Esophagus X-ray with double-contrast study 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

X-RAY XM ESOPHAGUS 2CNTRST

Jasper, TX

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How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $198 is 20% below the median hospital's median price ($246), higher than 36% of the 2,042 hospitals reporting CPT 74221. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74221 at Southeast Texas - Jasper Memorial

Negotiated rates from the hospital’s own file: 7 payers, 19 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	$102	$102	—	—	—	$102 – $102
2	UnitedHealthcare star kid km fee schedule · outpatient	$102	$102	—	—	—	$102 – $102
3	UnitedHealthcare star km fee schedule · outpatient	$102	$102	—	—	—	$102 – $102
4	UnitedHealthcare star plus km fee schedule · outpatient	$102	$102	—	—	—	$102 – $102
5	Aetna mm fee schedule · outpatient	$180	$180	—	—	—	$180 – $180
6	Bcbs Tx mm fee schedule · outpatient	$180	$180	—	—	—	$180 – $180
7	Humana gold choice mm fee schedule · outpatient	$180	$180	—	—	—	$180 – $180
8	Molina medicare adv mm fee schedule · outpatient	$180	$180	—	—	—	$180 – $180
9	UnitedHealthcare mm fee schedule · outpatient	$180	$180	—	—	—	$180 – $180
10	WellCare mm fee schedule · outpatient	$180	$180	—	—	—	$180 – $180
11	Devoted mm fee schedule · outpatient	$194	$194	—	—	—	$194 – $194
12	Molina chip km fee schedule · outpatient	$239	$239	—	—	—	$239 – $239
13	Molina star km fee schedule · outpatient	$239	$239	—	—	—	$239 – $239
14	Molina star plus km fee schedule · outpatient	$239	$239	—	—	—	$239 – $239
15	Bcbs Tx blue advantage hmo fee schedule · outpatient	$804	$804	—	—	—	$804 – $804
16	Bcbs Tx heb fee schedule · outpatient	$884	$884	—	—	—	$884 – $884
17	Bcbs Tx hmo fee schedule · outpatient	$884	$884	—	—	—	$884 – $884
18	Bcbs Tx ppo fee schedule · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
19	Bcbs Tx traditional fee schedule · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k

Last updated: Jan 13, 2026

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