Aquaporin-4 antibody test by flow cytometry 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

AQAPRN-4 ANTB FLO CYTMTRY EA

Jasper, TX

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How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $40 is 2% above the median hospital's median price ($40), higher than 53% of the 1,969 hospitals reporting CPT 86053. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 86053 at Southeast Texas - Jasper Memorial

Negotiated rates from the hospital’s own file: 7 payers, 17 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	$34	$34	—	—	—	$34 – $34
2	UnitedHealthcare hix fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
3	Molina chip km fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
4	Molina star km fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
5	Molina star plus km fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
6	Aetna mm fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
7	Bcbs Tx mm fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
8	Humana gold choice mm fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
9	Molina medicare adv mm fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
10	UnitedHealthcare mm fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
11	WellCare mm fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
12	Devoted mm fee schedule · outpatient	$44	$44	—	—	—	$44 – $44
13	Bcbs Tx blue advantage hmo fee schedule · outpatient	$65	$65	—	—	—	$65 – $65
14	Bcbs Tx heb fee schedule · outpatient	$71	$71	—	—	—	$71 – $71
15	Bcbs Tx hmo fee schedule · outpatient	$71	$71	—	—	—	$71 – $71
16	Bcbs Tx ppo fee schedule · outpatient	$81	$81	—	—	—	$81 – $81
17	Bcbs Tx traditional fee schedule · outpatient	$85	$85	—	—	—	$85 – $85

Last updated: Jan 13, 2026

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