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
APP MDLTY 1+IONTPHRSIS EA 15
Jasper, TX
See all hospitals reporting CPT 97033 →Price type
Southeast Texas - Jasper Memorial’s median price of $225 is 334% above the median hospital's median price ($52), higher than 97% of the 2,295 hospitals reporting CPT 97033. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 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 | 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 |
| 7 | Humana choicecare per diem · outpatient | $184 | $184 | — | — | — | $184 – $184 |
| 8 | UnitedHealthcare all payer fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 9 | Cigna new business fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 10 | Cigna ppo fee schedule · outpatient | $313 | $313 | — | — | — | $313 – $313 |
| 11 | Aetna new business per diem · outpatient | $339 | $339 | — | — | — | $339 – $339 |
| 12 | Aetna hmo per diem · outpatient | $377 | $377 | — | — | — | $377 – $377 |
| 13 | Aetna epo per diem · outpatient | $396 | $396 | — | — | — | $396 – $396 |
| 14 | Aetna pos per diem · outpatient | $396 | $396 | — | — | — | $396 – $396 |
| 15 | Aetna ppo per diem · outpatient | $396 | $396 | — | — | — | $396 – $396 |
Last updated: Jan 13, 2026
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