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 |
|---|---|---|---|---|
| Partial removal of thyroid CPT 60220 | not published | not published | $1,888.85 – $11,771.36 | 28 |
| Partial removal of thyroid CPT 60225 | not published | not published | $1,888.85 – $11,771.36 | 28 |
| Partial removal of tibia CPT 27640 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Partial removal of toe CPT 28160 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Partial removal of tongue CPT 41120 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Partial removal of tongue CPT 41130 | not published | not published | $2,031.64 – $4,989.00 | 3 |
| Partial removal of ulna CPT 25119 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Partial removal of ulna CPT 25150 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Partial removal of ulna CPT 25240 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $3,207.50 – $6,415.00 | 26 |
| Partial removal tear gland CPT 68505 | not published | not published | $1,103.42 – $7,608.34 | 28 |
| Partial thyroid excision CPT 60210 | not published | not published | $1,888.85 – $11,771.36 | 28 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $1,888.85 – $11,771.36 | 28 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | not published | not published | $2.55 – $14.07 | 2 |
| Part removal hip bone deep CPT 27071 | not published | not published | $1,422.52 – $4,989.00 | 3 |
| Part removal of metatarsal CPT 28110 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Part removal of metatarsal CPT 28113 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Part remove hip bone super CPT 27070 | not published | not published | $1,316.37 – $4,989.00 | 3 |
| Paste skin barrier .5oz adapt HCPCS A4406 | not published | not published | $6.58 – $14.65 | 2 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $86.44 – $822.53 | 25 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $86.44 – $822.53 | 25 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $37.13 – $243.27 | 2 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $26.95 – $274.05 | 25 |
| Pathogen reduced plasma pool HCPCS P9070 | not published | not published | $56.60 – $174.42 | 25 |
| Pathogen reduced plasma sing HCPCS P9071 | not published | not published | $295.10 – $590.20 | 25 |
| Patient recorded spirometry CPT 94014 | not published | not published | $74.00 – $1,603.43 | 25 |
| Patient recorded spirometry CPT 94015 | not published | not published | $67.39 – $1,116.17 | 25 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $136.58 – $1,377.27 | 29 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $327.89 – $1,278.59 | 2 |
| Pdgfra gene CPT 81314 | not published | not published | $176.46 – $1,779.35 | 29 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $200.45 – $770.56 | 25 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $709.01 – $4,989.00 | 28 |
| Ped crit care age 2-5 init CPT 99475 | not published | not published | $1,308.13 – $2,517.49 | 2 |
| Ped crit care age 2-5 subsq CPT 99476 | not published | not published | $781.20 – $1,567.09 | 2 |
| Ped crit care transport CPT 99466 | not published | not published | $553.36 – $553.36 | 1 |
| Ped crit care transport addl CPT 99467 | not published | not published | $278.00 – $278.00 | 1 |
| Ped critical care initial CPT 99471 | not published | not published | $1,951.94 – $3,577.57 | 2 |
| Ped critical care subsq CPT 99472 | not published | not published | $934.33 – $1,832.49 | 2 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $74.00 – $610.12 | 25 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $74.00 – $610.12 | 25 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $709.01 – $4,989.00 | 28 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $154.62 – $1,530.84 | 3 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $907.64 – $3,254.93 | 3 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $27,070.53 – $77,268.45 | 25 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $19.98 – $893.64 | 25 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $118.04 – $1,534.33 | 25 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $136.74 – $1,534.33 | 25 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $251.25 – $1,528.20 | 25 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $112.90 – $1,477.53 | 25 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $164.15 – $915.08 | 25 |
| Peginesatide injection HCPCS J0890 | not published | not published | $21.76 – $47.50 | 2 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $4,504.77 – $4,504.77 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,565.32 – $12,260.02 | 25 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $226.93 – $908.15 | 25 |
| Pelvic exenteration CPT 45126 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $2,885.00 – $14,413.14 | 25 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $1,542.00 – $2,885.00 | 2 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $58.11 – $211.68 | 25 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $3.77 – $310.82 | 25 |
| Pemivibart infusion HCPCS M0224 | not published | not published | $454.46 – $1,984.50 | 25 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $17.37 – $35.04 | 25 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $3,247.24 | $9,840.13 | $26.98 – $55.57 | 25 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | not published | not published | $0.78 – $6.53 | 4 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $47.19 – $95.22 | 25 |
| Penile injection CPT 54235 | not published | not published | $35.16 – $4,989.00 | 28 |
| Penile vascular study CPT 93980 | not published | not published | $107.28 – $281.31 | 28 |
| Penile vascular study CPT 93981 | not published | not published | $71.84 – $243.17 | 28 |
| Penile venous occlusion CPT 37790 | not published | not published | $2,336.00 – $6,958.62 | 26 |
| Penis plastic surgery CPT 54360 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Penis study CPT 54240 | not published | not published | $56.08 – $4,989.00 | 26 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $79.50 – $662.38 | 4 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $35.12 – $35.12 | 1 |
| Pentazocine injection HCPCS J3070 | not published | not published | $26.52 – $532.11 | 3 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $67.52 – $161.01 | 3 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,673.43 – $10,021.73 | 25 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $4,645.39 – $21,005.60 | 28 |
| Perc d-e cor revasc chro add HCPCS C9608 | not published | not published | $11,875.00 – $15,931.00 | 2 |
| Perc d-e cor revasc chro sin HCPCS C9607 | not published | not published | $11,875.00 – $36,229.34 | 25 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | not published | not published | $11,875.00 – $15,931.00 | 2 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | not published | not published | $11,440.33 – $22,880.66 | 25 |
| Perc d-e cor stent ather br HCPCS C9603 | not published | not published | $11,875.00 – $15,931.00 | 2 |
| Perc d-e cor stent ather s HCPCS C9602 | not published | not published | $11,875.00 – $36,229.34 | 25 |
| Perc drug-el cor stent bran HCPCS C9601 | not published | not published | $11,875.00 – $15,931.00 | 2 |
| Perc drug-el cor stent sing HCPCS C9600 | not published | not published | $11,440.33 – $22,880.66 | 25 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $1,888.85 – $11,771.36 | 28 |
| Percut ablate liver rf CPT 47382 | not published | not published | $1,888.85 – $11,771.36 | 28 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $574.98 – $2,885.00 | 2 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | not published | not published | $41.88 – $420.45 | 4 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $350.43 – $4,989.00 | 3 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Pericardiocentesis wwo imaging CPT 33016 | not published | not published | $446.27 – $4,989.00 | 28 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $1,353.71 – $4,989.00 | 3 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $963.66 – $7,725.92 | 28 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $1,063.52 – $6,415.00 | 28 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $41.31 – $119.84 | 25 |
| Peri-proc device eval icd CPT 93287 | not published | not published | $82.09 – $88.99 | 2 |
| Peri-proc device eval pm CPT 93286 | not published | not published | $60.61 – $88.99 | 2 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $1,526.00 – $10,906.50 | 28 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $75.55 – $2,123.77 | 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.