Metoclopramide hydrochloride injection, 5 mg per 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

metoclopramide (Reglan) injection 5 mg

Jasper, TX

See all hospitals reporting HCPCS J2765 →

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How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $8 is 44% above the median hospital's median price ($5), higher than 59% of the 2,277 hospitals reporting HCPCS J2765. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J2765 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	$1	$1	—	—	—	$1 – $1
2	UnitedHealthcare hix fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
3	Aetna new business fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
4	Aetna epo fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
5	Aetna hmo fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
6	Aetna pos fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
7	Aetna ppo fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
8	Humana choicecare fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
9	UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges	$4	$3	$1	43%	—	$1 – $5
10	UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges	$4	$3	$1	43%	—	$1 – $5
11	UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges	$4	$3	$1	43%	—	$1 – $5
12	UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges	$4	$3	$1	43%	—	$1 – $5
13	Aetna mm percent of total billed charges · outpatientfrom % of charges	$7	$6	$3	43%	—	$2 – $8
14	Bcbs Tx blue advantage hmo fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
15	UnitedHealthcare hix percent of total billed charges · outpatientfrom % of charges	$8	$7	$3	43%	—	$3 – $10
16	Bcbs Tx heb fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
17	Bcbs Tx hmo fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
18	Molina chip km percent of total billed charges · outpatientfrom % of charges	$8	$7	$3	43%	—	$3 – $10
19	Molina star km percent of total billed charges · outpatientfrom % of charges	$8	$7	$3	43%	—	$3 – $10
20	Molina star plus km percent of total billed charges · outpatientfrom % of charges	$8	$7	$3	43%	—	$3 – $10
21	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$8	$7	$3	43%	—	$3 – $10
22	Bcbs Tx ppo fee schedule · outpatient	$8	$8	—	—	—	$8 – $8
23	Bcbs Tx traditional fee schedule · outpatient	$9	$9	—	—	—	$9 – $9
24	Cigna new business percent of total billed charges · outpatientfrom % of charges	$11	$10	$4	43%	—	$4 – $14
25	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$12	$11	$5	43%	—	$4 – $16

Page 1 of 2 · 30 rates

Last updated: Jan 13, 2026

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