Vaginal pessary fitting or insertion 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

INSERT PESSARY/OTHER DEVICE

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 $203 is 10% below the median hospital's median price ($225), higher than 38% of the 1,901 hospitals reporting CPT 57160. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 57160 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	UnitedHealthcare chip km fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
2	UnitedHealthcare star kid km fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
3	UnitedHealthcare star km fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
4	UnitedHealthcare star plus km fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
5	Molina chip km fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
6	Molina star km fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
7	Molina star plus km fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
8	Bcbs Tx heb fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
9	Bcbs Tx blue advantage hmo fee schedule · outpatient	$80	$80	—	—	—	$80 – $80
10	Bcbs Tx hmo fee schedule · outpatient	$84	$84	—	—	—	$84 – $84
11	Bcbs Tx ppo fee schedule · outpatient	$103	$103	—	—	—	$103 – $103
12	Bcbs Tx traditional fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
13	Cigna new business case rate · outpatient	$122	$122	—	—	—	$122 – $122
14	Cigna ppo case rate · outpatient	$159	$159	—	—	—	$159 – $159
15	Humana choicecare other · outpatient	$173	$173	—	—	—	$173 – $173
16	Aetna mm fee schedule · outpatient	$203	$203	—	—	—	$203 – $203
17	Bcbs Tx mm fee schedule · outpatient	$203	$203	—	—	—	$203 – $203
18	Humana gold choice mm fee schedule · outpatient	$203	$203	—	—	—	$203 – $203
19	Molina medicare adv mm fee schedule · outpatient	$203	$203	—	—	—	$203 – $203
20	UnitedHealthcare mm fee schedule · outpatient	$203	$203	—	—	—	$203 – $203
21	WellCare mm fee schedule · outpatient	$203	$203	—	—	—	$203 – $203
22	Devoted mm fee schedule · outpatient	$219	$219	—	—	—	$219 – $219
23	UnitedHealthcare hix case rate · outpatient	$599	$599	—	—	—	$599 – $599
24	UnitedHealthcare all payer case rate · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
25	Aetna new business case rate · outpatient	$3.7k	$3.7k	—	—	—	$3.7k – $3.7k

Page 1 of 2 · 29 rates

Last updated: Jan 13, 2026

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