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
LEV 2 HOSP TYPE B ED VISIT
Jasper, TX
See all hospitals reporting HCPCS G0381 →Price type
Southeast Texas - Jasper Memorial’s median price of $118 is 13% below the median hospital's median price ($135), higher than 43% of the 873 hospitals reporting HCPCS G0381. 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, 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 | $112 | $112 | — | — | — | $112 – $112 |
| 2 | Bcbs Tx mm fee schedule · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 3 | Humana gold choice mm fee schedule · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 4 | Molina medicare adv mm fee schedule · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 5 | UnitedHealthcare mm fee schedule · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 6 | WellCare mm fee schedule · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 7 | Devoted mm fee schedule · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 8 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $443 | $443 | — | — | — | $443 – $443 |
| 9 | Bcbs Tx heb fee schedule · outpatient | $488 | $488 | — | — | — | $488 – $488 |
| 10 | Bcbs Tx hmo fee schedule · outpatient | $488 | $488 | — | — | — | $488 – $488 |
| 11 | Bcbs Tx ppo fee schedule · outpatient | $558 | $558 | — | — | — | $558 – $558 |
| 12 | Bcbs Tx traditional fee schedule · outpatient | $575 | $575 | — | — | — | $575 – $575 |
| 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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