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
ELECTROPHYS MAP 3D ADD-ON
Jasper, TX
See all hospitals reporting CPT 93613 →Price type
Southeast Texas - Jasper Memorial’s median price of $4.1k is 2% above the median hospital's median price ($4.0k), higher than 50% of the 1,713 hospitals reporting CPT 93613. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 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 | UnitedHealthcare hix case rate · outpatient | $599 | $599 | — | — | — | $599 – $599 |
| 2 | Humana choicecare fee schedule · outpatient | $913 | $913 | — | — | — | $913 – $913 |
| 3 | UnitedHealthcare all payer case rate · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 4 | Aetna new business case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 5 | Aetna epo case rate · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 6 | Aetna hmo case rate · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 7 | Aetna pos case rate · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 8 | Aetna ppo case rate · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 9 | Bcbs Tx blue advantage hmo case rate · outpatient | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
| 10 | Bcbs Tx heb case rate · outpatient | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 11 | Bcbs Tx hmo case rate · outpatient | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 12 | Bcbs Tx ppo case rate · outpatient | $11.2k | $11.2k | — | — | — | $11.2k – $11.2k |
| 13 | Bcbs Tx traditional case rate · outpatient | $11.9k | $11.9k | — | — | — | $11.9k – $11.9k |
Last updated: Jan 13, 2026
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