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
PDT DSTR PRMLG LES PHYS/QHP
Jasper, TX
See all hospitals reporting CPT 96573 →Price type
Southeast Texas - Jasper Memorial’s median price of $212 is 9% below the median hospital's median price ($234), higher than 32% of the 1,398 hospitals reporting CPT 96573. 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, 14 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna mm fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 2 | Bcbs Tx mm fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 3 | Humana gold choice mm fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 4 | Molina medicare adv mm fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 5 | UnitedHealthcare mm fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 6 | WellCare mm fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 7 | Devoted mm fee schedule · outpatient | $216 | $216 | — | — | — | $216 – $216 |
| 8 | UnitedHealthcare hix case rate · outpatient | $599 | $599 | — | — | — | $599 – $599 |
| 9 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $771 | $771 | — | — | — | $771 – $771 |
| 10 | Bcbs Tx heb fee schedule · outpatient | $847 | $847 | — | — | — | $847 – $847 |
| 11 | Bcbs Tx hmo fee schedule · outpatient | $847 | $847 | — | — | — | $847 – $847 |
| 12 | Bcbs Tx ppo fee schedule · outpatient | $970 | $970 | — | — | — | $970 – $970 |
| 13 | Bcbs Tx traditional fee schedule · outpatient | $999 | $999 | — | — | — | $999 – $999 |
| 14 | UnitedHealthcare all payer case rate · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
Last updated: Jan 13, 2026
See Photodynamic light therapy for precancerous skin lesions pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.