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
QUAN MRI ALYS BRN W/DX MRI
Jasper, TX
See all hospitals reporting CPT 0866T →Price type
Southeast Texas - Jasper Memorial’s median price of $268 is 15% below the median hospital's median price ($316), higher than 37% of the 1,259 hospitals reporting CPT 0866T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 21 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 | $244 | $244 | — | — | — | $244 – $244 |
| 2 | Bcbs Tx mm fee schedule · outpatient | $244 | $244 | — | — | — | $244 – $244 |
| 3 | Humana gold choice mm fee schedule · outpatient | $244 | $244 | — | — | — | $244 – $244 |
| 4 | Molina medicare adv mm fee schedule · outpatient | $244 | $244 | — | — | — | $244 – $244 |
| 5 | UnitedHealthcare mm fee schedule · outpatient | $244 | $244 | — | — | — | $244 – $244 |
| 6 | WellCare mm fee schedule · outpatient | $244 | $244 | — | — | — | $244 – $244 |
| 7 | Devoted mm fee schedule · outpatient | $263 | $263 | — | — | — | $263 – $263 |
| 8 | Healthcare Highways ppo other · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 9 | Aetna new business per diem · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 10 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 11 | UnitedHealthcare hix fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 12 | Aetna epo per diem · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 13 | Aetna hmo per diem · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 14 | Aetna pos per diem · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 15 | Aetna ppo per diem · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 16 | Humana choicecare fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 17 | Bcbs Tx heb fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 18 | Bcbs Tx hmo fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 19 | Bcbs Tx ppo fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 20 | Bcbs Tx traditional fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 21 | UnitedHealthcare all payer fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
Last updated: Jan 13, 2026
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