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
UNSCHED DIALYSIS ESRD PT HOS
Jasper, TX
See all hospitals reporting HCPCS G0257 →Price type
Southeast Texas - Jasper Memorial’s median price of $706 is 22% below the median hospital's median price ($901), higher than 25% of the 1,793 hospitals reporting HCPCS G0257. 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, 17 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 chip km fee schedule · outpatient | $392 | $392 | — | — | — | $392 – $392 |
| 2 | UnitedHealthcare star kid km fee schedule · outpatient | $392 | $392 | — | — | — | $392 – $392 |
| 3 | UnitedHealthcare star km fee schedule · outpatient | $392 | $392 | — | — | — | $392 – $392 |
| 4 | UnitedHealthcare star plus km fee schedule · outpatient | $392 | $392 | — | — | — | $392 – $392 |
| 5 | Bcbs Tx blue advantage hmo per diem · outpatient | $512 | $512 | — | — | — | $512 – $512 |
| 6 | Bcbs Tx hmo per diem · outpatient | $563 | $563 | — | — | — | $563 – $563 |
| 7 | Bcbs Tx heb per diem · outpatient | $594 | $594 | — | — | — | $594 – $594 |
| 8 | Bcbs Tx ppo per diem · outpatient | $626 | $626 | — | — | — | $626 – $626 |
| 9 | Bcbs Tx traditional per diem · outpatient | $663 | $663 | — | — | — | $663 – $663 |
| 10 | Aetna mm fee schedule · outpatient | $706 | $706 | — | — | — | $706 – $706 |
| 11 | Bcbs Tx mm fee schedule · outpatient | $706 | $706 | — | — | — | $706 – $706 |
| 12 | Humana gold choice mm fee schedule · outpatient | $706 | $706 | — | — | — | $706 – $706 |
| 13 | Molina medicare adv mm fee schedule · outpatient | $706 | $706 | — | — | — | $706 – $706 |
| 14 | UnitedHealthcare mm fee schedule · outpatient | $706 | $706 | — | — | — | $706 – $706 |
| 15 | WellCare mm fee schedule · outpatient | $706 | $706 | — | — | — | $706 – $706 |
| 16 | Humana choicecare per diem · outpatient | $732 | $732 | — | — | — | $732 – $732 |
| 17 | Devoted mm fee schedule · outpatient | $762 | $762 | — | — | — | $762 – $762 |
Last updated: Jan 13, 2026
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