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.
Original text from hospital filings
ARTERY X-RAYS ABDOMEN
Jasper, TX
See all hospitals reporting CPT 75726 →Price type
Southeast Texas - Jasper Memorial’s median price of $6.0k is 13% above the median hospital's median price ($5.3k), higher than 69% of the 2,123 hospitals reporting CPT 75726. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $141 | $141 | — | — | — | $141 – $141 |
| 2 | UnitedHealthcare star kid km fee schedule · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 3 | UnitedHealthcare star km fee schedule · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 4 | UnitedHealthcare star plus km fee schedule · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 5 | Cigna new business fee schedule · outpatient | $321 | $321 | — | — | — | $321 – $321 |
| 6 | Humana choicecare fee schedule · outpatient | $329 | $329 | — | — | — | $329 – $329 |
| 7 | Cigna ppo fee schedule · outpatient | $411 | $411 | — | — | — | $411 – $411 |
| 8 | Aetna mm fee schedule · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 9 | Bcbs Tx mm fee schedule · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 10 | Humana gold choice mm fee schedule · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 11 | Molina medicare adv mm fee schedule · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 12 | UnitedHealthcare mm fee schedule · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 13 | WellCare mm fee schedule · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 14 | Devoted mm fee schedule · outpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 15 | Molina chip km fee schedule · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 16 | Molina star km fee schedule · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 17 | Molina star plus km fee schedule · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 18 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $20.3k | $20.3k | — | — | — | $20.3k – $20.3k |
| 19 | Bcbs Tx heb fee schedule · outpatient | $22.3k | $22.3k | — | — | — | $22.3k – $22.3k |
| 20 | Bcbs Tx hmo fee schedule · outpatient | $22.3k | $22.3k | — | — | — | $22.3k – $22.3k |
| 21 | Bcbs Tx ppo fee schedule · outpatient | $25.5k | $25.5k | — | — | — | $25.5k – $25.5k |
| 22 | Bcbs Tx traditional fee schedule · outpatient | $26.3k | $26.3k | — | — | — | $26.3k – $26.3k |
Last updated: Jan 13, 2026
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