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 |
|---|---|---|---|---|
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $869.03 – $1,896.70 | 2 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $17.39 – $37.93 | 2 |
| Use 1st target lesion CPT 76982 | not published | not published | $53.64 – $970.00 | 28 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $12.81 – $52.74 | 25 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $152.39 – $1,046.98 | 25 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $12,980.00 – $25,960.00 | 25 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $161.65 – $161.65 | 1 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $147.06 – $147.06 | 1 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $155.90 – $155.90 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $87.78 – $87.78 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $65.55 – $65.55 | 1 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $123.59 – $408.41 | 3 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $153.17 – $268.92 | 3 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $374.19 – $374.19 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $134.99 – $496.04 | 3 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $36.54 – $129.30 | 3 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $72.16 – $296.18 | 3 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $133.07 – $442.54 | 3 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $29.11 – $78.98 | 2 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $60.10 – $259.00 | 3 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $70.38 – $250.93 | 3 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $177.56 – $505.12 | 2 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $31.67 – $100.68 | 3 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $105.13 – $702.95 | 3 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $83.49 – $190.20 | 3 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $83.49 – $194.83 | 3 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $21.86 – $68.97 | 3 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $22.35 – $75.01 | 3 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $41.03 – $69.55 | 2 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $74.18 – $74.18 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $48.76 – $82.56 | 2 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $43.77 – $74.18 | 2 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $21.62 – $36.65 | 2 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $30.39 – $101.21 | 3 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $106.51 – $201.76 | 2 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $36.85 – $116.03 | 3 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $10.93 – $69.94 | 3 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $257.18 – $881.03 | 3 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $248.63 – $719.89 | 3 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $206.21 – $375.20 | 2 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $185.55 – $375.20 | 3 |
| Vaccine mmr live subcutaneous CPT 90707 | not published | not published | $113.79 – $309.85 | 3 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $133.47 – $516.94 | 3 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $257.99 – $814.97 | 3 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $261.15 – $1,093.15 | 2 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $53.53 – $139.84 | 3 |
| Vaccine rabies im CPT 90675 | $1,912.09 | $5,794.20 | $317.67 – $1,305.89 | 25 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $368.16 – $959.13 | 2 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $1,334.72 – $2,182.95 | 2 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $667.36 – $2,182.95 | 2 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $352.80 – $959.13 | 2 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $117.52 – $533.39 | 3 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $118.43 – $436.15 | 3 |
| Vaccine tdap >=7 years im CPT 90715 | $214.81 | $650.94 | $39.07 – $174.28 | 3 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $184.76 | $559.89 | $33.96 – $81.76 | 3 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $118.15 – $289.60 | 3 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $219.45 – $700.31 | 3 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $176.58 – $496.26 | 3 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.02 | 24 |
| Vacuum drain bottle/tube kit HCPCS A7048 | not published | not published | $108.91 – $108.91 | 1 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | not published | not published | $1,041.14 – $1,041.14 | 1 |
| Vad cable power module dc input HCPCS Q0478 | not published | not published | $408.73 – $408.73 | 1 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | not published | not published | $9,290.21 – $9,290.21 | 1 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $4,979.87 – $9,959.74 | 26 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $4,979.87 – $9,959.74 | 26 |
| Vag hyst including t/o CPT 58262 | not published | not published | $1,526.99 – $9,959.74 | 28 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $4,989.00 – $14,919.72 | 26 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $4,979.87 – $9,959.74 | 26 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $4,979.87 – $9,959.74 | 26 |
| Vaginal bx CPT 58999 | not published | not published | $202.94 – $4,989.00 | 26 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $3,207.50 – $6,415.00 | 26 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $1,526.99 – $9,959.74 | 28 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $3,207.50 – $6,415.00 | 26 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $69.88 – $69.88 | 1 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $2,719.16 – $4,989.00 | 3 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $1,354.24 – $4,989.00 | 3 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $173.89 – $4,989.00 | 3 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $1,847.62 – $4,989.00 | 3 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $1,823.63 – $4,989.00 | 3 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,404.77 – $4,285.73 | 25 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $5,751.67 – $15,931.00 | 25 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $11,440.33 – $22,880.66 | 25 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $11,440.33 – $22,880.66 | 25 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $2,885.00 – $4,989.00 | 3 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $106.12 | $321.57 | not published | 0 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $106.12 | $321.57 | not published | 0 |
| Vancomycin hcl injection HCPCS J3370 | not published | not published | $3.33 – $6.33 | 3 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $18.79 – $189.49 | 29 |
| Vantas implant HCPCS J9225 | not published | not published | $4,560.86 – $19,766.33 | 3 |
| Variable concentration mask HCPCS A4620 | not published | not published | $0.69 – $1.52 | 2 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $2,254.25 – $7,239.54 | 25 |
| Vasc emb/occ w/prs cath HCPCS C9797 | not published | not published | $18,114.67 – $36,229.34 | 24 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Vasectomy CPT 55250 | not published | not published | $652.80 – $4,989.00 | 28 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | not published | not published | $1.42 – $14.33 | 3 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $2,885.00 – $4,989.00 | 3 |
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.