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 |
|---|---|---|---|---|
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $1,344.22 – $13,555.13 | 28 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $2,073.99 – $20,914.20 | 26 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $2,073.99 – $20,914.20 | 26 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $2,073.99 – $20,914.20 | 25 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $3,851.85 – $38,842.20 | 25 |
| Oncology colon mrna CPT 81525 | not published | not published | $1,668.62 – $16,826.40 | 27 |
| Oncology colorectal scr CPT 81528 | not published | not published | $272.50 – $2,747.90 | 29 |
| Oncology gynecologic CPT 81535 | not published | not published | $310.30 – $3,129.08 | 27 |
| Oncology gynecologic CPT 81536 | not published | not published | $95.09 – $958.82 | 27 |
| Oncology lung CPT 81538 | not published | not published | $1,537.42 – $15,503.40 | 27 |
| Oncology prostate prob score CPT 81539 | not published | not published | $406.98 – $4,104.00 | 27 |
| Oncology tissue of origin CPT 81504 | not published | not published | $278.46 – $1,113.84 | 25 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $2,008.13 – $20,250.00 | 27 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $480.35 – $1,921.38 | 26 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $139.50 – $558.00 | 25 |
| Oncoprotein dcp CPT 83951 | not published | not published | $34.49 – $347.81 | 29 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $34.49 – $347.81 | 29 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $1,087.07 – $10,962.00 | 26 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $2,073.99 – $20,914.20 | 25 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $2,073.99 – $20,914.20 | 26 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $1,927.80 – $19,440.00 | 25 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $4,164.05 – $16,656.20 | 25 |
| Ondansetron 4 mg s0119 HCPCS S0119 | not published | not published | $3.97 – $33.74 | 2 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $60.13 | $182.21 | $0.01 – $1.01 | 4 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $6.26 | $18.98 | $0.09 – $2.60 | 4 |
| One way chest drain valve HCPCS A7040 | not published | not published | $104.14 – $104.14 | 1 |
| Oocyte identification CPT 89254 | not published | not published | $86.44 – $774.90 | 26 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $1,823.63 – $4,989.00 | 3 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $2,265.26 – $4,989.00 | 3 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $2,231.66 – $4,989.00 | 3 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $2,709.57 – $4,989.00 | 3 |
| Open aortofemor prosth repr CPT 34832 | not published | not published | $2,878.11 – $4,989.00 | 3 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $3,862.96 – $7,725.92 | 26 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $1,171.83 – $4,989.00 | 3 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $355.76 – $4,989.00 | 3 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $2,848.22 – $11,935.40 | 28 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $963.66 – $7,725.92 | 28 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $221.76 – $4,989.00 | 28 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $1,939.15 – $10,906.50 | 28 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $2,115.38 – $4,989.00 | 3 |
| Open tx iliac spine uni/bil HCPCS G0412 | not published | not published | $1,110.49 – $2,885.00 | 2 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $886.62 – $6,543.20 | 28 |
| Open tx post pelvic fxcture HCPCS G0415 | not published | not published | $2,116.44 – $2,885.00 | 2 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $2,885.00 – $14,413.14 | 26 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $2,885.00 – $14,413.14 | 26 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,614.49 – $4,989.00 | 26 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $831.54 – $4,989.00 | 3 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $1,237.44 – $4,989.00 | 3 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $1,236.91 – $4,989.00 | 3 |
| Ophthalmic biometry CPT 92136 | not published | not published | $130.03 – $480.82 | 25 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Ophthalmic mitomycin HCPCS J7315 | not published | not published | $722.50 – $1,583.19 | 2 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $39.60 – $147.43 | 25 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $65.02 – $970.00 | 29 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $53.64 – $970.00 | 29 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $53.64 – $970.00 | 29 |
| Opioids & opiate analogs 3/4 CPT 80363 | not published | not published | $19.26 – $22.29 | 6 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $1,876.43 – $4,989.00 | 3 |
| Opn ax/subcla art expos CPT 34715 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Opn exc/dst ntra-abd CPT 49189 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Opn exc/dst ntra-abd 10.1-20 CPT 49188 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Opn exc/dstr ntra-abd >30 cm CPT 49190 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Opn exc/dstr ntra-abd 5.1-10 CPT 49187 | not published | not published | $2,531.73 – $4,989.00 | 3 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | not published | not published | $1,981.04 – $4,989.00 | 3 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Opn ilac art expos cndt crtj CPT 34833 | not published | not published | $625.12 – $4,989.00 | 3 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $4,989.00 – $61,483.30 | 28 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $1,526.00 – $43,266.04 | 28 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $1,526.00 – $28,533.54 | 28 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $2,336.00 – $13,241.26 | 28 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $4,989.00 – $61,483.30 | 28 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $4,989.00 – $11,935.40 | 26 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $1,951.63 – $11,935.40 | 26 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $1,643.88 – $4,989.00 | 3 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $1,548.41 – $11,935.40 | 26 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $4,989.00 – $11,935.40 | 26 |
| Opn tx nasomax fx w/graft CPT 21348 | not published | not published | $1,656.13 – $4,989.00 | 3 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $4,989.00 – $11,935.40 | 26 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $4,989.00 – $11,935.40 | 26 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $4,989.00 – $11,935.40 | 26 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $4,989.00 – $11,935.40 | 26 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $4,989.00 – $11,935.40 | 26 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $429.57 – $1,551.39 | 25 |
| Oprelvekin injection HCPCS J2355 | not published | not published | $239.36 – $1,935.99 | 3 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $59.92 – $242.59 | 25 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $59.92 – $242.59 | 25 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $41.26 – $276.37 | 4 |
| Optokinetic nystagmus test CPT 92534 | not published | not published | $19.05 – $43.79 | 2 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $2,885.00 – $14,413.14 | 28 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $2,336.00 – $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.