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
EXC H-F-NK-SP B9+MARG 2.1-3
Jasper, TX
See all hospitals reporting CPT 11423 →Price type
Southeast Texas - Jasper Memorial’s median price of $1.6k is 5% below the median hospital's median price ($1.7k), higher than 43% of the 2,270 hospitals reporting CPT 11423. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 30 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 | Molina chip km fee schedule · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 2 | Molina star km fee schedule · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 3 | Molina star plus km fee schedule · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 4 | Bcbs Tx heb fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 5 | UnitedHealthcare chip km case rate · outpatient | $285 | $285 | — | — | — | $285 – $285 |
| 6 | UnitedHealthcare star kid km case rate · outpatient | $285 | $285 | — | — | — | $285 – $285 |
| 7 | UnitedHealthcare star km case rate · outpatient | $285 | $285 | — | — | — | $285 – $285 |
| 8 | UnitedHealthcare star plus km case rate · outpatient | $285 | $285 | — | — | — | $285 – $285 |
| 9 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $296 | $296 | — | — | — | $296 – $296 |
| 10 | Bcbs Tx hmo fee schedule · outpatient | $312 | $312 | — | — | — | $312 – $312 |
| 11 | Bcbs Tx ppo fee schedule · outpatient | $379 | $379 | — | — | — | $379 – $379 |
| 12 | Bcbs Tx traditional fee schedule · outpatient | $436 | $436 | — | — | — | $436 – $436 |
| 13 | Humana choicecare other · outpatient | $458 | $458 | — | — | — | $458 – $458 |
| 14 | Aetna mm fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 15 | Bcbs Tx mm fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 16 | Humana gold choice mm fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 17 | Molina medicare adv mm fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 18 | UnitedHealthcare mm fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 19 | WellCare mm fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 20 | Aetna new business case rate · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 21 | Devoted mm fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 22 | UnitedHealthcare hix case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 23 | Aetna epo case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 24 | Aetna hmo case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 25 | Aetna pos case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
Last updated: Jan 13, 2026
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