Chemical nerve block injection in one limb 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

CHEMODENERV 1 EXTREMITY 1-4

Jasper, TX

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How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $699 is 12% below the median hospital's median price ($794), higher than 37% of the 1,954 hospitals reporting CPT 64642. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 64642 at Southeast Texas - Jasper Memorial

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 case rate · outpatient	$44	$44	—	—	—	$44 – $44
2	UnitedHealthcare star kid km case rate · outpatient	$44	$44	—	—	—	$44 – $44
3	UnitedHealthcare star km case rate · outpatient	$44	$44	—	—	—	$44 – $44
4	UnitedHealthcare star plus km case rate · outpatient	$44	$44	—	—	—	$44 – $44
5	Molina chip km fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
6	Molina star km fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
7	Molina star plus km fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
8	Bcbs Tx heb fee schedule · outpatient	$117	$117	—	—	—	$117 – $117
9	Cigna new business case rate · outpatient	$122	$122	—	—	—	$122 – $122
10	Cigna ppo case rate · outpatient	$159	$159	—	—	—	$159 – $159
11	Bcbs Tx blue advantage hmo fee schedule · outpatient	$187	$187	—	—	—	$187 – $187
12	Bcbs Tx hmo fee schedule · outpatient	$197	$197	—	—	—	$197 – $197
13	Humana choicecare other · outpatient	$217	$217	—	—	—	$217 – $217
14	Bcbs Tx ppo fee schedule · outpatient	$239	$239	—	—	—	$239 – $239
15	Bcbs Tx traditional fee schedule · outpatient	$275	$275	—	—	—	$275 – $275
16	Aetna mm fee schedule · outpatient	$699	$699	—	—	—	$699 – $699
17	Bcbs Tx mm fee schedule · outpatient	$699	$699	—	—	—	$699 – $699
18	Humana gold choice mm fee schedule · outpatient	$699	$699	—	—	—	$699 – $699
19	Molina medicare adv mm fee schedule · outpatient	$699	$699	—	—	—	$699 – $699
20	UnitedHealthcare mm fee schedule · outpatient	$699	$699	—	—	—	$699 – $699
21	WellCare mm fee schedule · outpatient	$699	$699	—	—	—	$699 – $699
22	Devoted mm fee schedule · outpatient	$755	$755	—	—	—	$755 – $755
23	UnitedHealthcare hix case rate · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
24	Aetna new business case rate · outpatient	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
25	Aetna epo case rate · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k

Page 1 of 2 · 30 rates

Last updated: Jan 13, 2026

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