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
THRMBC/NFS DIALYSIS CIRCUIT
Jasper, TX
See all hospitals reporting CPT 36904 →Price type
Southeast Texas - Jasper Memorial’s median price of $5.8k is 11% below the median hospital's median price ($6.4k), higher than 35% of the 1,975 hospitals reporting CPT 36904. 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 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 2 | UnitedHealthcare star kid km case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 3 | UnitedHealthcare star km case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 4 | UnitedHealthcare star plus km case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 5 | Molina chip km fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 6 | Molina star km fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 7 | Molina star plus km fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 8 | Aetna new business case rate · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 9 | Aetna epo case rate · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 10 | Aetna hmo case rate · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 11 | Aetna pos case rate · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 12 | Aetna ppo case rate · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 13 | Aetna mm fee schedule · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 14 | Bcbs Tx mm fee schedule · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 15 | Humana gold choice mm fee schedule · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 16 | Molina medicare adv mm fee schedule · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 17 | UnitedHealthcare mm fee schedule · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 18 | WellCare mm fee schedule · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 19 | Humana choicecare other · outpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 20 | Healthcare Highways ppo case rate · outpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 21 | Cigna new business case rate · outpatient | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 22 | Devoted mm fee schedule · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 23 | UnitedHealthcare hix case rate · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 24 | Bcbs Tx heb fee schedule · outpatient | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 25 | Cigna ppo case rate · outpatient | $7.7k | $7.7k | — | — | — | $7.7k – $7.7k |
Last updated: Jan 13, 2026
See Dialysis access clot removal using catheter procedure pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.