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
INNOVAMATRIX PD, 1 MG
Jasper, TX
See all hospitals reporting HCPCS A2023 →Price type
Southeast Texas - Jasper Memorial’s median price of $232 is 725% above the median hospital's median price ($28), higher than 95% of the 630 hospitals reporting HCPCS A2023. 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, 7 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 all payer fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 2 | UnitedHealthcare hix fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 3 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $212 | $212 | — | — | — | $212 – $212 |
| 4 | Bcbs Tx heb fee schedule · outpatient | $232 | $232 | — | — | — | $232 – $232 |
| 5 | Bcbs Tx hmo fee schedule · outpatient | $232 | $232 | — | — | — | $232 – $232 |
| 6 | Bcbs Tx traditional fee schedule · outpatient | $270 | $270 | — | — | — | $270 – $270 |
| 7 | Bcbs Tx ppo fee schedule · outpatient | $285 | $285 | — | — | — | $285 – $285 |
Last updated: Jan 13, 2026
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