Diagnostic stomach tube with sample collection 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

DX GASTR INTUB W/ASP SPEC

Jasper, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $346 is 4% above the median hospital's median price ($331), higher than 53% of the 1,580 hospitals reporting CPT 43754. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 43754 at Southeast Texas - Jasper Memorial

Negotiated rates from the hospital’s own file: 8 payers, 22 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	Humana choicecare other · outpatient	$173	$173	—	—	—	$173 – $173
2	Aetna mm fee schedule · outpatient	$314	$314	—	—	—	$314 – $314
3	Bcbs Tx mm fee schedule · outpatient	$314	$314	—	—	—	$314 – $314
4	Humana gold choice mm fee schedule · outpatient	$314	$314	—	—	—	$314 – $314
5	Molina medicare adv mm fee schedule · outpatient	$314	$314	—	—	—	$314 – $314
6	UnitedHealthcare mm fee schedule · outpatient	$314	$314	—	—	—	$314 – $314
7	WellCare mm fee schedule · outpatient	$314	$314	—	—	—	$314 – $314
8	Devoted mm fee schedule · outpatient	$339	$339	—	—	—	$339 – $339
9	Bcbs Tx heb fee schedule · outpatient	$375	$375	—	—	—	$375 – $375
10	Bcbs Tx blue advantage hmo fee schedule · outpatient	$597	$597	—	—	—	$597 – $597
11	UnitedHealthcare hix case rate · outpatient	$599	$599	—	—	—	$599 – $599
12	Bcbs Tx hmo fee schedule · outpatient	$630	$630	—	—	—	$630 – $630
13	Bcbs Tx ppo fee schedule · outpatient	$767	$767	—	—	—	$767 – $767
14	Bcbs Tx traditional fee schedule · outpatient	$881	$881	—	—	—	$881 – $881
15	UnitedHealthcare all payer case rate · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
16	Aetna new business case rate · outpatient	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
17	Aetna epo case rate · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
18	Aetna hmo case rate · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
19	Aetna pos case rate · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
20	Aetna ppo case rate · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
21	Cigna new business case rate · outpatient	$3.9k	$3.9k	—	—	—	$3.9k – $3.9k
22	Cigna ppo case rate · outpatient	$5.1k	$5.1k	—	—	—	$5.1k – $5.1k

Last updated: Jan 13, 2026

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