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
ASSAY OF 17-HYDROXYPREGNENO
Jasper, TX
See all hospitals reporting CPT 84143 →Price type
Southeast Texas - Jasper Memorial’s median price of $24 is 24% below the median hospital's median price ($32), higher than 35% of the 2,179 hospitals reporting CPT 84143. 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, 24 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 | $21 | $21 | — | — | — | $21 – $21 |
| 2 | UnitedHealthcare hix fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 3 | UnitedHealthcare chip km fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 4 | UnitedHealthcare star kid km fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 5 | UnitedHealthcare star km fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 6 | UnitedHealthcare star plus km fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 7 | Molina chip km fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 8 | Molina star km fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 9 | Molina star plus km fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 10 | Aetna mm fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 11 | Bcbs Tx mm fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 12 | Humana gold choice mm fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 13 | Molina medicare adv mm fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 14 | UnitedHealthcare mm fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 15 | WellCare mm fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 16 | Devoted mm fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 17 | Humana choicecare fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 18 | Cigna new business fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 19 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $123 | $123 | — | — | — | $123 – $123 |
| 20 | Bcbs Tx heb fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 21 | Bcbs Tx hmo fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 22 | Cigna ppo fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 23 | Bcbs Tx ppo fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 24 | Bcbs Tx traditional fee schedule · outpatient | $160 | $160 | — | — | — | $160 – $160 |
Last updated: Jan 13, 2026
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