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 |
|---|---|---|---|---|
| Assay rbc glutathione CPT 82979 | not published | not published | $5.06 – $50.98 | 29 |
| Assay toxin or antitoxin CPT 87230 | not published | not published | $10.57 – $106.60 | 29 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | not published | not published | $178.00 – $242.67 | 2 |
| Assess care plan pt w/cog impair 99483 CPT 99483 | not published | not published | $93.31 – $808.97 | 25 |
| Assess cyst contrast inject CPT 49424 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $157.84 – $610.12 | 25 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $4,989.00 – $9,614.00 | 2 |
| Assistive tech assessment, ot CPT 97755 | not published | not published | $74.00 – $245.00 | 5 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $412.05 – $3,392.28 | 26 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $86.44 – $774.90 | 26 |
| Asxl1 full gene sequence CPT 81175 | not published | not published | $362.27 – $3,653.10 | 26 |
| Asxl1 gene target seq alys CPT 81176 | not published | not published | $129.54 – $1,306.26 | 26 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | not published | not published | $89.00 – $333.00 | 25 |
| Athletic trn eval high cmplx CPT 97171 | not published | not published | $74.00 – $692.94 | 5 |
| Athletic trn eval low cmplx CPT 97169 | not published | not published | $74.00 – $245.00 | 5 |
| Athletic trn eval mod cmplx CPT 97170 | not published | not published | $74.00 – $354.43 | 5 |
| Athletic trn re-eval plan cr CPT 97172 | not published | not published | $74.00 – $245.00 | 5 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | not published | not published | $4,989.00 – $36,229.34 | 28 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | not published | not published | $4,989.00 – $36,229.34 | 28 |
| Atn1 gene detc abnor alleles CPT 81177 | not published | not published | $73.37 – $739.80 | 28 |
| Atomic absorption CPT 82190 | not published | not published | $8.52 – $85.86 | 29 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | not published | not published | $0.11 – $0.22 | 4 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $1,198.50 – $4,989.00 | 3 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $1,029.41 – $4,989.00 | 3 |
| Attach ocular implant CPT 65140 | not published | not published | $1,103.42 – $7,608.34 | 28 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | not published | not published | $175.08 – $336.92 | 2 |
| Atxn10 gene detc abnor allel CPT 81183 | not published | not published | $73.37 – $739.80 | 26 |
| Atxn1 gene detc abnor allele CPT 81178 | not published | not published | $73.37 – $739.80 | 28 |
| Atxn2 gene detc abnor allele CPT 81179 | not published | not published | $73.37 – $739.80 | 28 |
| Atxn3 gene detc abnor allele CPT 81180 | not published | not published | $73.37 – $739.80 | 28 |
| Atxn7 gene detc abnor allele CPT 81181 | not published | not published | $73.37 – $739.80 | 28 |
| Atxn8os gen detc abnor allel CPT 81182 | not published | not published | $73.37 – $739.80 | 26 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $157.84 – $433.90 | 25 |
| Audiometry air + bone CPT 92553 | not published | not published | $74.00 – $610.12 | 25 |
| Audit/dast 15-30 min CPT 99408 | not published | not published | $79.33 – $149.41 | 2 |
| Audit/dast over 30 min CPT 99409 | not published | not published | $154.84 – $298.78 | 2 |
| Auditory function + 15 min CPT 92621 | not published | not published | $50.26 – $85.82 | 2 |
| Auditory function 60 min CPT 92620 | not published | not published | $157.84 – $610.12 | 25 |
| Augmentation cheek bone CPT 21270 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Augmentation of facial bones CPT 21208 | not published | not published | $2,706.07 – $11,935.40 | 28 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $4,989.00 – $14,413.14 | 26 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $450.17 – $4,539.51 | 27 |
| Autologous blood op salvage CPT 86891 | not published | not published | $295.23 – $3,392.28 | 26 |
| Autologous blood process CPT 86890 | not published | not published | $86.44 – $774.90 | 26 |
| Autolog prp diab wound ulcer HCPCS G0465 | not published | not published | $1,845.32 – $3,690.64 | 25 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $99.91 – $3,690.64 | 25 |
| Automated diff wbc count CPT 85004 | not published | not published | $3.47 – $34.94 | 29 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $130.03 – $480.82 | 25 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $157.84 – $315.68 | 25 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $130.03 – $480.82 | 25 |
| Autopsy (necropsy) complete CPT 88020 | not published | not published | $321.52 – $2,917.24 | 4 |
| Autopsy (necropsy) complete CPT 88025 | not published | not published | $311.20 – $3,207.17 | 4 |
| Autopsy (necropsy) complete CPT 88027 | not published | not published | $331.83 – $3,501.04 | 4 |
| Autopsy (necropsy) complete CPT 88028 | not published | not published | $186.84 – $3,032.05 | 4 |
| Autopsy (necropsy) complete CPT 88029 | not published | not published | $186.84 – $3,032.05 | 4 |
| Autopsy (necropsy) gross CPT 88000 | not published | not published | $186.84 – $2,333.39 | 4 |
| Autopsy (necropsy) gross CPT 88005 | not published | not published | $217.78 – $2,625.32 | 4 |
| Autopsy (necropsy) gross CPT 88007 | not published | not published | $228.10 – $2,917.24 | 4 |
| Autopsy (necropsy) gross CPT 88012 | not published | not published | $186.84 – $2,448.20 | 4 |
| Autopsy (necropsy) gross CPT 88014 | not published | not published | $171.22 – $2,448.20 | 4 |
| Autopsy (necropsy) gross CPT 88016 | not published | not published | $238.71 – $2,333.39 | 4 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $97.14 – $362.55 | 25 |
| Av fistula revision CPT 36833 | not published | not published | $1,939.15 – $10,906.50 | 28 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $1,939.15 – $10,906.50 | 28 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $1,939.15 – $10,906.50 | 28 |
| Av fusion direct any site CPT 36821 | not published | not published | $1,118.22 – $6,350.38 | 28 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $1,939.15 – $10,906.50 | 28 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $2.00 – $1,562,683.50 | 25 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $1,888.85 – $11,771.36 | 28 |
| Azacitidine injection HCPCS J9025 | not published | not published | $0.32 – $4.59 | 4 |
| Azathioprine 50 mg tablet HCPCS J7500 | not published | not published | $0.62 – $2.69 | 4 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $224.97 – $515.97 | 25 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $42.33 | $128.26 | $2.22 – $18.30 | 4 |
| Azithromycin dihydrate, oral HCPCS Q0144 | $19.85 | $60.14 | $12.62 – $73.82 | 3 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | not published | not published | $2.48 – $12.74 | 3 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $174.80 – $589.18 | 25 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $53.82 – $161.78 | 4 |
| Baclofen eval charges CPT 97750 | not published | not published | $74.00 – $245.00 | 5 |
| Bacterial vaginosis pcr CPT 87801 | not published | not published | $37.59 – $379.08 | 29 |
| Bactericidal level serum CPT 87197 | not published | not published | $8.05 – $81.11 | 29 |
| #bac vag cand-c. albicans naa CPT 87481 | not published | not published | $18.79 – $189.49 | 29 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | not published | not published | $6.48 – $14.42 | 2 |
| Balloon dilate urtrl strix CPT 50706 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Banding pulmonary artery CPT 33690 | not published | not published | $1,855.09 – $4,989.00 | 3 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $0.28 – $0.62 | 2 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | not published | not published | $2.79 – $6.21 | 2 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $11.36 – $25.28 | 2 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | not published | not published | $7.15 – $15.92 | 2 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | not published | not published | $5.66 – $12.60 | 2 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | not published | not published | $10.08 – $22.43 | 2 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $1,063.52 – $6,415.00 | 28 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $18.79 – $189.49 | 29 |
| Bartonella dna quant CPT 87472 | not published | not published | $22.94 – $231.34 | 29 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $111.26 – $315.68 | 25 |
| Basiliximab HCPCS J0480 | not published | not published | $4,687.66 – $16,176.19 | 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.