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 5 HOSP TYPE B ED VISIT
Jasper, TX
See all hospitals reporting HCPCS G0384 →Price type
Southeast Texas - Jasper Memorial’s median price of $432 is 16% below the median hospital's median price ($513), higher than 36% of the 865 hospitals reporting HCPCS G0384. 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 | $407 | $407 | — | — | — | $407 – $407 |
| 2 | Bcbs Tx mm fee schedule · outpatient | $407 | $407 | — | — | — | $407 – $407 |
| 3 | Humana gold choice mm fee schedule · outpatient | $407 | $407 | — | — | — | $407 – $407 |
| 4 | Molina medicare adv mm fee schedule · outpatient | $407 | $407 | — | — | — | $407 – $407 |
| 5 | UnitedHealthcare mm fee schedule · outpatient | $407 | $407 | — | — | — | $407 – $407 |
| 6 | WellCare mm fee schedule · outpatient | $407 | $407 | — | — | — | $407 – $407 |
| 7 | Devoted mm fee schedule · outpatient | $440 | $440 | — | — | — | $440 – $440 |
| 8 | UnitedHealthcare hix case rate · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 9 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 10 | Bcbs Tx heb fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 11 | Bcbs Tx hmo fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 12 | Bcbs Tx ppo fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 13 | Bcbs Tx traditional fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 14 | UnitedHealthcare all payer case rate · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
Last updated: Jan 13, 2026
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