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 |
|---|---|---|---|---|
| Surg dx exam anorectal CPT 45990 | not published | not published | $939.93 – $5,533.02 | 28 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $1,228.90 – $4,989.00 | 3 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $1,230.50 – $4,989.00 | 3 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $1,782.56 – $4,989.00 | 3 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $4,989.00 – $14,413.14 | 26 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $4,989.00 – $14,413.14 | 26 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $1,689.43 – $10,256.68 | 28 |
| Surgical opening esophagus CPT 43351 | not published | not published | $2,009.77 – $4,989.00 | 3 |
| Surgical opening esophagus CPT 43352 | not published | not published | $1,647.08 – $4,989.00 | 3 |
| Surgical opening of stomach CPT 43510 | not published | not published | $945.81 – $4,989.00 | 26 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $1,212.90 – $4,989.00 | 3 |
| Surgical opening of throat CPT 42955 | not published | not published | $420.64 – $4,989.00 | 28 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $2,082.32 – $4,989.00 | 3 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $2,346.87 – $4,989.00 | 3 |
| Surgical revision intestine CPT 44680 | not published | not published | $1,657.20 – $4,989.00 | 3 |
| Surgical trays HCPCS A4550 | not published | not published | $45.24 – $45.24 | 1 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $7.09 – $160.92 | 2 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $939.93 – $5,533.02 | 28 |
| Susceptibility agar dilution per agent CPT 87181 | not published | not published | $2.55 – $25.65 | 29 |
| Susceptibility enzyme detection per enzyme CPT 87185 | not published | not published | $2.55 – $25.65 | 29 |
| Susceptibility mic per plate CPT 87186 | not published | not published | $4.63 – $46.71 | 29 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $3.56 – $35.86 | 29 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $1,555.33 – $4,989.00 | 3 |
| Suspension of testis CPT 54620 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Suspension of uterus CPT 58410 | not published | not published | $1,215.57 – $4,989.00 | 3 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $677.40 – $4,989.00 | 3 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $1,638.00 – $4,989.00 | 3 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $2,120.17 – $4,989.00 | 3 |
| Svc venogram s&i CPT 75827 | not published | not published | $131.31 – $3,134.20 | 28 |
| Sympathectomy cervical CPT 64802 | not published | not published | $659.94 – $4,989.00 | 28 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $659.94 – $4,989.00 | 28 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $1,202.77 – $4,989.00 | 3 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $1,655.07 – $4,989.00 | 3 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $8.43 – $25.27 | 3 |
| Synthetic sentence id test CPT 92576 | not published | not published | $39.60 – $147.43 | 25 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $9.24 – $52.26 | 25 |
| System recell skin grafting/harvesting HCPCS C1832 | not published | not published | $3.16 – $3.16 | 1 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.57 – $2.07 | 4 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.81 – $5.73 | 4 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.19 – $16.01 | 4 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $255.06 – $891.22 | 25 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $13.93 – $62.14 | 25 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,898.29 – $4,989.00 | 3 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $70.38 – $224.29 | 25 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $70.00 – $332.42 | 25 |
| Talymed HCPCS Q4127 | not published | not published | $68.49 – $2,885.00 | 2 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $2.43 – $3.84 | 2 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $57.57 – $4,989.00 | 7 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $47.45 – $4,989.00 | 7 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.45 – $0.92 | 2 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $406.73 – $4,101.46 | 29 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $1,563.45 – $15,765.84 | 28 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $320.18 – $3,228.71 | 27 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,570.77 – $6,667.92 | 25 |
| Tas congenital car anomal CPT 33741 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $106.76 – $4,989.00 | 28 |
| Tavr perq femoral CPT 33361 | not published | not published | $2,105.77 – $9,091.00 | 3 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.37 – $3.62 | 25 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $73.37 – $739.80 | 26 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $190.73 – $190.73 | 1 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $47.67 – $47.67 | 1 |
| Tbs techl calculation only CPT 77091 | not published | not published | $44.41 – $379.83 | 25 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $44.41 – $378.25 | 25 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $53.55 – $540.00 | 29 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $509.13 – $1,058.00 | 2 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $809.51 – $5,446.35 | 25 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $683.80 – $1,634.35 | 25 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $775.35 – $1,692.80 | 2 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $59.84 – $307.47 | 3 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $1,040.32 – $6,395.12 | 25 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $802.34 – $6,395.12 | 25 |
| Tc-99m fanolesomab diag HCPCS A9566 | not published | not published | $2,405.34 – $2,405.34 | 1 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $328.60 – $1,378.04 | 25 |
| Tc-99m labeled rbc HCPCS A9560 | not published | not published | $105.45 – $410.26 | 3 |
| Tc-99m maa HCPCS A9540 | not published | not published | $29.44 – $131.77 | 3 |
| Tc-99m mebrofenin HCPCS A9537 | not published | not published | $113.46 – $242.99 | 3 |
| Tc-99m medronate HCPCS A9503 | not published | not published | $35.88 – $59.19 | 3 |
| Tc-99m mertiatide HCPCS A9562 | not published | not published | $768.23 – $3,403.11 | 3 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $6.00 – $20.18 | 24 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $50.46 – $193.25 | 3 |
| Tc-99m pentetate dtpa HCPCS A9539 | not published | not published | $27.82 – $137.64 | 3 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | not published | not published | $20.38 – $55.73 | 2 |
| Tc-99m pertechnetate per mci HCPCS A9512 | not published | not published | $9.04 – $17.33 | 3 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | not published | not published | $40.76 – $219.62 | 3 |
| Tc-99m sestamibi p study dose HCPCS A9500 | not published | not published | $294.63 – $600.33 | 3 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $665.69 – $2,632.86 | 3 |
| Tc-99m sulfur colloid HCPCS A9541 | not published | not published | $147.59 – $751.40 | 3 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | not published | not published | $157.85 – $428.08 | 3 |
| Tc-99m tilmanocept diag HCPCS A9520 | not published | not published | $1,294.07 – $2,063.53 | 2 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $217.00 – $4,989.00 | 26 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $107.28 – $494.27 | 27 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $107.28 – $494.27 | 27 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $230.56 – $622.38 | 7 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $441.03 – $4,989.00 | 26 |
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.