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
SARS-COV-2 ANTB QUANTITATIVE
Jasper, TX
See all hospitals reporting CPT 86413 →Price type
Southeast Texas - Jasper Memorial’s median price of $55 is 5% above the median hospital's median price ($52), higher than 68% of the 1,415 hospitals reporting CPT 86413. 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, 21 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 | $44 | $44 | — | — | — | $44 – $44 |
| 2 | Molina star km fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 3 | Molina star plus km fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 4 | UnitedHealthcare chip km fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 5 | UnitedHealthcare star kid km fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 6 | UnitedHealthcare star km fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 7 | UnitedHealthcare star plus km fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 8 | UnitedHealthcare all payer fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 9 | UnitedHealthcare hix fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 10 | Aetna mm fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 11 | Bcbs Tx mm fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 12 | Humana gold choice mm fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 13 | Molina medicare adv mm fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 14 | UnitedHealthcare mm fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 15 | WellCare mm fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 16 | Devoted mm fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 17 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $228 | $228 | — | — | — | $228 – $228 |
| 18 | Bcbs Tx heb fee schedule · outpatient | $250 | $250 | — | — | — | $250 – $250 |
| 19 | Bcbs Tx hmo fee schedule · outpatient | $250 | $250 | — | — | — | $250 – $250 |
| 20 | Bcbs Tx ppo fee schedule · outpatient | $285 | $285 | — | — | — | $285 – $285 |
| 21 | Bcbs Tx traditional fee schedule · outpatient | $296 | $296 | — | — | — | $296 – $296 |
Last updated: Jan 13, 2026
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