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
INSJ/RPLCMT PRQ RA SAC NSTIM
Jasper, TX
See all hospitals reporting CPT 0786T →Price type
Southeast Texas - Jasper Memorial’s median price of $9.4k is 24% below the median hospital's median price ($12.5k), higher than 24% of the 1,040 hospitals reporting CPT 0786T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 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 new business case rate · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 2 | Aetna epo case rate · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 3 | Aetna hmo case rate · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 4 | Aetna pos case rate · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 5 | Aetna ppo case rate · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 6 | Cigna new business case rate · outpatient | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 7 | Cigna ppo case rate · outpatient | $7.7k | $7.7k | — | — | — | $7.7k – $7.7k |
| 8 | UnitedHealthcare hix case rate · outpatient | $11.2k | $11.2k | — | — | — | $11.2k – $11.2k |
| 9 | Bcbs Tx heb fee schedule · outpatient | $19.2k | $19.2k | — | — | — | $19.2k – $19.2k |
| 10 | UnitedHealthcare all payer case rate · outpatient | $25.0k | $25.0k | — | — | — | $25.0k – $25.0k |
| 11 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $30.6k | $30.6k | — | — | — | $30.6k – $30.6k |
| 12 | Bcbs Tx hmo fee schedule · outpatient | $32.3k | $32.3k | — | — | — | $32.3k – $32.3k |
| 13 | Bcbs Tx ppo fee schedule · outpatient | $39.3k | $39.3k | — | — | — | $39.3k – $39.3k |
| 14 | Bcbs Tx traditional fee schedule · outpatient | $45.2k | $45.2k | — | — | — | $45.2k – $45.2k |
Last updated: Jan 13, 2026
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