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.
Original text from hospital filings
CT PERFUSION W/CONTRAST CBF
Jasper, TX
See all hospitals reporting CPT 0042T →Price type
Southeast Texas - Jasper Memorial’s median price of $940 is 13% above the median hospital's median price ($831), higher than 56% of the 1,245 hospitals reporting CPT 0042T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 16 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 hix fee schedule · outpatient | $425 | $425 | — | — | — | $425 – $425 |
| 2 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $432 | $432 | — | — | — | $432 – $432 |
| 3 | Bcbs Tx heb fee schedule · outpatient | $475 | $475 | — | — | — | $475 – $475 |
| 4 | Bcbs Tx hmo fee schedule · outpatient | $475 | $475 | — | — | — | $475 – $475 |
| 5 | Bcbs Tx ppo fee schedule · outpatient | $544 | $544 | — | — | — | $544 – $544 |
| 6 | Bcbs Tx traditional fee schedule · outpatient | $561 | $561 | — | — | — | $561 – $561 |
| 7 | Aetna new business per diem · outpatient | $847 | $847 | — | — | — | $847 – $847 |
| 8 | Cigna new business fee schedule · outpatient | $858 | $858 | — | — | — | $858 – $858 |
| 9 | Aetna epo per diem · outpatient | $940 | $940 | — | — | — | $940 – $940 |
| 10 | Aetna hmo per diem · outpatient | $940 | $940 | — | — | — | $940 – $940 |
| 11 | Aetna pos per diem · outpatient | $940 | $940 | — | — | — | $940 – $940 |
| 12 | Aetna ppo per diem · outpatient | $940 | $940 | — | — | — | $940 – $940 |
| 13 | Healthcare Highways ppo other · outpatient | $988 | $988 | — | — | — | $988 – $988 |
| 14 | Cigna ppo fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 15 | Humana choicecare fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 16 | UnitedHealthcare all payer fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
Last updated: Jan 13, 2026
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