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
Duplex scan of hemodialysis fistula, computer-aided, limited (volume flow, diameter, and depth, including only body of fistula)
Jasper, TX
See all hospitals reporting CPT 0876T →Price type
Southeast Texas - Jasper Memorial’s median price of $544 is 57% above the median hospital's median price ($347), higher than 90% of the 213 hospitals reporting CPT 0876T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 7 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 | UnitedHealthcare hix fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 2 | UnitedHealthcare all payer fee schedule · outpatient | $326 | $326 | — | — | — | $326 – $326 |
| 3 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $494 | $494 | — | — | — | $494 – $494 |
| 4 | Bcbs Tx heb fee schedule · outpatient | $544 | $544 | — | — | — | $544 – $544 |
| 5 | Bcbs Tx hmo fee schedule · outpatient | $544 | $544 | — | — | — | $544 – $544 |
| 6 | Bcbs Tx ppo fee schedule · outpatient | $622 | $622 | — | — | — | $622 – $622 |
| 7 | Bcbs Tx traditional fee schedule · outpatient | $641 | $641 | — | — | — | $641 – $641 |
Last updated: Jan 13, 2026
See Limited ultrasound of dialysis access fistula pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.