0.31 – $1.27 | 4 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $121.93 – $2,251.00 | 31 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $13.82 – $27.88 | 24 |
| Malaria antibody CPT 86750 | not published | not published | $7.07 – $71.23 | 29 |
| Male sling procedure CPT 53440 | not published | not published | $2,040.00 – $26,213.42 | 28 |
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.