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 |
|---|---|---|---|---|
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $10.54 – $29.14 | 2 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $110.15 – $4,989.00 | 28 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | not published | not published | $143.26 – $446.16 | 4 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $32.41 – $214.56 | 27 |
| Single transfer toe-hand CPT 26553 | not published | not published | $2,885.00 – $5,013.77 | 3 |
| Sinus/juglr venogram s&i CPT 75860 | not published | not published | $136.33 – $12,221.34 | 28 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $886.62 – $6,543.20 | 28 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $186.31 – $372.62 | 24 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $56,025.02 – $268,516.92 | 25 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $1.14 – $40.00 | 4 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $117.63 – $298.03 | 25 |
| Skeletal muscle relaxant 1/2 CPT 80369 | not published | not published | $12.11 – $52.92 | 7 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $10.69 – $12.38 | 6 |
| Skin and muscle repair face CPT 15845 | not published | not published | $1,457.62 – $7,386.34 | 28 |
| Skin barrier with flange HCPCS A4373 | not published | not published | $7.21 – $16.05 | 2 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $709.01 – $4,989.00 | 28 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $1,479.00 – $4,989.00 | 2 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $1,457.62 – $7,386.34 | 28 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $709.01 – $4,989.00 | 28 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $2,336.00 – $4,989.00 | 2 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $10.63 – $124.15 | 26 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $2,885.00 – $6,461.89 | 3 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $1,213.66 – $3,445.36 | 3 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $93.61 – $943.97 | 26 |
| Sleep study attended CPT 95807 | not published | not published | $535.27 – $1,651.32 | 25 |
| Sleep Study (Polysomnography) CPT 95810 | not published | not published | $1,026.34 – $2,209.15 | 25 |
| Sleep study unattended CPT 95806 | not published | not published | $157.84 – $395.75 | 25 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Sling arm deluxe w/pad xs HCPCS A4565 | not published | not published | $8.85 – $19.71 | 2 |
| Sling pelv split sam med HCPCS L0621 | not published | not published | $100.15 – $200.30 | 24 |
| Slitting of prepuce CPT 54000 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Slitting of prepuce CPT 54001 | not published | not published | $652.80 – $4,989.00 | 28 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $77.03 – $149.41 | 2 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $211.72 – $402.10 | 2 |
| Slp pure tone screening CPT 92551 | not published | not published | $25.97 – $74.00 | 3 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $59.92 – $480.82 | 25 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $187.61 – $321.05 | 2 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $4,314.91 – $66,841.36 | 25 |
| Small animal inoculation CPT 87003 | not published | not published | $9.02 – $90.94 | 29 |
| Small bowel endoscopy CPT 44366 | not published | not published | $564.97 – $3,827.36 | 28 |
| Small bowel endoscopy CPT 44369 | not published | not published | $564.97 – $3,827.36 | 28 |
| Small bowel endoscopy CPT 44382 | not published | not published | $334.95 – $3,215.00 | 28 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,913.68 – $4,438.64 | 26 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $564.97 – $3,827.36 | 28 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $2,916.94 – $12,010.34 | 28 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $0.02 | 24 |
| Smear special stain inclusion bodies/parasites CPT 87207 | not published | not published | $3.21 – $32.35 | 29 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $161.38 – $1,627.29 | 28 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $99.18 – $1,000.08 | 28 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $25.17 – $253.80 | 29 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $27.35 – $275.78 | 29 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $145.18 | $439.95 | $2.47 – $65.71 | 4 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $132.12 | $400.36 | $1.24 – $32.85 | 4 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $145.18 | $439.95 | $0.62 – $16.41 | 4 |
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | not published | $0.07 – $0.22 | 3 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | not published | not published | $1.94 – $7.06 | 4 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $73.96 – $373.26 | 4 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $0.93 – $3.44 | 2 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $597.91 – $2,881.66 | 26 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $597.91 – $2,561.46 | 26 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $597.91 – $7,043.98 | 26 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $560.32 – $2,241.28 | 26 |
| Solid skin barrier HCPCS A4362 | not published | not published | $3.68 – $8.21 | 2 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $8.21 – $18.29 | 2 |
| Somatosensory testing CPT 95927 | not published | not published | $178.00 – $628.28 | 25 |
| Somatropin injection HCPCS J2941 | not published | not published | $48.92 – $240.87 | 25 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $597.91 – $6,403.62 | 26 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $480.28 – $1,921.10 | 26 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $22.78 – $45.96 | 25 |
| Spacer bag/reservoir HCPCS A4627 | not published | not published | $26.08 – $26.08 | 1 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Special casting material HCPCS A4590 | not published | not published | $59.82 – $59.82 | 1 |
| Special physics consult CPT 77370 | not published | not published | $66.97 – $474.46 | 26 |
| Special pump services CPT 99190 | not published | not published | $964.99 – $1,586.14 | 3 |
| Special pump services CPT 99191 | not published | not published | $675.92 – $1,542.00 | 3 |
| Special pump services CPT 99192 | not published | not published | $482.86 – $1,542.00 | 3 |
| Special radiation dosimetry CPT 77331 | not published | not published | $65.56 – $267.88 | 26 |
| Special radiation treatment CPT 77470 | not published | not published | $97.05 – $1,167.12 | 26 |
| Special teletx port plan CPT 77321 | not published | not published | $150.66 – $738.58 | 26 |
| Speech audiometry complete CPT 92556 | not published | not published | $59.92 – $147.43 | 25 |
| Speech evaluation complex CPT 70371 | not published | not published | $84.20 – $1,027.71 | 28 |
| Speech recep thresh CPT 92555 | not published | not published | $50.51 – $147.43 | 25 |
| Sperm antibody test CPT 89325 | not published | not published | $5.72 – $57.62 | 27 |
| Sperm evaluation test CPT 89329 | not published | not published | $10.49 – $105.79 | 27 |
| Sperm isolation complex CPT 89261 | not published | not published | $26.95 – $267.14 | 26 |
| Sperm isolation simple CPT 89260 | not published | not published | $26.95 – $267.14 | 26 |
| Sperm washing 58323 CPT 58323 | not published | not published | $9.09 – $4,989.00 | 26 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $939.93 – $5,533.02 | 28 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $5,865.00 – $25,960.00 | 25 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $74.00 – $1,116.17 | 25 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $74.00 – $610.12 | 25 |
| Spleen imaging CPT 78185 | not published | not published | $162.73 – $810.72 | 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.