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
UNLISTED ORL SERVICE/PX
Jasper, TX
See all hospitals reporting CPT 92700 →Price type
Southeast Texas - Jasper Memorial’s median price of $27 is 36% below the median hospital's median price ($42), higher than 21% of the 1,283 hospitals reporting CPT 92700. 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 | Aetna mm fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 2 | Bcbs Tx mm fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 3 | Humana gold choice mm fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 4 | Molina medicare adv mm fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 5 | UnitedHealthcare mm fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 6 | WellCare mm fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 7 | Devoted mm fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 8 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 9 | Bcbs Tx heb fee schedule · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 10 | Bcbs Tx hmo fee schedule · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 11 | Bcbs Tx ppo fee schedule · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 12 | Bcbs Tx traditional fee schedule · outpatient | $132 | $132 | — | — | — | $132 – $132 |
| 13 | Aetna new business case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 14 | Aetna epo case rate · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 15 | Aetna hmo case rate · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 16 | Aetna pos case rate · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 17 | Aetna ppo case rate · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
Last updated: Jan 13, 2026
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