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 |
|---|---|---|---|---|
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $121.93 – $2,251.00 | 32 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $1,185.00 – $2,251.00 | 6 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $977.43 – $2,251.00 | 6 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $1,185.00 – $5,514.71 | 28 |
| MRI tmj CPT 70336 | not published | not published | $121.93 – $2,251.00 | 31 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $360.27 – $2,251.00 | 28 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $179.59 – $2,251.00 | 28 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $360.27 – $2,251.00 | 28 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $360.27 – $2,251.00 | 28 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $44.41 – $388.30 | 25 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $46.30 – $404.79 | 25 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | not published | not published | $237.61 – $237.61 | 1 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $29.96 – $261.95 | 25 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $12.36 – $108.00 | 25 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $121.93 – $1,065.99 | 25 |
| Mr spectroscopy CPT 76390 | not published | not published | $44.41 – $2,251.00 | 30 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $114.22 – $1,151.82 | 29 |
| Msh2 gene full seq CPT 81295 | not published | not published | $204.40 – $2,061.18 | 29 |
| Msh2 gene known variants CPT 81296 | not published | not published | $180.86 – $1,823.74 | 29 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $127.45 – $1,285.20 | 29 |
| Msh6 gene full seq CPT 81298 | not published | not published | $343.71 – $3,465.99 | 29 |
| Msh6 gene known variants CPT 81299 | not published | not published | $164.94 – $1,663.20 | 29 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $14.40 – $145.15 | 29 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $22.94 – $231.34 | 29 |
| Mucin synovial fluid CPT 83872 | not published | not published | $3.14 – $31.64 | 29 |
| Mucopolysaccharides CPT 83864 | not published | not published | $15.26 – $153.90 | 29 |
| Mucormycosis antibody CPT 86732 | not published | not published | $8.04 – $81.00 | 29 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $30.05 – $120.48 | 25 |
| Multi den insert custom mold HCPCS A5513 | not published | not published | $44.51 – $99.11 | 2 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $29.83 – $66.40 | 2 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $78.32 – $324.16 | 24 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $157.84 – $315.68 | 25 |
| Multiple sleep latency test CPT 95805 | not published | not published | $535.27 – $1,619.53 | 25 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $709.01 – $4,989.00 | 28 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $1,457.62 – $7,386.34 | 28 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $1,457.62 – $7,386.34 | 28 |
| Muscle test cran nerv unilat CPT 95867 | not published | not published | $214.25 – $628.28 | 25 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $157.84 – $610.12 | 25 |
| Muscle test larynx CPT 95865 | not published | not published | $130.03 – $480.82 | 25 |
| Muscle test one fiber CPT 95872 | not published | not published | $157.84 – $315.68 | 25 |
| Muscle transfers CPT 23397 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $1,457.62 – $7,386.34 | 28 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $25.84 – $260.50 | 29 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $10.74 – $108.27 | 29 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $22.94 – $231.34 | 29 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | not published | not published | $0.15 – $2.51 | 4 |
| Mycophenolic acid HCPCS J7518 | not published | not published | $0.38 – $8.69 | 4 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | not published | not published | $93.93 – $947.16 | 26 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $735.71 – $6,066.44 | 26 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $376.66 – $4,550.38 | 27 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $443.43 – $5,653.79 | 27 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $484.75 – $5,959.31 | 27 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $735.71 – $6,066.44 | 26 |
| Myocrd img pet rst&strs CT CPT 78431 | not published | not published | $416.39 – $8,403.54 | 27 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $357.61 – $4,550.38 | 27 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $1,736.14 – $4,989.00 | 3 |
| Myomectomy abdom method CPT 58140 | not published | not published | $1,396.38 – $4,989.00 | 3 |
| Myomectomy vag method CPT 58145 | not published | not published | $1,063.52 – $6,415.00 | 28 |
| Myown harv prep proc sq cm HCPCS Q4226 | not published | not published | $10.13 – $10.13 | 1 |
| Myringoplasty CPT 69620 | not published | not published | $886.62 – $6,543.20 | 28 |
| Nabilone oral HCPCS J8650 | not published | not published | $15.20 – $172.87 | 3 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | not published | not published | $0.28 – $0.97 | 2 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | not published | not published | $3.08 – $7.94 | 4 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $55.41 | $167.91 | not published | 0 |
| Naltrexone, depot form HCPCS J2315 | not published | not published | $4.12 – $14.51 | 25 |
| Nandrolone decanoate 50 mg HCPCS J2320 | not published | not published | $3.88 – $8.63 | 2 |
| Narcosynthesis CPT 90865 | not published | not published | $162.08 – $324.16 | 24 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | not published | not published | $68.14 – $4,989.00 | 28 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | not published | not published | $234.26 – $4,989.00 | 26 |
| Nasal function studies CPT 92512 | not published | not published | $127.14 – $628.28 | 25 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $1,630.12 – $13,966.72 | 28 |
| Nasal/sinus endoscopy surg CPT 31290 | not published | not published | $1,750.01 – $4,989.00 | 3 |
| Nasal/sinus endoscopy surg CPT 31291 | not published | not published | $1,864.16 – $4,989.00 | 3 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | not published | not published | $525.71 – $4,989.00 | 28 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $1,630.12 – $13,966.72 | 28 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $525.71 – $4,989.00 | 28 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $1,630.12 – $13,966.72 | 28 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $1,630.12 – $13,966.72 | 28 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $1,630.12 – $13,966.72 | 28 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | not published | not published | $155.59 – $4,989.00 | 28 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | not published | not published | $525.71 – $4,989.00 | 28 |
| Nasal sinus therapy CPT 30210 | not published | not published | $89.42 – $4,989.00 | 28 |
| Nasopharyngoscopy w/endoscope CPT 92511 | not published | not published | $171.64 – $391.70 | 25 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | not published | not published | $24.09 – $93.40 | 25 |
| Navigational bronchoscopy 31627 CPT 31627 | not published | not published | $2,885.00 – $3,215.00 | 2 |
| Nav srv peer sup 60 min pr m HCPCS G0140 | not published | not published | $93.31 – $374.54 | 25 |
| N block inj common digit CPT 64632 | not published | not published | $36.82 – $4,989.00 | 28 |
| N block inj hypogas plxs CPT 64517 | not published | not published | $340.77 – $4,989.00 | 28 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | not published | not published | $18.16 – $4,989.00 | 26 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | not published | not published | $130.03 – $260.06 | 25 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | not published | not published | $24.71 – $4,989.00 | 26 |
| Ndl insj without njx 3+ musc CPT 20561 | not published | not published | $24.71 – $4,989.00 | 26 |
| Ndl oculoelectromyography 1+ CPT 92265 | not published | not published | $59.92 – $242.59 | 25 |
| Ndsc dcmprn 1 ntrspc lumbar CPT 62380 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Ndsc hrv uxtr art 1 sgm cab CPT 33509 | not published | not published | $270.43 – $4,989.00 | 3 |
| Neck spine disk surgery CPT 63020 | not published | not published | $2,398.52 – $14,413.14 | 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.