Hospital Profile Acute Care Hospitals Proprietary

UT Health East Texas Jacksonville Hospital

501 S RAGSDALE ST, Jacksonville, TX 75766

CMS Overall Rating No CMS Rating

UT Health East Texas Jacksonville Hospital publishes prices for 90 shoppable procedures in Jacksonville, TX. It's classified by CMS as Acute Care Hospitals (Proprietary). CMS has not published a star rating for it.

Facility Overview

Setting: rural Bed Count: 38 Beds Teaching Status: Non-Teaching Annual Discharges: 1,256

Patient Experience

Recommendation Rate: 75% High Patient Rating: 74% ER Wait Time (Med): 93 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 90 codes Typical vs Fair BaseRate: — Price File In Index: Yes MRF Version: 3.0.0

Prices at UT Health East Texas Jacksonville Hospital

Every shoppable procedure, ranked by how far its price sits above the fair BaseRate. Fair BaseRate is the modeled typical charge; vs Fair is how many times higher this hospital's price is.

Search Procedures & Codes

Procedure & Code	Cash Price	This Hospital	Fair BaseRate	vs Fair
Blood transfusion CPT Code: `36430`	$395	—	—	—
Blood test, potassium CPT Code: `84132`	$23	—	—	—
CT scan, pelvis CPT Code: `72192`	$579	—	—	—
X-ray, foot CPT Code: `73630`	$114	—	—	—
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$38	—	—	—
Pneumococcal vaccine HCPCS Code: `90732`	$155	—	—	—
X-ray, neck (cervical spine) CPT Code: `72040`	$82	—	—	—
Speech therapy (language evaluation) CPT Code: `92507`	$85	—	—	—
Injection procedure for pain management HCPCS Code: `G0260`	$237	—	—	—
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$868	—	—	—
Upper endoscopy with biopsy CPT Code: `43239`	$539	—	—	—
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,134	—	—	—
CT scan, lower back (lumbar spine) CPT Code: `72131`	$579	—	—	—
Blood test, clotting time (PT/INR) CPT Code: `85610`	$20	—	—	—
Hepatitis B immune globulin HCPCS Code: `90371`	$375	—	—	—
Blood antibody screen CPT Code: `86850`	$47	—	—	—
Blood test, calcium CPT Code: `82310`	$26	—	—	—
X-ray, hand CPT Code: `73130`	$114	—	—	—
X-ray, shoulder CPT Code: `73030`	$103	—	—	—
Blood test, complete blood count (CBC) CPT Code: `85025`	$38	—	—	—
Blood test, comprehensive metabolic panel CPT Code: `80053`	$61	—	—	—
Culture, bacterial CPT Code: `87070`	$43	—	—	—
Diagnostic mammogram (both breasts) CPT Code: `77066`	$104	—	—	—
Blood test, creatinine (kidney) CPT Code: `82565`	$33	—	—	—
Blood test, sodium CPT Code: `84295`	$24	—	—	—
Blood test, glucose (blood sugar) CPT Code: `82947`	$20	—	—	—
Ultrasound, pelvis CPT Code: `76856`	$241	—	—	—
Trauma team activation HCPCS Code: `G0390`	$579	—	—	—
Blood test, vitamin D CPT Code: `82306`	$39	—	—	—
Screening mammogram (both breasts) CPT Code: `77067`	$70	—	—	—
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$12	—	—	—
X-ray, hip CPT Code: `73502`	$82	—	—	—
Flu vaccine injection HCPCS Code: `G0008`	$12	—	—	—
Ultrasound, thyroid and neck CPT Code: `76536`	$175	—	—	—
MRI, knee or other leg joint CPT Code: `73721`	$782	—	—	—
Colorectal cancer screening HCPCS Code: `G0010`	$10	—	—	—
CT scan, chest (no contrast) CPT Code: `71250`	$579	—	—	—
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$20	—	—	—
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$242	—	—	—
Physical therapy (manual therapy) CPT Code: `97140`	$18	—	—	—
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$77	—	—	—
Drug screening test HCPCS Code: `G0480`	$86	—	—	—
X-ray, chest (two views) CPT Code: `71046`	$82	—	—	—
MRI, brain (with and without contrast) CPT Code: `70553`	$1,018	—	—	—
CT scan, head (no contrast) CPT Code: `70450`	$562	—	—	—
Hospital observation (per hour) HCPCS Code: `G0378`	$20	—	—	—
CT scan, neck (cervical spine) CPT Code: `72125`	$562	—	—	—
CT scan, head (with and without contrast) CPT Code: `70470`	$833	—	—	—
Occupational therapy (therapeutic activities) CPT Code: `97530`	$22	—	—	—
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$23	—	—	—
Blood test, liver function panel CPT Code: `80076`	$47	—	—	—
CT scan, sinuses CPT Code: `70486`	$562	—	—	—
Blood test, lipase CPT Code: `83690`	$34	—	—	—
Pneumonia vaccine injection HCPCS Code: `G0009`	$12	—	—	—
Occupational therapy (self-care training) CPT Code: `97535`	$26	—	—	—
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$123	—	—	—
Hepatitis B vaccine HCPCS Code: `90744`	$39	—	—	—
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$65	—	—	—
Blood test, vitamin B12 CPT Code: `82607`	$74	—	—	—
Ultrasound, abdomen (complete) CPT Code: `76700`	$297	—	—	—
X-ray, chest (single view) CPT Code: `71045`	$72	—	—	—
Blood test, clotting time (PTT) CPT Code: `85730`	$30	—	—	—
CT scan, head (with contrast) CPT Code: `70460`	$734	—	—	—
X-ray, ankle CPT Code: `73610`	$114	—	—	—
Echocardiogram (heart ultrasound) CPT Code: `93306`	$650	—	—	—
Culture, blood CPT Code: `87040`	$51	—	—	—
X-ray, lower back CPT Code: `72110`	$258	—	—	—
Colonoscopy (diagnostic) CPT Code: `45378`	$592	—	—	—
Blood test, PSA (prostate screen) CPT Code: `84153`	$91	—	—	—
Blood test, thyroid (TSH) CPT Code: `84443`	$83	—	—	—
Hepatitis C antibody test CPT Code: `86803`	$87	—	—	—
Blood test, ferritin (iron stores) CPT Code: `82728`	$67	—	—	—
Colonoscopy with biopsy CPT Code: `45380`	$652	—	—	—
Ultrasound, abdomen (limited) CPT Code: `76705`	$146	—	—	—
MRI, brain (no contrast) CPT Code: `70551`	$753	—	—	—
Blood test, average blood sugar (A1c) CPT Code: `83036`	$48	—	—	—
Sleep study (overnight, in lab) CPT Code: `95810`	$607	—	—	—
Ultrasound, leg veins (duplex) CPT Code: `93970`	$287	—	—	—
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$86	—	—	—
Blood test, amylase CPT Code: `82150`	$32	—	—	—
Blood test, basic metabolic panel CPT Code: `80048`	$49	—	—	—
Blood test, hemoglobin CPT Code: `85018`	$12	—	—	—
Breathing treatment (nebulizer) CPT Code: `94640`	$48	—	—	—
Blood test, magnesium CPT Code: `83735`	$33	—	—	—
Urinalysis (automated, with microscopy) CPT Code: `81001`	$4	—	—	—
Rabies immune globulin HCPCS Code: `90375`	$2,761	—	—	—
X-ray, pelvis CPT Code: `72170`	$82	—	—	—
MRI, lower back (no contrast) CPT Code: `72148`	$704	—	—	—
Physical therapy (therapeutic exercise) CPT Code: `97110`	$34	—	—	—
Physical therapy (gait training) CPT Code: `97116`	$40	—	—	—