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 |
|---|---|---|---|---|
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | not published | not published | $4,989.00 – $5,865.00 | 2 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | not published | not published | $4,989.00 – $5,865.00 | 2 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | not published | not published | $4,989.00 – $22,880.66 | 28 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | not published | not published | $1,118.22 – $6,350.38 | 28 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | not published | not published | $1,935.00 – $10,906.50 | 28 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | not published | not published | $2,414.07 – $6,350.38 | 26 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | not published | not published | $2,414.07 – $6,350.38 | 26 |
| Trnscath tx thromblytc vein ini day CPT 37212 | not published | not published | $1,518.93 – $6,350.38 | 28 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $1,457.62 – $7,386.34 | 28 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $3,096.00 – $4,989.00 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $709.01 – $4,989.00 | 28 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $709.01 – $4,989.00 | 28 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $709.01 – $4,989.00 | 28 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $709.01 – $4,989.00 | 28 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $709.01 – $4,989.00 | 28 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $343.11 – $17,496.00 | 25 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $1,735.02 – $6,940.08 | 24 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $1,622.54 – $4,989.00 | 3 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $208.33 – $4,989.00 | 28 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $121.02 – $121.02 | 1 |
| Tte w or without contr, cont ecg HCPCS C8930 | not published | not published | $195.00 – $3,002.42 | 25 |
| Tte w or without fol w/con,stres HCPCS C8928 | not published | not published | $195.00 – $3,002.42 | 25 |
| Tte w or without fol w/cont, com HCPCS C8921 | not published | not published | $195.00 – $3,002.42 | 25 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | not published | not published | $195.00 – $3,002.42 | 25 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $1,888.85 – $11,771.36 | 28 |
| Tube drain vert dev st 5-40f HCPCS A5200 | not published | not published | $12.99 – $28.91 | 2 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | not published | not published | $54.10 – $120.43 | 2 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | not published | not published | $6.43 – $14.31 | 2 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | not published | not published | $54.61 – $121.58 | 2 |
| Tubing (oxygen) per foot HCPCS A4616 | not published | not published | $0.07 – $0.16 | 2 |
| Tubular dressing HCPCS A6457 | not published | not published | $1.31 – $2.92 | 2 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $441.03 – $4,989.00 | 26 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $4,989.00 – $14,919.72 | 26 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $1,592.14 – $4,989.00 | 3 |
| Tx atrial fib pulm vein isol CPT 93656 | not published | not published | $2,579.77 – $49,496.18 | 24 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $241.99 – $4,989.00 | 26 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $67.20 – $4,989.00 | 28 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $41.82 – $4,989.00 | 28 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $1,434.25 – $4,989.00 | 3 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $1,358.52 – $4,989.00 | 3 |
| Tx l/r atrial fib addl CPT 93657 | not published | not published | $976.05 – $976.05 | 1 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $886.62 – $6,543.20 | 28 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $680.59 – $4,989.00 | 3 |
| Tympanic membrane repair CPT 69610 | not published | not published | $167.54 – $4,989.00 | 28 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $886.62 – $6,543.20 | 28 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $47.86 – $610.12 | 25 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $117.66 – $4,989.00 | 28 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $1,954.22 – $11,935.40 | 28 |
| Tyms gene com variants CPT 81346 | not published | not published | $93.61 – $943.97 | 26 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $90.25 – $183.94 | 3 |
| U2af1 gene common variants CPT 81357 | not published | not published | $103.49 – $4,101.46 | 25 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $68.66 – $287.97 | 25 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $125.31 – $1,263.60 | 29 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $7.01 – $970.00 | 29 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $53.64 – $970.00 | 29 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $55.80 – $970.00 | 8 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $53.64 – $970.00 | 28 |
| Ultrasound guide tissue ablation CPT 76940 | not published | not published | $113.00 – $970.00 | 4 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $53.64 – $970.00 | 28 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $89.80 – $1,093.46 | 28 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $113.00 – $970.00 | 8 |
| Ultraviolet therapy CPT 97028 | not published | not published | $36.56 – $245.00 | 5 |
| Umbilical artery cath newborn 36660 CPT 36660 | not published | not published | $105.61 – $4,989.00 | 3 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $306.87 – $4,989.00 | 26 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $2,336.00 – $4,989.00 | 2 |
| Unit mobile power mpu HCPCS Q0479 | not published | not published | $26,862.00 – $26,862.00 | 1 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $24.71 – $101.39 | 25 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $24.71 – $49.42 | 24 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $46.55 – $168.07 | 25 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $234.26 – $4,989.00 | 26 |
| Unlisted CT procedure CPT 76497 | not published | not published | $44.41 – $1,996.00 | 31 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $202.68 – $1,623.45 | 28 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $26.95 – $267.14 | 26 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $26.95 – $267.14 | 26 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $157.84 – $610.12 | 25 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $132.79 – $1,623.45 | 28 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $202.94 – $4,989.00 | 26 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $44.41 – $351.96 | 28 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $202.68 – $1,623.45 | 28 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $202.68 – $1,623.45 | 28 |
| Unlisted hematology&coagj px CPT 85999 | not published | not published | $42.37 – $42.37 | 1 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $202.94 – $6,320.00 | 26 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $5,885.68 – $11,771.36 | 26 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $5,885.68 – $11,771.36 | 26 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $5,885.68 – $11,771.36 | 26 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $5,885.68 – $11,771.36 | 26 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $5,885.68 – $11,771.36 | 26 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $5,885.68 – $11,771.36 | 26 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $5,885.68 – $11,771.36 | 26 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $5,885.68 – $11,771.36 | 26 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $5,885.68 – $11,771.36 | 26 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $5,885.68 – $11,771.36 | 26 |
| Unlisted laps px renal CPT 50549 | not published | not published | $5,885.68 – $11,771.36 | 26 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $5,885.68 – $11,771.36 | 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.