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
RBC PRETX INCUBATJ W/DENSITY
Jasper, TX
See all hospitals reporting CPT 86972 →Price type
Southeast Texas - Jasper Memorial’s median price of $174 is 2% above the median hospital's median price ($171), higher than 54% of the 1,756 hospitals reporting CPT 86972. 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, 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 | Humana choicecare fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 2 | Cigna new business fee schedule · outpatient | $136 | $136 | — | — | — | $136 – $136 |
| 3 | UnitedHealthcare all payer fee schedule · outpatient | $146 | $146 | — | — | — | $146 – $146 |
| 4 | UnitedHealthcare hix fee schedule · outpatient | $146 | $146 | — | — | — | $146 – $146 |
| 5 | Aetna mm fee schedule · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 6 | Bcbs Tx mm fee schedule · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 7 | Humana gold choice mm fee schedule · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 8 | Molina medicare adv mm fee schedule · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 9 | UnitedHealthcare mm fee schedule · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 10 | WellCare mm fee schedule · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 11 | Cigna ppo fee schedule · outpatient | $174 | $174 | — | — | — | $174 – $174 |
| 12 | Devoted mm fee schedule · outpatient | $187 | $187 | — | — | — | $187 – $187 |
| 13 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $775 | $775 | — | — | — | $775 – $775 |
| 14 | Bcbs Tx heb fee schedule · outpatient | $851 | $851 | — | — | — | $851 – $851 |
| 15 | Bcbs Tx hmo fee schedule · outpatient | $851 | $851 | — | — | — | $851 – $851 |
| 16 | Bcbs Tx ppo fee schedule · outpatient | $970 | $970 | — | — | — | $970 – $970 |
| 17 | Bcbs Tx traditional fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
Last updated: Jan 13, 2026
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