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
MOPATH PROCEDURE LEVEL 5
Jasper, TX
See all hospitals reporting CPT 81404 →Price type
Southeast Texas - Jasper Memorial’s median price of $294 is 5% below the median hospital's median price ($311), higher than 46% of the 2,098 hospitals reporting CPT 81404. 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, 23 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 all payer fee schedule · outpatient | $247 | $247 | — | — | — | $247 – $247 |
| 2 | UnitedHealthcare hix fee schedule · outpatient | $247 | $247 | — | — | — | $247 – $247 |
| 3 | UnitedHealthcare chip km fee schedule · outpatient | $249 | $249 | — | — | — | $249 – $249 |
| 4 | UnitedHealthcare star kid km fee schedule · outpatient | $249 | $249 | — | — | — | $249 – $249 |
| 5 | UnitedHealthcare star km fee schedule · outpatient | $249 | $249 | — | — | — | $249 – $249 |
| 6 | UnitedHealthcare star plus km fee schedule · outpatient | $249 | $249 | — | — | — | $249 – $249 |
| 7 | Molina chip km fee schedule · outpatient | $289 | $289 | — | — | — | $289 – $289 |
| 8 | Molina star km fee schedule · outpatient | $289 | $289 | — | — | — | $289 – $289 |
| 9 | Molina star plus km fee schedule · outpatient | $289 | $289 | — | — | — | $289 – $289 |
| 10 | Aetna mm fee schedule · outpatient | $294 | $294 | — | — | — | $294 – $294 |
| 11 | Bcbs Tx mm fee schedule · outpatient | $294 | $294 | — | — | — | $294 – $294 |
| 12 | Humana gold choice mm fee schedule · outpatient | $294 | $294 | — | — | — | $294 – $294 |
| 13 | Molina medicare adv mm fee schedule · outpatient | $294 | $294 | — | — | — | $294 – $294 |
| 14 | UnitedHealthcare mm fee schedule · outpatient | $294 | $294 | — | — | — | $294 – $294 |
| 15 | WellCare mm fee schedule · outpatient | $294 | $294 | — | — | — | $294 – $294 |
| 16 | Devoted mm fee schedule · outpatient | $318 | $318 | — | — | — | $318 – $318 |
| 17 | Cigna new business fee schedule · outpatient | $660 | $660 | — | — | — | $660 – $660 |
| 18 | Cigna ppo fee schedule · outpatient | $845 | $845 | — | — | — | $845 – $845 |
| 19 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 20 | Bcbs Tx heb fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 21 | Bcbs Tx hmo fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 22 | Bcbs Tx ppo fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 23 | Bcbs Tx traditional fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
Last updated: Jan 13, 2026
See Molecular genetic test analyzing several gene regions pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.