Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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UT HEALTH EAST TEXAS JACKSONVILLE HOSPITAL

Jacksonville, TX · CCN 450194 · Rates published

4,300 distinct procedures filed
39 distinct payers
206,490 rate rows
2025-04-05 last MRF observed · ⚠ 14 mo old

77,530 of 206,490 rate rows are consumer-grade (37.5%)

128,960 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 127,985
per-diem day rate — not a per-procedure price 939
exceeds 10× this hospital's gross charge — excluded from medians 23
placeholder amount (≤ $0.02) — excluded from medians 13

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 14 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

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Source MRF file https://coc.ardenthealthservices.com/easttexas/82-4037220_UT-Health-Jacksonville-Hospital_standardcharges.csv
Found on page https://uthealthjacksonville.com/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint c967c6d63dcf7323… · 179,961,025 bytes · first seen 2026-05-06

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
C2616
HCPCS
Nm Iso Y-90 Sir-spheres Resin Microspheres Per Dose 39 $22,330.11 $63,409.72 $42,869.92 nat. median
$28,140

1.5× median
J3357
HCPCS
Ustekinumab 90 Mg/ml Subcutaneous Syringe 39 $18,012.60 $64,314.37 $41,163.49 nat. median
$14,292

outlier · 2.9×
A9582
HCPCS
Nm Iso I-123 Iobenguane (mibg) Per Dose Up To 15mci 39 $10,761.42 $17,700.49 $14,230.95 nat. median
$5,352

outlier · 2.7×
J3380
HCPCS
Vedolizumab 300 Mg Intravenous Solution 39 $8,604.00 $19,279.05 $13,941.52 nat. median
$280

outlier · 49.7×
J7165
HCPCS
Human Prothrombin Cplx (pcc)-lans 4factor 500 Unit (400-640 Unit) IV Solution 39 $8,729.10 $14,357.70 $11,543.40 nat. median
$492

outlier · 23.4×
A9588
HCPCS
Fluciclovine F18 10 Mci (370 Mbq) Intravenous Solution 39 $7,299.87 $12,006.89 $9,653.38 nat. median
$736

outlier · 13.1×
J9312
HCPCS
Rituximab 10 Mg/ml Concentrate,intravenous 39 $5,148.00 $14,040.15 $9,594.08 nat. median
$1,242

outlier · 7.7×
J3101
HCPCS
Tenecteplase 50 Mg Intravenous Solution 39 $5,971.50 $19,084.80 $8,711.19 nat. median
$5,957

1.5× median
A9570
HCPCS
Nm Iso In-111 Labeled Wbc Diagnostic Per Dose 39 $6,518.37 $10,721.47 $8,619.92 nat. median
$3,000

outlier · 2.9×
A9586
HCPCS
Nm PET Iso F18 Florbetapir Per Dose Up To 10 Mci 39 $5,208.13 $8,566.37 $6,887.25 nat. median
$4,076

1.7× median
J0840
HCPCS
Crotalidae Polyval Immune Fab Solution For Injection 39 $2,534.89 $9,625.98 $6,080.44 nat. median
$3,427

1.8× median
90377
HCPCS
Rabies Immune Globulin (pf) 150 Unit/ml Intramuscular Solution 39 $666.40 $11,418.13 $6,042.27 nat. median
$504

outlier · 12.0×
A9584
HCPCS
Nm Iso Ioflupane (datscan) Per Dose Up To 5 Mci 39 $4,498.38 $7,398.97 $5,948.68 nat. median
$3,233

1.8× median
A9800
HCPCS
Nm Iso Gallium Ga-68 Gozetotide (locametz) Per 1 Mci Kit 39 $3,406.41 $7,195.10 $5,300.76 nat. median
$1,076

outlier · 4.9×
90375
HCPCS
Rabies Immune Globulin (pf) 300 Unit/ml Intramuscular Solution 39 $753.94 $9,756.01 $5,254.98 nat. median
$1,041

outlier · 5.0×
A9596
HCPCS
Nm Iso Gallium Ga-68 Gozetotide (illuccix) Per 1 Mci Kit 39 $3,671.38 $6,038.72 $4,855.05 nat. median
$1,344

outlier · 3.6×
31629
CPT
Needle Biopsy Of Windpipe Cartilage, Airway, And/or Lung Using An Endoscope 39 $4,638.47 $4,638.47 $4,638.47 nat. median
$3,730

1.2× median
A9509
HCPCS
Nm Iso I-123 Sodium Iodide Dx (capsule) Per 200uci 39 $3,296.32 $5,421.82 $4,359.07 nat. median
$435

outlier · 10.0×
54415
CPT
Removal Of Inflatable Or Noninflatable Penile Implant 39 $4,318.05 $4,318.05 $4,318.05 nat. median
$3,832

1.1× median
J3111
HCPCS
Romosozumab-aqqg 210 Mg/2.34 Ml(105 Mg/1.17 Ml X2)subcutaneous Syringe 39 $2,929.50 $5,680.08 $4,304.79 nat. median
$1,003

outlier · 4.3×
47531
CPT
Injection Of Bile Duct For X-ray Through Already Existing Skin Access Using Imag… 39 $4,285.24 $4,285.24 $4,285.24 nat. median
$3,258

1.3× median
47490
CPT
Insertion Of Tube Into Gallbladder Using Imaging Guidance With Review By Radiolo… 39 $4,285.24 $4,285.24 $4,285.24 nat. median
$3,906

1.1× median
26350
CPT
Repair Of Finger Tendon Of Under Side Of Hand Other Than Upper Most Part Of Palm… 39 $4,009.24 $4,009.24 $4,009.24 nat. median
$3,405

1.2× median
41008
CPT
Drainage Of Abscess, Cyst, Or Blood Accumulation Under Jaw Bone From Inside Mout… 39 $3,987.91 $3,987.91 $3,987.91 nat. median
$3,157

1.3× median
31600
CPT
Incision Of Windpipe For Insertion Of Breathing Tube (older Than 2 Years) 39 $3,987.91 $3,987.91 $3,987.91 nat. median
$3,393

1.2× median
37197
CPT
Retrieval Of Foreign Body In Blood Vessel With Review By Radiologist 39 $3,948.11 $3,948.11 $3,948.11 nat. median
$4,061

1.0× median
36556
CPT
Hc Insert Non-tunnl Cvc => 5 Yrs 39 $3,948.11 $3,948.11 $3,948.11 nat. median
$2,458

1.6× median
59412
CPT
Turning Of Fetus Through External Manipulation 39 $3,872.40 $3,872.40 $3,872.40 nat. median
$3,002

1.3× median
57200
CPT
Suture Of Nonobstetrical Injury Of Vagina 39 $3,872.40 $3,872.40 $3,872.40 nat. median
$3,185

1.2× median
59414
CPT
Delivery Of Placenta 39 $3,872.40 $3,872.40 $3,872.40 nat. median
$2,876

1.3× median
38222
CPT
Hc Bone Marrow Biopsy(S) & Aspiration(S) 39 $3,519.56 $3,519.56 $3,519.56 nat. median
$2,752

1.3× median
10180
CPT
Complex Drainage Of Wound Infection After Surgery 39 $3,519.56 $3,519.56 $3,519.56 nat. median
$2,867

1.2× median
A9521
HCPCS
Nm Iso Tc99m Exametazime (ceretec) Per Dose Up To 25mci 39 $2,653.76 $4,364.92 $3,509.34 nat. median
$1,818

1.9× median
J1459
HCPCS
Immune Glob,gamm(igg) 10 %-pro-iga 0 To 50 Mcg/ml Intravenous Solution 39 $1,255.60 $5,744.28 $3,499.94 nat. median
$1,227

outlier · 2.9×
45390
CPT
Removal Of Large Bowel Tissue Using A Flexible Endoscope 39 $3,477.81 $3,477.81 $3,477.81 nat. median
$2,950

1.2× median
46080
CPT
Incision Of Sphincter Of Anus 39 $3,477.81 $3,477.81 $3,477.81 nat. median
$2,825

1.2× median
46946
CPT
Tying Of Multiple Internal Hemorrhoid Groups 39 $3,477.81 $3,477.81 $3,477.81 nat. median
$2,789

1.2× median
J3358
HCPCS
Ustekinumab 130 Mg/26 Ml Intravenous Solution 39 $2,132.00 $4,679.95 $3,405.97 nat. median
$213

outlier · 16.0×
J0897
HCPCS
Denosumab 60 Mg/ml Subcutaneous Syringe 39 $1,965.60 $3,890.88 $2,928.24 nat. median
$2,502

1.2× median
99291
CPT
Critical Care, First 30-74 Minutes 39 $1,099.12 $4,640.00 $2,869.56 nat. median
$1,610

1.8× median
81162
CPT
Gene Analysis (breast Cancer 1 And 2) Of Full Sequence And Analysis For Duplicat… 39 $1,094.93 $6,971.04 $2,627.83 nat. median
$1,825

1.4× median
J1568
HCPCS
Immune Glob,gamm(igg) 5 %-malt-iga Over 50 Mcg/ml Intravenous Solution 39 $1,169.40 $11,802.21 $2,551.74 nat. median
$846

outlier · 3.0×
50432
CPT
Placement Of Tube Of Kidney Using Imaging Guidance With Review By Radiologist 39 $2,522.86 $2,522.86 $2,522.86 nat. median
$2,896

0.9× median
54150
CPT
Removal Of Foreskin Using Clamp Or Device 39 $2,522.86 $2,522.86 $2,522.86 nat. median
$1,733

1.5× median
99292
CPT
Critical Care, Each Additional 30 Minutes 39 $374.62 $4,640.00 $2,507.31 nat. median
$551

outlier · 4.6×
G0390
CPT
Hc Full Tta(Lvl I)pre-notification 39 $1,452.57 $3,502.22 $2,477.39 nat. median
$3,172

0.8× median
J0841
HCPCS
Antivenin Crotalidae (equine) Solution For Injection 39 $1,185.70 $3,672.20 $2,428.95 nat. median
$1,767

1.4× median
64633
CPT
Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 39 $2,391.52 $2,391.52 $2,391.52 nat. median
$2,311

1.0× median
64635
CPT
Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 39 $2,391.52 $2,391.52 $2,391.52 nat. median
$2,352

1.0× median
32556
CPT
Drainage Of Fluid From Chest Cavity With Insertion Of Indwelling Tube 39 $2,356.89 $2,356.89 $2,356.89 nat. median
$1,954

1.2× median

Other procedures at this hospital

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