Serum pretreatment to remove inhibitors, per test 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

RBC SERUM PRETX INCUBJ/INHIB

Jasper, TX

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How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $173 is 3% above the median hospital's median price ($168), higher than 55% of the 1,827 hospitals reporting CPT 86977. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 86977 at Southeast Texas - Jasper Memorial

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	$74	$74	—	—	—	$74 – $74
2	Cigna new business fee schedule · outpatient	$117	$117	—	—	—	$117 – $117
3	UnitedHealthcare all payer fee schedule · outpatient	$146	$146	—	—	—	$146 – $146
4	UnitedHealthcare hix fee schedule · outpatient	$146	$146	—	—	—	$146 – $146
5	Cigna ppo fee schedule · outpatient	$149	$149	—	—	—	$149 – $149
6	Aetna mm fee schedule · outpatient	$173	$173	—	—	—	$173 – $173
7	Bcbs Tx mm fee schedule · outpatient	$173	$173	—	—	—	$173 – $173
8	Humana gold choice mm fee schedule · outpatient	$173	$173	—	—	—	$173 – $173
9	Molina medicare adv mm fee schedule · outpatient	$173	$173	—	—	—	$173 – $173
10	UnitedHealthcare mm fee schedule · outpatient	$173	$173	—	—	—	$173 – $173
11	WellCare mm fee schedule · outpatient	$173	$173	—	—	—	$173 – $173
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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