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
Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; obtained without concurrent CT examination of any structure contained in previously acquired diagno
Jasper, TX
See all hospitals reporting CPT 0877T →Price type
Southeast Texas - Jasper Memorial’s median price of $656 is about the same as the median hospital's median price ($657), higher than 49% of the 613 hospitals reporting CPT 0877T. 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, 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 | Aetna mm fee schedule · outpatient | $656 | $656 | — | — | — | $656 – $656 |
| 2 | Bcbs Tx mm fee schedule · outpatient | $656 | $656 | — | — | — | $656 – $656 |
| 3 | Humana gold choice mm fee schedule · outpatient | $656 | $656 | — | — | — | $656 – $656 |
| 4 | Molina medicare adv mm fee schedule · outpatient | $656 | $656 | — | — | — | $656 – $656 |
| 5 | UnitedHealthcare mm fee schedule · outpatient | $656 | $656 | — | — | — | $656 – $656 |
| 6 | WellCare mm fee schedule · outpatient | $656 | $656 | — | — | — | $656 – $656 |
| 7 | Devoted mm fee schedule · outpatient | $709 | $709 | — | — | — | $709 – $709 |
Last updated: Jan 13, 2026
See Interstitial lung disease AI analysis of chest CT images pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.