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 |
|---|---|---|---|---|
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $4,989.00 – $11,935.40 | 26 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $2,675.96 – $4,989.00 | 3 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $1,097.69 – $4,989.00 | 3 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $2,151.12 – $4,989.00 | 3 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $3,122.54 – $14,413.14 | 28 |
| Optx lunate dislocation CPT 25695 | not published | not published | $2,040.00 – $14,413.14 | 28 |
| Optx medial ankle fx CPT 27766 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $2,620.26 – $11,935.40 | 28 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $2,640.42 – $11,935.40 | 28 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $2,659.64 – $11,935.40 | 28 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $2,582.38 – $11,935.40 | 28 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $1,011.82 – $11,935.40 | 26 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $1,185.17 – $4,989.00 | 3 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $3,284.00 – $25,960.00 | 28 |
| Optx post ankle fx CPT 27769 | not published | not published | $3,122.54 – $14,413.14 | 28 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $2,885.00 – $25,960.00 | 28 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $2,885.00 – $37,103.62 | 28 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $2,040.00 – $14,413.14 | 28 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $2,885.00 – $14,413.14 | 28 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $3,122.54 – $14,413.14 | 28 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Optx sho dislc fx CPT 23670 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $2,336.00 – $25,960.00 | 28 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $2,885.00 – $14,413.14 | 28 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Optx thigh fx CPT 27269 | not published | not published | $1,911.63 – $4,989.00 | 3 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $886.62 – $6,543.20 | 28 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $3,121.14 – $14,413.14 | 28 |
| Oral aprepitant HCPCS J8501 | not published | not published | $3.04 – $32.10 | 4 |
| Oral busulfan HCPCS J8510 | not published | not published | $57.11 – $169.90 | 25 |
| Oral everolimus HCPCS J7527 | not published | not published | $2.02 – $38.76 | 4 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $10.78 – $64.69 | 27 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $18.97 – $81.14 | 25 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $20.71 – $84.98 | 25 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $403.39 – $2,645.25 | 25 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $2,885.00 – $5,077.76 | 3 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Orchiectomy partial CPT 54522 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $3,560.10 – $7,120.20 | 26 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $1,151.54 – $7,120.20 | 28 |
| Organic acids total quant ea spec CPT 83918 | not published | not published | $12.64 – $127.44 | 29 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $42.77 – $178.78 | 25 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $28.53 – $106.59 | 25 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $85.54 – $4,989.00 | 28 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $72.03 | $218.28 | $12.33 – $47.54 | 4 |
| Orthopantogram CPT 70355 | not published | not published | $19.71 – $351.96 | 28 |
| Orthop traing pfrmd phys/qhp CPT 92065 | not published | not published | $119.30 – $242.59 | 2 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $59.92 – $310.39 | 25 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $92.95 – $656.25 | 25 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $4,989.00 – $25,960.00 | 28 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $3,122.54 – $14,413.14 | 28 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $25.52 – $108.13 | 25 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $25.52 – $108.13 | 25 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $25.52 – $108.13 | 25 |
| Osteoplasty humerus CPT 24420 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $2,509.01 – $4,989.00 | 3 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $564.31 – $4,989.00 | 3 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $2,448.20 – $4,989.00 | 3 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $2,668.50 – $4,989.00 | 3 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $1,687.08 – $4,989.00 | 3 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $2.72 – $6.07 | 2 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $56.21 – $125.12 | 2 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $3.14 – $6.99 | 2 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $4.12 – $9.18 | 2 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $5.47 – $12.19 | 2 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $1.99 – $4.44 | 2 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $10.40 – $23.16 | 2 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $9.79 – $21.80 | 2 |
| Ot evaluation high complexity patient/family CPT 97167 | not published | not published | $74.00 – $410.04 | 5 |
| Ot evaluation low complexity patient/family CPT 97165 | not published | not published | $74.00 – $410.04 | 5 |
| Ot evaluation moderate complexity patient/family CPT 97166 | not published | not published | $74.00 – $410.04 | 5 |
| Other bone graft microvasc CPT 20962 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $12.39 – $124.90 | 29 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | not published | not published | $74.00 – $245.00 | 5 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | not published | not published | $74.00 – $245.00 | 5 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | not published | not published | $74.00 – $245.00 | 5 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $42.91 – $65.37 | 2 |
| Otoplasty 69300 CPT 69300 | not published | not published | $886.62 – $6,543.20 | 28 |
| Ot re-evaluation patient/family CPT 97168 | not published | not published | $74.00 – $281.31 | 5 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | not published | not published | $74.00 – $245.00 | 5 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | not published | not published | $74.00 – $245.00 | 5 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | not published | not published | $74.00 – $245.00 | 5 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | not published | not published | $74.00 – $245.00 | 5 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | not published | not published | $74.00 – $245.00 | 5 |
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.