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 NRV NRVTG SI JT
Jasper, TX
See all hospitals reporting CPT 64451 →Price type
Southeast Texas - Jasper Memorial’s median price of $699 is 23% below the median hospital's median price ($908), higher than 27% of the 1,938 hospitals reporting CPT 64451. 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, 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 | Molina chip km fee schedule · outpatient | $276 | $276 | — | — | — | $276 – $276 |
| 2 | Molina star km fee schedule · outpatient | $276 | $276 | — | — | — | $276 – $276 |
| 3 | Molina star plus km fee schedule · outpatient | $276 | $276 | — | — | — | $276 – $276 |
| 4 | UnitedHealthcare chip km case rate · outpatient | $285 | $285 | — | — | — | $285 – $285 |
| 5 | UnitedHealthcare star kid km case rate · outpatient | $285 | $285 | — | — | — | $285 – $285 |
| 6 | UnitedHealthcare star km case rate · outpatient | $285 | $285 | — | — | — | $285 – $285 |
| 7 | UnitedHealthcare star plus km case rate · outpatient | $285 | $285 | — | — | — | $285 – $285 |
| 8 | Aetna mm fee schedule · outpatient | $699 | $699 | — | — | — | $699 – $699 |
| 9 | Bcbs Tx mm fee schedule · outpatient | $699 | $699 | — | — | — | $699 – $699 |
| 10 | Humana gold choice mm fee schedule · outpatient | $699 | $699 | — | — | — | $699 – $699 |
| 11 | Molina medicare adv mm fee schedule · outpatient | $699 | $699 | — | — | — | $699 – $699 |
| 12 | UnitedHealthcare mm fee schedule · outpatient | $699 | $699 | — | — | — | $699 – $699 |
| 13 | WellCare mm fee schedule · outpatient | $699 | $699 | — | — | — | $699 – $699 |
| 14 | Devoted mm fee schedule · outpatient | $755 | $755 | — | — | — | $755 – $755 |
| 15 | Bcbs Tx heb fee schedule · outpatient | $925 | $925 | — | — | — | $925 – $925 |
| 16 | UnitedHealthcare hix case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | Humana choicecare other · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 18 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 19 | Bcbs Tx hmo fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 20 | Aetna new business case rate · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 21 | Bcbs Tx ppo fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 22 | Aetna epo case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 23 | Aetna hmo case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 24 | Aetna pos case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 25 | Aetna ppo case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
Last updated: Jan 13, 2026
See Sacroiliac joint injection of numbing and steroid medicine pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.