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 |
|---|---|---|---|---|
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $87.41 – $178.00 | 2 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $171.64 – $178.00 | 2 |
| Psytx complex interactive CPT 90785 | not published | not published | $31.74 – $31.74 | 1 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $150.72 – $150.72 | 1 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | not published | $190.56 – $190.56 | 1 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $251.28 – $251.28 | 1 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | not published | not published | $66.77 – $245.00 | 5 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | not published | not published | $28.62 – $245.00 | 5 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | not published | not published | $74.00 – $245.00 | 5 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | not published | not published | $62.00 – $245.00 | 5 |
| Pt application of modality traction mechanical CPT 97012 | not published | not published | $66.77 – $245.00 | 5 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $80.50 – $235.23 | 2 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $160.65 – $1,620.00 | 29 |
| Pten gene full sequence CPT 81321 | not published | not published | $321.30 – $3,240.00 | 29 |
| Pten gene known fam variant CPT 81322 | not published | not published | $24.96 – $251.64 | 29 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Pt evaluation high complexity patient/family CPT 97163 | not published | not published | $74.00 – $381.42 | 5 |
| Pt evaluation low complexity patient/family CPT 97161 | not published | not published | $74.00 – $381.42 | 5 |
| Pt evaluation moderate complexity patient/family CPT 97162 | not published | not published | $74.00 – $381.42 | 5 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $58.05 – $114.44 | 3 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $926.72 – $1,000.86 | 6 |
| Pt re-evaluation patient/family CPT 97164 | not published | not published | $74.00 – $259.04 | 5 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | not published | not published | $97.54 – $170.05 | 2 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $63.59 – $245.00 | 5 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | not published | not published | $74.00 – $245.00 | 5 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | not published | not published | $74.00 – $245.00 | 5 |
| Pt wheelchair management each 15 minutes CPT 97542 | not published | not published | $74.00 – $245.00 | 5 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $11,440.33 – $22,880.66 | 25 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $11,875.00 – $15,931.00 | 2 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $2,915.80 – $29,700.00 | 25 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $2,885.00 – $6,569.63 | 3 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $1,529.73 – $4,989.00 | 3 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $179.10 – $810.72 | 28 |
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $262.86 – $4,989.00 | 28 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $886.62 – $6,543.20 | 28 |
| Puraply 1 sq cm HCPCS Q4195 | not published | not published | $100.17 – $133.06 | 2 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $73.54 – $133.06 | 2 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $78.86 – $4,989.00 | 28 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $67.07 – $4,989.00 | 28 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $1,526.07 – $1,526.07 | 1 |
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $36,152.16 – $36,152.16 | 1 |
| Pyelotomy complicated CPT 50135 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $1,516.39 – $4,989.00 | 3 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $1,464.65 – $4,989.00 | 3 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $1,593.21 – $4,989.00 | 3 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $1,439.60 – $4,989.00 | 3 |
| Pyridoxine hcl 100 mg HCPCS J3415 | not published | not published | $12.57 – $34.09 | 4 |
| Pyruvate CPT 84210 | not published | not published | $7.76 – $78.19 | 29 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $130.03 – $626.99 | 25 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | not published | not published | $271.50 – $1,212.66 | 28 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $193.46 – $810.72 | 28 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $4.26 – $1,789.05 | 25 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $347.32 – $1,672.89 | 25 |
| Rabies ig ht&sol human im/sc CPT 90377 | $21,322.50 | $64,613.65 | $241.15 – $1,672.89 | 25 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | not published | not published | $282.84 – $1,429.37 | 25 |
| Rabies vaccine id CPT 90676 | not published | not published | $264.47 – $700.31 | 25 |
| Radial keratotomy CPT 65771 | not published | not published | $986.21 – $4,989.00 | 3 |
| Radiation handling CPT 77790 | not published | not published | $32.11 – $57.97 | 2 |
| Radiation physics consult CPT 77336 | not published | not published | $66.97 – $386.52 | 26 |
| Radiation therapy dose plan CPT 77300 | not published | not published | $66.97 – $267.88 | 26 |
| Radiation therapy management CPT 77431 | not published | not published | $231.70 – $398.98 | 2 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $66.97 – $267.88 | 26 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $66.97 – $267.88 | 26 |
| Radiation treatment aid(s) CPT 77334 | not published | not published | $184.65 – $738.58 | 26 |
| Radiation treatment delivery CPT 77401 | not published | not published | $53.59 – $220.92 | 26 |
| Radiation treatment delivery CPT 77402 | not published | not published | $55.23 – $527.00 | 26 |
| Radiation treatment delivery CPT 77412 | not published | not published | $132.65 – $908.45 | 26 |
| Radiation tx management x5 CPT 77427 | not published | not published | $421.50 – $723.80 | 2 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $2,849.31 – $4,989.00 | 3 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $2,327.67 – $4,989.00 | 3 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $2,734.09 – $4,989.00 | 3 |
| Radical resection of elbow CPT 24149 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $1,889.77 – $4,989.00 | 3 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $815.20 – $5,774.46 | 28 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $815.20 – $5,774.46 | 28 |
| Radiesse injection HCPCS Q2026 | not published | not published | $333.42 – $672.70 | 24 |
| Radiofq trsmtr for implt neu HCPCS L8683 | not published | not published | $4,558.23 – $4,922.89 | 6 |
| Radiof trsmtr implt scrl neu HCPCS L8684 | not published | not published | $670.64 – $724.29 | 6 |
| Radiology port images(s) CPT 77417 | not published | not published | $23.67 – $344.00 | 3 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $690.15 – $5,813.34 | 26 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $169.06 – $601.70 | 25 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | not published | not published | $310.41 – $2,633.92 | 28 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | not published | not published | $477.00 – $2,633.92 | 28 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $477.00 – $2,838.54 | 27 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | not published | not published | $327.79 – $2,633.92 | 28 |
| Radphm lcl tumor plr sgl day CPT 78800 | not published | not published | $187.45 – $810.72 | 28 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $98.56 – $367.13 | 7 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $4,989.00 – $14,413.14 | 26 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $815.20 – $5,774.46 | 28 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $815.20 – $5,774.46 | 28 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $815.20 – $5,774.46 | 28 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $815.20 – $5,774.46 | 28 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $815.20 – $5,774.46 | 28 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $815.20 – $5,774.46 | 28 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $815.20 – $5,774.46 | 28 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $815.20 – $5,774.46 | 28 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | not published | not published | $73.37 – $262.31 | 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.