Large subcutaneous filler injection (over 10 cc) 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

TX CONTOUR DEFECTS >10.0 CC

Jasper, TX

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Pricing by billing methodology

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How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $618 is 21% below the median hospital's median price ($777), higher than 35% of the 1,494 hospitals reporting CPT 11954. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 11954 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	$67	$67	—	—	—	$67 – $67
2	UnitedHealthcare star kid km fee schedule · outpatient	$67	$67	—	—	—	$67 – $67
3	UnitedHealthcare star km fee schedule · outpatient	$67	$67	—	—	—	$67 – $67
4	UnitedHealthcare star plus km fee schedule · outpatient	$67	$67	—	—	—	$67 – $67
5	Molina chip km fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
6	Molina star km fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
7	Molina star plus km fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
8	Cigna new business case rate · outpatient	$122	$122	—	—	—	$122 – $122
9	Bcbs Tx heb fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
10	Cigna ppo case rate · outpatient	$159	$159	—	—	—	$159 – $159
11	Bcbs Tx blue advantage hmo fee schedule · outpatient	$202	$202	—	—	—	$202 – $202
12	Bcbs Tx hmo fee schedule · outpatient	$213	$213	—	—	—	$213 – $213
13	Humana choicecare other · outpatient	$217	$217	—	—	—	$217 – $217
14	Bcbs Tx ppo fee schedule · outpatient	$259	$259	—	—	—	$259 – $259
15	Bcbs Tx traditional fee schedule · outpatient	$298	$298	—	—	—	$298 – $298
16	Aetna mm fee schedule · outpatient	$618	$618	—	—	—	$618 – $618
17	Bcbs Tx mm fee schedule · outpatient	$618	$618	—	—	—	$618 – $618
18	Humana gold choice mm fee schedule · outpatient	$618	$618	—	—	—	$618 – $618
19	Molina medicare adv mm fee schedule · outpatient	$618	$618	—	—	—	$618 – $618
20	UnitedHealthcare mm fee schedule · outpatient	$618	$618	—	—	—	$618 – $618
21	WellCare mm fee schedule · outpatient	$618	$618	—	—	—	$618 – $618
22	Devoted mm fee schedule · outpatient	$667	$667	—	—	—	$667 – $667
23	UnitedHealthcare hix case rate · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
24	UnitedHealthcare all payer case rate · outpatient	$2.4k	$2.4k	—	—	—	$2.4k – $2.4k
25	Aetna new business case rate · outpatient	$3.7k	$3.7k	—	—	—	$3.7k – $3.7k

Page 1 of 2 · 29 rates

Last updated: Jan 13, 2026

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See Large subcutaneous filler injection (over 10 cc) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.