Infant lung function test before and after bronchodilator 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

SPIRMTRY W/BRNCHDIL INF-2 YR

Jasper, TX

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How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $324 is 11% above the median hospital's median price ($291), higher than 67% of the 1,241 hospitals reporting CPT 94012. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 94012 at Southeast Texas - Jasper Memorial

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	UnitedHealthcare hix fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
2	UnitedHealthcare all payer fee schedule · outpatient	$185	$185	—	—	—	$185 – $185
3	Aetna mm fee schedule · outpatient	$314	$314	—	—	—	$314 – $314
4	Bcbs Tx mm fee schedule · outpatient	$314	$314	—	—	—	$314 – $314
5	Humana gold choice mm fee schedule · outpatient	$314	$314	—	—	—	$314 – $314
6	Molina medicare adv mm fee schedule · outpatient	$314	$314	—	—	—	$314 – $314
7	UnitedHealthcare mm fee schedule · outpatient	$314	$314	—	—	—	$314 – $314
8	WellCare mm fee schedule · outpatient	$314	$314	—	—	—	$314 – $314
9	Humana choicecare fee schedule · outpatient	$337	$337	—	—	—	$337 – $337
10	Devoted mm fee schedule · outpatient	$339	$339	—	—	—	$339 – $339
11	Bcbs Tx blue advantage hmo fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
12	Bcbs Tx heb fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
13	Bcbs Tx hmo fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
14	Bcbs Tx ppo fee schedule · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
15	Bcbs Tx traditional fee schedule · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k

Last updated: Jan 13, 2026

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