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
SARS-COV-2 COVID19 W/OPTIC
Jasper, TX
See all hospitals reporting CPT 87811 →Price type
Southeast Texas - Jasper Memorial’s median price of $44 is 4% above the median hospital's median price ($43), higher than 64% of the 1,770 hospitals reporting CPT 87811. 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, 21 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 | $37 | $37 | — | — | — | $37 – $37 |
| 2 | UnitedHealthcare hix fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 3 | Molina chip km fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 4 | Molina star km fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 5 | Molina star plus km fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 6 | Aetna mm fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 7 | Bcbs Tx mm fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 8 | Humana gold choice mm fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 9 | Molina medicare adv mm fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 10 | UnitedHealthcare mm fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 11 | WellCare mm fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 12 | UnitedHealthcare chip km fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 13 | UnitedHealthcare star kid km fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 14 | UnitedHealthcare star km fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 15 | UnitedHealthcare star plus km fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 16 | Devoted mm fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 17 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $223 | $223 | — | — | — | $223 – $223 |
| 18 | Bcbs Tx heb fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 19 | Bcbs Tx hmo fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 20 | Bcbs Tx ppo fee schedule · outpatient | $280 | $280 | — | — | — | $280 – $280 |
| 21 | Bcbs Tx traditional fee schedule · outpatient | $290 | $290 | — | — | — | $290 – $290 |
Last updated: Jan 13, 2026
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