Fetal MRI, each additional pregnancy 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

MRI FETAL EA ADDL GESTATION

Jasper, TX

See all hospitals reporting CPT 74713 →

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Pricing by billing methodology

Price type

How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $238 is 32% below the median hospital's median price ($352), higher than 37% of the 1,312 hospitals reporting CPT 74713. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74713 at Southeast Texas - Jasper Memorial

Negotiated rates from the hospital’s own file: 7 payers, 23 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	$221	$221	—	—	—	$221 – $221
2	UnitedHealthcare star kid km fee schedule · outpatient	$221	$221	—	—	—	$221 – $221
3	UnitedHealthcare star km fee schedule · outpatient	$221	$221	—	—	—	$221 – $221
4	UnitedHealthcare star plus km fee schedule · outpatient	$221	$221	—	—	—	$221 – $221
5	Molina chip km fee schedule · outpatient	$236	$236	—	—	—	$236 – $236
6	Molina star km fee schedule · outpatient	$236	$236	—	—	—	$236 – $236
7	Molina star plus km fee schedule · outpatient	$236	$236	—	—	—	$236 – $236
8	Bcbs Tx blue advantage hmo fee schedule · outpatient	$769	$769	—	—	—	$769 – $769
9	Bcbs Tx heb fee schedule · outpatient	$844	$844	—	—	—	$844 – $844
10	Bcbs Tx hmo fee schedule · outpatient	$844	$844	—	—	—	$844 – $844
11	Bcbs Tx ppo fee schedule · outpatient	$962	$962	—	—	—	$962 – $962
12	Bcbs Tx traditional fee schedule · outpatient	$999	$999	—	—	—	$999 – $999
13	Healthcare Highways ppo other · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
14	Cigna new business fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
15	Aetna new business per diem · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
16	UnitedHealthcare hix fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
17	Aetna epo per diem · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
18	Aetna hmo per diem · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
19	Aetna pos per diem · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
20	Aetna ppo per diem · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
21	Humana choicecare fee schedule · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
22	Cigna ppo fee schedule · outpatient	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
23	UnitedHealthcare all payer fee schedule · outpatient	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k

Last updated: Jan 13, 2026

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