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 |
|---|---|---|---|---|
| Splenectomy total open 38100 CPT 38100 | not published | not published | $1,784.15 – $4,989.00 | 3 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Splicing of ureters CPT 50770 | not published | not published | $1,778.81 – $4,989.00 | 3 |
| Splint finger 4 prong foam sm HCPCS A4570 | not published | not published | $26.84 – $26.84 | 1 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $2.17 – $4.83 | 2 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $1,457.62 – $7,386.34 | 28 |
| Split blood or products CPT 86985 | not published | not published | $54.44 – $774.90 | 26 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $2,336.00 – $4,989.00 | 2 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $35.12 – $47.67 | 2 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $93.54 – $4,989.00 | 26 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $4,146.34 – $8,476.86 | 25 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $2,163.39 – $4,989.00 | 3 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $1,586.26 – $4,989.00 | 3 |
| Srs cran les complex addl CPT 61799 | not published | not published | $478.97 – $4,989.00 | 3 |
| Srs cran les simple addl CPT 61797 | not published | not published | $345.62 – $4,989.00 | 3 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $93.93 – $4,101.46 | 25 |
| Srs linear based CPT 77372 | not published | not published | $2,333.42 – $15,423.46 | 26 |
| Srs multisource CPT 77371 | not published | not published | $1,237.29 – $15,423.46 | 26 |
| Srs spinal lesion CPT 63620 | not published | not published | $1,754.29 – $4,989.00 | 3 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $398.96 – $4,989.00 | 3 |
| Staggered spondaic word test CPT 92572 | not published | not published | $68.06 – $610.12 | 25 |
| St analysis behavior qualitative voice/resonance CPT 92524 | not published | not published | $74.00 – $398.93 | 3 |
| Staph a dna amp probe CPT 87640 | not published | not published | $18.79 – $189.49 | 29 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $64.53 – $160.38 | 25 |
| Stationary o2 contents, liq HCPCS E0442 | not published | not published | $64.53 – $160.38 | 25 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | not published | not published | $178.00 – $495.86 | 3 |
| Stem cells total count CPT 86367 | not published | not published | $41.65 – $420.01 | 29 |
| Stenger test pure tone CPT 92565 | not published | not published | $33.65 – $147.43 | 25 |
| Stenger test speech CPT 92577 | not published | not published | $32.87 – $2,141.54 | 25 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $4,989.00 – $36,229.34 | 28 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $4,989.00 – $22,880.66 | 28 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | not published | not published | $4,989.00 – $5,865.00 | 2 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $1,674.28 – $4,989.00 | 3 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $4,989.00 – $36,229.34 | 28 |
| Stereoscopic x-ray guidance HCPCS G6002 | not published | not published | $166.87 – $344.00 | 4 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $2,209.26 – $4,989.00 | 3 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $950.91 – $1,624.17 | 2 |
| Sterile gauze <= 16 sq in HCPCS A6402 | not published | not published | $0.13 – $0.30 | 2 |
| Sterile water/saline, 10 ml HCPCS A4216 | not published | not published | $0.26 – $0.99 | 2 |
| Sterile water/saline, 500 ml HCPCS A4217 | not published | not published | $5.25 – $8.03 | 2 |
| Sternal debridement CPT 21627 | not published | not published | $826.21 – $4,989.00 | 3 |
| St evaluate speech sound production CPT 92522 | not published | not published | $74.00 – $413.22 | 3 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | not published | not published | $74.00 – $880.50 | 3 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | not published | not published | $195.71 – $405.28 | 2 |
| St evaluation swallow function CPT 92610 | not published | not published | $193.36 – $327.40 | 2 |
| Stimulants synthetic CPT 80371 | not published | not published | $12.75 – $52.92 | 7 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $973.61 – $4,989.00 | 28 |
| Stoma absorptive cover HCPCS A5083 | not published | not published | $0.74 – $1.63 | 2 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $86.44 – $774.90 | 26 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $86.44 – $1,530.41 | 26 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $86.44 – $774.90 | 26 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $86.44 – $774.90 | 26 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $744.60 – $4,989.00 | 3 |
| Strap chin dlx f/cpap HCPCS A7036 | not published | not published | $13.43 – $35.26 | 25 |
| Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 | not published | not published | $3.79 – $8.44 | 2 |
| Strapping of chest CPT 29200 | not published | not published | $12.69 – $4,989.00 | 28 |
| Strapping of hip CPT 29520 | not published | not published | $81.41 – $4,989.00 | 26 |
| Strep a ag ia CPT 87430 | not published | not published | $9.00 – $90.77 | 29 |
| Strep a dna dir probe CPT 87650 | not published | not published | $10.74 – $108.27 | 29 |
| Strep a dna quant CPT 87652 | not published | not published | $22.37 – $225.50 | 29 |
| Strep b dna amp probe CPT 87653 | not published | not published | $18.79 – $189.49 | 29 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | not published | not published | $71.16 – $215.63 | 2 |
| Streptokinase antibody CPT 86590 | not published | not published | $6.78 – $68.36 | 29 |
| Streptomycin injection HCPCS J3000 | not published | not published | $25.59 – $330.75 | 4 |
| Streptozocin injection HCPCS J9320 | not published | not published | $169.82 – $1,586.32 | 3 |
| Stress test pulmonary CPT 94618 | not published | not published | $74.00 – $480.82 | 25 |
| Stress tte complete CPT 93351 | not published | not published | $195.00 – $1,106.24 | 25 |
| Str markers spec anal addl CPT 81266 | not published | not published | $163.23 – $1,645.97 | 29 |
| Str markers specimen anal CPT 81265 | not published | not published | $124.81 – $1,258.58 | 29 |
| St treatment speech individual CPT 92507 | not published | not published | $74.00 – $354.43 | 3 |
| St treatment swallow dysfunction/oral CPT 92526 | not published | not published | $193.71 – $387.82 | 2 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $220.03 – $4,989.00 | 28 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | not published | not published | $908.11 – $1,786.40 | 2 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $35.47 – $4,989.00 | 28 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $46.14 – $4,989.00 | 28 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | not published | not published | $283.75 – $559.45 | 2 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | not published | not published | $273.98 – $535.59 | 2 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $2,040.00 – $4,989.00 | 2 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $3,165.05 – $14,413.14 | 28 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $4,989.00 – $25,960.00 | 28 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $2,209.26 – $4,989.00 | 3 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $59.64 | $180.74 | $1.58 – $5.87 | 3 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $2,336.00 – $7,386.34 | 26 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $2,336.00 – $7,386.34 | 26 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $2,336.00 – $7,386.34 | 26 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $1,845.32 – $4,989.00 | 26 |
| Sugars multiple quant CPT 84379 | not published | not published | $6.18 – $62.26 | 29 |
| Sugars single quant CPT 84378 | not published | not published | $6.18 – $62.26 | 29 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $57.91 | $175.49 | not published | 0 |
| Sulfonylurea screen qn-sendout CPT 80377 | not published | not published | $7.05 – $52.92 | 7 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | not published | not published | $106.68 – $163.76 | 3 |
| Sup/ext non-ins inf pump syr HCPCS K0552 | not published | not published | $2.87 – $7.52 | 25 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $28.64 – $168.07 | 25 |
| Supply of digital device HCPCS G0552 | not published | not published | $43.00 – $260.00 | 25 |
| Supp non-insulin inf cath/wk HCPCS A4221 | not published | not published | $23.22 – $60.86 | 25 |
| Supprelin la implant HCPCS J9226 | not published | not published | $45,212.04 – $162,063.18 | 25 |
| Suprv interfacilty transport CPT 99485 | not published | not published | $174.29 – $344.86 | 2 |
| Suprv interfac trnsport addl CPT 99486 | not published | not published | $151.00 – $298.78 | 2 |
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.