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 PELVIS
Jasper, TX
See all hospitals reporting CPT 75736 →Price type
Southeast Texas - Jasper Memorial’s median price of $6.0k is 16% above the median hospital's median price ($5.2k), higher than 71% of the 2,058 hospitals reporting CPT 75736. 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 | $151 | $151 | — | — | — | $151 – $151 |
| 2 | UnitedHealthcare star kid km fee schedule · outpatient | $151 | $151 | — | — | — | $151 – $151 |
| 3 | UnitedHealthcare star km fee schedule · outpatient | $151 | $151 | — | — | — | $151 – $151 |
| 4 | UnitedHealthcare star plus km fee schedule · outpatient | $151 | $151 | — | — | — | $151 – $151 |
| 5 | Humana choicecare fee schedule · outpatient | $352 | $352 | — | — | — | $352 – $352 |
| 6 | Cigna new business fee schedule · outpatient | $358 | $358 | — | — | — | $358 – $358 |
| 7 | Cigna ppo fee schedule · outpatient | $459 | $459 | — | — | — | $459 – $459 |
| 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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