Removal of infected skin tissue at Southeast Texas - Jasper Memorial

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DBRDMT ECZ/INFECTED SKIN<10%

Jasper, TX

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Payers reporting CPT 11000 at Southeast Texas - Jasper Memorial

Negotiated rates from the hospital’s own file: 8 payers, 29 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 chip km fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
2	UnitedHealthcare star kid km fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
3	UnitedHealthcare star km fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
4	UnitedHealthcare star plus km fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
5	Molina chip km fee schedule · outpatient	$31	$31	—	—	—	$31 – $31
6	Molina star km fee schedule · outpatient	$31	$31	—	—	—	$31 – $31
7	Molina star plus km fee schedule · outpatient	$31	$31	—	—	—	$31 – $31
8	Bcbs Tx heb fee schedule · outpatient	$51	$51	—	—	—	$51 – $51
9	Bcbs Tx blue advantage hmo fee schedule · outpatient	$81	$81	—	—	—	$81 – $81
10	Bcbs Tx hmo fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
11	Bcbs Tx ppo fee schedule · outpatient	$104	$104	—	—	—	$104 – $104
12	Bcbs Tx traditional fee schedule · outpatient	$119	$119	—	—	—	$119 – $119
13	Cigna new business case rate · outpatient	$122	$122	—	—	—	$122 – $122
14	Cigna ppo case rate · outpatient	$159	$159	—	—	—	$159 – $159
15	Humana choicecare other · outpatient	$173	$173	—	—	—	$173 – $173
16	UnitedHealthcare hix case rate · outpatient	$599	$599	—	—	—	$599 – $599
17	Aetna mm fee schedule · outpatient	$618	$618	—	—	—	$618 – $618
18	Bcbs Tx mm fee schedule · outpatient	$618	$618	—	—	—	$618 – $618
19	Humana gold choice mm fee schedule · outpatient	$618	$618	—	—	—	$618 – $618
20	Molina medicare adv mm fee schedule · outpatient	$618	$618	—	—	—	$618 – $618
21	UnitedHealthcare mm fee schedule · outpatient	$618	$618	—	—	—	$618 – $618
22	WellCare mm fee schedule · outpatient	$618	$618	—	—	—	$618 – $618
23	Devoted mm fee schedule · outpatient	$667	$667	—	—	—	$667 – $667
24	UnitedHealthcare all payer case rate · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
25	Aetna new business case rate · outpatient	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k

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