Non-covered procedure for a clinical trial at Southeast Texas - Jasper Memorial

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

NON-COV PROC, CLINICAL TRIAL

Jasper, TX

See all hospitals reporting HCPCS G0294 →

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Pricing by billing methodology

Price type

How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $43 is about the same as the median hospital's median price ($43), higher than 49% of the 919 hospitals reporting HCPCS G0294. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS G0294 at Southeast Texas - Jasper Memorial

Negotiated rates from the hospital’s own file: 7 payers, 18 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	Aetna mm fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
2	Bcbs Tx mm fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
3	Humana gold choice mm fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
4	Molina medicare adv mm fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
5	UnitedHealthcare mm fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
6	WellCare mm fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
7	Devoted mm fee schedule · outpatient	$43	$43	—	—	—	$43 – $43
8	Bcbs Tx blue advantage hmo fee schedule · outpatient	$147	$147	—	—	—	$147 – $147
9	Bcbs Tx heb fee schedule · outpatient	$162	$162	—	—	—	$162 – $162
10	Bcbs Tx hmo fee schedule · outpatient	$162	$162	—	—	—	$162 – $162
11	Bcbs Tx ppo fee schedule · outpatient	$186	$186	—	—	—	$186 – $186
12	Bcbs Tx traditional fee schedule · outpatient	$191	$191	—	—	—	$191 – $191
13	Humana choicecare other · outpatient	$2.9k	$2.9k	—	—	—	$2.9k – $2.9k
14	Aetna new business case rate · outpatient	$3.7k	$3.7k	—	—	—	$3.7k – $3.7k
15	Aetna epo case rate · outpatient	$4.1k	$4.1k	—	—	—	$4.1k – $4.1k
16	Aetna hmo case rate · outpatient	$4.1k	$4.1k	—	—	—	$4.1k – $4.1k
17	Aetna pos case rate · outpatient	$4.1k	$4.1k	—	—	—	$4.1k – $4.1k
18	Aetna ppo case rate · outpatient	$4.1k	$4.1k	—	—	—	$4.1k – $4.1k

Last updated: Jan 13, 2026

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