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
SBSQ HOSP IP/OBS SF/LOW 25
Jasper, TX
See all hospitals reporting CPT 99231 →Price type
Southeast Texas - Jasper Memorial’s median price of $222 is 279% above the median hospital's median price ($59), higher than 94% of the 1,273 hospitals reporting CPT 99231. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 8 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 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 2 | Bcbs Tx heb fee schedule · outpatient | $194 | $194 | — | — | — | $194 – $194 |
| 3 | Bcbs Tx hmo fee schedule · outpatient | $194 | $194 | — | — | — | $194 – $194 |
| 4 | Bcbs Tx ppo fee schedule · outpatient | $222 | $222 | — | — | — | $222 – $222 |
| 5 | Bcbs Tx traditional fee schedule · outpatient | $229 | $229 | — | — | — | $229 – $229 |
| 6 | Humana choicecare case rate · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 7 | UnitedHealthcare hix case rate · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 8 | UnitedHealthcare all payer case rate · outpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
Last updated: Jan 13, 2026
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