Kidney cyst imaging with contrast dye through lower back 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 EXAM OF KIDNEY LESION

Jasper, TX

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Pricing by billing methodology

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How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $608 is 7% above the median hospital's median price ($570), higher than 58% of the 1,648 hospitals reporting CPT 74470. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74470 at Southeast Texas - Jasper Memorial

Negotiated rates from the hospital’s own file: 8 payers, 22 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	$76	$76	—	—	—	$76 – $76
2	UnitedHealthcare star kid km fee schedule · outpatient	$76	$76	—	—	—	$76 – $76
3	UnitedHealthcare star km fee schedule · outpatient	$76	$76	—	—	—	$76 – $76
4	UnitedHealthcare star plus km fee schedule · outpatient	$76	$76	—	—	—	$76 – $76
5	Cigna new business fee schedule · outpatient	$161	$161	—	—	—	$161 – $161
6	Humana choicecare fee schedule · outpatient	$186	$186	—	—	—	$186 – $186
7	Cigna ppo fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
8	Aetna mm fee schedule · outpatient	$553	$553	—	—	—	$553 – $553
9	Bcbs Tx mm fee schedule · outpatient	$553	$553	—	—	—	$553 – $553
10	Humana gold choice mm fee schedule · outpatient	$553	$553	—	—	—	$553 – $553
11	Molina medicare adv mm fee schedule · outpatient	$553	$553	—	—	—	$553 – $553
12	UnitedHealthcare mm fee schedule · outpatient	$553	$553	—	—	—	$553 – $553
13	WellCare mm fee schedule · outpatient	$553	$553	—	—	—	$553 – $553
14	Devoted mm fee schedule · outpatient	$597	$597	—	—	—	$597 – $597
15	Molina chip km fee schedule · outpatient	$666	$666	—	—	—	$666 – $666
16	Molina star km fee schedule · outpatient	$666	$666	—	—	—	$666 – $666
17	Molina star plus km fee schedule · outpatient	$666	$666	—	—	—	$666 – $666
18	Bcbs Tx blue advantage hmo fee schedule · outpatient	$2.1k	$2.1k	—	—	—	$2.1k – $2.1k
19	Bcbs Tx heb fee schedule · outpatient	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
20	Bcbs Tx hmo fee schedule · outpatient	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
21	Bcbs Tx ppo fee schedule · outpatient	$2.7k	$2.7k	—	—	—	$2.7k – $2.7k
22	Bcbs Tx traditional fee schedule · outpatient	$2.8k	$2.8k	—	—	—	$2.8k – $2.8k

Last updated: Jan 13, 2026

Compare to other hospitals

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