Diagnostic nasal endoscopy with maxillary sinus exam 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

NSL/SINS NDSC DX MAX SINUSC

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 $392 is 21% below the median hospital's median price ($493), higher than 31% of the 1,516 hospitals reporting CPT 31233. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 31233 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	Molina chip km fee schedule · outpatient	$163	$163	—	—	—	$163 – $163
2	Molina star km fee schedule · outpatient	$163	$163	—	—	—	$163 – $163
3	Molina star plus km fee schedule · outpatient	$163	$163	—	—	—	$163 – $163
4	UnitedHealthcare chip km case rate · outpatient	$382	$382	—	—	—	$382 – $382
5	UnitedHealthcare star kid km case rate · outpatient	$382	$382	—	—	—	$382 – $382
6	UnitedHealthcare star km case rate · outpatient	$382	$382	—	—	—	$382 – $382
7	UnitedHealthcare star plus km case rate · outpatient	$382	$382	—	—	—	$382 – $382
8	Aetna mm fee schedule · outpatient	$392	$392	—	—	—	$392 – $392
9	Bcbs Tx mm fee schedule · outpatient	$392	$392	—	—	—	$392 – $392
10	Humana gold choice mm fee schedule · outpatient	$392	$392	—	—	—	$392 – $392
11	Molina medicare adv mm fee schedule · outpatient	$392	$392	—	—	—	$392 – $392
12	UnitedHealthcare mm fee schedule · outpatient	$392	$392	—	—	—	$392 – $392
13	WellCare mm fee schedule · outpatient	$392	$392	—	—	—	$392 – $392
14	Humana choicecare other · outpatient	$397	$397	—	—	—	$397 – $397
15	Devoted mm fee schedule · outpatient	$423	$423	—	—	—	$423 – $423
16	Bcbs Tx heb fee schedule · outpatient	$559	$559	—	—	—	$559 – $559
17	UnitedHealthcare hix case rate · outpatient	$599	$599	—	—	—	$599 – $599
18	Bcbs Tx blue advantage hmo fee schedule · outpatient	$892	$892	—	—	—	$892 – $892
19	Bcbs Tx hmo fee schedule · outpatient	$941	$941	—	—	—	$941 – $941
20	Bcbs Tx ppo fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
21	Bcbs Tx traditional fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
22	UnitedHealthcare all payer case rate · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
23	Aetna new business case rate · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
24	Aetna epo case rate · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
25	Aetna hmo case rate · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k

Page 1 of 2 · 29 rates

Last updated: Jan 13, 2026

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