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
SO GSAP CL FR CPY NMBR&MCRST
Jasper, TX
See all hospitals reporting CPT 81463 →Price type
Southeast Texas - Jasper Memorial’s median price of $1.4k is 5% above the median hospital's median price ($1.4k), higher than 69% of the 1,277 hospitals reporting CPT 81463. 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, 12 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 | Molina chip km fee schedule · outpatient | $628 | $628 | — | — | — | $628 – $628 |
| 2 | Molina star km fee schedule · outpatient | $628 | $628 | — | — | — | $628 – $628 |
| 3 | Molina star plus km fee schedule · outpatient | $628 | $628 | — | — | — | $628 – $628 |
| 4 | UnitedHealthcare all payer fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 5 | UnitedHealthcare hix fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 6 | Aetna mm fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 7 | Bcbs Tx mm fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 8 | Humana gold choice mm fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 9 | Molina medicare adv mm fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 10 | UnitedHealthcare mm fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 11 | WellCare mm fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 12 | Devoted mm fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
Last updated: Jan 13, 2026
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