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
CT SCAN FOR THERAPY GUIDE
Jasper, TX
See all hospitals reporting CPT 77014 →Price type
Southeast Texas - Jasper Memorial’s median price of $940 is 166% above the median hospital's median price ($354), higher than 83% of the 1,477 hospitals reporting CPT 77014. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 16 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 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $340 | $340 | — | — | — | $340 – $340 |
| 2 | Bcbs Tx heb fee schedule · outpatient | $374 | $374 | — | — | — | $374 – $374 |
| 3 | Bcbs Tx hmo fee schedule · outpatient | $374 | $374 | — | — | — | $374 – $374 |
| 4 | UnitedHealthcare hix fee schedule · outpatient | $425 | $425 | — | — | — | $425 – $425 |
| 5 | Bcbs Tx ppo fee schedule · outpatient | $428 | $428 | — | — | — | $428 – $428 |
| 6 | Bcbs Tx traditional fee schedule · outpatient | $441 | $441 | — | — | — | $441 – $441 |
| 7 | Aetna new business per diem · outpatient | $847 | $847 | — | — | — | $847 – $847 |
| 8 | Cigna new business fee schedule · outpatient | $858 | $858 | — | — | — | $858 – $858 |
| 9 | Aetna epo per diem · outpatient | $940 | $940 | — | — | — | $940 – $940 |
| 10 | Aetna hmo per diem · outpatient | $940 | $940 | — | — | — | $940 – $940 |
| 11 | Aetna pos per diem · outpatient | $940 | $940 | — | — | — | $940 – $940 |
| 12 | Aetna ppo per diem · outpatient | $940 | $940 | — | — | — | $940 – $940 |
| 13 | Healthcare Highways ppo other · outpatient | $988 | $988 | — | — | — | $988 – $988 |
| 14 | Cigna ppo fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 15 | Humana choicecare fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 16 | UnitedHealthcare all payer fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
Last updated: Jan 13, 2026
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