Noninvasive near-infrared tissue oxygen measurement 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

NCNTC IFR SPCTRSC O/T PAD 1

Jasper, TX

See all hospitals reporting CPT 0640T →

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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 $42 is 3% above the median hospital's median price ($41), higher than 54% of the 1,038 hospitals reporting CPT 0640T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 0640T 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	Aetna mm fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
2	Bcbs Tx mm fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
3	Humana gold choice mm fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
4	Molina medicare adv mm fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
5	UnitedHealthcare mm fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
6	WellCare mm fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
7	Devoted mm fee schedule · outpatient	$43	$43	—	—	—	$43 – $43
8	Bcbs Tx blue advantage hmo fee schedule · outpatient	$44	$44	—	—	—	$44 – $44
9	Bcbs Tx heb fee schedule · outpatient	$49	$49	—	—	—	$49 – $49
10	Bcbs Tx hmo fee schedule · outpatient	$49	$49	—	—	—	$49 – $49
11	Bcbs Tx ppo fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
12	Bcbs Tx traditional fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
13	UnitedHealthcare hix fee schedule · outpatient	$509	$509	—	—	—	$509 – $509
14	UnitedHealthcare all payer fee schedule · outpatient	$801	$801	—	—	—	$801 – $801

Last updated: Jan 13, 2026

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