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 |
|---|---|---|---|---|
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $2,885.00 – $43,266.04 | 26 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $2,874.77 – $4,989.00 | 3 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $4,989.00 – $25,160.00 | 28 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $4,989.00 – $5,865.00 | 2 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $10.42 – $42.82 | 25 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $149.75 – $4,989.00 | 28 |
| Rh ig IV CPT 90386 | not published | not published | $19.57 – $662.73 | 3 |
| Rh ig minidose im CPT 90385 | not published | not published | $58.26 – $127.67 | 3 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | not published | not published | $4.88 – $42.87 | 4 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $23.62 – $127.67 | 4 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $32.51 – $151.35 | 25 |
| Rho d immune globulin inj HCPCS J2790 | not published | not published | $77.16 – $333.04 | 4 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $130.53 – $485.10 | 3 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $3,244.70 – $15,931.00 | 26 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $3,244.70 – $15,931.00 | 26 |
| Rhythm ecg with report CPT 93040 | not published | not published | $28.29 – $78.00 | 3 |
| Rib cartilage graft CPT 21230 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $2,736.00 – $6,284.25 | 2 |
| Right ventric recording CPT 93603 | not published | not published | $437.16 – $2,449.34 | 24 |
| Rilonacept injection HCPCS J2793 | not published | not published | $27.00 – $99.23 | 3 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $5.86 – $13.06 | 2 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | not published | not published | $5.86 – $13.06 | 2 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | not published | not published | $14.86 – $77.57 | 25 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | not published | not published | $30.05 – $131.37 | 25 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | not published | not published | $10.50 – $41.32 | 25 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | not published | not published | $76.43 – $411.41 | 25 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $36.90 – $208.68 | 25 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | not published | not published | $32.11 – $384.07 | 25 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $33.09 – $362.46 | 25 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | not published | not published | $23.80 – $362.46 | 25 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $3,244.70 – $15,931.00 | 26 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $3,244.70 – $15,931.00 | 26 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $1,716.95 – $4,989.00 | 3 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $61.74 – $4,989.00 | 28 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $5,885.68 – $11,771.36 | 26 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $593.04 – $4,989.00 | 28 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $815.20 – $5,774.46 | 28 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $429.26 – $4,989.00 | 28 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $1,996.58 – $12,920.80 | 28 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Rmvl icd by tv extr CPT 33244 | not published | not published | $3,671.31 – $7,342.62 | 26 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | not published | not published | $4,989.00 – $45,287.26 | 28 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | not published | not published | $4,989.00 – $64,687.20 | 28 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | not published | not published | $4,989.00 – $45,287.26 | 28 |
| Rmvl icd pulse gen only CPT 33241 | not published | not published | $1,425.44 – $7,342.62 | 28 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $752.59 – $4,989.00 | 3 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Rmvl ndwellg tun pleural cath CPT 32552 | not published | not published | $217.00 – $4,989.00 | 28 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Rmvl perm pm pulse gen CPT 33233 | not published | not published | $2,040.00 – $16,697.56 | 28 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $253.89 – $4,989.00 | 3 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $1,518.53 – $6,938.52 | 28 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | $1,518.53 – $6,938.52 | 28 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $1,912.42 – $6,938.52 | 28 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | not published | not published | $4,989.00 – $38,477.84 | 28 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | not published | not published | $4,989.00 – $16,697.56 | 28 |
| Rmvl pq iabp CPT 33968 | not published | not published | $52.27 – $4,989.00 | 3 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | not published | not published | $309.36 – $4,989.00 | 3 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Rmvl rplcmt hrt sys f/trnspl CPT 33929 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Rmvl & rplcmt tot hrt sys CPT 33928 | not published | not published | $1,599.94 – $4,989.00 | 3 |
| Rmvl sq defib electrode CPT 33272 | not published | not published | $3,671.31 – $7,342.62 | 26 |
| Rmvl subq card rhythm mntr CPT 33286 | not published | not published | $239.68 – $4,989.00 | 28 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $815.20 – $5,774.46 | 28 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $112.34 – $4,989.00 | 28 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $1,860.42 – $4,989.00 | 3 |
| Rmvl tv pm lead dual CPT 33235 | not published | not published | $1,870.58 – $7,342.62 | 28 |
| Rmvl tv pm lead sgl CPT 33234 | not published | not published | $1,906.80 – $7,342.62 | 28 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $424.57 – $4,989.00 | 3 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | not published | not published | $2,885.00 – $25,160.00 | 28 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | not published | not published | $2,885.00 – $61,483.30 | 28 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | $2,885.00 – $6,546.30 | 26 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Robot lin-radsurg com, first HCPCS G0339 | not published | not published | $5,686.38 – $5,686.38 | 1 |
| Robt lin-radsurg fractx 2-5 HCPCS G0340 | not published | not published | $4,276.57 – $4,276.57 | 1 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $1.63 – $15.44 | 25 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | not published | not published | $30.66 – $165.33 | 25 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | not published | not published | $10.52 – $51.78 | 25 |
| Romiplostim injection HCPCS J2796 | not published | not published | $153.78 – $153.78 | 1 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $11,566.07 | $35,048.71 | $11.49 – $38.19 | 25 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | not published | not published | $0.06 – $0.16 | 4 |
| Rotavirus antibody CPT 86759 | not published | not published | $9.76 – $98.44 | 29 |
| Routine footcare pt w lops HCPCS G0247 | not published | not published | $173.00 – $400.90 | 25 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $22.84 – $94.90 | 25 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $4,989.00 – $25,960.00 | 28 |
| Rplcmt a-valve tlcj autol pv CPT 33440 | not published | not published | $2,885.00 – $5,232.45 | 3 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $3,812.00 – $14,413.14 | 28 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $4,989.00 – $25,960.00 | 28 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | not published | not published | $605.62 – $4,989.00 | 28 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | not published | not published | $202.68 – $1,001.29 | 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.