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 |
|---|---|---|---|---|
| Unlisted laps px testis CPT 54699 | not published | not published | $5,885.68 – $11,771.36 | 26 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $5,885.68 – $11,771.36 | 26 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $5,885.68 – $11,771.36 | 26 |
| Unlisted maaa CPT 81599 | not published | not published | $783.39 – $783.39 | 1 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $234.26 – $4,989.00 | 26 |
| Unlisted misc path test CPT 89240 | not published | not published | $26.95 – $267.14 | 26 |
| Unlisted mr procedure CPT 76498 | not published | not published | $44.41 – $2,251.00 | 32 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $202.68 – $1,623.45 | 28 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $234.26 – $4,989.00 | 26 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $157.84 – $610.12 | 25 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $202.68 – $1,623.45 | 28 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $24.71 – $101.39 | 25 |
| Unlisted orl service/px CPT 92700 | not published | not published | $24.71 – $101.39 | 25 |
| Unlisted procedure colon CPT 45399 | not published | not published | $919.73 – $3,215.00 | 26 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $945.81 – $4,989.00 | 26 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $301.56 – $4,989.00 | 26 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $234.26 – $4,989.00 | 26 |
| Unlisted procedure liver CPT 47399 | not published | not published | $709.78 – $4,989.00 | 26 |
| Unlisted procedure microbiology CPT 87999 | not published | not published | $42.37 – $42.37 | 1 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $301.56 – $4,989.00 | 26 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $709.78 – $4,989.00 | 26 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $919.73 – $4,989.00 | 26 |
| Unlisted procedure spine CPT 22899 | not published | not published | $241.99 – $4,989.00 | 26 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $1,360.12 – $4,989.00 | 3 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | $30.05 – $60.10 | 24 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $241.99 – $4,989.00 | 26 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $234.26 – $4,989.00 | 26 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $2,300.79 – $4,989.00 | 26 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $241.99 – $4,989.00 | 26 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $945.81 – $4,989.00 | 26 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $159.18 – $4,989.00 | 26 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $301.56 – $4,989.00 | 26 |
| Unlisted px diaphragm CPT 39599 | not published | not published | $1,599.94 – $4,989.00 | 3 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $709.78 – $4,989.00 | 26 |
| Unlisted px external ear CPT 69399 | not published | not published | $234.26 – $4,989.00 | 26 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $301.56 – $4,989.00 | 26 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $241.99 – $4,989.00 | 26 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $241.99 – $4,989.00 | 26 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $241.99 – $4,989.00 | 26 |
| Unlisted px inner ear CPT 69949 | not published | not published | $234.26 – $4,989.00 | 26 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $301.56 – $4,989.00 | 26 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $241.99 – $4,989.00 | 26 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $1,599.94 – $4,989.00 | 3 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $66.97 – $473.45 | 26 |
| Unlisted px middle ear CPT 69799 | not published | not published | $234.26 – $4,989.00 | 26 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $234.26 – $4,989.00 | 26 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $234.26 – $4,989.00 | 26 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $241.99 – $4,989.00 | 26 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $2,300.79 – $4,989.00 | 26 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $234.26 – $4,989.00 | 26 |
| Unlisted px small intestine CPT 44799 | not published | not published | $945.81 – $4,989.00 | 26 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $234.26 – $4,989.00 | 26 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $66.97 – $473.45 | 26 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $234.26 – $4,989.00 | 26 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $234.26 – $4,989.00 | 26 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $26.95 – $267.14 | 25 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $196.83 – $1,623.45 | 28 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $200.45 – $770.56 | 25 |
| Unlisted surgical path px CPT 88399 | not published | not published | $26.95 – $267.14 | 26 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $12.36 – $124.15 | 26 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $44.41 – $970.00 | 29 |
| Unlisted urinalysis px CPT 81099 | not published | not published | $42.37 – $42.37 | 1 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $623.70 – $4,989.00 | 26 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $202.68 – $1,623.45 | 28 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $2,885.00 – $11,771.36 | 26 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $5,885.68 – $11,771.36 | 26 |
| Unsched dialysis esrd pt hos HCPCS G0257 | not published | not published | $392.03 – $1,411.76 | 24 |
| Upgrade pm system CPT 33214 | not published | not published | $4,989.00 – $21,114.78 | 28 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $396.30 – $4,989.00 | 3 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $1,888.85 – $11,771.36 | 28 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $3.86 – $38.88 | 29 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $2.75 – $27.70 | 29 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Ureteral reflux study CPT 78740 | not published | not published | $202.68 – $875.74 | 28 |
| Ureter endoscopy CPT 50970 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $1,526.00 – $10,256.68 | 28 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $1,526.00 – $10,256.68 | 28 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $1,142.90 – $6,958.62 | 28 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $1,526.00 – $10,256.68 | 28 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $1,526.00 – $10,256.68 | 28 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $1,526.00 – $10,256.68 | 28 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $1,526.00 – $10,256.68 | 28 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,705.74 – $4,989.00 | 3 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,740.95 – $4,989.00 | 3 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $3,479.31 – $6,958.62 | 26 |
| Urinalysis glass test CPT 81020 | not published | not published | $2.52 – $25.38 | 29 |
| Urinalysis microscopic only CPT 81015 | not published | not published | $1.64 – $16.47 | 29 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $158.75 – $477.00 | 4 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $3.65 – $8.14 | 2 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $6.91 – $15.39 | 2 |
| Urinary reflex study CPT 51792 | not published | not published | $59.92 – $4,989.00 | 26 |
| Urinary suspensory HCPCS A5105 | not published | not published | $46.90 – $104.40 | 2 |
| Urine Culture Test CPT 87086 | not published | not published | $4.32 – $43.58 | 29 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $130.03 – $4,989.00 | 26 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $7.49 – $16.68 | 2 |
| Urine screen for bacteria CPT 81007 | not published | not published | $8.10 – $161.89 | 29 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,886.56 – $4,989.00 | 3 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $5.40 – $19.48 | 26 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $59.19 – $551.91 | 3 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $89.80 – $432.31 | 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.