Respiratory virus panel, 3 to 5 targets 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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

RESP VIRUS 3-5 TARGETS

Jasper, TX

See all hospitals reporting CPT 87631 →

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Pricing by billing methodology

Price type

How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $153 is 7% below the median hospital's median price ($165), higher than 44% of the 2,188 hospitals reporting CPT 87631. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 87631 at Southeast Texas - Jasper Memorial

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	$128	$128	—	—	—	$128 – $128
2	UnitedHealthcare hix fee schedule · outpatient	$128	$128	—	—	—	$128 – $128
3	UnitedHealthcare chip km fee schedule · outpatient	$129	$129	—	—	—	$129 – $129
4	UnitedHealthcare star kid km fee schedule · outpatient	$129	$129	—	—	—	$129 – $129
5	UnitedHealthcare star km fee schedule · outpatient	$129	$129	—	—	—	$129 – $129
6	UnitedHealthcare star plus km fee schedule · outpatient	$129	$129	—	—	—	$129 – $129
7	Molina chip km fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
8	Molina star km fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
9	Molina star plus km fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
10	Aetna mm fee schedule · outpatient	$153	$153	—	—	—	$153 – $153
11	Bcbs Tx mm fee schedule · outpatient	$153	$153	—	—	—	$153 – $153
12	Humana gold choice mm fee schedule · outpatient	$153	$153	—	—	—	$153 – $153
13	Molina medicare adv mm fee schedule · outpatient	$153	$153	—	—	—	$153 – $153
14	UnitedHealthcare mm fee schedule · outpatient	$153	$153	—	—	—	$153 – $153
15	WellCare mm fee schedule · outpatient	$153	$153	—	—	—	$153 – $153
16	Devoted mm fee schedule · outpatient	$165	$165	—	—	—	$165 – $165
17	Humana choicecare fee schedule · outpatient	$405	$405	—	—	—	$405 – $405
18	Cigna new business fee schedule · outpatient	$596	$596	—	—	—	$596 – $596
19	Cigna ppo fee schedule · outpatient	$762	$762	—	—	—	$762 – $762
20	Bcbs Tx blue advantage hmo fee schedule · outpatient	$770	$770	—	—	—	$770 – $770
21	Bcbs Tx heb fee schedule · outpatient	$846	$846	—	—	—	$846 – $846
22	Bcbs Tx hmo fee schedule · outpatient	$846	$846	—	—	—	$846 – $846
23	Bcbs Tx ppo fee schedule · outpatient	$964	$964	—	—	—	$964 – $964
24	Bcbs Tx traditional fee schedule · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k

Last updated: Jan 13, 2026

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