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
ELEC ALY CPX IINS SP/SAC NRV
Jasper, TX
See all hospitals reporting CPT 0789T →Price type
Southeast Texas - Jasper Memorial’s median price of $96 is 5% below the median hospital's median price ($101), higher than 42% of the 866 hospitals reporting CPT 0789T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 12 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 | $93 | $93 | — | — | — | $93 – $93 |
| 2 | Bcbs Tx mm fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 3 | Humana gold choice mm fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 4 | Molina medicare adv mm fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 5 | UnitedHealthcare mm fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 6 | WellCare mm fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 7 | Devoted mm fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 8 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $498 | $498 | — | — | — | $498 – $498 |
| 9 | Bcbs Tx heb fee schedule · outpatient | $547 | $547 | — | — | — | $547 – $547 |
| 10 | Bcbs Tx hmo fee schedule · outpatient | $547 | $547 | — | — | — | $547 – $547 |
| 11 | Bcbs Tx ppo fee schedule · outpatient | $623 | $623 | — | — | — | $623 – $623 |
| 12 | Bcbs Tx traditional fee schedule · outpatient | $647 | $647 | — | — | — | $647 – $647 |
Last updated: Jan 13, 2026
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