Sphenopalatine ganglion nerve block 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

N BLOCK SPENOPALATINE GANGL

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 $298 is 28% below the median hospital's median price ($412), higher than 25% of the 1,919 hospitals reporting CPT 64505. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 64505 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	$43	$43	—	—	—	$43 – $43
2	UnitedHealthcare star kid km fee schedule · outpatient	$43	$43	—	—	—	$43 – $43
3	UnitedHealthcare star km fee schedule · outpatient	$43	$43	—	—	—	$43 – $43
4	UnitedHealthcare star plus km fee schedule · outpatient	$43	$43	—	—	—	$43 – $43
5	Molina chip km fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
6	Molina star km fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
7	Molina star plus km fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
8	Bcbs Tx heb fee schedule · outpatient	$106	$106	—	—	—	$106 – $106
9	Bcbs Tx blue advantage hmo fee schedule · outpatient	$169	$169	—	—	—	$169 – $169
10	Humana choicecare other · outpatient	$173	$173	—	—	—	$173 – $173
11	Bcbs Tx hmo fee schedule · outpatient	$178	$178	—	—	—	$178 – $178
12	Bcbs Tx ppo fee schedule · outpatient	$217	$217	—	—	—	$217 – $217
13	Bcbs Tx traditional fee schedule · outpatient	$249	$249	—	—	—	$249 – $249
14	Aetna mm fee schedule · outpatient	$298	$298	—	—	—	$298 – $298
15	Bcbs Tx mm fee schedule · outpatient	$298	$298	—	—	—	$298 – $298
16	Humana gold choice mm fee schedule · outpatient	$298	$298	—	—	—	$298 – $298
17	Molina medicare adv mm fee schedule · outpatient	$298	$298	—	—	—	$298 – $298
18	UnitedHealthcare mm fee schedule · outpatient	$298	$298	—	—	—	$298 – $298
19	WellCare mm fee schedule · outpatient	$298	$298	—	—	—	$298 – $298
20	Devoted mm fee schedule · outpatient	$322	$322	—	—	—	$322 – $322
21	UnitedHealthcare hix case rate · outpatient	$599	$599	—	—	—	$599 – $599
22	UnitedHealthcare all payer case rate · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
23	Aetna new business case rate · outpatient	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
24	Aetna epo case rate · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
25	Aetna hmo case rate · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k

Page 1 of 2 · 29 rates

Last updated: Jan 13, 2026

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