Nicardipine IV solution, 2.5 mg/mL 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

niCARdipine (Cardene-IV) 20 mg/200 mL (100 mcg/mL) in sodium chloride (premix) single strength

Jasper, TX

See all hospitals reporting HCPCS J2404 →

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How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $293 is 1201% above the median hospital's median price ($23), higher than 93% of the 1,957 hospitals reporting HCPCS J2404. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J2404 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	$0	$0	—	—	—	$0 – $0
4	Aetna epo fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
5	Aetna hmo fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
6	Aetna pos fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
7	Aetna ppo fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
8	Bcbs Tx blue advantage hmo fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
9	Bcbs Tx heb fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
10	Bcbs Tx hmo fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
11	Bcbs Tx ppo fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
12	Bcbs Tx traditional fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
13	UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges	$123	$123	$29	24%	—	$93 – $152
14	UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges	$123	$123	$29	24%	—	$93 – $152
15	UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges	$123	$123	$29	24%	—	$93 – $152
16	UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges	$123	$123	$29	24%	—	$93 – $152
17	Aetna mm percent of total billed charges · outpatientfrom % of charges	$210	$210	$50	24%	—	$160 – $260
18	UnitedHealthcare hix percent of total billed charges · outpatientfrom % of charges	$245	$245	$58	24%	—	$187 – $304
19	Molina chip km percent of total billed charges · outpatientfrom % of charges	$263	$263	$63	24%	—	$200 – $325
20	Molina star km percent of total billed charges · outpatientfrom % of charges	$263	$263	$63	24%	—	$200 – $325
21	Molina star plus km percent of total billed charges · outpatientfrom % of charges	$263	$263	$63	24%	—	$200 – $325
22	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$263	$263	$63	24%	—	$200 – $325
23	Cigna new business percent of total billed charges · outpatientfrom % of charges	$341	$341	$81	24%	—	$260 – $423
24	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$394	$394	$94	24%	—	$300 – $488
25	Devoted mm percent of total billed charges · outpatientfrom % of charges	$438	$438	$104	24%	—	$333 – $542

Page 1 of 2 · 30 rates

Last updated: Jan 13, 2026

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