Sickle cell disease blood flow adhesion test 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

SC DIS VCAM-1 WHOLE BLOOD

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 $545 is 5% above the median hospital's median price ($519), higher than 71% of the 1,276 hospitals reporting CPT 0121U. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 0121U 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	Bcbs Tx blue advantage hmo fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
2	Bcbs Tx heb fee schedule · outpatient	$33	$33	—	—	—	$33 – $33
3	Bcbs Tx hmo fee schedule · outpatient	$33	$33	—	—	—	$33 – $33
4	Bcbs Tx ppo fee schedule · outpatient	$37	$37	—	—	—	$37 – $37
5	Bcbs Tx traditional fee schedule · outpatient	$39	$39	—	—	—	$39 – $39
6	UnitedHealthcare all payer fee schedule · outpatient	$458	$458	—	—	—	$458 – $458
7	UnitedHealthcare hix fee schedule · outpatient	$458	$458	—	—	—	$458 – $458
8	Aetna mm fee schedule · outpatient	$545	$545	—	—	—	$545 – $545
9	Bcbs Tx mm fee schedule · outpatient	$545	$545	—	—	—	$545 – $545
10	Humana gold choice mm fee schedule · outpatient	$545	$545	—	—	—	$545 – $545
11	Molina medicare adv mm fee schedule · outpatient	$545	$545	—	—	—	$545 – $545
12	UnitedHealthcare mm fee schedule · outpatient	$545	$545	—	—	—	$545 – $545
13	WellCare mm fee schedule · outpatient	$545	$545	—	—	—	$545 – $545
14	Devoted mm fee schedule · outpatient	$589	$589	—	—	—	$589 – $589

Last updated: Jan 13, 2026

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