Photodynamic light therapy after scraping precancerous skin lesions 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

DBRDMT PRMLG LES W/PDT

Jasper, TX

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Pricing by billing methodology

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How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $216 is 23% below the median hospital's median price ($283), higher than 26% of the 1,368 hospitals reporting CPT 96574. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 96574 at Southeast Texas - Jasper Memorial

Negotiated rates from the hospital’s own file: 7 payers, 19 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	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
15	Aetna new business case rate · outpatient	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
16	Aetna epo case rate · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
17	Aetna hmo case rate · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
18	Aetna pos case rate · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
19	Aetna ppo case rate · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k

Last updated: Jan 13, 2026

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