Comprehensive eye exam for new patient 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

COMPRE OPH EXAM NEW PT 1/>

Jasper, TX

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Pricing by billing methodology

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How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $137 is 6% below the median hospital's median price ($145), higher than 42% of the 1,418 hospitals reporting CPT 92004. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 92004 at Southeast Texas - Jasper Memorial

Negotiated rates from the hospital’s own file: 7 payers, 13 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	Aetna mm fee schedule · outpatient	$130	$130	—	—	—	$130 – $130
2	Bcbs Tx mm fee schedule · outpatient	$130	$130	—	—	—	$130 – $130
3	Humana gold choice mm fee schedule · outpatient	$130	$130	—	—	—	$130 – $130
4	Molina medicare adv mm fee schedule · outpatient	$130	$130	—	—	—	$130 – $130
5	UnitedHealthcare mm fee schedule · outpatient	$130	$130	—	—	—	$130 – $130
6	WellCare mm fee schedule · outpatient	$130	$130	—	—	—	$130 – $130
7	Devoted mm fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
8	Humana choicecare fee schedule · outpatient	$332	$332	—	—	—	$332 – $332
9	Bcbs Tx blue advantage hmo fee schedule · outpatient	$511	$511	—	—	—	$511 – $511
10	Bcbs Tx heb fee schedule · outpatient	$562	$562	—	—	—	$562 – $562
11	Bcbs Tx hmo fee schedule · outpatient	$562	$562	—	—	—	$562 – $562
12	Bcbs Tx ppo fee schedule · outpatient	$643	$643	—	—	—	$643 – $643
13	Bcbs Tx traditional fee schedule · outpatient	$663	$663	—	—	—	$663 – $663

Last updated: Jan 13, 2026

Compare to other hospitals

See Comprehensive eye exam for new patient pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.