PERI-PX DEV EVAL ISDSS IP at Southeast Texas - Jasper Memorial

Jasper, TX

Pricing by billing methodology

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How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $98 is 50% above the median hospital's median price ($65), higher than 73% of the 313 hospitals reporting CPT 0684T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 0684T at Southeast Texas - Jasper Memorial

Negotiated rates from the hospital’s own file: 1 payer, 5 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	$89	$89	—	—	—	$89 – $89
2	Bcbs Tx heb fee schedule · outpatient	$98	$98	—	—	—	$98 – $98
3	Bcbs Tx hmo fee schedule · outpatient	$98	$98	—	—	—	$98 – $98
4	Bcbs Tx ppo fee schedule · outpatient	$112	$112	—	—	—	$112 – $112
5	Bcbs Tx traditional fee schedule · outpatient	$115	$115	—	—	—	$115 – $115

Last updated: Jan 13, 2026

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