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
DGTZ GLS MCRSCP SL IMM EA 1
Jasper, TX
See all hospitals reporting CPT 0761T →Price type
Southeast Texas - Jasper Memorial’s median price of $383 is 665% above the median hospital's median price ($50), higher than 92% of the 535 hospitals reporting CPT 0761T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $348 | $348 | — | — | — | $348 – $348 |
| 2 | Bcbs Tx heb fee schedule · outpatient | $383 | $383 | — | — | — | $383 – $383 |
| 3 | Bcbs Tx hmo fee schedule · outpatient | $383 | $383 | — | — | — | $383 – $383 |
| 4 | Bcbs Tx ppo fee schedule · outpatient | $436 | $436 | — | — | — | $436 – $436 |
| 5 | Bcbs Tx traditional fee schedule · outpatient | $453 | $453 | — | — | — | $453 – $453 |
Last updated: Jan 13, 2026
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