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
TRICHOGRAM
Jasper, TX
See all hospitals reporting CPT 96902 →Price type
Southeast Texas - Jasper Memorial’s median price of $103 is 159% above the median hospital's median price ($40), higher than 85% of the 841 hospitals reporting CPT 96902. 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, 6 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 | $49 | $49 | — | — | — | $49 – $49 |
| 2 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 3 | Bcbs Tx heb fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 4 | Bcbs Tx hmo fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 5 | Bcbs Tx ppo fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 6 | Bcbs Tx traditional fee schedule · outpatient | $122 | $122 | — | — | — | $122 – $122 |
Last updated: Jan 13, 2026
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