Bone marrow blood supply MRI scan 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

MAGNETIC IMAGE BONE MARROW

Jasper, TX

See all hospitals reporting CPT 77084 →

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Pricing by billing methodology

Price type

How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $309 is 25% below the median hospital's median price ($414), higher than 35% of the 1,659 hospitals reporting CPT 77084. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 77084 at Southeast Texas - Jasper Memorial

Negotiated rates from the hospital’s own file: 9 payers, 30 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	$232	$232	—	—	—	$232 – $232
2	UnitedHealthcare star kid km fee schedule · outpatient	$232	$232	—	—	—	$232 – $232
3	UnitedHealthcare star km fee schedule · outpatient	$232	$232	—	—	—	$232 – $232
4	UnitedHealthcare star plus km fee schedule · outpatient	$232	$232	—	—	—	$232 – $232
5	Aetna mm fee schedule · outpatient	$244	$244	—	—	—	$244 – $244
6	Bcbs Tx mm fee schedule · outpatient	$244	$244	—	—	—	$244 – $244
7	Humana gold choice mm fee schedule · outpatient	$244	$244	—	—	—	$244 – $244
8	Molina medicare adv mm fee schedule · outpatient	$244	$244	—	—	—	$244 – $244
9	UnitedHealthcare mm fee schedule · outpatient	$244	$244	—	—	—	$244 – $244
10	WellCare mm fee schedule · outpatient	$244	$244	—	—	—	$244 – $244
11	Devoted mm fee schedule · outpatient	$263	$263	—	—	—	$263 – $263
12	Molina chip km fee schedule · outpatient	$309	$309	—	—	—	$309 – $309
13	Molina star km fee schedule · outpatient	$309	$309	—	—	—	$309 – $309
14	Molina star plus km fee schedule · outpatient	$309	$309	—	—	—	$309 – $309
15	Healthcare Highways ppo other · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
16	Cigna new business fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
17	Aetna new business per diem · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
18	Bcbs Tx blue advantage hmo fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
19	UnitedHealthcare hix fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
20	Aetna epo per diem · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
21	Aetna hmo per diem · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
22	Aetna pos per diem · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
23	Aetna ppo per diem · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
24	Bcbs Tx heb fee schedule · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
25	Bcbs Tx hmo fee schedule · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k

Page 1 of 2 · 30 rates

Last updated: Jan 13, 2026

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