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 |
|---|---|---|---|---|
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $202.68 – $982.20 | 28 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $0.65 – $3.20 | 3 |
| Perphenazine injeciton HCPCS J3310 | not published | not published | $17.27 – $17.27 | 1 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $1,297.71 – $4,989.00 | 3 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $1,227.30 – $4,989.00 | 3 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $709.78 – $4,989.00 | 26 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $709.78 – $4,989.00 | 26 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $3,322.27 – $18,656.98 | 28 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $3,322.27 – $18,656.98 | 28 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $4,989.00 – $22,880.66 | 28 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $4,989.00 – $36,229.34 | 28 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $4,989.00 – $22,880.66 | 28 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $4,989.00 – $22,880.66 | 28 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $2,858.51 – $11,771.36 | 28 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $2,559.08 – $11,771.36 | 28 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $2,787.88 – $11,771.36 | 28 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Perq transcath closure each CPT 93592 | not published | not published | $2,885.00 – $15,931.00 | 2 |
| Perq transcath closure pda CPT 93582 | not published | not published | $2,885.00 – $36,229.34 | 25 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $661.87 – $36,229.34 | 27 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $801.09 – $36,229.34 | 27 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $2,885.00 – $15,931.00 | 2 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $899.81 – $4,989.00 | 3 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Perq tx malar fracture CPT 21355 | not published | not published | $886.62 – $6,543.20 | 28 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $2,040.00 – $11,935.40 | 28 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $886.62 – $6,543.20 | 28 |
| Pertussis ag if CPT 87265 | not published | not published | $6.42 – $64.69 | 29 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $16.23 – $54.15 | 25 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $62.99 – $320.65 | 25 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | not published | not published | $131.05 – $131.05 | 1 |
| Pessary reusable rub anytype HCPCS A4561 | not published | not published | $52.72 – $52.72 | 1 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $735.71 – $7,428.29 | 28 |
| Pet CT whole body initial CPT 78816 | not published | not published | $735.71 – $7,428.29 | 27 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $735.71 – $7,428.29 | 28 |
| Pet image full body CPT 78813 | not published | not published | $735.71 – $7,428.29 | 28 |
| Pet image ltd area CPT 78811 | not published | not published | $658.48 – $6,638.17 | 28 |
| Pet image skull-thigh CPT 78812 | not published | not published | $735.71 – $7,428.29 | 28 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $735.71 – $7,428.29 | 28 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $405.36 – $810.72 | 23 |
| Pet scan brain perf study CPT 78609 | not published | not published | $412.56 – $3,654.00 | 4 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $60.90 – $214.00 | 3 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $89.88 – $214.00 | 3 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $31.28 – $214.00 | 3 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Phencyclidine (pcp) CPT 83992 | not published | not published | $14.87 – $138.19 | 9 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | not published | not published | $29.44 – $123.17 | 4 |
| Phentolaine mesylate inj HCPCS J2760 | not published | not published | $365.70 – $1,319.30 | 25 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | not published | not published | $0.01 – $0.04 | 2 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $97.69 – $512.66 | 25 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.52 – $1.46 | 4 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $194.90 – $6,350.38 | 28 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $212.90 – $6,350.38 | 28 |
| Phone e/m phys/qhp 11-20 min CPT 99442 | not published | not published | $60.90 – $60.90 | 1 |
| Phone e/m phys/qhp 21-30 min CPT 99443 | not published | not published | $89.88 – $89.88 | 1 |
| Phone e/m phys/qhp 5-10 min CPT 99441 | not published | not published | $31.28 – $31.28 | 1 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $59.92 – $242.59 | 25 |
| Photochemotherapy puva CPT 96912 | not published | not published | $59.92 – $242.59 | 25 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $280.37 – $806.08 | 25 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $60.33 – $131.90 | 2 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $129.56 – $235.23 | 2 |
| Photo patch test CPT 95052 | not published | not published | $14.47 – $147.43 | 25 |
| Photopheresis CPT 36522 | not published | not published | $1,674.15 – $9,452.76 | 28 |
| Photosensitivity tests CPT 95056 | not published | not published | $95.75 – $480.82 | 25 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $26.95 – $267.14 | 26 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $86.44 – $774.90 | 26 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $12.36 – $124.15 | 26 |
| Physician standby services CPT 99360 | not published | not published | $139.01 – $274.96 | 2 |
| Phys review of motion tests CPT 96004 | not published | not published | $266.23 – $844.00 | 3 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $96.79 | $293.31 | $2.45 – $13.89 | 4 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $59.73 – $4,989.00 | 3 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | not published | not published | $332.44 – $2,244.95 | 25 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $147.17 – $1,484.08 | 26 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $5,865.00 – $14,413.14 | 25 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $216.80 – $4,989.00 | 28 |
| Pin finger dislocation CPT 26776 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Pin finger fracture each CPT 26756 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Pin hand dislocation CPT 26676 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $475.00 – $6,546.30 | 28 |
| Pin service 60m per month HCPCS G0023 | not published | not published | $93.31 – $374.54 | 25 |
| Pinworm exam CPT 87172 | not published | not published | $2.29 – $23.06 | 29 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $3.84 – $25.51 | 27 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $85.74 | $259.81 | $1.12 – $10.19 | 4 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $310.31 – $3,129.19 | 29 |
| Place breast cath for rad CPT 19297 | not published | not published | $4,989.00 – $5,865.00 | 2 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $1,845.21 – $13,157.64 | 28 |
| Place cath intracranial art CPT 36228 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Place cath xtrnl carotid CPT 36227 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $429.26 – $4,989.00 | 28 |
| Place device/marker, non pro HCPCS C9728 | not published | not published | $344.00 – $2,760.60 | 25 |
| Place duod/jej tube perc CPT 49441 | not published | not published | $564.97 – $4,989.00 | 28 |
| Place endorectal app HCPCS C9725 | not published | not published | $344.00 – $1,839.46 | 25 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $1,604.41 – $4,989.00 | 3 |
| Place gastrostomy tube perc CPT 49440 | not published | not published | $564.97 – $4,989.00 | 28 |
| Placement bile duct support CPT 47801 | not published | not published | $1,724.41 – $4,989.00 | 3 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | not published | not published | $709.78 – $4,989.00 | 26 |
| Placement nephrostomy catheter (both sides) CPT 50432 | not published | not published | $652.80 – $4,989.00 | 28 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | not published | not published | $1,542.00 – $2,885.00 | 2 |
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.