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
SURG EXP ROOT SURF PREMOLAR
Jasper, TX
See all hospitals reporting HCPCS D3502 →Price type
Southeast Texas - Jasper Memorial’s median price of $1.7k is 7% above the median hospital's median price ($1.6k), higher than 58% of the 697 hospitals reporting HCPCS D3502. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 9 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 case rate · outpatient | $599 | $599 | — | — | — | $599 – $599 |
| 2 | UnitedHealthcare all payer case rate · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 3 | Aetna mm fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 4 | Bcbs Tx mm fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 5 | Humana gold choice mm fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 6 | Molina medicare adv mm fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 7 | UnitedHealthcare mm fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 8 | WellCare mm fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 9 | Devoted mm fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
Last updated: Jan 13, 2026
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