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 |
|---|---|---|---|---|
| Range of motion measurements CPT 95852 | not published | not published | $27.03 – $178.00 | 3 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $90.41 – $1,651.10 | 25 |
| Rapid desensitization CPT 95180 | not published | not published | $118.00 – $1,603.43 | 25 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | not published | not published | $370.46 – $1,181.31 | 25 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $220.32 – $941.40 | 25 |
| Rb82 rubidium HCPCS A9555 | not published | not published | $482.29 – $1,146.60 | 3 |
| Rbc count only automated CPT 85041 | not published | not published | $1.62 – $16.31 | 29 |
| Rbc deglycerolized each unit HCPCS P9039 | not published | not published | $244.66 – $1,318.98 | 26 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $441.03 – $4,989.00 | 26 |
| Rbc irradiated each unit HCPCS P9038 | not published | not published | $93.30 – $301.06 | 26 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $4.61 – $46.44 | 29 |
| Rbc o2 co2 reduced HCPCS P9027 | not published | not published | $491.38 – $1,113.44 | 25 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $66.72 – $805.10 | 26 |
| Rcm img acquisj&i&r 1st les CPT 96931 | not published | not published | $349.35 – $764.47 | 2 |
| Rcm img acquisj&i&r ea addl CPT 96934 | not published | not published | $181.17 – $435.49 | 2 |
| Rcm img acquisj only 1st les CPT 96932 | not published | not published | $76.29 – $223.72 | 2 |
| Rcm img acquisj only ea addl CPT 96935 | not published | not published | $75.05 – $200.26 | 2 |
| Rcm i&r only 1st lesion CPT 96933 | not published | not published | $101.66 – $209.78 | 2 |
| Rcm i&r only ea addl lesion CPT 96936 | not published | not published | $96.83 – $200.26 | 2 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $4,989.00 – $11,935.40 | 26 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $2,616.76 – $4,989.00 | 3 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $2,325.52 – $4,989.00 | 3 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $2,466.35 – $4,989.00 | 3 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $2,564.48 – $4,989.00 | 3 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $2,799.17 – $4,989.00 | 3 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $886.62 – $6,543.20 | 28 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Realignment of knee CPT 27457 | not published | not published | $1,476.92 – $4,989.00 | 3 |
| Realignment of knee CPT 27455 | not published | not published | $1,439.60 – $4,989.00 | 3 |
| Realignment of tendons CPT 26437 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Realignment of thigh bone CPT 27454 | not published | not published | $1,993.23 – $4,989.00 | 3 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Rechanneling of artery CPT 35361 | not published | not published | $2,336.19 – $4,989.00 | 3 |
| Rechanneling of artery CPT 35306 | not published | not published | $685.39 – $4,989.00 | 3 |
| Rechanneling of artery CPT 35311 | not published | not published | $2,405.00 – $4,989.00 | 3 |
| Rechanneling of artery CPT 35363 | not published | not published | $2,497.81 – $4,989.00 | 3 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $1,899.36 – $4,989.00 | 3 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $2,130.31 – $4,989.00 | 3 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $1,974.57 – $4,989.00 | 3 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $2,258.86 – $4,989.00 | 3 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $1,513.20 – $4,989.00 | 3 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $1,917.50 – $4,989.00 | 3 |
| Recipient nephrectomy CPT 50340 | not published | not published | $1,465.19 – $4,989.00 | 3 |
| Recon, cta for surg plan HCPCS G0288 | not published | not published | $160.52 – $1,500.00 | 7 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $2,249.79 – $11,935.40 | 26 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $2,261.00 – $11,935.40 | 26 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $4,989.00 – $11,935.40 | 26 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $4,989.00 – $11,935.40 | 26 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $2,047.11 – $4,989.00 | 3 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $1,585.20 – $4,989.00 | 3 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $2,552.50 – $11,935.40 | 28 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $2,885.00 – $37,103.62 | 26 |
| Reconstruct bronchus CPT 31775 | not published | not published | $2,159.11 – $4,989.00 | 3 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $4,989.00 – $14,413.14 | 26 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $886.62 – $6,543.20 | 28 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $3,113.11 – $11,935.40 | 28 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $3,104.56 – $14,413.14 | 28 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $3,284.00 – $37,103.62 | 28 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $3,284.00 – $25,960.00 | 26 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $3,133.75 – $14,413.14 | 28 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $4,811.02 – $25,960.00 | 28 |
| Reconstruct extra finger CPT 26587 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Reconstruct finger joint CPT 26545 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Reconstruct finger joint CPT 26548 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Reconstruct head of radius CPT 24365 | not published | not published | $3,284.00 – $25,960.00 | 28 |
| Reconstruct head of radius CPT 24366 | not published | not published | $3,284.00 – $25,960.00 | 28 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $2,885.00 – $16,774.62 | 3 |
| Reconstruction knee CPT 27427 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Reconstruction knee CPT 27428 | not published | not published | $2,885.00 – $25,960.00 | 28 |
| Reconstruction knee CPT 27429 | not published | not published | $2,885.00 – $25,960.00 | 28 |
| Reconstruction of anus CPT 46753 | not published | not published | $939.93 – $5,533.02 | 28 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $2,429.54 – $4,989.00 | 3 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $698.30 – $4,989.00 | 28 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $698.30 – $4,989.00 | 28 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $1,103.42 – $7,608.34 | 28 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $698.30 – $4,989.00 | 28 |
| Reconstruction of hip socket CPT 27120 | not published | not published | $2,885.00 – $19,580.88 | 3 |
| Reconstruction of hip socket CPT 27122 | not published | not published | $2,885.00 – $16,659.23 | 3 |
| Reconstruction of jaw CPT 21245 | not published | not published | $2,544.14 – $11,935.40 | 28 |
| Reconstruction of jaw CPT 21246 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Reconstruction of jaw CPT 21248 | not published | not published | $4,555.00 – $11,935.40 | 26 |
| Reconstruction of jaw CPT 21249 | not published | not published | $4,555.00 – $11,935.40 | 26 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $1,954.22 – $11,935.40 | 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.