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
HEPATITIS B SURFACE AG QUAN
Jasper, TX
See all hospitals reporting CPT 87467 →Price type
Southeast Texas - Jasper Memorial’s median price of $27 is 4% above the median hospital's median price ($26), higher than 65% of the 1,559 hospitals reporting CPT 87467. 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, 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 | Molina chip km fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 2 | Molina star km fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 3 | Molina star plus km fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 4 | UnitedHealthcare all payer fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 5 | UnitedHealthcare hix fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 6 | Aetna mm fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 7 | Bcbs Tx mm fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 8 | Humana gold choice mm fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 9 | Molina medicare adv mm fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 10 | UnitedHealthcare mm fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 11 | WellCare mm fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 12 | Devoted mm fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 13 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 14 | Bcbs Tx heb fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 15 | Bcbs Tx hmo fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 16 | Bcbs Tx ppo fee schedule · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 17 | Bcbs Tx traditional fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
Last updated: Jan 13, 2026
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