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
RMVL & RPL CAR MODULJ PLS GN
Jasper, TX
See all hospitals reporting CPT 0414T →Price type
Southeast Texas - Jasper Memorial’s median price of $22.6k is about the same as the median hospital's median price ($22.5k), higher than 53% of the 1,322 hospitals reporting CPT 0414T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 23 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 | Humana choicecare other · outpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 2 | Cigna new business case rate · outpatient | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 3 | Cigna ppo case rate · outpatient | $7.7k | $7.7k | — | — | — | $7.7k – $7.7k |
| 4 | Aetna new business case rate · outpatient | $8.8k | $8.8k | — | — | — | $8.8k – $8.8k |
| 5 | Aetna epo case rate · outpatient | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
| 6 | Aetna hmo case rate · outpatient | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
| 7 | Aetna pos case rate · outpatient | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
| 8 | Aetna ppo case rate · outpatient | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
| 9 | Healthcare Highways ppo case rate · outpatient | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 10 | UnitedHealthcare hix case rate · outpatient | $17.3k | $17.3k | — | — | — | $17.3k – $17.3k |
| 11 | Aetna mm fee schedule · outpatient | $22.6k | $22.6k | — | — | — | $22.6k – $22.6k |
| 12 | Bcbs Tx mm fee schedule · outpatient | $22.6k | $22.6k | — | — | — | $22.6k – $22.6k |
| 13 | Humana gold choice mm fee schedule · outpatient | $22.6k | $22.6k | — | — | — | $22.6k – $22.6k |
| 14 | Molina medicare adv mm fee schedule · outpatient | $22.6k | $22.6k | — | — | — | $22.6k – $22.6k |
| 15 | UnitedHealthcare mm fee schedule · outpatient | $22.6k | $22.6k | — | — | — | $22.6k – $22.6k |
| 16 | WellCare mm fee schedule · outpatient | $22.6k | $22.6k | — | — | — | $22.6k – $22.6k |
| 17 | Devoted mm fee schedule · outpatient | $24.5k | $24.5k | — | — | — | $24.5k – $24.5k |
| 18 | Bcbs Tx heb fee schedule · outpatient | $33.6k | $33.6k | — | — | — | $33.6k – $33.6k |
| 19 | UnitedHealthcare all payer case rate · outpatient | $38.6k | $38.6k | — | — | — | $38.6k – $38.6k |
| 20 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $53.6k | $53.6k | — | — | — | $53.6k – $53.6k |
| 21 | Bcbs Tx hmo fee schedule · outpatient | $56.6k | $56.6k | — | — | — | $56.6k – $56.6k |
| 22 | Bcbs Tx ppo fee schedule · outpatient | $68.8k | $68.8k | — | — | — | $68.8k – $68.8k |
| 23 | Bcbs Tx traditional fee schedule · outpatient | $79.0k | $79.0k | — | — | — | $79.0k – $79.0k |
Last updated: Jan 13, 2026
See Replacement of cardiac contractility modulation device generator pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.