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
AMBL BP MNTR W/SW REC ONLY
Jasper, TX
See all hospitals reporting CPT 93786 →Price type
Southeast Texas - Jasper Memorial’s median price of $137 is 6% below the median hospital's median price ($145), higher than 42% of the 1,531 hospitals reporting CPT 93786. 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, 15 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 | Humana choicecare fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 2 | Aetna mm fee schedule · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 3 | Bcbs Tx mm fee schedule · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 4 | Humana gold choice mm fee schedule · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 5 | Molina medicare adv mm fee schedule · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 6 | UnitedHealthcare mm fee schedule · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 7 | WellCare mm fee schedule · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 8 | Devoted mm fee schedule · outpatient | $140 | $140 | — | — | — | $140 – $140 |
| 9 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $481 | $481 | — | — | — | $481 – $481 |
| 10 | Bcbs Tx heb fee schedule · outpatient | $529 | $529 | — | — | — | $529 – $529 |
| 11 | Bcbs Tx hmo fee schedule · outpatient | $529 | $529 | — | — | — | $529 – $529 |
| 12 | Bcbs Tx ppo fee schedule · outpatient | $605 | $605 | — | — | — | $605 – $605 |
| 13 | Bcbs Tx traditional fee schedule · outpatient | $624 | $624 | — | — | — | $624 – $624 |
| 14 | UnitedHealthcare hix fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 15 | UnitedHealthcare all payer fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
Last updated: Jan 13, 2026
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