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 |
|---|---|---|---|---|
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $63.72 | $193.09 | $0.13 – $0.35 | 4 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | not published | not published | $0.17 – $1.50 | 3 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $53.64 – $970.00 | 29 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $138.81 – $292.82 | 2 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | not published | not published | $1.57 – $7.76 | 4 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $2.59 – $7.14 | 25 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $1.54 – $1.63 | 2 |
| Miroderm HCPCS Q4175 | not published | not published | $68.56 – $68.56 | 1 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $68.07 – $323.03 | 25 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $3.35 – $3.84 | 2 |
| Mitochondrial gene CPT 81440 | not published | not published | $1,780.00 – $17,949.60 | 26 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $25.60 – $374.59 | 25 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $313.00 – $1,385.27 | 25 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $27.69 – $164.98 | 25 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Mlh1 gene CPT 81288 | not published | not published | $102.99 – $1,038.53 | 29 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $108.39 – $1,092.96 | 29 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $361.68 – $3,647.16 | 29 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $177.25 – $1,787.40 | 29 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $101.74 – $101.74 | 1 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $28.62 – $28.62 | 1 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $2,885.00 – $25,960.00 | 28 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $44.41 – $351.96 | 28 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $593.04 – $4,989.00 | 28 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $593.04 – $4,989.00 | 28 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $204.04 – $4,989.00 | 28 |
| Mnt subs tx for change dx HCPCS G0270 | not published | not published | $67.62 – $214.00 | 3 |
| Mobility cart pneum vad, rep HCPCS Q0502 | not published | not published | $1,446.01 – $1,446.01 | 1 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $187.22 – $4,989.00 | 3 |
| Modification of contact lens CPT 92325 | not published | not published | $91.15 – $480.82 | 25 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $2,087.64 – $4,989.00 | 3 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $896.61 – $4,989.00 | 3 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $20.21 – $80.82 | 27 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $2.94 – $101.20 | 4 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.35 – $50.32 | 25 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $650.72 – $650.72 | 1 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $781.89 – $781.89 | 1 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $41,700.56 – $41,700.56 | 1 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $569.62 – $3,521.61 | 25 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $130.00 – $568.32 | 25 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $80.50 – $811.78 | 29 |
| Mopath procedure level 5 CPT 81404 | not published | not published | $147.17 – $1,484.08 | 29 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $161.38 – $1,627.29 | 29 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $151.48 – $1,527.55 | 29 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $453.18 – $4,569.86 | 29 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $1,071.00 – $10,800.00 | 29 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $55.67 | $168.71 | $0.31 – $8.20 | 4 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $14.98 | $45.40 | $6.64 – $36.60 | 3 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $15.08 – $407.19 | 2 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $9.82 – $28.52 | 4 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $86.44 – $1,006.50 | 26 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $181.44 – $1,530.41 | 26 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $640.96 – $2,609.31 | 25 |
| Motion analysis video/3d CPT 96000 | not published | not published | $178.00 – $1,070.54 | 25 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $178.00 – $2,052.68 | 25 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $155.00 – $805.10 | 25 |
| Mouth piece HCPCS A4617 | not published | not published | $3.56 – $7.94 | 2 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $886.62 – $6,543.20 | 28 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $38.31 – $258.82 | 4 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $84.87 – $428.17 | 4 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $86.44 – $774.90 | 26 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $80.50 – $811.78 | 25 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $10.74 – $108.27 | 29 |
| M.pneumon dna quant CPT 87582 | not published | not published | $89.52 – $1,634.15 | 29 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $360.27 – $2,251.00 | 28 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $243.85 – $2,251.00 | 28 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $360.27 – $2,251.00 | 28 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $360.27 – $2,251.00 | 28 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $243.85 – $2,251.00 | 28 |
| MRA spinal canal CPT 72159 | not published | not published | $1,185.00 – $2,251.00 | 8 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $1,185.00 – $2,251.00 | 8 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $360.27 – $2,251.00 | 28 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $360.27 – $2,251.00 | 28 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $360.27 – $2,251.00 | 29 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $360.27 – $2,251.00 | 29 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $243.85 – $2,251.00 | 28 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $243.85 – $2,251.00 | 28 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $243.85 – $2,251.00 | 29 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $243.85 – $2,251.00 | 29 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $360.27 – $2,251.00 | 28 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $360.27 – $2,251.00 | 28 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $360.27 – $2,251.00 | 28 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $360.27 – $2,251.00 | 29 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $360.27 – $2,251.00 | 29 |
| Mr elastography CPT 76391 | not published | not published | $121.93 – $2,251.00 | 31 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $2,885.00 – $25,160.00 | 26 |
| MRI brain w/dye CPT 70558 | not published | not published | $89.80 – $2,251.00 | 29 |
| MRI brain without dye CPT 70557 | not published | not published | $276.56 – $2,251.00 | 29 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $89.80 – $2,251.00 | 29 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $121.93 – $2,251.00 | 30 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $1,185.00 – $2,251.00 | 8 |
| MRI breast without cont bi CPT 77047 | not published | not published | $121.93 – $2,251.00 | 30 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $1,185.00 – $2,251.00 | 8 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $121.93 – $2,251.00 | 31 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $180.14 – $2,251.00 | 31 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $398.51 – $3,002.42 | 31 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $220.53 – $2,251.00 | 13 |
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.