Level 1 emergency department visit 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

LEV 1 HOSP TYPE B ED VISIT

Jasper, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $90 is 12% below the median hospital's median price ($103), higher than 42% of the 863 hospitals reporting HCPCS G0380. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS G0380 at Southeast Texas - Jasper Memorial

Negotiated rates from the hospital’s own file: 7 payers, 14 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	$85	$85	—	—	—	$85 – $85
2	Bcbs Tx mm fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
3	Humana gold choice mm fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
4	Molina medicare adv mm fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
5	UnitedHealthcare mm fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
6	WellCare mm fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
7	Devoted mm fee schedule · outpatient	$92	$92	—	—	—	$92 – $92
8	Bcbs Tx blue advantage hmo fee schedule · outpatient	$275	$275	—	—	—	$275 – $275
9	Bcbs Tx heb fee schedule · outpatient	$302	$302	—	—	—	$302 – $302
10	Bcbs Tx hmo fee schedule · outpatient	$302	$302	—	—	—	$302 – $302
11	Bcbs Tx ppo fee schedule · outpatient	$346	$346	—	—	—	$346 – $346
12	Bcbs Tx traditional fee schedule · outpatient	$357	$357	—	—	—	$357 – $357
13	UnitedHealthcare hix case rate · outpatient	$665	$665	—	—	—	$665 – $665
14	UnitedHealthcare all payer case rate · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k

Last updated: Jan 13, 2026

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