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
CLTX GR HMRL TBRS FX W/MNPJ
Jasper, TX
See all hospitals reporting CPT 23625 →Price type
Southeast Texas - Jasper Memorial’s median price of $1.6k is 15% below the median hospital's median price ($1.9k), higher than 36% of the 1,703 hospitals reporting CPT 23625. 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 | UnitedHealthcare chip km case rate · outpatient | $382 | $382 | — | — | — | $382 – $382 |
| 2 | UnitedHealthcare star kid km case rate · outpatient | $382 | $382 | — | — | — | $382 – $382 |
| 3 | UnitedHealthcare star km case rate · outpatient | $382 | $382 | — | — | — | $382 – $382 |
| 4 | UnitedHealthcare star plus km case rate · outpatient | $382 | $382 | — | — | — | $382 – $382 |
| 5 | Humana choicecare other · outpatient | $475 | $475 | — | — | — | $475 – $475 |
| 6 | Molina chip km fee schedule · outpatient | $623 | $623 | — | — | — | $623 – $623 |
| 7 | Molina star km fee schedule · outpatient | $623 | $623 | — | — | — | $623 – $623 |
| 8 | Molina star plus km fee schedule · outpatient | $623 | $623 | — | — | — | $623 – $623 |
| 9 | Aetna mm fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 10 | Bcbs Tx mm fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 11 | Humana gold choice mm fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 12 | Molina medicare adv mm fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 13 | UnitedHealthcare mm fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 14 | WellCare mm fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 15 | Devoted mm fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 16 | UnitedHealthcare hix case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 17 | Aetna new business case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 18 | Bcbs Tx heb fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 19 | Aetna epo case rate · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 20 | Aetna hmo case rate · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 21 | Aetna pos case rate · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 22 | Aetna ppo case rate · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 23 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 24 | Bcbs Tx hmo fee schedule · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 25 | Bcbs Tx ppo fee schedule · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
Last updated: Jan 13, 2026
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