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
NUBHVL XM PHY/QHP EA ADDL HR
Jasper, TX
See all hospitals reporting CPT 96121 →Price type
Southeast Texas - Jasper Memorial’s median price of $386 is 184% above the median hospital's median price ($136), higher than 84% of the 1,063 hospitals reporting CPT 96121. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 7 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 | $178 | $178 | — | — | — | $178 – $178 |
| 2 | UnitedHealthcare all payer fee schedule · outpatient | $256 | $256 | — | — | — | $256 – $256 |
| 3 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $351 | $351 | — | — | — | $351 – $351 |
| 4 | Bcbs Tx heb fee schedule · outpatient | $386 | $386 | — | — | — | $386 – $386 |
| 5 | Bcbs Tx hmo fee schedule · outpatient | $386 | $386 | — | — | — | $386 – $386 |
| 6 | Bcbs Tx ppo fee schedule · outpatient | $442 | $442 | — | — | — | $442 – $442 |
| 7 | Bcbs Tx traditional fee schedule · outpatient | $456 | $456 | — | — | — | $456 – $456 |
Last updated: Jan 13, 2026
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