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
US NRV&ACC STRUX 1XTR COMPRE
Jasper, TX
See all hospitals reporting CPT 76883 →Price type
Southeast Texas - Jasper Memorial’s median price of $137 is 16% above the median hospital's median price ($119), higher than 58% of the 1,532 hospitals reporting CPT 76883. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 17 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 | Aetna mm fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 2 | Bcbs Tx mm fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 3 | Humana gold choice mm fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 4 | Molina medicare adv mm fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 5 | UnitedHealthcare mm fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 6 | WellCare mm fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 7 | UnitedHealthcare hix fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 8 | Devoted mm fee schedule · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 9 | Molina chip km fee schedule · outpatient | $144 | $144 | — | — | — | $144 – $144 |
| 10 | Molina star km fee schedule · outpatient | $144 | $144 | — | — | — | $144 – $144 |
| 11 | Molina star plus km fee schedule · outpatient | $144 | $144 | — | — | — | $144 – $144 |
| 12 | UnitedHealthcare all payer fee schedule · outpatient | $326 | $326 | — | — | — | $326 – $326 |
| 13 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $471 | $471 | — | — | — | $471 – $471 |
| 14 | Bcbs Tx heb fee schedule · outpatient | $518 | $518 | — | — | — | $518 – $518 |
| 15 | Bcbs Tx hmo fee schedule · outpatient | $518 | $518 | — | — | — | $518 – $518 |
| 16 | Bcbs Tx ppo fee schedule · outpatient | $593 | $593 | — | — | — | $593 – $593 |
| 17 | Bcbs Tx traditional fee schedule · outpatient | $611 | $611 | — | — | — | $611 – $611 |
Last updated: Jan 13, 2026
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