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
NDSC HRV UXTR ART 1 SGM CAB
Jasper, TX
See all hospitals reporting CPT 33509 →Price type
Southeast Texas - Jasper Memorial’s median price of $3.8k is 35% above the median hospital's median price ($2.8k), higher than 58% of the 1,136 hospitals reporting CPT 33509. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 15 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 | Bcbs Tx heb fee schedule · outpatient | $270 | $270 | — | — | — | $270 – $270 |
| 2 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $431 | $431 | — | — | — | $431 – $431 |
| 3 | Bcbs Tx hmo fee schedule · outpatient | $455 | $455 | — | — | — | $455 – $455 |
| 4 | Bcbs Tx ppo fee schedule · outpatient | $554 | $554 | — | — | — | $554 – $554 |
| 5 | UnitedHealthcare hix case rate · outpatient | $599 | $599 | — | — | — | $599 – $599 |
| 6 | Bcbs Tx traditional fee schedule · outpatient | $636 | $636 | — | — | — | $636 – $636 |
| 7 | UnitedHealthcare all payer case rate · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 8 | Humana choicecare other · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 9 | Aetna new business case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 10 | Aetna epo case rate · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 11 | Aetna hmo case rate · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 12 | Aetna pos case rate · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 13 | Aetna ppo case rate · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 14 | Cigna new business case rate · outpatient | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 15 | Cigna ppo case rate · outpatient | $7.7k | $7.7k | — | — | — | $7.7k – $7.7k |
Last updated: Jan 13, 2026
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