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 |
|---|---|---|---|---|
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $331.00 – $4,989.00 | 28 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $331.00 – $4,989.00 | 28 |
| Manipulation of hip joint CPT 27275 | not published | not published | $593.04 – $4,989.00 | 28 |
| Manipulation of spine CPT 22505 | not published | not published | $593.04 – $4,989.00 | 28 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $49.89 – $4,989.00 | 28 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $2.26 – $13.54 | 4 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $1.18 – $29.02 | 3 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $2.72 – $27.38 | 29 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $178.00 – $586.09 | 3 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Map tachycard site(s) CPT 93609 | not published | not published | $914.80 – $914.80 | 1 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $48.53 – $182.49 | 25 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $1.59 – $2,295.94 | 25 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $1,749.48 – $4,989.00 | 3 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $142.20 – $372.60 | 25 |
| Mastectomy partial CPT 19301 | not published | not published | $963.66 – $7,725.92 | 28 |
| Mast mod rad CPT 19307 | not published | not published | $4,989.00 – $13,157.64 | 26 |
| Mastoidectomy CPT 69501 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Mastoid surgery revision CPT 69603 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Mastopexy CPT 19316 | not published | not published | $1,845.21 – $13,157.64 | 28 |
| Mast radical CPT 19305 | not published | not published | $1,745.75 – $4,989.00 | 3 |
| Mast rad urban type CPT 19306 | not published | not published | $1,849.76 – $4,989.00 | 3 |
| Mast simple complete CPT 19303 | not published | not published | $1,845.21 – $13,157.64 | 28 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $7.09 – $86.35 | 2 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $2,566.67 – $2,566.67 | 1 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $21.50 – $21.50 | 1 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $18.79 – $189.49 | 29 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $14.62 – $147.37 | 29 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $22.94 – $231.34 | 29 |
| Maxillofacial fixation CPT 21100 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Mayo activated protein c resistance assay CPT 85307 | not published | not published | $8.21 – $82.73 | 29 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $20.66 – $208.28 | 28 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $12.21 – $14.14 | 6 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | not published | not published | $10.17 – $52.92 | 7 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | not published | not published | $18.46 – $52.92 | 7 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | not published | not published | $8.08 – $81.43 | 29 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $11.79 – $13.65 | 6 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | not published | $9.18 – $52.92 | 7 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | not published | not published | $65.14 – $656.80 | 29 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $73.37 – $739.80 | 28 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | not published | not published | $621.18 – $6,264.00 | 29 |
| Mayo androstenedione CPT 82157 | not published | not published | $15.68 – $158.11 | 29 |
| Mayo avwpr vw factor activity CPT 85397 | not published | not published | $16.53 – $166.64 | 29 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $18.79 – $189.49 | 27 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | not published | not published | $9.89 – $52.92 | 7 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | not published | not published | $5.45 – $54.97 | 29 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | not published | not published | $77.56 – $782.14 | 29 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $114.93 – $1,158.95 | 29 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | not published | not published | $6.91 – $69.66 | 29 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $9.53 – $52.92 | 7 |
| Mayo bordetella pertussis antibody igg CPT 86615 | not published | not published | $7.07 – $71.23 | 29 |
| Mayo brcmg brucella antibody igm CPT 86622 | not published | not published | $4.78 – $48.22 | 29 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | not published | not published | $12.17 – $52.92 | 7 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | not published | not published | $9.04 – $91.10 | 29 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $65.45 – $659.99 | 29 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | not published | not published | $7.56 – $76.25 | 29 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | not published | not published | $6.90 – $69.55 | 29 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | not published | not published | $11.07 – $52.92 | 7 |
| Mayo coccidioides antibody CPT 86635 | not published | not published | $6.14 – $61.94 | 29 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | not published | not published | $22.56 – $227.50 | 27 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | not published | not published | $6.49 – $65.45 | 29 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | not published | not published | $20.90 – $24.19 | 6 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | not published | not published | $14.45 – $16.73 | 6 |
| Mayo cyanide CPT 82600 | not published | not published | $10.39 – $104.76 | 29 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $86.44 – $1,965.59 | 26 |
| Mayo dihydrotestosterone CPT 82642 | not published | not published | $15.68 – $158.11 | 28 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $5.16 – $52.06 | 29 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | not published | not published | $8.75 – $88.24 | 29 |
| Mayo everolimus therapeutic drug level CPT 80169 | not published | not published | $7.35 – $74.14 | 29 |
| Mayo factor v CPT 85220 | not published | not published | $9.45 – $95.31 | 29 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | not published | not published | $12.29 – $123.88 | 29 |
| Mayo factor x CPT 85260 | not published | not published | $9.59 – $96.66 | 29 |
| Mayo fbl culture fungi blood CPT 87103 | not published | not published | $10.96 – $110.48 | 29 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $25.81 – $434.48 | 29 |
| Mayo ffspg allergen clam igg CPT 86001 | not published | not published | $4.19 – $42.23 | 29 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $7.75 – $78.08 | 29 |
| Mayo gamma-globin full gene sequencing CPT 81479 | not published | not published | $138.51 – $366.69 | 2 |
| Mayo hemosiderin qualitative urine CPT 83070 | not published | not published | $2.55 – $25.65 | 29 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | not published | not published | $18.79 – $189.49 | 29 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | not published | not published | $18.79 – $189.49 | 29 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | not published | not published | $7.39 – $74.47 | 29 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $18.79 – $75.16 | 24 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | not published | not published | $6.42 – $64.69 | 29 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | not published | not published | $18.79 – $189.49 | 29 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | not published | not published | $18.79 – $189.49 | 28 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | not published | not published | $18.79 – $75.16 | 24 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | not published | not published | $38.66 – $389.83 | 26 |
| Mayo infliximab therapeutic drug level CPT 80230 | not published | not published | $20.66 – $208.28 | 28 |
| Mayo insulin antibodies CPT 86337 | not published | not published | $11.47 – $115.61 | 29 |
| Mayo iodine CPT 83789 | not published | not published | $12.91 – $130.19 | 29 |
| Mayo itraconazole therapeutic drug level CPT 80189 | not published | not published | $14.52 – $146.39 | 27 |
| Mayo legionella antibody CPT 86713 | not published | not published | $8.20 – $82.62 | 29 |
| Mayo leptospira antibody igm CPT 86720 | not published | not published | $8.68 – $87.48 | 29 |
| Mayo lipoprotein electrophoresis CPT 83700 | not published | not published | $6.03 – $60.80 | 29 |
| Mayo manganese CPT 83785 | not published | not published | $14.27 – $143.91 | 29 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | not published | not published | $11.90 – $52.92 | 7 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $99.18 – $1,000.08 | 25 |
| Mayo muramidase CPT 85549 | not published | not published | $10.04 – $101.25 | 29 |
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.