Acetylcysteine injection 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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

acetylcysteine (Acetadote) 3,020 mg in dextrose 5 % 515.1 mL infusion

Jasper, TX

See all hospitals reporting HCPCS J0132 →

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How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $107 is 668% above the median hospital's median price ($14), higher than 68% of the 2,160 hospitals reporting HCPCS J0132. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0132 at Southeast Texas - Jasper Memorial

Negotiated rates from the hospital’s own file: 11 payers, 30 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 all payer fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
2	UnitedHealthcare hix fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
3	Aetna new business fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
4	Aetna epo fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
5	Aetna hmo fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
6	Aetna pos fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
7	Aetna ppo fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
8	Humana choicecare fee schedule · outpatient	$3	$3	—	—	—	$3 – $3
9	Bcbs Tx blue advantage hmo fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
10	Bcbs Tx heb fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
11	Bcbs Tx hmo fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
12	Bcbs Tx ppo fee schedule · outpatient	$12	$12	—	—	—	$12 – $12
13	Bcbs Tx traditional fee schedule · outpatient	$12	$12	—	—	—	$12 – $12
14	UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges	$54	$57	$30	53%	—	$25 – $104
15	UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges	$54	$57	$30	53%	—	$25 – $104
16	UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges	$54	$57	$30	53%	—	$25 – $104
17	UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges	$54	$57	$30	53%	—	$25 – $104
18	Aetna mm percent of total billed charges · outpatientfrom % of charges	$93	$98	$52	53%	—	$43 – $179
19	UnitedHealthcare hix percent of total billed charges · outpatientfrom % of charges	$108	$114	$60	53%	—	$50 – $209
20	Molina chip km percent of total billed charges · outpatientfrom % of charges	$116	$123	$64	53%	—	$54 – $223
21	Molina star km percent of total billed charges · outpatientfrom % of charges	$116	$123	$64	53%	—	$54 – $223
22	Molina star plus km percent of total billed charges · outpatientfrom % of charges	$116	$123	$64	53%	—	$54 – $223
23	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$116	$123	$64	53%	—	$54 – $223
24	Cigna new business percent of total billed charges · outpatientfrom % of charges	$151	$159	$84	53%	—	$70 – $290
25	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$174	$184	$97	53%	—	$80 – $335

Page 1 of 2 · 30 rates

Last updated: Jan 13, 2026

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