Cardiac CT angiogram of heart arteries 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

CT ANGIO HRT W/3D IMAGE

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 $360 is 31% below the median hospital's median price ($525), higher than 20% of the 2,247 hospitals reporting CPT 75574. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 75574 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	Molina chip km fee schedule · outpatient	$239	$239	—	—	—	$239 – $239
2	Molina star km fee schedule · outpatient	$239	$239	—	—	—	$239 – $239
3	Molina star plus km fee schedule · outpatient	$239	$239	—	—	—	$239 – $239
4	UnitedHealthcare chip km fee schedule · outpatient	$253	$253	—	—	—	$253 – $253
5	UnitedHealthcare star kid km fee schedule · outpatient	$253	$253	—	—	—	$253 – $253
6	UnitedHealthcare star km fee schedule · outpatient	$253	$253	—	—	—	$253 – $253
7	UnitedHealthcare star plus km fee schedule · outpatient	$253	$253	—	—	—	$253 – $253
8	Aetna mm fee schedule · outpatient	$360	$360	—	—	—	$360 – $360
9	Bcbs Tx mm fee schedule · outpatient	$360	$360	—	—	—	$360 – $360
10	Humana gold choice mm fee schedule · outpatient	$360	$360	—	—	—	$360 – $360
11	Molina medicare adv mm fee schedule · outpatient	$360	$360	—	—	—	$360 – $360
12	UnitedHealthcare mm fee schedule · outpatient	$360	$360	—	—	—	$360 – $360
13	WellCare mm fee schedule · outpatient	$360	$360	—	—	—	$360 – $360
14	Devoted mm fee schedule · outpatient	$389	$389	—	—	—	$389 – $389
15	UnitedHealthcare hix fee schedule · outpatient	$425	$425	—	—	—	$425 – $425
16	Aetna new business per diem · outpatient	$847	$847	—	—	—	$847 – $847
17	Cigna new business fee schedule · outpatient	$858	$858	—	—	—	$858 – $858
18	Bcbs Tx blue advantage hmo fee schedule · outpatient	$890	$890	—	—	—	$890 – $890
19	Aetna epo per diem · outpatient	$940	$940	—	—	—	$940 – $940
20	Aetna hmo per diem · outpatient	$940	$940	—	—	—	$940 – $940
21	Aetna pos per diem · outpatient	$940	$940	—	—	—	$940 – $940
22	Aetna ppo per diem · outpatient	$940	$940	—	—	—	$940 – $940
23	Bcbs Tx heb fee schedule · outpatient	$979	$979	—	—	—	$979 – $979
24	Bcbs Tx hmo fee schedule · outpatient	$979	$979	—	—	—	$979 – $979
25	Healthcare Highways ppo other · outpatient	$988	$988	—	—	—	$988 – $988

Page 1 of 2 · 30 rates

Last updated: Jan 13, 2026

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See Cardiac CT angiogram of heart arteries pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.