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 |
|---|---|---|---|---|
| Wcd device interrogate CPT 93292 | not published | not published | $37.62 – $159.86 | 25 |
| Wedge biopsy of liver 47100 CPT 47100 | not published | not published | $1,306.78 – $4,989.00 | 3 |
| Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 | not published | not published | $4,989.00 – $14,919.72 | 26 |
| Wedge resect of lung add-on 32506 CPT 32506 | not published | not published | $241.62 – $4,989.00 | 3 |
| Wedge resect of lung diag 32507 CPT 32507 | not published | not published | $241.09 – $4,989.00 | 3 |
| Wedge resect of lung initial 32505 CPT 32505 | not published | not published | $1,433.72 – $4,989.00 | 3 |
| Wedging of cast CPT 29740 | not published | not published | $42.91 – $4,989.00 | 28 |
| Wedging of clubfoot cast CPT 29750 | not published | not published | $82.26 – $4,989.00 | 26 |
| Western blot test CPT 84181 | not published | not published | $9.12 – $91.96 | 29 |
| Wet mounts/ w preparations HCPCS Q0111 | not published | not published | $13.48 – $81.65 | 27 |
| Whole blood for transfusion HCPCS P9010 | not published | not published | $124.83 – $454.20 | 26 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | not published | not published | $68.00 – $489.14 | 26 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | not published | not published | $75.00 – $347.42 | 26 |
| Whole body photography CPT 96904 | not published | not published | $135.54 – $289.25 | 2 |
| Whole mitochondrial genome CPT 81460 | not published | not published | $689.19 – $6,949.80 | 26 |
| Whole mitochondrial genome CPT 81465 | not published | not published | $501.23 – $5,054.40 | 26 |
| Wilate injection HCPCS J7183 | not published | not published | $1.28 – $3.70 | 25 |
| Wipe adh remover univ ostomy adh/barrier remover HCPCS A4456 | not published | not published | $0.28 – $0.62 | 2 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | not published | not published | $1,479.00 – $4,989.00 | 2 |
| Wound closure by adhesive HCPCS G0168 | not published | not published | $35.21 – $2,885.00 | 2 |
| Woundfix biowound plus xplus HCPCS Q4217 | not published | not published | $10.13 – $273.51 | 2 |
| Wound pouch each HCPCS A6154 | not published | not published | $16.03 – $35.70 | 2 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | not published | not published | $74.00 – $806.08 | 28 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | not published | not published | $74.00 – $806.08 | 28 |
| Wrist arthroscopy CPT 29840 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $1,088.27 – $6,546.30 | 28 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $2,398.52 – $14,413.14 | 28 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $593.04 – $4,989.00 | 28 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $1,996.38 – $8,116.50 | 28 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $849.94 – $4,989.00 | 28 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $2,595.66 – $10,410.20 | 28 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $1,996.38 – $8,116.50 | 28 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $9.38 – $15.60 | 2 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $2,595.66 – $10,410.20 | 28 |
| Xe133 xenon 10mci HCPCS A9558 | not published | not published | $86.96 – $921.12 | 3 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $709.01 – $4,989.00 | 28 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $709.01 – $4,989.00 | 28 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $489.45 – $4,935.60 | 26 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $489.45 – $4,935.60 | 26 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $12.36 – $124.15 | 26 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $2,885.00 – $4,989.00 | 2 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | not published | not published | $320.02 – $4,989.00 | 3 |
| X-ray assay calculus CPT 82370 | not published | not published | $6.71 – $67.61 | 29 |
| X-ray consultation CPT 76140 | not published | not published | $73.12 – $73.12 | 1 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $91.00 – $1,560.70 | 3 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $91.00 – $1,339.80 | 3 |
| X-ray exam entire spi 4/5 vw CPT 72083 | not published | not published | $53.64 – $260.63 | 28 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $28.74 – $351.96 | 28 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $31.41 – $494.27 | 28 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $47.11 – $2,123.77 | 28 |
| X-ray exam of penis CPT 74445 | not published | not published | $53.64 – $494.27 | 28 |
| X-ray exam of perineum CPT 74775 | not published | not published | $114.46 – $1,017.17 | 28 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $30.40 – $351.96 | 28 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $53.39 – $1,027.71 | 28 |
| X-ray exam of teeth CPT 70300 | not published | not published | $14.04 – $351.96 | 28 |
| X-ray exam of teeth CPT 70310 | not published | not published | $35.09 – $1,027.71 | 28 |
| X-ray fallopian tube CPT 74742 | not published | not published | $139.84 – $173.58 | 2 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $18.38 – $351.96 | 28 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $35.09 – $494.27 | 28 |
| X-ray male genital tract CPT 74440 | not published | not published | $75.85 – $1,027.71 | 28 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $91.00 – $775.59 | 3 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $91.00 – $890.03 | 3 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $73.51 – $803.59 | 28 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $78.00 – $583.52 | 2 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $200.49 – $504.00 | 3 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $7.09 – $2,929.02 | 2 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $6.92 – $69.71 | 29 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.49 – $4.45 | 25 |
| Yersinia antibody CPT 86793 | not published | not published | $7.07 – $71.23 | 29 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $56,824.55 – $240,500.72 | 25 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $7.09 – $71.50 | 2 |
| Ziconotide injection HCPCS J2278 | not published | not published | $9.70 – $24.61 | 25 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.51 – $6.26 | 4 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.28 – $3.06 | 2 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $27.48 – $277.07 | 28 |
| Zika virus igm antibody CPT 86794 | not published | not published | $9.03 – $90.99 | 28 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $1.46 – $3.24 | 2 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $206.78 | $626.61 | $5.18 – $109.54 | 4 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $8.05 – $70.07 | 25 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | not published | not published | $9.52 – $34.45 | 4 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $132.94 – $937.87 | 3 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $103.49 – $4,101.46 | 25 |
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.