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 SCAN F/BIOMCHN CT ALYS
Jasper, TX
See all hospitals reporting CPT 0558T →Price type
Southeast Texas - Jasper Memorial’s median price of $111 is 10% below the median hospital's median price ($124), higher than 45% of the 1,201 hospitals reporting CPT 0558T. 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 | Aetna mm fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 2 | Bcbs Tx mm fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 3 | Humana gold choice mm fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 4 | Molina medicare adv mm fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 5 | UnitedHealthcare mm fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 6 | WellCare mm fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 7 | Devoted mm fee schedule · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 8 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $352 | $352 | — | — | — | $352 – $352 |
| 9 | Bcbs Tx heb fee schedule · outpatient | $387 | $387 | — | — | — | $387 – $387 |
| 10 | Bcbs Tx hmo fee schedule · outpatient | $387 | $387 | — | — | — | $387 – $387 |
| 11 | UnitedHealthcare hix fee schedule · outpatient | $425 | $425 | — | — | — | $425 – $425 |
| 12 | Bcbs Tx ppo fee schedule · outpatient | $443 | $443 | — | — | — | $443 – $443 |
| 13 | Bcbs Tx traditional fee schedule · outpatient | $457 | $457 | — | — | — | $457 – $457 |
| 14 | Aetna new business per diem · outpatient | $847 | $847 | — | — | — | $847 – $847 |
| 15 | Cigna new business fee schedule · outpatient | $858 | $858 | — | — | — | $858 – $858 |
| 16 | Aetna epo per diem · outpatient | $940 | $940 | — | — | — | $940 – $940 |
| 17 | Aetna hmo per diem · outpatient | $940 | $940 | — | — | — | $940 – $940 |
| 18 | Aetna pos per diem · outpatient | $940 | $940 | — | — | — | $940 – $940 |
| 19 | Aetna ppo per diem · outpatient | $940 | $940 | — | — | — | $940 – $940 |
| 20 | Healthcare Highways ppo other · outpatient | $988 | $988 | — | — | — | $988 – $988 |
| 21 | Cigna ppo fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 22 | Humana choicecare fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 23 | UnitedHealthcare all payer fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
Last updated: Jan 13, 2026
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