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
GI BARRETTS ESOPH VIM&CCNA1
Jasper, TX
See all hospitals reporting CPT 0114U →Price type
Southeast Texas - Jasper Memorial’s median price of $2.1k is 4% above the median hospital's median price ($2.0k), higher than 69% of the 1,265 hospitals reporting CPT 0114U. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $775 | $775 | — | — | — | $775 – $775 |
| 2 | Bcbs Tx heb fee schedule · outpatient | $851 | $851 | — | — | — | $851 – $851 |
| 3 | Bcbs Tx hmo fee schedule · outpatient | $851 | $851 | — | — | — | $851 – $851 |
| 4 | Bcbs Tx ppo fee schedule · outpatient | $970 | $970 | — | — | — | $970 – $970 |
| 5 | Bcbs Tx traditional fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 6 | UnitedHealthcare all payer fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 7 | UnitedHealthcare hix fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 8 | Aetna mm fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 9 | Bcbs Tx mm fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 10 | Humana gold choice mm fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 11 | Molina medicare adv mm fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 12 | UnitedHealthcare mm fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 13 | WellCare mm fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 14 | Devoted mm fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
Last updated: Jan 13, 2026
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