Superior sagittal sinus venogram (X-ray imaging of brain veins) 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

VEIN X-RAY SKULL

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 $3.3k is 28% above the median hospital's median price ($2.6k), higher than 69% of the 1,727 hospitals reporting CPT 75870. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 75870 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	$140	$140	—	—	—	$140 – $140
2	UnitedHealthcare star kid km fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
3	UnitedHealthcare star km fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
4	UnitedHealthcare star plus km fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
5	Cigna new business fee schedule · outpatient	$314	$314	—	—	—	$314 – $314
6	Humana choicecare fee schedule · outpatient	$330	$330	—	—	—	$330 – $330
7	Cigna ppo fee schedule · outpatient	$401	$401	—	—	—	$401 – $401
8	Bcbs Tx blue advantage hmo fee schedule · outpatient	$552	$552	—	—	—	$552 – $552
9	Bcbs Tx heb fee schedule · outpatient	$607	$607	—	—	—	$607 – $607
10	Bcbs Tx hmo fee schedule · outpatient	$607	$607	—	—	—	$607 – $607
11	Bcbs Tx ppo fee schedule · outpatient	$694	$694	—	—	—	$694 – $694
12	Bcbs Tx traditional fee schedule · outpatient	$715	$715	—	—	—	$715 – $715
13	Aetna mm fee schedule · outpatient	$3.2k	$3.2k	—	—	—	$3.2k – $3.2k
14	Bcbs Tx mm fee schedule · outpatient	$3.2k	$3.2k	—	—	—	$3.2k – $3.2k
15	Humana gold choice mm fee schedule · outpatient	$3.2k	$3.2k	—	—	—	$3.2k – $3.2k
16	Molina medicare adv mm fee schedule · outpatient	$3.2k	$3.2k	—	—	—	$3.2k – $3.2k
17	UnitedHealthcare mm fee schedule · outpatient	$3.2k	$3.2k	—	—	—	$3.2k – $3.2k
18	WellCare mm fee schedule · outpatient	$3.2k	$3.2k	—	—	—	$3.2k – $3.2k
19	Devoted mm fee schedule · outpatient	$3.4k	$3.4k	—	—	—	$3.4k – $3.4k
20	Molina chip km fee schedule · outpatient	$3.9k	$3.9k	—	—	—	$3.9k – $3.9k
21	Molina star km fee schedule · outpatient	$3.9k	$3.9k	—	—	—	$3.9k – $3.9k
22	Molina star plus km fee schedule · outpatient	$3.9k	$3.9k	—	—	—	$3.9k – $3.9k

Last updated: Jan 13, 2026

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See Superior sagittal sinus venogram (X-ray imaging of brain veins) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.