Drug screening test of oral fluid by LC-MS/MS at Southeast Texas - Jasper Memorial

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

RX MNTR LC-MS/MS ORAL FLUID

Jasper, TX

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Pricing by billing methodology

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How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $126 is 7% above the median hospital's median price ($118), higher than 70% of the 1,267 hospitals reporting CPT 0011U. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 0011U at Southeast Texas - Jasper Memorial

Negotiated rates from the hospital’s own file: 7 payers, 14 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	UnitedHealthcare all payer fee schedule · outpatient	$103	$103	—	—	—	$103 – $103
2	UnitedHealthcare hix fee schedule · outpatient	$103	$103	—	—	—	$103 – $103
3	Aetna mm fee schedule · outpatient	$123	$123	—	—	—	$123 – $123
4	Bcbs Tx mm fee schedule · outpatient	$123	$123	—	—	—	$123 – $123
5	Humana gold choice mm fee schedule · outpatient	$123	$123	—	—	—	$123 – $123
6	Molina medicare adv mm fee schedule · outpatient	$123	$123	—	—	—	$123 – $123
7	UnitedHealthcare mm fee schedule · outpatient	$123	$123	—	—	—	$123 – $123
8	WellCare mm fee schedule · outpatient	$123	$123	—	—	—	$123 – $123
9	Devoted mm fee schedule · outpatient	$132	$132	—	—	—	$132 – $132
10	Bcbs Tx blue advantage hmo fee schedule · outpatient	$618	$618	—	—	—	$618 – $618
11	Bcbs Tx heb fee schedule · outpatient	$679	$679	—	—	—	$679 – $679
12	Bcbs Tx hmo fee schedule · outpatient	$679	$679	—	—	—	$679 – $679
13	Bcbs Tx ppo fee schedule · outpatient	$774	$774	—	—	—	$774 – $774
14	Bcbs Tx traditional fee schedule · outpatient	$803	$803	—	—	—	$803 – $803

Last updated: Jan 13, 2026

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See Drug screening test of oral fluid by LC-MS/MS pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.