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
UNLISTED PX PHRNX ADND/TNSL
Jasper, TX
See all hospitals reporting CPT 42999 →Price type
Southeast Texas - Jasper Memorial’s median price of $285 is 24% below the median hospital's median price ($375), higher than 37% of the 1,656 hospitals reporting CPT 42999. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 26 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 | Aetna mm fee schedule · outpatient | $234 | $234 | — | — | — | $234 – $234 |
| 2 | Bcbs Tx mm fee schedule · outpatient | $234 | $234 | — | — | — | $234 – $234 |
| 3 | Humana gold choice mm fee schedule · outpatient | $234 | $234 | — | — | — | $234 – $234 |
| 4 | Molina medicare adv mm fee schedule · outpatient | $234 | $234 | — | — | — | $234 – $234 |
| 5 | UnitedHealthcare mm fee schedule · outpatient | $234 | $234 | — | — | — | $234 – $234 |
| 6 | WellCare mm fee schedule · outpatient | $234 | $234 | — | — | — | $234 – $234 |
| 7 | Devoted mm fee schedule · outpatient | $253 | $253 | — | — | — | $253 – $253 |
| 8 | UnitedHealthcare chip km case rate · outpatient | $285 | $285 | — | — | — | $285 – $285 |
| 9 | UnitedHealthcare star kid km case rate · outpatient | $285 | $285 | — | — | — | $285 – $285 |
| 10 | UnitedHealthcare star km case rate · outpatient | $285 | $285 | — | — | — | $285 – $285 |
| 11 | UnitedHealthcare star plus km case rate · outpatient | $285 | $285 | — | — | — | $285 – $285 |
| 12 | Bcbs Tx heb fee schedule · outpatient | $301 | $301 | — | — | — | $301 – $301 |
| 13 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $481 | $481 | — | — | — | $481 – $481 |
| 14 | Bcbs Tx hmo fee schedule · outpatient | $507 | $507 | — | — | — | $507 – $507 |
| 15 | UnitedHealthcare hix case rate · outpatient | $599 | $599 | — | — | — | $599 – $599 |
| 16 | Bcbs Tx ppo fee schedule · outpatient | $617 | $617 | — | — | — | $617 – $617 |
| 17 | Bcbs Tx traditional fee schedule · outpatient | $709 | $709 | — | — | — | $709 – $709 |
| 18 | UnitedHealthcare all payer case rate · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 19 | Aetna new business case rate · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 20 | Aetna epo case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 21 | Aetna hmo case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 22 | Aetna pos case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 23 | Aetna ppo case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 24 | Humana choicecare other · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 25 | Cigna new business case rate · outpatient | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
Last updated: Jan 13, 2026
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