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 |
|---|---|---|---|---|
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | not published | not published | $9.67 – $97.47 | 29 |
| Mayo nickel CPT 83885 | not published | not published | $13.13 – $132.35 | 29 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | not published | not published | $12.52 – $52.92 | 7 |
| Mayo organic acids qualitative each specimen CPT 83919 | not published | not published | $8.81 – $88.83 | 29 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $6.18 – $62.26 | 29 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | not published | not published | $4.52 – $45.58 | 29 |
| Mayo proinsulin CPT 84206 | not published | not published | $14.30 – $144.13 | 29 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | not published | not published | $7.16 – $72.14 | 29 |
| Mayo receptor assay transferrin soluble CPT 84238 | not published | not published | $19.59 – $197.48 | 29 |
| Mayo selenium CPT 84255 | not published | not published | $13.67 – $137.86 | 29 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $8.30 – $83.70 | 27 |
| Mayo serotonin CPT 84260 | not published | not published | $16.59 – $167.29 | 29 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $111.88 – $1,128.17 | 29 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $11.87 – $119.72 | 27 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | not published | not published | $5.45 – $54.97 | 29 |
| Mayo ticks babesia microti antibody igg CPT 86753 | not published | not published | $6.64 – $66.91 | 29 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | not published | not published | $11.16 – $52.92 | 7 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $27.46 – $276.91 | 27 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | not published | not published | $7.59 – $76.46 | 29 |
| Mayo vitamin b3 (niacin) CPT 84591 | not published | not published | $9.14 – $92.12 | 29 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $1,301.97 – $4,989.00 | 3 |
| Mcoln1 gene CPT 81290 | not published | not published | $21.05 – $212.27 | 29 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $593.04 – $4,989.00 | 28 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $48.99 – $93.76 | 2 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $1,457.62 – $7,386.34 | 28 |
| Md inr test revie inter mgmt HCPCS G0250 | not published | not published | $20.88 – $50.60 | 2 |
| Md service required for pmd HCPCS G0372 | not published | not published | $20.08 – $39.73 | 2 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $45.82 – $1,070.54 | 25 |
| Measure kidney pressure CPT 50396 | not published | not published | $238.15 – $4,989.00 | 28 |
| Measure ureter pressure CPT 50686 | not published | not published | $57.79 – $4,989.00 | 28 |
| Mecasermin injection HCPCS J2170 | not published | not published | $169.17 – $492.16 | 3 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $126.80 – $1,406.79 | 3 |
| #mec-opiates CPT 80356 | not published | not published | $14.43 – $52.92 | 7 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $80.33 – $810.00 | 29 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $282.68 – $2,850.50 | 29 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $64.26 – $648.00 | 29 |
| Medial canthopexy CPT 21280 | not published | not published | $886.62 – $6,543.20 | 28 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $4,989.00 – $11,771.36 | 26 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $4,989.00 – $11,771.36 | 26 |
| Medical services after hrs CPT 99050 | not published | not published | $40.66 – $40.66 | 1 |
| Medical testimony CPT 99075 | not published | not published | $603.95 – $603.95 | 1 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $91.00 – $3,954.23 | 25 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | not published | not published | $0.54 – $1.15 | 3 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $0.40 – $0.76 | 2 |
| Meg evoked each addl CPT 95967 | not published | not published | $728.29 – $1,051.93 | 8 |
| Meg evoked single CPT 95966 | not published | not published | $513.01 – $2,052.68 | 27 |
| Meg spontaneous CPT 95965 | not published | not published | $881.94 – $2,052.68 | 27 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $12.90 – $31.00 | 3 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | not published | not published | $262.93 – $262.93 | 1 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $136.48 – $136.48 | 1 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | not published | $26.31 – $26.31 | 1 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $182.18 – $182.18 | 1 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $76,835.25 – $168,369.39 | 3 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $168.92 – $168.92 | 1 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $71.82 – $91.56 | 2 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $63.30 – $2,885.00 | 2 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $276.00 – $276.00 | 1 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $5,987.00 – $14,413.14 | 26 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $79.44 | $240.72 | $8.03 – $12.46 | 4 |
| Meperidine/promethazine inj HCPCS J2180 | not published | not published | $7.44 – $22.84 | 2 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $30.54 – $125.11 | 25 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $6.14 – $10.41 | 2 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $133.53 | $404.63 | $0.43 – $9.75 | 4 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $4,555.00 – $4,989.00 | 2 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | not published | not published | $1.36 – $31.22 | 4 |
| Metatarsal joint implant HCPCS L8641 | not published | not published | $236.57 – $248.40 | 5 |
| Metered dose inhaler drug HCPCS J3535 | not published | not published | $8.99 – $8.99 | 1 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $1.24 – $3.31 | 4 |
| Methadone injection HCPCS J1230 | not published | not published | $20.91 – $53.36 | 4 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.09 – $0.76 | 2 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | not published | not published | $6.36 – $85.65 | 4 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | not published | not published | $0.20 – $9.04 | 4 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | not published | not published | $2.58 – $6.03 | 4 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $192.49 – $346.76 | 2 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $50.00 – $176.40 | 3 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | not published | not published | $5.12 – $17.96 | 25 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | not published | not published | $21.29 – $60.24 | 4 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | not published | not published | $1.68 – $4.23 | 3 |
| Methylphenidate CPT 80360 | not published | not published | $9.84 – $52.92 | 7 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | not published | not published | $0.24 – $1.63 | 4 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $86.75 | $262.87 | $0.11 – $0.68 | 25 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $554.08 | $1,679.04 | $0.25 – $1.35 | 25 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $11.48 | $34.80 | $1.13 – $6.70 | 4 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $5.22 | $15.82 | not published | 0 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $48.39 | $146.65 | $0.03 – $0.09 | 3 |
| Metyrapone panel CPT 80436 | not published | not published | $48.82 – $492.26 | 29 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $66.75 – $673.06 | 28 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | not published | not published | $0.28 – $8.25 | 4 |
| Microalbumin urine screen CPT 82044 | not published | not published | $3.34 – $33.64 | 29 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $21.51 – $216.92 | 29 |
| Microdissection laser CPT 88380 | not published | not published | $65.12 – $426.22 | 4 |
| Microdissection manual CPT 88381 | not published | not published | $157.96 – $702.54 | 4 |
| Microfluid analy tears CPT 83861 | not published | not published | $12.04 – $121.39 | 29 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | not published | not published | $10,122.58 – $10,122.58 | 1 |
| Microsatellite instability CPT 81301 | not published | not published | $186.66 – $1,882.22 | 29 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $78.00 – $505.39 | 25 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $3,215.00 – $12,210.74 | 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.