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 |
|---|---|---|---|---|
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $33.49 | $101.47 | $2.92 – $54.86 | 4 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.09 – $0.79 | 3 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $2,881.31 – $4,989.00 | 3 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $2,844.52 – $4,989.00 | 3 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $939.93 – $5,533.02 | 28 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $429.26 – $3,215.00 | 28 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $429.26 – $3,215.00 | 28 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $82.50 – $3,215.00 | 28 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $939.93 – $5,533.02 | 28 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $429.26 – $3,215.00 | 28 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $429.26 – $3,215.00 | 28 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $939.93 – $5,533.02 | 28 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $429.26 – $3,215.00 | 28 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $939.93 – $5,533.02 | 28 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $2,179.56 – $12,010.34 | 28 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $10.13 – $135.93 | 2 |
| Prolng clin staff svc 1st hr CPT 99415 | not published | not published | $19.07 – $44.50 | 2 |
| Prolng clin staff svc ea add CPT 99416 | not published | not published | $9.96 – $19.05 | 2 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | not published | not published | $177.00 – $184.38 | 2 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | not published | not published | $147.82 – $147.82 | 1 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $334.61 – $669.22 | 25 |
| Prolong home eval add 15m HCPCS G0318 | not published | not published | $139.84 – $139.84 | 1 |
| Prolong service without contact CPT 99358 | not published | not published | $253.14 – $500.62 | 2 |
| Prolong serv without contact add CPT 99359 | not published | not published | $121.72 – $241.58 | 2 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.07 – $0.28 | 3 |
| Promethazine hcl injection HCPCS J2550 | not published | not published | $1.32 – $6.39 | 4 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $108.29 – $4,989.00 | 28 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $119.87 – $4,989.00 | 28 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $2,336.00 – $25,960.00 | 28 |
| Prophylactic tx radius CPT 25490 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $2,336.00 – $25,960.00 | 28 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $94.96 | $287.75 | $0.09 – $0.75 | 4 |
| _propoxygc/msur CPT 80367 | not published | not published | $11.35 – $52.92 | 7 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | not published | not published | $3.73 – $30.69 | 3 |
| Prostate biopsy, any mthd HCPCS G0416 | not published | not published | $308.23 – $1,530.41 | 26 |
| Prostate ca screening; dre HCPCS G0102 | not published | not published | $39.73 – $43.84 | 2 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $1,689.43 – $10,256.68 | 28 |
| Prostate laser enucleation CPT 52649 | not published | not published | $1,689.43 – $10,256.68 | 28 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $1,038.74 – $6,958.62 | 28 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $993.06 – $6,958.62 | 28 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | not published | not published | $1.40 – $5.29 | 4 |
| Protein analysis w/probe CPT 88372 | not published | not published | $14.04 – $141.59 | 29 |
| Protein c concentrate HCPCS J2724 | not published | not published | $15.02 – $66.15 | 25 |
| Protein western blot tissue CPT 88371 | not published | not published | $11.91 – $120.04 | 29 |
| Prothrombin complex kcentra HCPCS J7168 | not published | not published | $2.18 – $11.51 | 25 |
| Proton treatment complex CPT 77525 | not published | not published | $344.00 – $4,662.88 | 26 |
| Proton trmt intermediate CPT 77523 | not published | not published | $344.00 – $4,662.88 | 26 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $344.00 – $4,662.88 | 26 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $291.78 – $2,015.22 | 26 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $5.22 – $52.60 | 29 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $130.00 – $511.25 | 25 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $677.93 – $4,989.00 | 3 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $1,151.54 – $7,120.20 | 28 |
| Pr planning advance care 1st 30 minutes CPT 99497 | not published | not published | $93.31 – $346.36 | 25 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | not published | not published | $147.82 – $147.82 | 1 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $1,939.15 – $36,229.34 | 28 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $1,939.15 – $36,229.34 | 28 |
| Prq card angio/athrect addl CPT 92925 | not published | not published | $11,875.00 – $15,931.00 | 2 |
| Prq cardiac angio addl art CPT 92921 | not published | not published | $11,875.00 – $15,931.00 | 2 |
| Prq card revasc chronic addl CPT 92944 | not published | not published | $11,875.00 – $15,931.00 | 2 |
| Prq card revasc mi 1 vsl CPT 92941 | not published | not published | $11,875.00 – $15,931.00 | 2 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | not published | not published | $1,599.94 – $15,931.00 | 3 |
| Prq card stent/ath/angio CPT 92934 | not published | not published | $11,875.00 – $15,931.00 | 2 |
| Prq card stent w/angio addl CPT 92929 | not published | not published | $11,875.00 – $15,931.00 | 2 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | not published | not published | $11,440.33 – $22,880.66 | 25 |
| Prq revasc byp graft addl CPT 92938 | not published | not published | $11,875.00 – $15,931.00 | 2 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $2,040.00 – $14,413.14 | 28 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $593.04 – $4,989.00 | 28 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $2,040.00 – $14,413.14 | 28 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $2,040.00 – $14,413.14 | 28 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $2,040.00 – $14,413.14 | 26 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | not published | not published | $11,440.33 – $22,880.66 | 25 |
| Prq trlml c athrc st angiop1 CPT 92933 | not published | not published | $11,875.00 – $36,229.34 | 25 |
| Prq trluml c angiop 1art&/br CPT 92920 | not published | not published | $5,751.67 – $15,931.00 | 25 |
| Prq trluml c athrc 1 art&/br CPT 92924 | not published | not published | $11,440.33 – $22,880.66 | 25 |
| Prq trluml revsc ch occ ant CPT 92943 | not published | not published | $11,440.33 – $22,880.66 | 25 |
| Pr robotic surgical system HCPCS S2900 | not published | not published | $1,599.94 – $1,599.94 | 1 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $709.01 – $4,989.00 | 28 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $101.04 – $189.14 | 2 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $441.03 – $4,989.00 | 26 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | not published | not published | $77.88 – $77.88 | 1 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $24.71 – $101.39 | 25 |
| Psychoanalysis CPT 90845 | not published | not published | $162.08 – $324.16 | 24 |
| Psychoeducation 45 min + HCPCS G0177 | not published | not published | $214.00 – $214.00 | 1 |
| Psychophysiological therapy CPT 90875 | not published | not published | $139.77 – $139.77 | 1 |
| Psychophysiological therapy CPT 90876 | not published | not published | $243.94 – $243.94 | 1 |
| Psychotherapy group therapy CPT 90853 | not published | not published | $58.47 – $186.62 | 24 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | not published | not published | $145.57 – $324.16 | 24 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | not published | not published | $162.08 – $324.16 | 24 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | not published | not published | $162.08 – $324.16 | 24 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $178.00 – $628.28 | 25 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $178.00 – $375.07 | 2 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $101.39 – $805.10 | 25 |
| Psy evaluation of records CPT 90885 | not published | not published | $112.45 – $112.45 | 1 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $101.39 – $260.06 | 25 |
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.