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
HEMOLYSINS/AGGLUTININS AUTO
Jasper, TX
See all hospitals reporting CPT 86940 →Price type
Southeast Texas - Jasper Memorial’s median price of $9 is 11% below the median hospital's median price ($11), higher than 42% of the 1,759 hospitals reporting CPT 86940. 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 | $8 | $8 | — | — | — | $8 – $8 |
| 2 | UnitedHealthcare hix fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 3 | UnitedHealthcare chip km fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 4 | UnitedHealthcare star kid km fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 5 | UnitedHealthcare star km fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 6 | UnitedHealthcare star plus km fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 7 | Molina chip km fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 8 | Molina star km fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 9 | Molina star plus km fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 10 | Aetna mm fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 11 | Bcbs Tx mm fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 12 | Humana gold choice mm fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 13 | Molina medicare adv mm fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 14 | UnitedHealthcare mm fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 15 | WellCare mm fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 16 | Devoted mm fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 17 | Humana choicecare fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 18 | Cigna new business fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 19 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 20 | Cigna ppo fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 21 | Bcbs Tx heb fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 22 | Bcbs Tx hmo fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 23 | Bcbs Tx ppo fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 24 | Bcbs Tx traditional fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
Last updated: Jan 13, 2026
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