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 |
|---|---|---|---|---|
| Sbsq psyc collab care mgmt CPT 99493 | not published | not published | $93.31 – $186.62 | 24 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | not published | not published | $107.28 – $465.65 | 28 |
| Scan proc cranial extra CPT 61782 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $1,382.00 – $4,989.00 | 2 |
| Scan proc spinal CPT 61783 | not published | not published | $1,382.00 – $4,989.00 | 2 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | not published | not published | $902.81 – $4,989.00 | 26 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Scope uretscp lithovue dig disp HCPCS C1747 | not published | not published | $20.04 – $20.04 | 1 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $15.98 – $81.65 | 27 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $21.22 – $175.18 | 3 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $28.75 – $172.48 | 27 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $39.57 – $237.44 | 27 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $23.84 – $143.05 | 27 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $24.35 – $146.07 | 27 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $21.22 – $175.18 | 3 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $16.25 – $97.47 | 29 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $41.72 – $250.29 | 27 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $21.67 – $130.03 | 27 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $21.22 – $175.18 | 3 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $15.98 – $81.65 | 27 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | not published | $6.81 – $12.70 | 2 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $71.80 – $266.67 | 25 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $1,260.90 – $4,989.00 | 3 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | not published | not published | $4,989.00 – $5,865.00 | 2 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | not published | not published | $25.45 – $2,885.00 | 2 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $2,904.66 – $9,180.03 | 2 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $2,205.53 – $4,989.00 | 3 |
| Select picture audiometry CPT 92583 | not published | not published | $59.92 – $147.43 | 25 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | not published | not published | $0.90 – $2.00 | 2 |
| Self-meas bp 2 readg bid 30d CPT 99474 | not published | not published | $39.73 – $39.73 | 1 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $24.71 – $101.39 | 25 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | not published | not published | $29.05 – $214.00 | 3 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | not published | $21.37 – $214.00 | 3 |
| Semen analysis HCPCS G0027 | not published | not published | $5.85 – $35.10 | 27 |
| Semen analysis presence/motility CPT 89321 | not published | not published | $6.46 – $65.07 | 27 |
| Semen analysis w/count CPT 89310 | not published | not published | $4.61 – $46.49 | 27 |
| Sensorimotor examination CPT 92060 | not published | not published | $59.92 – $242.59 | 25 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $39.60 – $147.43 | 25 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $698.30 – $4,989.00 | 28 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $102.82 – $1,036.80 | 29 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $2,040.00 – $14,413.14 | 28 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $2,040.00 – $14,413.14 | 28 |
| Serial casting application 97139app CPT 97139 | not published | not published | $66.77 – $245.00 | 5 |
| Serial tonometry CPT 92100 | not published | not published | $152.59 – $176.69 | 2 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $1.29 – $4.14 | 2 |
| Serpina1 gene CPT 81332 | not published | not published | $23.38 – $235.71 | 29 |
| Sertraline (zoloft) - sendout CPT 80332 | not published | not published | $17.97 – $52.92 | 7 |
| Set radiation therapy field CPT 77280 | not published | not published | $66.97 – $913.87 | 26 |
| Set radiation therapy field CPT 77285 | not published | not published | $184.65 – $1,531.16 | 26 |
| Set radiation therapy field CPT 77290 | not published | not published | $184.65 – $1,630.90 | 26 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $133.15 – $1,194.71 | 25 |
| Set up port xray equipment HCPCS Q0092 | not published | not published | $54.35 – $108.09 | 3 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.04 – $0.11 | 2 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $0.22 – $0.31 | 2 |
| Sever cranial nerve CPT 64771 | not published | not published | $659.94 – $4,989.00 | 28 |
| Sex chromatin identification CPT 88130 | not published | not published | $9.63 – $97.09 | 27 |
| Sex chromatin identification CPT 88140 | not published | not published | $4.28 – $43.15 | 27 |
| Sex transformation f to m CPT 55980 | not published | not published | $3,479.31 – $6,958.62 | 26 |
| Sex transformation m to f CPT 55970 | not published | not published | $4,979.87 – $9,959.74 | 26 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $103.49 – $4,101.46 | 25 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | not published | not published | $173.00 – $4,989.00 | 26 |
| Shigella antibody CPT 86771 | not published | not published | $13.11 – $132.19 | 29 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Shortening of hand tendon CPT 26479 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Shortening of thigh bone CPT 27465 | not published | not published | $1,928.69 – $4,989.00 | 3 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $2,070.05 – $4,989.00 | 3 |
| Shorten radius or ulna CPT 25390 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Shorten radius & ulna CPT 25392 | not published | not published | $2,336.00 – $14,413.14 | 28 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $815.20 – $5,774.46 | 28 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $1,966.03 – $4,989.00 | 3 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $2,036.44 – $4,989.00 | 3 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $2,036.44 – $4,989.00 | 3 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $1,984.69 – $4,989.00 | 3 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $53.64 – $494.27 | 28 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $1,953.76 – $4,989.00 | 3 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $2,063.11 – $4,989.00 | 3 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $2,203.39 – $4,989.00 | 3 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $6.55 – $65.99 | 29 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $117.94 – $6,543.20 | 28 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $328.50 – $3,215.00 | 28 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $429.26 – $3,215.00 | 28 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $328.50 – $3,215.00 | 28 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $429.26 – $3,215.00 | 28 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $2,769.50 – $12,010.34 | 28 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $328.50 – $3,215.00 | 28 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $429.26 – $3,215.00 | 28 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $328.50 – $3,215.00 | 28 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $29.08 – $242.59 | 27 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $429.26 – $3,215.00 | 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.