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
NJX AA&/STRD II IH NERVES
Jasper, TX
See all hospitals reporting CPT 64425 →Price type
Southeast Texas - Jasper Memorial’s median price of $699 is 17% below the median hospital's median price ($841), higher than 34% of the 2,134 hospitals reporting CPT 64425. 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 fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 2 | UnitedHealthcare star kid km fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 3 | UnitedHealthcare star km fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 4 | UnitedHealthcare star plus km fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 5 | Molina chip km fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 6 | Molina star km fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 7 | Molina star plus km fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 8 | Bcbs Tx heb fee schedule · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 9 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $177 | $177 | — | — | — | $177 – $177 |
| 10 | Bcbs Tx hmo fee schedule · outpatient | $187 | $187 | — | — | — | $187 – $187 |
| 11 | Humana choicecare other · outpatient | $217 | $217 | — | — | — | $217 – $217 |
| 12 | Bcbs Tx ppo fee schedule · outpatient | $227 | $227 | — | — | — | $227 – $227 |
| 13 | Bcbs Tx traditional fee schedule · outpatient | $261 | $261 | — | — | — | $261 – $261 |
| 14 | Aetna mm fee schedule · outpatient | $699 | $699 | — | — | — | $699 – $699 |
| 15 | Bcbs Tx mm fee schedule · outpatient | $699 | $699 | — | — | — | $699 – $699 |
| 16 | Humana gold choice mm fee schedule · outpatient | $699 | $699 | — | — | — | $699 – $699 |
| 17 | Molina medicare adv mm fee schedule · outpatient | $699 | $699 | — | — | — | $699 – $699 |
| 18 | UnitedHealthcare mm fee schedule · outpatient | $699 | $699 | — | — | — | $699 – $699 |
| 19 | WellCare mm fee schedule · outpatient | $699 | $699 | — | — | — | $699 – $699 |
| 20 | Devoted mm fee schedule · outpatient | $755 | $755 | — | — | — | $755 – $755 |
| 21 | UnitedHealthcare hix case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 22 | Aetna new business case rate · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 23 | Aetna epo case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 24 | Aetna hmo case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 25 | Aetna pos case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
Last updated: Jan 13, 2026
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