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 I&R
Jasper, TX
See all hospitals reporting CPT 93790 →Price type
Southeast Texas - Jasper Memorial’s median price of $99 is 241% above the median hospital's median price ($29), higher than 88% of the 921 hospitals reporting CPT 93790. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 8 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 | $43 | $43 | — | — | — | $43 – $43 |
| 2 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 3 | Bcbs Tx heb fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 4 | Bcbs Tx hmo fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 5 | Bcbs Tx ppo fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 6 | Bcbs Tx traditional fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 7 | UnitedHealthcare hix fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 8 | UnitedHealthcare all payer fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
Last updated: Jan 13, 2026
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