ARTIFICIAL SALIVA at Jasper Health Services

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

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Original text from hospital filings

saliva substitutes - Sol [JAMH]

GA 31064, GA

See all hospitals reporting HCPCS A9155 →

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How this price compares nationally

Jasper Health Services’s median price of $85 is 725% above the median hospital's median price ($10), higher than 98% of the 493 hospitals reporting HCPCS A9155. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9155 at Jasper Health Services

Negotiated rates from the hospital’s own file: 10 payers, 19 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Blue Cross Blue Shield medicare advantage percent of total billed charges · outpatientfrom % of charges	$54	$54	—	—	—	$54 – $54
2	Ambetter ppo/pos/hmo percent of total billed charges · outpatientfrom % of charges	$62	$62	—	—	—	$62 – $62
3	Kaiser medicare hmo percent of total billed charges · outpatientfrom % of charges	$62	$62	—	—	—	$62 – $62
4	Blue Cross Blue Shield hmo/pos percent of total billed charges · outpatientfrom % of charges	$70	$70	—	—	—	$70 – $70
5	Caresource ppo/pos/hmo percent of total billed charges · outpatientfrom % of charges	$73	$73	—	—	—	$73 – $73
6	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$80	$80	—	—	—	$80 – $80
7	UnitedHealthcare ppo/pos/hmo percent of total billed charges · outpatientfrom % of charges	$80	$80	—	—	—	$80 – $80
8	Aetna ppo/pos/hmo percent of total billed charges · inpatientfrom % of charges	$82	$82	—	—	—	$82 – $82
9	Aetna ppo/pos/hmo percent of total billed charges · outpatientfrom % of charges	$82	$82	—	—	—	$82 – $82
10	Cigna ppo/pos/hmo percent of total billed charges · inpatientfrom % of charges	$85	$85	—	—	—	$85 – $85
11	Cigna ppo/pos/hmo percent of total billed charges · outpatientfrom % of charges	$85	$85	—	—	—	$85 – $85
12	Humana ppo/pos percent of total billed charges · inpatientfrom % of charges	$85	$85	—	—	—	$85 – $85
13	Humana ppo/pos percent of total billed charges · outpatientfrom % of charges	$85	$85	—	—	—	$85 – $85
14	Kaiser ppo percent of total billed charges · inpatientfrom % of charges	$85	$85	—	—	—	$85 – $85
15	Kaiser ppo percent of total billed charges · outpatientfrom % of charges	$85	$85	—	—	—	$85 – $85
16	Phcs ppo/pos/hmo percent of total billed charges · inpatientfrom % of charges	$85	$85	—	—	—	$85 – $85
17	Phcs ppo/pos/hmo percent of total billed charges · outpatientfrom % of charges	$85	$85	—	—	—	$85 – $85
18	MultiPlan ppo/pos/hmo percent of total billed charges · inpatientfrom % of charges	$90	$90	—	—	—	$90 – $90
19	MultiPlan ppo/pos/hmo percent of total billed charges · outpatientfrom % of charges	$90	$90	—	—	—	$90 – $90

Last updated: Jan 20, 2026

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